|
Server IP : 86.38.243.193 / Your IP : 216.73.217.143 Web Server : LiteSpeed System : Linux in-mum-web1336.main-hosting.eu 4.18.0-553.34.1.lve.el8.x86_64 #1 SMP Thu Jan 9 16:30:32 UTC 2025 x86_64 User : u493057690 ( 493057690) PHP Version : 8.2.30 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : ON | Perl : OFF | Python : ON Directory (0755) : /home/u493057690/domains/iasfindia.com/public_html/admin/../assets/../ |
| [ Home ] | [ C0mmand ] | [ Upload File ] |
|---|
<?php
require_once 'admin/connect.php';
include('header.php');
?>
<!--Breadcrumb-->
<section class="bannerimg cover-image bg-background3" data-image-src="assets/images/banners/slide-banner.jpg">
<div class="header-text mb-0">
<div class="container">
<div class="row text-white">
<div class="col"><h1 class="">Membership/Affialiation Registration</h1></div>
<div class="col col-auto">
<ol class="breadcrumb text-center">
<li class="breadcrumb-item"><a href="index.php">Home</a></li>
<li class="breadcrumb-item active text-white" aria-current="page">Member Registration</li>
</ol>
</div>
</div>
</div>
</div>
</section>
<!--/Breadcrumb-->
<!--Add posts-section-->
<section class="sptb">
<div class="container">
<div class="row">
<div class="col-xl-8">
<!--row open-->
<div class="row">
<div class="col-12">
<div class="card">
<div class="card-header">
<h3 class="card-title">Registration Form</h3>
</div>
<div class="card-body">
<div id="smartwizard-3">
<div>
<p style="font-weight:bold; color:#f96768">
Please fill the given options properly and fill it carefully if there is any mistake then it will be chargeable, you will liable to pay it. for more information read
<a href="terms-conditions.php">Terms & Conditions</a>
</p>
<div id="step-10" class="">
<form method="POST" action="add_query_reserve_member.php" enctype="multipart/form-data" onsubmit="return checkEnquiryForm2();">
<div class="row">
<div class="col-md-6">
<div class="control-group form-group">
<label class="form-label">Your Name</label>
<input type = "text" class = "form-control" name = "name" id = "name" placeholder="Enter Your Name"/>
</div>
<div class="control-group form-group">
<label class="form-label">Your Father's Name</label>
<input type = "text" class = "form-control" name = "father_name" id = "father_name" placeholder="Enter Father's Name"/>
</div>
<div class="control-group form-group">
<label class="form-label">Date of Birth</label>
<input type = "date" class = "form-control" name = "dob" id = "dob" />
</div>
<div class="control-group form-group">
<label class="form-label">Address</label>
<input type = "text" class = "form-control" name = "address" id = "address"/>
</div>
<div class="control-group form-group">
<label class="form-label">District</label>
<input type = "text" class = "form-control" name = "district" id = "district"/>
</div>
<div class="control-group form-group">
<label class="form-label">State State</label>
<select name="state" id="state" class="form-control">
<option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
<option value="Arunachal Pradesh">Arunachal Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chandigarh">Chandigarh</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Dadar and Nagar Haveli">Dadar and Nagar Haveli</option>
<option value="Daman and Diu">Daman and Diu</option>
<option value="Delhi">Delhi</option>
<option value="Lakshadweep">Lakshadweep</option>
<option value="Puducherry">Puducherry</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal Pradesh">Himachal Pradesh</option>
<option value="Jammu and Kashmir">Jammu and Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="Karnataka">Karnataka</option>
<option value="Kerala">Kerala</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Punjab">Punjab</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Telangana">Telangana</option>
<option value="Tripura">Tripura</option>
<option value="Uttar Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West Bengal">West Bengal</option>
</select>
</div>
<div class="control-group form-group">
<label class="form-label">Country</label>
<select id="country" name="country" class = "form-control" >
<option value="India">India</option>
<option value="Afganistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antigua & Barbuda">Antigua & Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire">Bonaire</option>
