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Rev Author Line No. Line
22095 kshitij.so 1
<html>
2
<head>
3
 
22192 amit.gupta 4
<script src="${rc.contextPath}/resources/fofo-form/js/jquery-1.10.2.min.js"></script>
5
<link rel="stylesheet" href="${rc.contextPath}/resources/fofo-form/css/bootstrap.min.css"/>
6
<link rel="stylesheet" type="text/css" href="${rc.contextPath}/resources/fofo-form/css/main.css"/>
22095 kshitij.so 7
<!-- Optional theme -->
22192 amit.gupta 8
<link rel="stylesheet" href="${rc.contextPath}/resources/fofo-form/css/bootstrap-theme.min.css" />
22095 kshitij.so 9
 
10
<!-- Latest compiled and minified JavaScript -->
22192 amit.gupta 11
<script src="${rc.contextPath}/resources/fofo-form/js/bootstrap.min.js"></script>
12
<script src="${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="${rc.contextPath}/resources/fofo-form/js/fofoedit.js"></script>
16
<script src="${rc.contextPath}/resources/fofo-form/js/jquery.blockUI.js"></script>
22095 kshitij.so 17
<script type="text/javascript">
22619 ashik.ali 18
contextPath = "${rc.contextPath}";
22194 amit.gupta 19
var jsonObj= $fofoForm;
22095 kshitij.so 20
 $(document).ready(function(){
22191 amit.gupta 21
	readForm();
22095 kshitij.so 22
    $("input[name$='bEntity']").click(function() {
23
        var test1 = $(this).val();
24
       $(".box").hide();
25
       $('input[name=dinNumber]').each(function(){
26
         $(this).prop('disabled', true);
27
      });
28
 
29
       var dinNumberInput = $("#sale"+test1+ " input[name=dinNumber]");
30
       if (dinNumberInput.prop('disabled') == true){
31
            dinNumberInput.prop('disabled', false);
32
       } 
33
        $("#sale" + test1).show();
34
});
35
});
36
</script>
37
 
38
<script type="text/javascript">
39
$(document).ready(function(){
40
    $("input[name$='bPmpDetail']").click(function() {
41
        var test1 = $(this).val();
42
       $(".pmp").hide();
43
        $("#Pmp" + test1).show();
44
    });
45
});
46
 
47
</script>
48
 
49
<script type="text/javascript">
50
$(document).ready(function(){
51
    $("input[name$='shopStatus']").click(function() {
52
        var test1 = $(this).val();
53
          $("#shopsemifurnished, #shopfullfurnished").find("input[type=checkbox]").each(function(){
54
         $(this).prop('disabled', true);
55
    });
56
 
57
       $(".status").hide();
58
       $("#shop" + test1).show();
59
       $("#shop" + test1).find("input[type=checkbox]").prop('disabled', false);
60
 
61
 
62
 
63
 
64
    });
65
});
66
 
67
</script>
68
<script type="text/javascript">
69
$(document).ready(function(){
70
    $("input[name$='sellingOnline']").click(function() {
71
        var test1 = $(this).val();
72
       $(".Names").hide();
73
        $("#selling" + test1).show();
74
    });
75
});
76
 
77
</script>
78
 
79
 
80
<script type="text/javascript">
81
$(document).ready(function(){
82
    associateValidator();
83
    $("input[name$='insurance']").click(function() {
84
        var test1 = $(this).val();
85
       $(".doc").hide();
86
        $("#doc" + test1).show();
87
    });
88
});
89
 
90
</script>
91
 
92
<script type="text/javascript">
22155 amit.gupta 93
docsArray = ['doc_bEntityDoc','doc_gstDoc','doc_panDoc','doc_itrDoc','doc_angleDoc1','doc_angleDoc2','doc_angleDoc3','doc_angleDoc4','doc_angleDoc5','doc_ownershipDoc','doc_insuranceDoc','doc_loanDoc','doc_sanctionDoc','doc_chequeCopy'];
22095 kshitij.so 94
$(document).ready(function(){
95
    $("input[name$='loan']").click(function() {
96
        var test1 = $(this).val();
97
       $(".document").hide();
98
        $("#document" + test1).show();
99
        $("#showHide").show();
100
    });
101
 
102
  docsArray.forEach(function(inputName){
103
 
104
	   $('input[name="' + inputName + '"]').change(function(e){
105
	    var formData = new FormData();
106
	    that = this;
107
		formData.append("file", $(this)[0].files[0]);
108
		jQuery.ajax({
22617 ashik.ali 109
	          url: "http://" + window.location.hostname + ":8080/profitmandi-web/document-upload",
22095 kshitij.so 110
	          type: 'POST',
111
	          data: formData,
112
	          	cache: false,
113
            contentType: false,
114
            processData: false,
115
	           success: function (data) {
116
	           console.log(data);
117
	           	hiddenInput = inputName.split("_")[1];
118
	           	var doc_id = 0;
119
	           	if (data.response.document_id == 0){
120
	           		alert(data.response.message);
121
	           		return;
122
	           	}
123
	               $('input[name="' + hiddenInput + '"]').val(data.response.document_id);
22152 amit.gupta 124
	               validator.data('bootstrapValidator').revalidateField($('input[name="' + hiddenInput + '"]'));
22095 kshitij.so 125
	           }
126
	    });
22617 ashik.ali 127
	})
128
 
