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Rev Author Line No. Line
22114 ashik.ali 1
<html>
2
<head>
3
 
22190 amit.gupta 4
<script type="text/javascript" src="${rc.contextPath}/resources/fofo-form/js/jquery-1.10.2.min.js"></script>
22191 amit.gupta 5
<link rel="stylesheet" href="${rc.contextPath}/resources/fofo-form/css/bootstrap.min.css"/>
6
<link rel="stylesheet" type="text/css" href="${rc.contextPath}/resources/fofo-form/css/main.css"/>
22114 ashik.ali 7
<!-- Optional theme -->
22191 amit.gupta 8
<link rel="stylesheet" href="${rc.contextPath}/resources/fofo-form/css/bootstrap-theme.min.css" />
22114 ashik.ali 9
 
10
<!-- Latest compiled and minified JavaScript -->
22190 amit.gupta 11
<script src="${rc.contextPath}/resources/fofo-form/js/bootstrap.min.js" type="script/javascript"></script>
12
<script src="${rc.contextPath}/resources/fofo-form/js/bootstrapValidator.js"></script>
13
<script src="${rc.contextPath}/resources/fofo-form/js/reg.js"></script>
14
<script src="${rc.contextPath}/resources/fofo-form/js/reqformvalidator.js"></script>
15
<script src="${rc.contextPath}/resources/fofo-form/js/fofoedit.js"></script>
22114 ashik.ali 16
<script type="text/javascript">
17
var jsonObj=$action.fofoFormJson();
18
console.log(JSON.stringify(jsonObj));
19
$(document).ready(function(){
22191 amit.gupta 20
	readForm();
22114 ashik.ali 21
    $("input[name$='bEntity']").click(function() {
22
        var test1 = $(this).val();
23
       $(".box").hide();
24
       $('input[name=dinNumber]').each(function(){
25
         $(this).prop('disabled', true);
26
      });
27
 
28
       var dinNumberInput = $("#sale"+test1+ " input[name=dinNumber]");
29
       if (dinNumberInput.prop('disabled') == true){
30
            dinNumberInput.prop('disabled', false);
31
       } 
32
        $("#sale" + test1).show();
33
});
34
});
35
</script>
36
 
37
<script type="text/javascript">
38
$(document).ready(function(){
39
    $("input[name$='bPmpDetail']").click(function() {
40
        var test1 = $(this).val();
41
       $(".pmp").hide();
42
        $("#Pmp" + test1).show();
43
    });
44
});
45
 
46
</script>
47
 
48
<script type="text/javascript">
49
$(document).ready(function(){
50
    $("input[name$='shopStatus']").click(function() {
51
        var test1 = $(this).val();
52
          $("#shopsemifurnished, #shopfullfurnished").find("input[type=checkbox]").each(function(){
53
         $(this).prop('disabled', true);
54
    });
55
 
56
       $(".status").hide();
57
       $("#shop" + test1).show();
58
       $("#shop" + test1).find("input[type=checkbox]").prop('disabled', false);
59
 
60
    });
61
});
62
 
63
</script>
64
<script type="text/javascript">
65
$(document).ready(function(){
66
    $("input[name$='sellingOnline']").click(function() {
67
        var test1 = $(this).val();
68
       $(".Names").hide();
69
        $("#selling" + test1).show();
70
    });
71
});
72
 
73
</script>
74
 
75
 
76
<script type="text/javascript">
77
$(document).ready(function(){
78
    associateValidator();
79
    $("input[name$='insurance']").click(function() {
80
        var test1 = $(this).val();
81
       $(".doc").hide();
82
        $("#doc" + test1).show();
83
    });
84
});
85
 
86
</script>
87
 
88
<script type="text/javascript">
89
$(document).ready(function(){
90
    $("input[name$='loan']").click(function() {
91
        var test1 = $(this).val();
92
       $(".document").hide();
93
        $("#document" + test1).show();
94
        $("#showHide").show();
95
    });
96
});
97
 
98
function queryStringToJSON(queryString) {
99
  var pairs = queryString.split('&');
100
  var result = {};
101
  pairs.forEach(function(pair) {
102
    pair = pair.split('=');
103
    result[pair[0]] = decodeURIComponent(pair[1] || '');
104
 
105
  });
106
  return result;
107
}
108
 
109
 
110
function jQFormSerializeArrToJson(formSerializeArr){
111
 var jsonObj = {};
112
 jQuery.map( formSerializeArr, function( n, i ) {
113
     jsonObj[n.name] = n.value;
114
 });
115
 return jsonObj;
116
}
117
 
118
</script>
119
 
120
<style>
121
.loading-image {
122
position: fixed;
123
top: 50%;
124
left: 50%;
125
margin-top: -50px;
126
margin-left: -100px;
127
z-index: 100;
128
}
129
</style>
130
 
131
</head>
132
 
133
<body>
134
<div class="container">
135
    <div class="row">
136
         <div class ="header">   
137
		 <h3 class="header">HOTSPOT PARTNER STORE</h3>
138
         <h4 class="header">Powered by Profit Mandi (A Unit of Spice Group)</h4>
139
         </div>
140
 
141
        <div class="header">
142
            <h5 class="header">APPLICATION FOR REGISTRATION</h5>
143
       </div>  
144
        <hr />
145
 
146
        <div class="row">
147
            <div class="col-sm-8">
148
 
149
                <form role="form" name="myform" id ="form"  enctype="multipart/form-data"  data-toggle="validator" novalidate>
150
             <h4 class="page-header">1. Registered Business Name of HSPS (in Block Letters)</h4>
151
                     <div class="form-group ">
152
 
153
                     <label for=""></label>
22534 ashik.ali 154
                     <input type="text" name="registeredBusinessName" id="demo" class="bform" placeholder="Business Name" style="text-transform:uppercase;"/>
22114 ashik.ali 155
 