<option value="Bosnia & Herzegovina">Bosnia & Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Ter">British Indian Ocean Ter</option>
<option value="Brunei">Brunei</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Canary Islands">Canary Islands</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Channel Islands">Channel Islands</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Island">Cocos Island</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote DIvoire">Cote DIvoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaco">Curacao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Ter">French Southern Ter</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Great Britain">Great Britain</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Hawaii">Hawaii</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea North">Korea North</option>
<option value="Korea Sout">Korea South</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Laos">Laos</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malaysia">Malaysia</option>
<option value="Malawi">Malawi</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Midway Islands">Midway Islands</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Nambia">Nambia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherland Antilles">Netherland Antilles</option>
<option value="Netherlands">Netherlands (Holland, Europe)</option>
<option value="Nevis">Nevis</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau Island">Palau Island</option>
<option value="Palestine">Palestine</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Phillipines">Philippines</option>
<option value="Pitcairn Island">Pitcairn Island</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Republic of Montenegro">Republic of Montenegro</option>
<option value="Republic of Serbia">Republic of Serbia</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="St Barthelemy">St Barthelemy</option>
<option value="St Eustatius">St Eustatius</option>
<option value="St Helena">St Helena</option>
<option value="St Kitts-Nevis">St Kitts-Nevis</option>
<option value="St Lucia">St Lucia</option>
<option value="St Maarten">St Maarten</option>
<option value="St Pierre & Miquelon">St Pierre & Miquelon</option>
<option value="St Vincent & Grenadines">St Vincent & Grenadines</option>
<option value="Saipan">Saipan</option>
<option value="Samoa">Samoa</option>
<option value="Samoa American">Samoa American</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome & Principe">Sao Tome & Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Tahiti">Tahiti</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad & Tobago">Trinidad & Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks & Caicos Is">Turks & Caicos Is</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Erimates">United Arab Emirates</option>
<option value="United States of America">United States of America</option>
<option value="Uraguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Vatican City State">Vatican City State</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option>
<option value="Virgin Islands (USA)">Virgin Islands (USA)</option>
<option value="Wake Island">Wake Island</option>
<option value="Wallis & Futana Is">Wallis & Futana Is</option>
<option value="Yemen">Yemen</option>
<option value="Zaire">Zaire</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
<div class="control-group form-group">
<label class="form-label">Qualification</label>
<input type = "text" class = "form-control" name = "qualification" id = "qualification"/>
</div>
</div>
<div class="col-md-6">
<div class="control-group form-group">
<label class="form-label">Enter Contact Number</label>
<input type = "text" class = "form-control" name = "contact_no" id = "contact_no"/>
</div>
<div class="control-group form-group">
<label class="form-label">Enter Email Id</label>
<input type = "text" class = "form-control" name = "emailid" id = "emailid"/>
</div>
<div class="control-group form-group">
<label class="form-label">Enter Adhar Number</label>
<input type = "text" class = "form-control" name = "adhar_no" id = "adhar_no"/>
</div>
<div class="control-group form-group">
<label class="form-label">Upload Your Photo</label>
<input type="file" class="form-control" name="uploadedfile1" id="uf1" onchange="validateSize1(this)" required >
<!-- <input type="file" class="fancyuploader" accept=".jpg, .png, image/jpeg, image/png" id="myFile" name="uploadedfile1" required = "required" > -->