129
 
130
 
131
 
132
 
133
 
134
 
135
 
22095 kshitij.so 136
 
137
  });
138
});
139
 
140
function queryStringToJSON(queryString) {
141
  var pairs = queryString.split('&');
142
  var result = {};
143
  pairs.forEach(function(pair) {
144
    pair = pair.split('=');
145
    result[pair[0]] = decodeURIComponent(pair[1] || '');
146
 
147
  });
148
  return result;
149
}
150
 
22148 amit.gupta 151
/*var oResult ={Branchname: "jnkmk",DinNumber: "8327592895",ExperienceinTelecome: "kdnslgrgjemgk",GSTNoDate: "29309238033902",IFSCcode: "kmk",IncomeTaxPanNo: "8384705257029",Insurance: "no",Managementstaff: "9392",MobileNo: "3288702375",North: "",ProprietorAddress: "nsdln",Proprietoremail: "jnefkji",Proprietorowner: "nsja",Proprietorpan: "nsdjak",Proprietorphone: "84u50",ProprietorusineesName: "mnsdvns",RegisteredAddress1: "wz-127 tilak nagar",RegisteredAddress2: "",RegisteredAddress3: "",RegisteredBusinessName: "spice+mobile",accountnumber: "nk",bEntity: "Partnership",bPmpdetail: "Proprietor",bankname: "kmk",businessmodel: "Retailer",city: "delhi",contactemail1: "84300293-92",contactemail2: "",contactname1: "nas+c",contactname2: "",contactno1: "8435092",contactno2: "",descriptionofExistingbusiness: "jsdnkglelr",east: "34",front: "",loan: "yes",location: "shoppingMall",neareststore: "100mtrs",noofemployess: "823u9",ownership: "Rented",partnerAddress1: "",partnerAddress2: "",partnerAddress3: "",partnerAddress4: "",partnerName1: "",partnerName2: "",partnerName3: "",partnerName4: "",partneremail1: "",partneremail2: "",partneremail3: "",partneremail4: "",partnerowner1: "",partnerowner2: "",partnerowner3: "",partnerowner4: "",partnerpan1: "",partnerpan2: "",partnerpan3: "",partnerpan4: "",partnerphone1: "",partnerphone2: "",partnerphone3: "",partnerphone4: "",pincode: "110018",portalName1: "",portalName2: "",portalName3: "",roadsize: "",sellingonline: "no",shareholderAddress1: "",shareholderAddress2: "",shareholderAddress3: "",shareholderAddress4: "",shareholderName1: "",shareholderName2: "",shareholderName3: "",shareholderName4: "",shareholderemail1: "",shareholderemail2: "",shareholderemail3: "",shareholderemail4: "",shareholderowner1: "",shareholderowner2: "",shareholderowner3: "",shareholderowner4: "",shareholderpan1: "",shareholderpan2: "",shareholderpan3: "",shareholderpan4: "",shareholderphone1: "",shareholderphone2: "",shareholderphone3: "",shareholderphone4: "",shopArea: "on",shopAvailbility: "Groundfloor",shopWashroom: "Washroom",shopWater: "Watersupply",shopstatus: "fullfurnished",south: "49",state: "Haryana",storeAddress: "",storename: "",telno: "7597209570",west: "32"}*/
22095 kshitij.so 152
 
153
function jQFormSerializeArrToJson(formSerializeArr){
154
 var jsonObj = {};
155
 jQuery.map( formSerializeArr, function( n, i ) {
156
     jsonObj[n.name] = n.value;
157
 });
158
 return jsonObj;
159
}
160
 
161
</script>
162
 
163
<style>
164
.loading-image {
165
position: fixed;
166
top: 50%;
167
left: 50%;
168
margin-top: -50px;
169
margin-left: -100px;
170
z-index: 100;
171
}
172
</style>
173
 
174
</head>
175
 
176
<body>
177
<div class="container">
178
    <div class="row">
179
         <div class ="header">   
180
		 <h3 class="header">HOTSPOT PARTNER STORE</h3>
181
         <h4 class="header">Powered by Profit Mandi (A Unit of Spice Group)</h4>
182
         </div>
183
 
184
        <div class="header">
185
            <h5 class="header">APPLICATION FOR REGISTRATION</h5>
186
       </div>  
187
        <hr />
188
 
189
        <div class="row">
190
            <div class="col-sm-8">
191
 
192
                <form role="form" name="myform" id ="form"  enctype="multipart/form-data"  data-toggle="validator" novalidate>
22195 amit.gupta 193
                <input type="hidden" name="_id" value="0"/>
22095 kshitij.so 194
             <h4 class="page-header">1. Registered Business Name of HSPS (in Block Letters)</h4>
195
                     <div class="form-group ">
196
 