156
 
157
                     </div>
158
 
159
 
160
             <h4 class="page-header">2. Registered Address (In Block Letters)</h4>
161
 
162
                    <div class="form-group float-label-control">
163
                        <label for="">Line 1</label>
22534 ashik.ali 164
                        <input type="text" name ="line1" class="form-control" placeholder="Line 1" style="text-transform:uppercase;">
22114 ashik.ali 165
                    </div>
166
 
167
                     <div class="form-group float-label-control">
168
                      <label for="">Line 2</label>
22534 ashik.ali 169
                        <input type="text" name ="line2" class="form-control" placeholder="Line 2" style="text-transform:uppercase;">
22114 ashik.ali 170
                    </div>
171
                     <div class="form-group float-label-control">
172
                        <label for="">Line 3</label>
22534 ashik.ali 173
                        <input type="text" name="line3" class="form-control" placeholder="Line 3" style="text-transform:uppercase;">
22114 ashik.ali 174
                    </div>
175
                     <div class="form-group float-label-control">
176
                        <label for="">City</label>
22534 ashik.ali 177
                        <input type="text" name="city" class="form-control" placeholder="City" style="text-transform:uppercase;">
22114 ashik.ali 178
                    </div>
179
                      <div class="form-group float-label-control">
180
                        <label for="">District</label>
22534 ashik.ali 181
                        <input type="text" name="district" class="form-control" placeholder="District" style="text-transform:uppercase;">
22114 ashik.ali 182
                    </div>
183
                     <div class="form-group float-label-control">
184
                        <label for="">Pincode</label>
22534 ashik.ali 185
                        <input  type="text" name="pincode" maxlength="6" class="form-control" pattern="[0-9]{6}" title="Please enter correct Pin Code"placeholder="Pincode" style="text-transform:uppercase;">
22114 ashik.ali 186
                      </div>  
187
 
188
                     <div class="form-group float-label-control">
189
 
190
                      <select class="form-control" name = "state" placeholder="State">
191
                       <option value=" ">State</option>
37405 amit 192
                     #foreach($stateName in $stateNames)
193
                            <option value="$stateName">$stateName</option>
194
                     #end
195
</select>
22114 ashik.ali 196
                    </div>
197
 
198
 
199
                      <div class="form-group float-label-control">
200
                        <label for="">Email1</label>
22534 ashik.ali 201
                        <input type="email" class="form-control" name="registeredEmail1" placeholder="Email1" style="text-transform:uppercase;">
22114 ashik.ali 202
                      </div>  
203
                         <p>Example:- xyz<strong>.hsps@gmail.com</strong></p>
204
 
205
 
206
 
207
                        <div class="form-group float-label-control">
208
                        <label for="">Email2</label>
22534 ashik.ali 209
                        <input type="email" class="form-control" name="registeredEmail2" placeholder="Email2" style="text-transform:uppercase;">
22114 ashik.ali 210
                      </div> 
211
 
212
 
213
                       <div class="form-group float-label-control">
214
                        <label for="">Mobile</label>
22534 ashik.ali 215
                        <input  type="text" class="form-control" name="mobile" maxlength = "10" pattern="[0-9]{10}" title="Please enter valid Phone number" placeholder="Mobile" style="text-transform:uppercase;">
22114 ashik.ali 216
                      </div>  
217
 
218
                    <label>Landline</label>
219
                      <div class="form-group Pmpform">
22534 ashik.ali 220
                      <input type="text" name="stdcode" maxlength = "5" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="STDcode" style="text-transform:uppercase;"/> 
22114 ashik.ali 221
 
222
 
22534 ashik.ali 223
                      <input type="text" name="telephone" maxlength = "10" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="Telephone" style="text-transform:uppercase;"/>
22114 ashik.ali 224
                      </div>
225
 
226
 
227
 
228
             <h4 class="page-header">3. Type of Business Entity</h4>
229
                   <div class="funkyradio">
230
 
231
                    <div class="funkyradio-primary">
232
                        <input type="radio" name="bEntity" id="radio1" value="SaleProprietorship" required>
233
                        <label for="radio1">Proprietor</label>
234
                    </div>
235
                    <div class="funkyradio-primary">
236
                        <input type="radio" name="bEntity" id="radio2" value="Partnership" required>
237
                        <label for="radio2">Partnership</label>
238
                    </div>
239
                    <div class="funkyradio-primary">
240
                        <input type="radio" name="bEntity" id="radio3" value="PrivateLimitedCompany" required>
241
                        <label for="radio3">Private Limited company</label>
242
                    </div>
243
                    <div class="funkyradio-primary">
244
                        <input type="radio" name="bEntity" id="radio4" value="LimitedLiabilityPartnership" required>
245
                        <label for="radio4">Limited Liability Partnership</label>
246
                    </div>
247
                </div>
248
                  <div class ="Entity">
249
                    <div class="SaleProprietorship box" id ="saleSaleProprietorship">Upload <strong>Proprietership proof</strong></div>
250
                     <div class="partnership box" id="salePartnership">Upload <strong>Partnership Deed</strong></div>
251
                     </div>
252
                      <div class="limitedcompany box" id="salePrivateLimitedCompany">
253
                      <div class="form-group float-label-control">
254
                        <label for="">DIN Number</label>
22534 ashik.ali 255
                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number" style="text-transform:uppercase;">
22114 ashik.ali 256
                    </div>Upload <strong>Incorporation certificate,Memorandum & Article of association</strong>
257
                      </div>
258
 
259
 
260
                      <div class="LimitedLiabilityPartnership box" id="saleLimitedLiabilityPartnership">
261
 