</div>
<div class="control-group form-group">
<label class="form-label">Upload Your Adhar Card</label>
<input type="file" class = "form-control" name="uploadedfile2" id="uf2" onchange="validateSize2(this)" required >
</div>
<div class="control-group form-group">
<label class="form-label">Upload Your Signature</label>
<input type="file" class = "form-control" name="uploadedfile3" id="uf3" onchange="validateSize3(this)" required >
<input id="date" name="reg_date" type="hidden">
</div>
<label class="custom-control mt-4 custom-checkbox">
<input type="checkbox" class="custom-control-input" required = "required"/>
<span class="custom-control-label text-dark pl-2">I accept the <a href="terms-conditions.php">Terms & Conditions & Privacy Policy</a></span>
</label>
<div class = "form-group">
<button class = "btn btn-info form-control" name = "add_registration1"><i class = "glyphicon glyphicon-save"></i> Submit</button>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!--row closed-->
<div class="col-xl-4">
<?php
include('latest-update.php');
?>
</div>
</div> <!-- end row -->
</div>
</section>
<!--/Add posts-section-->
<script>
function checkEnquiryForm2()
{
var valid=false;
if (document.getElementById('name').value=="")
{
alert("Name field can't be left blank");
document.getElementById('name').focus();
}
else if (document.getElementById('father_name').value=="")
{
alert("Father's Name field can't be left blank");
document.getElementById('father_name').focus();
}
else if (document.getElementById('dob').value=="")
{
alert("Enter Valid Date of Birth");
document.getElementById('dob').focus();
}
else if (document.getElementById('address').value=="")
{
alert("Enter Valid Address");
document.getElementById('address').focus();
}
else if (document.getElementById('district').value=="")
{
alert("Enter Your District");
document.getElementById('district').focus();
}
else if (document.getElementById('state').value=="")
{
alert("Select Your State");
document.getElementById('state').focus();
}
else if (document.getElementById('country').value=="")
{
alert("Select Country");
document.getElementById('country').focus();
}
else if (document.getElementById('qualification').value=="")
{
alert("Enter Your Qualification");
document.getElementById('qualification').focus();
}
else if (document.getElementById('contact_no').value=="")
{
alert("Contact number field can't be left blank");
document.getElementById('contact_no').focus();
}
else if (isNaN(document.getElementById('contact_no').value))
{
alert("Invalid Contact number !! Try again");
document.getElementById('contact_no').focus();
}
else if (document.getElementById('emailid').value=="")
{
alert("Email address field can't be left blank");
document.getElementById('emailid').focus();
}
else if (!validateEmail(document.getElementById('emailid').value))
{
alert("Invalid Email address !! Try again");
document.getElementById('emailid').focus();
}
else if (document.getElementById('adhar_no').value=="")
{
alert("Aadhaar Number number field can't be left blank");
document.getElementById('adhar_no').focus();
}
else if (isNaN(document.getElementById('adhar_no').value))
{
alert("Invalid Aadhaar number !! Try again");
document.getElementById('adhar_no').focus();
}
else
{
valid=true;
}
return valid;
}
function validateEmail(emailid) {
var re = /^(([^<>()\[\]\\.,;:\s@"]+(\.[^<>()\[\]\\.,;:\s@"]+)*)|(".+"))@((\[[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\.[0-9]{1,3}\])|(([a-zA-Z\-0-9]+\.)+[a-zA-Z]{2,}))$/;
return re.test(emailid);
}
function validateSize1(input) {
const fileSize = input.files[0].size / 1024 / 1024; // in KB
if (fileSize > 200/1024) {
alert('File size exceeds 200 KB');
$("#uf1").val('');
} else {
// Proceed further
}
}
function validateSize2(input) {
const fileSize = input.files[0].size / 1024 / 1024; // in KB
if (fileSize > 100/1024) {
alert('File size exceeds 100 KB');
$("#uf2").val('');
} else {
// Proceed further
}
}
function validateSize3(input) {
const fileSize = input.files[0].size / 1024 / 1024; // in KB
if (fileSize > 50/1024) {
alert('File size exceeds 50 KB');
$("#uf3").val('');
} else {
// Proceed further
}
}
</script>
<script type="text/javascript">
document.getElementById('date').value = Date();
</script>
<script src = "js/jquery.js"></script>
<script src = "js/bootstrap.js"></script>
<?php
include('footer.php');
?>