197
                     <label for=""></label>
22534 ashik.ali 198
                     <input type="text" name="registeredBusinessName" id="demo" class="bform" placeholder="Business Name"  style="text-transform:uppercase;"/>
22095 kshitij.so 199
                     </div>
200
 
201
 
202
             <h4 class="page-header">2. Registered Address (In Block Letters)</h4>
203
 
204
                    <div class="form-group float-label-control">
205
                        <label for="">Line 1</label>
22534 ashik.ali 206
                        <input type="text" name ="line1" class="form-control" placeholder="Line 1" style="text-transform:uppercase;">
22095 kshitij.so 207
                    </div>
208
                     <div class="form-group float-label-control">
209
                        <label for="">Line 2</label>
22534 ashik.ali 210
                        <input type="text" name ="line2"class="form-control" placeholder="Line 2" style="text-transform:uppercase;">
22095 kshitij.so 211
                    </div>
212
                     <div class="form-group float-label-control">
213
                        <label for="">Line 3</label>
22534 ashik.ali 214
                        <input type="text" name="line3" class="form-control" placeholder="Line 3" style="text-transform:uppercase;">
22095 kshitij.so 215
                    </div>
216
                     <div class="form-group float-label-control">
217
                        <label for="">City</label>
22534 ashik.ali 218
                        <input type="text" name="city" class="form-control" placeholder="City" style="text-transform:uppercase;">
22095 kshitij.so 219
                    </div>
220
                      <div class="form-group float-label-control">
221
                        <label for="">District</label>
22534 ashik.ali 222
                        <input type="text" name="district" class="form-control" placeholder="District" style="text-transform:uppercase;">
22095 kshitij.so 223
                    </div>
224
                     <div class="form-group float-label-control">
225
                        <label for="">Pincode</label>
22534 ashik.ali 226
                        <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;">
22095 kshitij.so 227
                      </div>  
228
 
229
                     <div class="form-group float-label-control">
230
 
231
                      <select class="form-control" name = "state" placeholder="State">
232
                       <option value=" ">State</option>
37405 amit 233
                     #foreach($stateName in $stateNames)
234
                            <option value="$stateName">$stateName</option>
235
                     #end
236
</select>
22095 kshitij.so 237
                    </div>
238
 
239
 
240
                      <div class="form-group float-label-control">
241
                        <label for="">Email1</label>
22534 ashik.ali 242
                        <input type="email" class="form-control" name="registeredEmail1" placeholder="Email1" readonly value="${email}" style="text-transform:uppercase;">
22095 kshitij.so 243
                      </div>  
244
                         <p>Example:- xyz<strong>.hsps@gmail.com</strong></p>
245
 
246
 
247
 
248
                        <div class="form-group float-label-control">
249
                        <label for="">Email2</label>
22534 ashik.ali 250
                        <input type="email" class="form-control" name="registeredEmail2" placeholder="Email2" style="text-transform:uppercase;">
22095 kshitij.so 251
                      </div> 
252
 
253
 
254
                       <div class="form-group float-label-control">
255
                        <label for="">Mobile</label>
22534 ashik.ali 256
                        <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;">
22095 kshitij.so 257
                      </div>  
258
 
259
                    <label>Landline</label>
260
                      <div class="form-group Pmpform">
22534 ashik.ali 261
                      <input type="text" name="stdcode" maxlength = "5" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="STDcode" style="text-transform:uppercase;"/> 
22095 kshitij.so 262
 
263
 
22534 ashik.ali 264
                      <input type="text" name="telephone" maxlength = "10" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="Telephone" style="text-transform:uppercase;"/>
22095 kshitij.so 265
                      </div>
266
 
267
 
268
 
269
             <h4 class="page-header">3. Type of Business Entity</h4>
270
 
271
                   <div class="funkyradio">
272
 
273
                    <div class="funkyradio-primary">
274
                        <input type="radio" name="bEntity" id="radio1" value="SaleProprietorship" required>
275
                        <label for="radio1">Proprietor</label>
276
                    </div>
277
                    <div class="funkyradio-primary">
278
                        <input type="radio" name="bEntity" id="radio2" value="Partnership" required>
279
                        <label for="radio2">Partnership</label>
280
                    </div>
281
                    <div class="funkyradio-primary">
282
                        <input type="radio" name="bEntity" id="radio3" value="PrivateLimitedCompany" required>
283
                        <label for="radio3">Private Limited company</label>
284
                    </div>
285
                    <div class="funkyradio-primary">
286
                        <input type="radio" name="bEntity" id="radio4" value="LimitedLiabilityPartnership" required>
287
                        <label for="radio4">Limited Liability Partnership</label>
288
                    </div>
289
                </div>
290
                  <div class ="Entity">
291
                    <div class="SaleProprietorship box" id ="saleSaleProprietorship">Upload <strong>Proprietership proof</strong></div>
292
                     <div class="partnership box" id="salePartnership">Upload <strong>Partnership Deed</strong></div>
293
                     </div>
294
                      <div class="limitedcompany box" id="salePrivateLimitedCompany">
295
                      <div class="form-group float-label-control">
296
                        <label for="">DIN Number</label>
22534 ashik.ali 297
                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number" style="text-transform:uppercase;">
22095 kshitij.so 298
                    </div>Upload <strong>Incorporation certificate,Memorandum & Article of association</strong>
299
                      </div>
300
 