262
 
263
                           <div class="form-group float-label-control">
264
                        <label for="">DIN Number</label>
22534 ashik.ali 265
                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number" style="text-transform:uppercase;">
22114 ashik.ali 266
                    </div>Upload <strong>Registration certificate & partnership Deed</strong>
267
                     </div>
268
 
269
                    <div class = "form-group file upload"> 
270
                   <input type="file" accept="application/pdf,image/*" name = "bEntityDoc"  />
271
 
272
                  <a href="somelink" id="link-bEntityDoc" style="display:none">View bEntity Document</a>
273
 
274
                    </div>
275
 
276
 
277
                     <h4 class="page-header">4. Goods And Services Tax Number(GST)</h4>
278
                    <div class="Pmpform">
279
 
22534 ashik.ali 280
                        <input type="text" name="gst" class="bform" placeholder="Goods And Services Tax Number" style="text-transform:uppercase;"/>
22114 ashik.ali 281
                    </div>
282
                     <p>Provide Copy of GST document</p>
283
                    <div class = "file upload"> 
284
                   <input type="file"  accept="application/pdf,image/*" name ="gstDoc">
285
                     <a href="somelink" id="link-gstDoc" style="display:none">View GST Document</a>
286
                    </div>
287
 
288
 
289
                     <h4 class="page-header">5. Permanent Account Number(PAN)</h4>
290
                    <div class="form-group ">
291
 
292
                     <label for=""></label>
22534 ashik.ali 293
                     <input type="text" name="pan" maxlength="10" class="bform" placeholder="Permanent Account Number" style="text-transform:uppercase;"/></div>
22114 ashik.ali 294
                     <p>Provide Copy of PAN </p>
295
 
296
                    <div class = "form-group file upload"> 
297
 
298
                   <input type="file" accept="application/pdf,image/*" id ="panDoc"  name="panDoc">
299
                   <a href="somelink" id="link-panDoc" style="display:none">View Pan Document</a>
300
                    </div>
301
 
302
 
303
             <h4 class="page-header">6. Full Details Of Business Entity</h4>
304
 
305
                   <div class="funkyradio">
306
                    <div class="funkyradio-primary">
307
                        <input type="radio" name="bPmpDetail" id="business1" value="Proprietor" required>
308
                        <label for="business1">Proprietor</label>
309
                    </div>
310
                    <div class="funkyradio-primary">
311
                        <input type="radio" name="bPmpDetail" id="business2" value="Partners" required>
312
                        <label for="business2">Partners</label>
313
                    </div>
314
                    <div class="funkyradio-primary">
315
                        <input type="radio" name="bPmpDetail" id="business3" value="Directors" required>
316
                        <label for="business3">Directors</label>
317
                    </div>
318
                </div>
319
 
320
                <div class="tablecontainer">
321
   <table class="businessdetail">
322
              <tr> 
323
              <th class ="PMPName">Name</th>
324
              <th  class="PMPAddress">Address</th> 
325
              <th class="PMPtelno">Mobile</th>
326
              <th class="PMPpan">PAN</th>
327
              <th class="PMPAdhaar">Aadhaar Number</th>
328
              <th class="PMPemail">Email</th>
329
              <th class="PMPownership">Share %</th>
330
 
331
               </tr>
332
            <tr>
333
 
22534 ashik.ali 334
                   <td class="form-group"><input type="text" name="proprietorBusineesName"size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 335
                   <td class="form-group"><textarea row="3" name="proprietorAddress"></textarea></td>
22534 ashik.ali 336
                   <td class="form-group"><input type="text" name="proprietorPhone" maxlength="10" pattern="[0-9]{10}"size="10" style="text-transform:uppercase;"></th>
337
                   <td class="form-group"><input type="text" name="proprietorPan" maxlength="10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
338
                    <td class="form-group"><input type="text"  name= "proprietorAdhaar" size="15" style="text-transform:uppercase;"></td>
339
                   <td class="form-group"><input type="email"  name= "proprietorEmail" size="20" style="text-transform:uppercase;"></td>
340
                   <td class="form-group"><input type="text" pattern="[0-9]" name="proprietorOwner" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 341
 
342
                   </tr>
343
 
344
 
345
            </table>
346
 
347
            </div>
348
            <div class="Partners pmp" id= "PmpPartners">
349
            <table class="businessdetail">
350
 
351
             <tr> 
352
              <th class ="PMPName">Name</th>
353
              <th  class="PMPAddress">Address</th> 
354
              <th class="PMPtelno">Mobile</th>
355
              <th class="PMPpan">PAN</th>
356
              <th class="PMPAdhaar">Aadhaar Number</th>
357
              <th class="PMPemail">Email</th>
358
              <th class="PMPownership">Share %</th>
359
 
360
               </tr>
361
                <tr>
362
 
22534 ashik.ali 363
                   <td class="form-group"><input name="partnerName1"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 364
                   <td class="form-group"><textarea name="partnerAddress1" type="text" size="60"></textarea></td>
22534 ashik.ali 365
                   <td class="form-group"><input name = "partnerPhone1" pattern="[0-9]{10}"type="text" size="10" style="text-transform:uppercase;"></th>
366
                   <td class="form-group"><input  name ="partnerPan1"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
367
                    <td class="form-group"><input name="partnerAdhaar1" type="text"  size="15" style="text-transform:uppercase;"></td>
368
                   <td class="form-group"><input name="partnerEmail1" type="email"  size="20" style="text-transform:uppercase;"></td>
369
                   <td class="form-group"><input name="partnerOwner1" type="text"pattern="[0-9]"size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 370
 