301
 
302
                      <div class="LimitedLiabilityPartnership box" id="saleLimitedLiabilityPartnership">
303
 
304
 
305
                           <div class="form-group float-label-control">
306
                        <label for="">DIN Number</label>
22534 ashik.ali 307
                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number" style="text-transform:uppercase;">
22095 kshitij.so 308
                    </div>Upload <strong>Registration certificate & partnership Deed</strong>
309
                     </div>
310
 
311
                    <div class = "form-group file upload"> 
312
                   <input type="file" accept="application/pdf,image/*" id="doc" name ="doc_bEntityDoc">
313
 
314
                   <input type="hidden" name="bEntityDoc"/>
315
                    </div>
316
 
317
                     <h4 class="page-header">4. Goods And Services Tax Number(GST)</h4>
318
                    <div class="Pmpform">
319
 
320
                        <input type="text" name="gst" class="bform" placeholder="Goods And Services Tax Number"/>
321
                    </div>
322
                     <p>Provide Copy of GST document</p>
323
                    <div class = "file upload"> 
324
                   <input type="file"  accept="application/pdf,image/*" name ="doc_gstDoc">
325
                     <input type="hidden" name="gstDoc"/>
326
                    </div>
327
 
328
 
329
                     <h4 class="page-header">5. Permanent Account Number(PAN)</h4>
330
                    <div class="form-group ">
331
 
332
                     <label for=""></label>
22534 ashik.ali 333
                     <input type="text" name="pan" maxlength="10" class="bform" placeholder="Permanent Account Number" style="text-transform:uppercase;"/></div>
22095 kshitij.so 334
                     <p>Provide Copy of PAN </p>
335
 
336
                    <div class = "form-group file upload"> 
337
 
338
                   <input type="file" accept="application/pdf,image/*" name="doc_panDoc">
339
                     <input type="hidden" name="panDoc"/>
340
                    </div>
341
 
342
 
343
             <h4 class="page-header">6. Full Details Of Business Entity</h4>
344
 
345
                   <div class="funkyradio">
346
                    <div class="funkyradio-primary">
347
                        <input type="radio" name="bPmpDetail" id="business1" value="Proprietor" required>
348
                        <label for="business1">Proprietor</label>
349
                    </div>
350
                    <div class="funkyradio-primary">
351
                        <input type="radio" name="bPmpDetail" id="business2" value="Partners" required>
352
                        <label for="business2">Partners</label>
353
                    </div>
354
                    <div class="funkyradio-primary">
355
                        <input type="radio" name="bPmpDetail" id="business3" value="Directors" required>
356
                        <label for="business3">Directors</label>
357
                    </div>
358
                </div>
359
 
360
                <div class="tablecontainer">
361
   <table class="businessdetail">
362
              <tr> 
363
              <th class ="PMPName">Name</th>
364
              <th  class="PMPAddress">Address</th> 
365
              <th class="PMPtelno">Mobile</th>
366
              <th class="PMPpan">PAN</th>
367
              <th class="PMPAdhaar">Aadhaar Number</th>
368
              <th class="PMPemail">Email</th>
369
              <th class="PMPownership">Share %</th>
370
 
371
               </tr>
372
            <tr>
373
 
22534 ashik.ali 374
                   <td class="form-group"><input type="text" name="proprietorBusineesName"size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 375
                   <td class="form-group"><textarea row="3" name="proprietorAddress"></textarea></td>
22534 ashik.ali 376
                   <td class="form-group"><input type="text" name="proprietorPhone" maxlength="10" pattern="[0-9]{10}"size="10" style="text-transform:uppercase;"></th>
377
                   <td class="form-group"><input type="text" name="proprietorPan" maxlength="10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
378
                    <td class="form-group"><input type="text"  name= "proprietorAdhaar" size="15" style="text-transform:uppercase;"></td>
379
                   <td class="form-group"><input type="email"  name= "proprietorEmail" size="20" style="text-transform:uppercase;"></td>
380
                   <td class="form-group"><input type="text" pattern="[0-9]" name="proprietorOwner" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 381
 
382
                   </tr>
383
 
384
 
385
            </table>
386
 
387
            </div>
388
            <div class="Partners pmp" id= "PmpPartners">
389
            <table class="businessdetail">
390
 
391
             <tr> 
392
              <th class ="PMPName">Name</th>
393
              <th  class="PMPAddress">Address</th> 
394
              <th class="PMPtelno">Mobile</th>
395
              <th class="PMPpan">PAN</th>
396
              <th class="PMPAdhaar">Aadhaar Number</th>
397
              <th class="PMPemail">Email</th>
398
              <th class="PMPownership">Share %</th>
399
 
400
               </tr>
401
                <tr>
402
 
22534 ashik.ali 403
                   <td class="form-group"><input name="partnerName1"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 404
                   <td class="form-group"><textarea name="partnerAddress1" type="text" size="60"></textarea></td>
22534 ashik.ali 405
                   <td class="form-group"><input name = "partnerPhone1" pattern="[0-9]{10}"type="text" size="10" style="text-transform:uppercase;"></th>
406
                   <td class="form-group"><input  name ="partnerPan1"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
407
                    <td class="form-group"><input name="partnerAdhaar1" type="text"  size="15" style="text-transform:uppercase;"></td>
408
                   <td class="form-group"><input name="partnerEmail1" type="email"  size="20" style="text-transform:uppercase;"></td>
409
                   <td class="form-group"><input name="partnerOwner1" type="text"pattern="[0-9]"size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 410
 
411
                   </tr>
412
 
413
 
414
            </table>
415
 
416
                   <table class="businessdetail">
417
 
418
             <tr> 
419
              <th class ="PMPName">Name</th>
420
              <th  class="PMPAddress">Address</th> 
421
              <th class="PMPtelno">Mobile</th>
422
              <th class="PMPpan">PAN</th>
423
              <th class="PMPAdhaar">Aadhaar Number</th>
424
              <th class="PMPemail">Email</th>
425
              <th class="PMPownership">Share %</th>
426
 
427
               </tr>
428
              <tr>
429
 
22534 ashik.ali 430
                   <td class="form-group"><input name="partnerName2"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 431
                   <td class="form-group"><textarea name="partnerAddress2" type="text" size="60"></textarea></td>
22534 ashik.ali 432
                   <td class="form-group"><input name = "partnerPhone2" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
433
                   <td class="businesspan"><input  name ="partnerPan2"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
434
                   <td class="form-group"><input name="partnerAdhaar2" type="text" size="15" style="text-transform:uppercase;"></td>
435
                   <td class="form-group"><input name="partnerEmail2" type="email" size="20" style="text-transform:uppercase;"></td>
436
                   <td class="form-group"><input name="partnerOwner2" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 437
 
438
                   </tr>
439
 
440
            </table>
441
                   <table class="businessdetail">
442
             <tr> 
443
            <th class ="PMPName">Name</th>
444
              <th  class="PMPAddress">Address</th> 
445
              <th class="PMPtelno">Mobile</th>
446
              <th class="PMPpan">PAN</th>
447
              <th class="PMPAdhaar">Aadhaar Number</th>
448
              <th class="PMPemail">Email</th>
449
              <th class="PMPownership">Share %</th>
450
 
451
               </tr>
452
                 <tr>
453
 
22534 ashik.ali 454
                   <td class="form-group"><input name="partnerName3"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 455
                   <td class="form-group"><textarea name="partnerAddress3" type="text" size="60"></textarea></td>
22534 ashik.ali 456
                   <td class="form-group"><input name = "partnerPhone3" type="text"  maxlength = "10" pattern="[0-9]{10}"  size="10" style="text-transform:uppercase;"></th>
457
                   <td class="form-group"><input  name ="partnerPan3"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
458
                    <td class="form-group"><input name="partnerAdhaar3" type="text" size="15" style="text-transform:uppercase;"></td>
459
                   <td class="form-group"><input name="partnerEmail3"  type="email" size="20" style="text-transform:uppercase;"></td>
460
                   <td class="form-group"><input name="partnerOwner3" pattern="[0-9"  type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 461
 
462
                   </tr>
463
 
464
 
465
            </table>
466
 
467
 
468
 
469
           <table class="businessdetail">
470
       <tr> 
471
                <th class ="PMPName">Name</th>
472
              <th  class="PMPAddress">Address</th> 
473
              <th class="PMPtelno">Mobile</th>
474
              <th class="PMPpan">PAN</th>
475
              <th class="PMPAdhaar">Aadhaar Number</th>
476
              <th class="PMPemail">Email</th>
477
              <th class="PMPownership">Share %</th>
478
               </tr>
479
               <tr>
480
 
22534 ashik.ali 481
                   <td class="form-group"><input name="partnerName4"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 482
                   <td class="form-group"><textarea name="partnerAddress4" type="text" size="60"></textarea></td>
22534 ashik.ali 483
                   <td class="form-group"><input name = "partnerPhone4"  pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
484
                   <td class="form-group"><input  name ="partnerPan4"type="text" maxlength = "10"title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
485
                    <td class="form-group"><input name="partnerAdhaar4" type="text" size="15" style="text-transform:uppercase;"></td>
486
                   <td class="form-group"><input name="partnerEmail4" type="email" size="20" style="text-transform:uppercase;"></td>
487
                   <td class="form-group"><input name="partnerOwner4" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 488
 
489
                   </tr>
490
 
491
 
492
            </table>
493
 
494
            </div>
495
 
496
 
497
             <div class="Directors pmp" id= "PmpDirectors">
498
            <table class="businessdetail">
499
               <tr> 
500
               <th class ="PMPName">Name</th>
501
              <th  class="PMPAddress">Address</th> 
502
              <th class="PMPtelno">Mobile</th>
503
              <th class="PMPpan">PAN</th>
504
              <th class="PMPAdhaar">Aadhaar Number</th>
505
              <th class="PMPemail">Email</th>
506
              <th class="PMPownership">Share %</th>
507
 