371
                   </tr>
372
 
373
 
374
            </table>
375
 
376
                   <table class="businessdetail">
377
 
378
             <tr> 
379
              <th class ="PMPName">Name</th>
380
              <th  class="PMPAddress">Address</th> 
381
              <th class="PMPtelno">Mobile</th>
382
              <th class="PMPpan">PAN</th>
383
              <th class="PMPAdhaar">Aadhaar Number</th>
384
              <th class="PMPemail">Email</th>
385
              <th class="PMPownership">Share %</th>
386
 
387
               </tr>
388
              <tr>
389
 
22534 ashik.ali 390
                   <td class="form-group"><input name="partnerName2"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 391
                   <td class="form-group"><textarea name="partnerAddress2" type="text" size="60"></textarea></td>
22534 ashik.ali 392
                   <td class="form-group"><input name = "partnerPhone2" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
393
                   <td class="businesspan"><input  name ="partnerPan2"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
394
                   <td class="form-group"><input name="partnerAdhaar2" type="text" size="15" style="text-transform:uppercase;"></td>
395
                   <td class="form-group"><input name="partnerEmail2" type="email" size="20" style="text-transform:uppercase;"></td>
396
                   <td class="form-group"><input name="partnerOwner2" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 397
 
398
                   </tr>
399
 
400
            </table>
401
                   <table class="businessdetail">
402
             <tr> 
403
            <th class ="PMPName">Name</th>
404
              <th  class="PMPAddress">Address</th> 
405
              <th class="PMPtelno">Mobile</th>
406
              <th class="PMPpan">PAN</th>
407
              <th class="PMPAdhaar">Aadhaar Number</th>
408
              <th class="PMPemail">Email</th>
409
              <th class="PMPownership">Share %</th>
410
 
411
               </tr>
412
                 <tr>
413
 
22534 ashik.ali 414
                   <td class="form-group"><input name="partnerName3"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 415
                   <td class="form-group"><textarea name="partnerAddress3" type="text" size="60"></textarea></td>
22534 ashik.ali 416
                   <td class="form-group"><input name = "partnerPhone3" type="text"  maxlength = "10" pattern="[0-9]{10}"  size="10" style="text-transform:uppercase;"></th>
417
                   <td class="form-group"><input  name ="partnerPan3"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
418
                    <td class="form-groupr"><input name="partnerAdhaar3" type="text" size="15" style="text-transform:uppercase;"></td>
419
                   <td class="form-group"><input name="partnerEmail3"  type="email" size="20" style="text-transform:uppercase;"></td>
420
                   <td class="form-group"><input name="partnerOwner3" pattern="[0-9"  type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 421
 
422
                   </tr>
423
 
424
 
425
            </table>
426
 
427
 
428
 
429
           <table class="businessdetail">
430
       <tr> 
431
                <th class ="PMPName">Name</th>
432
              <th  class="PMPAddress">Address</th> 
433
              <th class="PMPtelno">Mobile</th>
434
              <th class="PMPpan">PAN</th>
435
              <th class="PMPAdhaar">Aadhaar Number</th>
436
              <th class="PMPemail">Email</th>
437
              <th class="PMPownership">Share %</th>
438
               </tr>
439
               <tr>
440
 
22534 ashik.ali 441
                   <td class="form-group"><input name="partnerName4"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 442
                   <td class="form-group"><textarea name="partnerAddress4" type="text" size="60"></textarea></td>
22534 ashik.ali 443
                   <td class="form-group"><input name = "partnerPhone4"  pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
444
                   <td class="form-group"><input  name ="partnerPan4"type="text" maxlength = "10"title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
445
                    <td class="form-group"><input name="partnerAdhaar4" type="text" size="15" style="text-transform:uppercase;"></td>
446
                   <td class="form-group"><input name="partnerEmail4" type="email" size="20" style="text-transform:uppercase;"></td>
447
                   <td class="form-group"><input name="partnerOwner4" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 448
 
449
                   </tr>
450
 
451
 
452
            </table>
453
 
454
            </div>
455
 
456
 
457
             <div class="Directors pmp" id= "PmpDirectors">
458
            <table class="businessdetail">
459
               <tr> 
460
               <th class ="PMPName">Name</th>
461
              <th  class="PMPAddress">Address</th> 
462
              <th class="PMPtelno">Mobile</th>
463
              <th class="PMPpan">PAN</th>
464
              <th class="PMPAdhaar">Aadhaar Number</th>
465
              <th class="PMPemail">Email</th>
466
              <th class="PMPownership">Share %</th>
467
 
468
               </tr>
469
               <tr>
22534 ashik.ali 470
                   <td class="form-group"><input name="shareholderName1"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 471
                   <td class="form-group"><textarea name="shareholderAddress1" type="text" size="60"></textarea></td>
22534 ashik.ali 472
                   <td class="form-group"><input name = "shareholderPhone1" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
473
                   <td class="form-group"><input  name ="shareholderPan1"type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
474
                   <td class="form-group"><input name="shareholderAdhaar1" type="text" size="15" style="text-transform:uppercase;"></td>
475
                   <td class="form-group"><input name="shareholderEmail1" type="email" size="20" style="text-transform:uppercase;"></td>
476
                   <td class="form-group"><input name="shareholderOwner1" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 477
 
478
                   </tr>
479
 
480
 
481
            </table>
482
 
483
                   <table class="businessdetail">
484
          <tr> 
485
                <th class ="PMPName">Name</th>
486
              <th  class="PMPAddress">Address</th> 
487
              <th class="PMPtelno">Mobile</th>
488
              <th class="PMPpan">PAN</th>
489
              <th class="PMPAdhaar">Aadhaar Number</th>
490
              <th class="PMPemail">Email</th>
491
              <th class="PMPownership">Share %</th>
492
               </tr>
493
                 <tr>
22534 ashik.ali 494
                   <td class="form-group"><input name="shareholderName2"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 495
                   <td class="form-group"><textarea name="shareholderAddress2" type="text" size="60"></textarea></td>
22534 ashik.ali 496
                   <td class="form-group"><input name = "shareholderPhone2" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
497
                   <td class="form-group"><input  name ="shareholderPan2"type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
498
                    <td class="form-group"><input name="shareholderAdhaar2" type="text" size="15" style="text-transform:uppercase;"></td>
499
                   <td class="form-group"><input name="shareholderEmail2"  type="email" size="20" style="text-transform:uppercase;"></td>
500
                   <td class="form-group"><input name="shareholderOwner2" pattern="[0-9]"  type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 501
 
502
                   </tr>
503
            </table>
504
 
505
                   <table class="businessdetail">
506
              <tr> 
507
                <th class ="PMPName">Name</th>
508
              <th  class="PMPAddress">Address</th> 
509
              <th class="PMPtelno">Mobile</th>
510
              <th class="PMPpan">PAN</th>
511
              <th class="PMPAdhaar">Aadhaar Number</th>
512
              <th class="PMPemail">Email</th>
513
              <th class="PMPownership">Share %</th>
514
 
515
               </tr>
516
                   <tr>
22534 ashik.ali 517
                   <td class="form-group"><input name="shareholderName3"type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 518
                   <td class="form-group"><textarea name="shareholderAddress3" type="text" size="60"></textarea></td>
22534 ashik.ali 519
                   <td class="form-group"><input name = "shareholderPhone3" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
520
                   <td class="form-group"><input  name ="shareholderPan3" type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
521
                   <td class="form-group"><input name="shareholderAdhaar3" type="text" size="15" style="text-transform:uppercase;"></td>
522
                   <td class="form-group"><input name="shareholderEmail3" type="email" size="20" style="text-transform:uppercase;"></td>
523
                   <td class="form-group"><input name="shareholderOwner3" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 524
 
525
                   </tr>
526
 
527
            </table>
528
 
529
                   <table class="businessdetail">
530
             <tr> 
531
                <th class ="PMPName">Name</th>
532
              <th  class="PMPAddress">Address</th> 
533
              <th class="PMPtelno">Mobile</th>
534
              <th class="PMPpan">PAN</th>
535
              <th class="PMPAdhaar">Aadhaar Number</th>
536
              <th class="PMPemail">Email</th>
537
              <th class="PMPownership">Share %</th>
538
               </tr>
539
                     <tr>
22534 ashik.ali 540
                   <td class="form-group"><input name="shareholderName4" type="text" size="25" style="text-transform:uppercase;"></td>
22114 ashik.ali 541
                   <td class="form-group"><textarea name="shareholderAddress4" type="text" size="60"></textarea></td>
22534 ashik.ali 542
                   <td class="form-group"><input name = "shareholderPhone4" type="text" pattern="[0-9]{10}" size="10" style="text-transform:uppercase;"></th>
543
                   <td class="form-group"><input  name ="shareholderPan4" type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
544
                    <td class="form-group"><input name="shareholderAdhaar4" type="text" size="15" style="text-transform:uppercase;"></td>
545
                   <td class="form-group"><input name="shareholderEmail4"  type="email" size="20" style="text-transform:uppercase;"></td>
546
                   <td class="form-group"><input name="shareholderOwner4" pattern="[0-9]"  type="text" size="10" style="text-transform:uppercase;"></td>
22114 ashik.ali 547
 
548
                   </tr>
549
 
550
 
551
            </table>
552
 
553
            </div>
554
 
555
         <h4 class="page-header">7. Store Manager Details</h4>
556
 
557
 
558
                    <div class="form-group">
559
                    <label for="">Name
22534 ashik.ali 560
                    <input type="text" name="managerName"placeholder="Name" style="text-transform:uppercase;"></label>
22114 ashik.ali 561
                    <label for="">Mobile
22534 ashik.ali 562
                        <input type="text" name="managerNo" pattern="[0-9]{10}" title="Please enter Valid Mobile number" placeholder="Mobile No" style="text-transform:uppercase;"> </label>  
22114 ashik.ali 563
                    <label for="">Email
22534 ashik.ali 564
                        <input type="email" name="managerEmail"size="25px" placeholder="Emailid" style="text-transform:uppercase;"> </label>  
22114 ashik.ali 565
                    </div>
566
 
567
 
568
            <h4 class="page-header">8. Manpower Details</h4>
569
 
570
               <div class="form-group">
571
                    <label for="">Number of Employees
22534 ashik.ali 572
                    <input type="text" pattern="[0-9]" name="noOfEmployees"placeholder="Number of Employees" style="text-transform:uppercase;"></label>
22114 ashik.ali 573
                    <label for="">Number of Management Staff
22534 ashik.ali 574
                        <input type="text" pattern="[0-9]" name="managementStaff" placeholder="Management Staff" style="text-transform:uppercase;"> </label>  
22114 ashik.ali 575
                    </div>
576
 
577
              <h4 class="page-header">9. Experience In Telecom Trade/other Trade (Brand & Product Category)</h4>
578
                <div class="bcontacts">
579
                   <textarea rows="4" name="experienceinTelecome"cols="50" placeholder="Describe yourself here..."></textarea> 
580
                </div>
581
 
582
            <h4 class="page-header">10. Description of Existing Business & Annual Turnover</h4>
583
                <div class="bcontacts">
584
                      <textarea rows="4" name="descriptionofExistingBusiness"cols="50" placeholder="Describe yourself here..."></textarea>
585
                </div>
586
                <p>Please Provide ITR of last Two years</p>
587
                <div class = "form-group file upload"> 
588
                   <input type="file" accept="application/pdf,image/*" name ="itrDoc">
589
                <a href="somelink" id="link-itrDoc" style="display:none">View ITR Document</a>
590
                    </div>
591
 