508
               </tr>
509
               <tr>
22534 ashik.ali 510
                   <td class="form-group"><input name="shareholderName1"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 511
                   <td class="form-group"><textarea name="shareholderAddress1" type="text" size="60"></textarea></td>
22534 ashik.ali 512
                   <td class="form-group"><input name = "shareholderPhone1" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
513
                   <td class="form-group"><input  name ="shareholderPan1"type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
514
                   <td class="form-group"><input name="shareholderAdhaar1" type="text" size="15" style="text-transform:uppercase;"></td>
515
                   <td class="form-group"><input name="shareholderEmail1" type="email" size="20" style="text-transform:uppercase;"></td>
516
                   <td class="form-group"><input name="shareholderOwner1" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 517
 
518
                   </tr>
519
 
520
 
521
            </table>
522
 
523
                   <table class="businessdetail">
524
          <tr> 
525
                <th class ="PMPName">Name</th>
526
              <th  class="PMPAddress">Address</th> 
527
              <th class="PMPtelno">Mobile</th>
528
              <th class="PMPpan">PAN</th>
529
              <th class="PMPAdhaar">Aadhaar Number</th>
530
              <th class="PMPemail">Email</th>
531
              <th class="PMPownership">Share %</th>
532
               </tr>
533
                 <tr>
22534 ashik.ali 534
                   <td class="form-group"><input name="shareholderName2"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 535
                   <td class="form-group"><textarea name="shareholderAddress2" type="text" size="60"></textarea></td>
22534 ashik.ali 536
                   <td class="form-group"><input name = "shareholderPhone2" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
537
                   <td class="form-group"><input  name ="shareholderPan2"type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
538
                    <td class="form-group"><input name="shareholderAdhaar2" type="text" size="15" style="text-transform:uppercase;"></td>
539
                   <td class="form-group"><input name="shareholderEmail2"  type="email" size="20" style="text-transform:uppercase;"></td>
540
                   <td class="form-group"><input name="shareholderOwner2" pattern="[0-9]"  type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 541
 
542
                   </tr>
543
            </table>
544
 
545
                   <table class="businessdetail">
546
              <tr> 
547
                <th class ="PMPName">Name</th>
548
              <th  class="PMPAddress">Address</th> 
549
              <th class="PMPtelno">Mobile</th>
550
              <th class="PMPpan">PAN</th>
551
              <th class="PMPAdhaar">Aadhaar Number</th>
552
              <th class="PMPemail">Email</th>
553
              <th class="PMPownership">Share %</th>
554
 
555
               </tr>
556
                   <tr>
22534 ashik.ali 557
                   <td class="form-group"><input name="shareholderName3"type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 558
                   <td class="form-group"><textarea name="shareholderAddress3" type="text" size="60"></textarea></td>
22534 ashik.ali 559
                   <td class="form-group"><input name = "shareholderPhone3" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
560
                   <td class="form-group"><input  name ="shareholderPan3" type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
561
                   <td class="form-group"><input name="shareholderAdhaar3" type="text" size="15" style="text-transform:uppercase;"></td>
562
                   <td class="form-group"><input name="shareholderEmail3" type="email" size="20" style="text-transform:uppercase;"></td>
563
                   <td class="form-group"><input name="shareholderOwner3" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 564
 
565
                   </tr>
566
 
567
            </table>
568
 
569
                   <table class="businessdetail">
570
             <tr> 
571
                <th class ="PMPName">Name</th>
572
              <th  class="PMPAddress">Address</th> 
573
              <th class="PMPtelno">Mobile</th>
574
              <th class="PMPpan">PAN</th>
575
              <th class="PMPAdhaar">Aadhaar Number</th>
576
              <th class="PMPemail">Email</th>
577
              <th class="PMPownership">Share %</th>
578
               </tr>
579
                     <tr>
22534 ashik.ali 580
                   <td class="form-group"><input name="shareholderName4" type="text" size="25" style="text-transform:uppercase;"></td>
22095 kshitij.so 581
                   <td class="form-group"><textarea name="shareholderAddress4" type="text" size="60"></textarea></td>
22534 ashik.ali 582
                   <td class="form-group"><input name = "shareholderPhone4" type="text" pattern="[0-9]{10}" size="10" style="text-transform:uppercase;"></th>
583
                   <td class="form-group"><input  name ="shareholderPan4" type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
584
                    <td class="form-group"><input name="shareholderAdhaar4" type="text" size="15" style="text-transform:uppercase;"></td>
585
                   <td class="form-group"><input name="shareholderEmail4"  type="email" size="20" style="text-transform:uppercase;"></td>
586
                   <td class="form-group"><input name="shareholderOwner4" pattern="[0-9]"  type="text" size="10" style="text-transform:uppercase;"></td>
22095 kshitij.so 587
 
588
                   </tr>
589
 
590
 
591
            </table>
592
 
593
            </div>
594
 
595
         <h4 class="page-header">7. Store Manager Details</h4>
596
 
597
 
598
                    <div class="form-group">
599
                    <label for="">Name
600
                    <input type="text" name="managerName"placeholder="Name"></label>
601
                    <label for="">Mobile
22534 ashik.ali 602
                        <input type="text" name="managerNo" pattern="[0-9]{10}" title="Please enter Valid Mobile number" placeholder="Mobile No" style="text-transform:uppercase;"> </label>  
22095 kshitij.so 603
                    <label for="">Email
22534 ashik.ali 604
                        <input type="email" name="managerEmail"size="25px" placeholder="Emailid" style="text-transform:uppercase;"> </label>  
22095 kshitij.so 605
 
606
                    </div>
607
 
608
 
609
            <h4 class="page-header">8. Manpower Details</h4>
610
 
611
               <div class="form-group">
612
                    <label for="">Number of Employees
22534 ashik.ali 613
                    <input type="text" pattern="[0-9]" name="noOfEmployees"placeholder="Number of Employees" style="text-transform:uppercase;"></label>
22095 kshitij.so 614
                    <label for="">Number of Management Staff
22534 ashik.ali 615
                        <input type="text" pattern="[0-9]" name="managementStaff" placeholder="Management Staff" style="text-transform:uppercase;"> </label>  
22095 kshitij.so 616
 
617
                    </div>
618
 
619
              <h4 class="page-header">9. Experience In Telecom Trade/other Trade (Brand & Product Category)</h4>
620
                <div class="bcontacts">
621
                   <textarea rows="4" name="experienceinTelecome"cols="50" placeholder="Describe yourself here..."></textarea> 
622
                </div>
623
 
624
            <h4 class="page-header">10. Description of Existing Business & Annual Turnover</h4>
625
                <div class="bcontacts">
626
                      <textarea rows="4" name="descriptionofExistingBusiness"cols="50" placeholder="Describe yourself here..."></textarea>
627
                </div>
628
                <p>Please Provide ITR of last Two years</p>
629
                <div class = "form-group file upload"> 
630
                   <input type="file" accept="application/pdf,image/*" name ="doc_itrDoc">
631
                      <input type="hidden" name="itrDoc"/>
632
                    </div>
633
 
634
 
635
            <h4 class="page-header">11.Business Model</h4>
636
 
637
            <div class="btn-group">
638
                    <label class="btn btn-default">
639
                   <input type="radio" name="businessModel" value="Retailer" required>
640
                   <span>Retailer</span>
641
                  </label>
642
                <label class="btn btn-default">
643
                    <input type="radio" name="businessModel" value="Distributor" required>
644
                    <span>Distributor</span>
645
                </label>
646
                <label class="btn btn-default">
647
                    <input type="radio" name="businessModel" value="Franchises" required>
648
                    <span>Franchise</span>
649
                </label>
650
                  <label class="btn btn-default">
651
                    <input type="radio" name="businessModel" value="Other" required>
652
                    <span>Other</span>
653
                </label>
654
              </div>
655
 
656
 
657
          <h4 class="page-header">12. Selling Online (if yes, please specify Portal Names)</h4>
658
 
659
                    <div class="btn-group">
660
                    <label class="btn btn-default">
661
                   <input type="radio" name="sellingOnline" value="yes">
662
                   <span>Yes</span>
663
                  </label>
664
                <label class="btn btn-default">
665
                    <input type="radio" name="sellingOnline" value="no">
666
                    <span>No</span>
667
                </label>
668
              </div>
669
                   <div class="form-group portal Names" id = "sellingyes">
670
                   <label>Portal Names</label>
22534 ashik.ali 671
                       <input type="text" name="portalName1" size="25" style="text-transform:uppercase;">
672
                       <input type="text" name="portalName2" size="25" style="text-transform:uppercase;">
673
                       <input type="text" name="portalName3" size="25" style="text-transform:uppercase;">
22095 kshitij.so 674
                  </div>
675
            <h4 class="page-header">13. Area of Shop(in Sq Feet)</h4>
676
              <div>
677
                 <div class="form-group">
678
                    <label>
679
 
680
                    <input type="number" name="east"  placeholder="East(Sq Feet)">
681
                    <input type="number" name="west"  placeholder="West(Sq Feet)">
682
                    <input type="number" name="north" placeholder="North(Sq Feet)"> 
683
                    </label>
684
                </div>
685
                    <br>
686
                      <div class="form-group">
687
                    <label>
688
 
689
                    <input type="number" name="south" placeholder="South(Sq Feet)">
690
                    <input type="number" name="front" placeholder="Front(Sq Feet)">
691
                    <input type="number" name="roadSize" placeholder="Road Size in Front(Sq Feet)">
692
 
693
                    </label>
694
                </div>
695
 
696
                  </div>  
697
                  <div class="shopArea">
698
                   <div class="btn-group">
699
                    <label class="btn btn-default">
700
                   <input type="radio" name="shopArea" value="Singleside">
701
                   <span>Single Side</span>
702
                  </label>
703
                <label class="btn btn-default">
704
                    <input type="radio" name="shopArea" value"Twoside">
705
                    <span>Two Side</span>
706
                </label>
707
                  <label class="btn btn-default">
708
                    <input type="radio" name="shopArea" value="Corner">
709
                    <span>Corner</span>
710
                </label>
711
              </div>
712
              </div>
713
 