592
 
593
            <h4 class="page-header">11.Business Model</h4>
594
 
595
            <div class="btn-group">
596
                    <label class="btn btn-default">
597
                   <input type="radio" name="businessModel" value="Retailer" required>
598
                   <span>Retailer</span>
599
                  </label>
600
                <label class="btn btn-default">
601
                    <input type="radio" name="businessModel" value="Distributor" required>
602
                    <span>Distributor</span>
603
                </label>
604
                <label class="btn btn-default">
605
                    <input type="radio" name="businessModel" value="Franchises" required>
606
                    <span>Franchise</span>
607
                </label>
608
                  <label class="btn btn-default">
609
                    <input type="radio" name="businessModel" value="Other" required>
610
                    <span>Other</span>
611
                </label>
612
              </div>
613
 
614
 
615
          <h4 class="page-header">12. Selling Online (if yes, please specify Portal Names)</h4>
616
 
617
                    <div class="btn-group">
618
                    <label class="btn btn-default">
619
                   <input type="radio" name="sellingOnline" value="yes">
620
                   <span>Yes</span>
621
                  </label>
622
                <label class="btn btn-default">
623
                    <input type="radio" name="sellingOnline" value="no">
624
                    <span>No</span>
625
                </label>
626
              </div>
627
                   <div class="form-group portal Names" id = "sellingyes">
628
                   <label>Portal Names</label>
22534 ashik.ali 629
                       <input type="text" name="portalName1" size="25" style="text-transform:uppercase;">
630
                       <input type="text" name="portalName2" size="25" style="text-transform:uppercase;">
631
                       <input type="text" name="portalName3" size="25" style="text-transform:uppercase;">
22114 ashik.ali 632
                  </div>
633
            <h4 class="page-header">13. Area of Shop(in Sq Feet)</h4>
634
              <div>
635
                 <div class="form-group">
636
                    <label>
637
 
638
                    <input type="number" name="east"  placeholder="East(Sq Feet)">
639
                    <input type="number" name="west"  placeholder="West(Sq Feet)">
640
                    <input type="number" name="north" placeholder="North(Sq Feet)"> 
641
                    </label>
642
                </div>
643
                    <br>
644
                      <div class="form-group">
645
                    <label>
646
 
647
                    <input type="number" name="south" placeholder="South(Sq Feet)">
648
                    <input type="number" name="front" placeholder="Front(Sq Feet)">
649
                    <input type="number" name="roadSize" placeholder="Road Size in Front(Sq Feet)">
650
 
651
                    </label>
652
                </div>
653
 
654
                  </div>  
655
                  <div class="shopArea">
656
                   <div class="btn-group">
657
                    <label class="btn btn-default">
658
                   <input type="radio" name="shopArea" value="Singleside">
659
                   <span>Single Side</span>
660
                  </label>
661
                <label class="btn btn-default">
662
                    <input type="radio" name="shopArea" value"Twoside">
663
                    <span>Two Side</span>
664
                </label>
665
                  <label class="btn btn-default">
666
                    <input type="radio" name="shopArea" value="Corner">
667
                    <span>Corner</span>
668
                </label>
669
              </div>
670
              </div>
671
 
672
 
673
              <h4 class="page-header">14. Status of Shop</h4>
674
 
675
                 <div class="btn-group">
676
                    <label class="btn btn-default">
677
                   <input type="radio" name="shopStatus" value="semifurnished">
678
                   <span>Semi Furnished</span>
679
                  </label>
680
                <label class="btn btn-default">
681
                    <input type="radio" name="shopStatus" value="fullfurnished">
682
                    <span>Fully Furnished</span>
683
                </label>
684
                </div>
685
 
686
                 <div class="checkboxes status" id ="shopsemifurnished">
687
                 <div class="btn btn-default">
688
   <label for="success1" class="btn btn-success">Flooring<input type="checkbox" name="flooring" 
689
          value ="flooring" id="success1" class="badgebox"><span class="badge">&check;</span></label>
690
        <label for="warning1" class="btn btn-success">Ceiling<input type="checkbox" name="cieling" value="ceiling" id="warning1" class="badgebox"><span class="badge">&check;</span></label>
691
 
692
 
693
              </div>
694
            </div>
695
 
696
<div class ="checkboxes status"  id ="shopfullfurnished">
697
          <div class="row text-center">
698
    <label for="default" class="btn btn-success">Store <input type="checkbox" name="store" value="yes" id="default" class="badgebox"><span class="badge">&check;</span></label>
699
        <label for="primary" class="btn btn-success">Washroom <input type="checkbox" name="washroom" value="yes" id="primary" class="badgebox"><span class="badge">&check;</span></label>
700
        <label for="info" class="btn btn-success">Water Supply<input type="checkbox" name="waterSupply" value="yes" id="info" class="badgebox"><span class="badge">&check;</span></label>
701
        <label for="success" class="btn btn-success">Electricity<input type="checkbox" name="electricity" 
702
          value ="yes" id="success" class="badgebox"><span class="badge">&check;</span></label>
703
        <label for="warning" class="btn btn-success">Pantry<input type="checkbox" name="pantry" value="yes" id="warning" class="badgebox"><span class="badge">&check;</span></label>
704
  </div>
705
    </div>
706
 
707
 
708
              <h4 class="page-header">15. Shop Available At</h4>
709
 
710
                     <div class="btn-group">
711
                    <label class="btn btn-default">
712
                   <input type="radio" name="shopAvailbility" value="Basement">
713
                   <span>Basement</span>
714
                  </label>
715
                <label class="btn btn-default">
716
                    <input type="radio" name="shopAvailbility" value="Groundfloor">
717
                    <span>Ground Floor</span>
718
                </label>
719
                  <label class="btn btn-default">
720
                    <input type="radio" name="shopAvailbility" value="firstfloor">
721
                    <span>First Floor</span>
722
                </label>
723
 
724
                  <label class="btn btn-default">
725
                    <input type="radio" name="shopAvailbility" value="secondfloor">
726
                    <span>Second Floor</span>
727
                </label>
728
 
729
                 <label class="btn btn-default">
730
                    <input type="radio" name="shopAvailbility" value="thirdfloor">
731
                    <span>Third Floor</span>
732
                </label>
733
                </div>
734
 
735
                <div class="form-group bdetail">
736
                   <p>Provide pictures of the shop from 3 different angles, ceiling and flooring</p>
737
                      <input type="file" name="angleDoc1" accept="application/pdf,image/*" >   
738
                      <a href="somelink" id="link-angleDoc1" style="display:none">View angleDoc1 Document</a>
739
                      <input type="file" name="angleDoc2" accept="application/pdf,image/*" > 
740
                        <a href="somelink" id="link-angleDoc2" style="display:none">View angleDoc2 Document</a>   
741
                     <input type="file" name="angleDoc3"  accept="application/pdf,image/*" >  
742
                      <a href="somelink" id="link-angleDoc3" style="display:none">View angleDoc3 Document</a>    
743
                            <input type="file" name="angleDoc4"  accept="application/pdf,image/*" >   
744
                      <a href="somelink" id="link-angleDoc4" style="display:none">View angleDoc4 Document</a>    
745
                    <input type="file" name="angleDoc5" accept="application/pdf,image/*"> 
746
                <a href="somelink" id="link-angleDoc5" style="display:none">View angleDoc5Document</a>         
747
                  </div>
748
 
749
         <h4 class="page-header">16. Location of Shop</h4>
750
                        <div class="btn-group">
751
                    <label class="btn btn-default">
752
                   <input type="radio" name="location" value="shoppingMall">
753
                   <span>Shopping Mall</span>
754
                  </label>
755
                <label class="btn btn-default">
756
                    <input type="radio" name="location" value="MainMobileMarket">
757
                    <span>Main Mobile Market</span>
758
                </label>
759
                  <label class="btn btn-default">
760
                    <input type="radio" name="location" value="LocalMarket">
761
                    <span>Local Market</span>
762
                </label>
763
 
764
                </div>
765
 
766
 
767
 
768
             <h4 class="page-header">17.Nearest Mobile Store</h4>
769
                           <div class="btn-group">
770
                    <label class="btn btn-default">
771
                   <input type="radio" name="nearestStore" value="100mtrs">
772
                   <span>100Mtrs</span>
773
                  </label>
774
                <label class="btn btn-default">
775
                    <input type="radio" name="nearestStore" value="200mtrs">
776
                    <span>200Mtrs</span>
777
                </label>
778
                  <label class="btn btn-default">
779
                    <input type="radio" name="nearestStore" value="500mtrs">
780
                    <span>500Mtrs</span>
781
                </label>
782
 
783
                </div>
784
 
785
                 <div class="form-group location">
786
                   <label>Name of the Shop</label>
22534 ashik.ali 787
                       <input type="text" size ="35" name="storeName" style="text-transform:uppercase;">
22114 ashik.ali 788
                       <br>
789
                       <br>
790
                        <label>Address of the Shop</label>
22534 ashik.ali 791
                       <input type="text" size ="65" name="storeAddress" style="text-transform:uppercase;">
22114 ashik.ali 792
                  </div>
793
 
794
 
795
 
796
            <h4 class="page-header">18. Ownership of Shop</h4>
797
 
798
                    <div class="btn-group">
799
                    <label class="btn btn-default">
800
                   <input type="radio" name="ownership" value="Selfowned">
801
                   <span>Self Owned</span>
802
                  </label>
803
                <label class="btn btn-default">
804
                    <input type="radio" name="ownership" value="Rented">
805
                    <span>Rented</span>
806
                </label>
807
                  <label class="btn btn-default">
808
                    <input type="radio" name="ownership" value="lease">
809
                    <span>Lease</span>
810
                </label>
811
                  </label>
812
                  <label class="btn btn-default">
813
                    <input type="radio" name="ownership" value="collaboration">
814
                    <span>Collaboration</span>
815
                </label>
816
 
817
                </div>
818
 
819
                 <div class="form-group bdetail">
820
                   <p>Provide relevant documents (Electricity bill/Rent Agreement/Lease Deed)to prove the status of ownership</p>
821
                     <input type="file" accept="application/pdf,image/*" name="ownershipDoc">
822
                         <a href="somelink" id="link-ownershipDoc" style="display:none">View OwnershipDoc Document</a>   
823
                   </div>
824
 
825
 
826
           <h4 class="page-header">19. Insurance of Shop (if yes, please provide the copy of the same)</h4>
827
 
828
 
829
                    <div class="btn-group">
830
                    <label class="btn btn-default">
831
                   <input type="radio" name="insurance" value="yes">
832
                   <span>Yes</span>
833
                  </label>
834
                <label class="btn btn-default">
835
                    <input type="radio" name="insurance" value="no">
836
                    <span>No</span>
837
                </label>
838
              </div>
839
 
840
                 <div class="form-group insurance doc"  id= "docyes">
841
                  <p>Please provide copy of insurance document</p>
842
                     <input type="file" accept="application/pdf,image/*" name="insuranceDoc">
843
    <a href="somelink" id="link-insuranceDoc" style="display:none">View InsuranceDoc Document</a>    
844
                   </div>
845
 
846
 
847
         <h4 class="page-header">20. Loan on Shop (LAP/BL/CC/others)</h4>
848
 
849
                     <div class="btn-group">
850
                    <label class="btn btn-default">
851
                   <input type="radio" name="loan" value="yes">
852
                   <span>Yes</span>
853
                  </label>
854
                <label class="btn btn-default">
855
                    <input type="radio" name="loan" value="no">
856
                    <span>No</span>
857
                </label>
858
              </div>
859
 
860
                 <div class="form-group loan document" id ="documentyes">
861
                  <p>Please provide current statement Letter</p>
862
                     <input type="file" accept="application/pdf,image/*" name="loanDoc">
863
                     <a href="somelink" id="link-loanDoc" style="display:none">View loanDoc Document</a>  
864
 
865
                      <p>Please provide current sanction Letter</p>
866
                     <input type="file" accept="application/pdf,image/*" name="sanctionDoc">
867
                        <a href="somelink" id="link-sanctionDoc" style="display:none">View sanctionDoc Document</a>  
868
 
869
                   </div>
870
 
871
 
872
            <h4 class="page-header">21. Bank Name & Address</h4>
873
 
874
                  <div class="form-group float-label-control">
875
                        <label for="">Account Number</label>
22534 ashik.ali 876
                        <input type="text" name="accountNumber"class="form-control" placeholder="Account Number" style="text-transform:uppercase;">
22114 ashik.ali 877
                    </div>
878
                     <div class="form-group float-label-control">
879
                        <label for="">Bank Name</label>
22534 ashik.ali 880
                        <input type="text" name="bankName"class="form-control" placeholder="Bank Name" style="text-transform:uppercase;">
22114 ashik.ali 881
                    </div>
882
                     <div class="form-group float-label-control">
883
                        <label for="">IFSC Code</label>
22534 ashik.ali 884
                        <input type="text" name="ifscCode"class="form-control" placeholder="IFSC Code" style="text-transform:uppercase;">
22114 ashik.ali 885
                    </div>
886
                     <div class="form-group float-label-control">
887
                        <label for="">Branch Name</label>
22534 ashik.ali 888
                        <input type="text" name="branchName" class="form-control" placeholder="Branch Name" style="text-transform:uppercase;">
22114 ashik.ali 889
                    </div>
890
                     <div >
891
                  <p>Please attach the copy of cancelled cheque</p>
892
                      <div class="form-group">
893
                     <input type="file" name="chequeCopy" accept="application/pdf,image/*">
894
              <a href="somelink" id="link-chequeCopy" style="display:none">View chequeCopy Document</a>  
895
 
896
                   </div>
897
 
898
 
899
                  <h4 class="page-header">22. HSPS Bank Account Detail</h4> 
900
 
901
                  <p>Please deposit amount of <strong> Rs 1 Lac </strong>as advance payment in following account through NEFT and submit the UTR No.</p>
902
                    <div class="form-group float-label-control">
903
                        <label for="">UTR Number</label>
22534 ashik.ali 904
                        <input type="text" name="utr" class="form-control" placeholder="UTR No" style="text-transform:uppercase;">
22114 ashik.ali 905
                    </div>
906
                    <p><b>Note:</b> Advance amount deposited shall be adjustable in the first billing. This amount is 100% refundable in case of withdrawal of application by applicant.</p>
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                      <div class ="Account">
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                      <label>Account Name: New Spice Solutions Pvt Ltd</label><br>
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                       <label>Bank Name: IndusInd Bank Ltd.</label><br>
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                        <label>Account No.:201000488351</label><br>
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                        <label>Branch:M-56, Greater Kailash-II, Main Market New Delhi-110048</label><br>
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                         <label>IFSC:INDB0000012</label><br>
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                        </div>
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                <div class="submit">
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                    <button type="submit" class="btn btn-success btn-lg">Submit</button>
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                </div>
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                <div class="alert alert-success" role="alert" id="success_message">Success <i class="glyphicon glyphicon-thumbs-up"></i> Thanks for contacting us, we will get back to you shortly.</div>
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 <!--             <fieldset hidden disabled="disabled">
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              <h4 class="page-header">PMP STORE REGISTRATION APPROVAL</h4>
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                 <p>(FOR OFFICE USE ONLY)</P>
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                <div class=breg>
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                 <div class=bApproval>
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                  <label>Recommended by</label>
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                  <input type="text" name = "recommended"class="reg-control" size="50" style="text-transform:uppercase;">
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                  </div>
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                  <br>
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                    <div class=bApproval>
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                  <label>Business Manager</label>
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                  <input type="text" name=" bManager" class="reg-control" size="50" style="text-transform:uppercase;">
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                </div>
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                      <br>
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                        <div class=bApproval>
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                    <label>Operations Manager</label>
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                  <input type="text"name="operation"class="reg-control"  size="50" style="text-transform:uppercase;">
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                </div>
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                  <br>
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               <div class=bApproval>
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                     <label>BusinessHeadCategoryHead</label>
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                  <input type="text" name="bhead"class="reg-control" size="50" style="text-transform:uppercase;">
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                </div>
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                 </div>
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               </fieldset> -->
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                      </form>
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                    </div>
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          </div>
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   <div class="col-sm-4">
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                <div class="panel panel-default">
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                    <div class="panel-body">
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                   <label>Spice Global Knowledge Park - 6th Floor, Plot No.19A & 19B, Sector 125, Noida, UP - 201301</label>
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                   <br>
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                    <label>Email - care@smartdukaan.com</<label>
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                    <br> 
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                    <label>Contact - 8588842949 </label>
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                    </div>
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                </div>
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            </div>
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        </div>
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    </div>
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    </div>
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    <div id="ajax-spinner" style="display:none;">
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        <img src="${rc.contextPath}/images/loading.gif" class="loading-image">
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    </div>
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</body>
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</html>