714
 
715
              <h4 class="page-header">14. Status of Shop</h4>
716
 
717
                 <div class="btn-group">
718
                    <label class="btn btn-default">
719
                   <input type="radio" name="shopStatus" value="semifurnished">
720
                   <span>Semi Furnished</span>
721
                  </label>
722
                <label class="btn btn-default">
723
                    <input type="radio" name="shopStatus" value="fullfurnished">
724
                    <span>Fully Furnished</span>
725
                </label>
726
                </div>
727
 
728
                 <div class="checkboxes status" id ="shopsemifurnished">
729
                 <div class="btn btn-default">
730
   <label for="success1" class="btn btn-success">Flooring<input type="checkbox" name="flooring" 
731
          value ="flooring" id="success1" class="badgebox"><span class="badge">&check;</span></label>
732
        <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>
733
 
734
 
735
              </div>
736
            </div>
737
 
738
<div class ="checkboxes status"  id ="shopfullfurnished">
739
          <div class="row text-center">
740
    <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>
741
        <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>
742
        <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>
743
        <label for="success" class="btn btn-success">Electricity<input type="checkbox" name="electricity" 
744
          value ="yes" id="success" class="badgebox"><span class="badge">&check;</span></label>
745
        <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>
746
  </div>
747
    </div>
748
 
749
 
750
              <h4 class="page-header">15. Shop Available At</h4>
751
 
752
                     <div class="btn-group">
753
                    <label class="btn btn-default">
754
                   <input type="radio" name="shopAvailbility" value="Basement">
755
                   <span>Basement</span>
756
                  </label>
757
                <label class="btn btn-default">
758
                    <input type="radio" name="shopAvailbility" value="Groundfloor">
759
                    <span>Ground Floor</span>
760
                </label>
761
                  <label class="btn btn-default">
762
                    <input type="radio" name="shopAvailbility" value="firstfloor">
763
                    <span>First Floor</span>
764
                </label>
765
 
766
                  <label class="btn btn-default">
767
                    <input type="radio" name="shopAvailbility" value="secondfloor">
768
                    <span>Second Floor</span>
769
                </label>
770
 
771
                 <label class="btn btn-default">
772
                    <input type="radio" name="shopAvailbility" value="thirdfloor">
773
                    <span>Third Floor</span>
774
                </label>
775
                </div>
776
 
777
                <div class="form-group bdetail">
778
                   <p>Provide pictures of the shop from 3 different angles, ceiling and flooring</p>
779
                      <input type="file" name="doc_angleDoc1" accept="application/pdf,image/*" >
780
                      <input type="hidden" name="angleDoc1"/>
781
                      <input type="file" name="doc_angleDoc2" accept="application/pdf,image/*" >
782
                      <input type="hidden" name="angleDoc2"/>
783
                      <input type="file" name="doc_angleDoc3"  accept="application/pdf,image/*" >
784
                      <input type="hidden" name="angleDoc3"/>
785
                      <input type="file" name="doc_angleDoc4"  accept="application/pdf,image/*" >
786
                      <input type="hidden" name="angleDoc4"/>
787
                      <input type="file" name="doc_angleDoc5" accept="application/pdf,image/*">
788
                      <input type="hidden" name="angleDoc5"/>
789
                  </div>
790
 
791
         <h4 class="page-header">16. Location of Shop</h4>
792
                        <div class="btn-group">
793
                    <label class="btn btn-default">
794
                   <input type="radio" name="location" value="shoppingMall">
795
                   <span>Shopping Mall</span>
796
                  </label>
797
                <label class="btn btn-default">
798
                    <input type="radio" name="location" value="MainMobileMarket">
799
                    <span>Main Mobile Market</span>
800
                </label>
801
                  <label class="btn btn-default">
802
                    <input type="radio" name="location" value="LocalMarket">
803
                    <span>Local Market</span>
804
                </label>
805
 
806
                </div>
807
 
808
 
809
 
810
             <h4 class="page-header">17.Nearest Mobile Store</h4>
811
                           <div class="btn-group">
812
                    <label class="btn btn-default">
813
                   <input type="radio" name="nearestStore" value="100mtrs">
814
                   <span>100Mtrs</span>
815
                  </label>
816
                <label class="btn btn-default">
817
                    <input type="radio" name="nearestStore" value="200mtrs">
818
                    <span>200Mtrs</span>
819
                </label>
820
                  <label class="btn btn-default">
821
                    <input type="radio" name="nearestStore" value="500mtrs">
822
                    <span>500Mtrs</span>
823
                </label>
824
 
825
                </div>
826
 
827
                 <div class="form-group location">
828
                   <label>Name of the Shop</label>
22534 ashik.ali 829
                       <input type="text" size ="35" name="storeName" style="text-transform:uppercase;">
22095 kshitij.so 830
                       <br>
831
                       <br>
832
                        <label>Address of the Shop</label>
22534 ashik.ali 833
                       <input type="text" size ="65" name="storeAddress" style="text-transform:uppercase;">
22095 kshitij.so 834
                  </div>
835
 
836
 
837
 
838
            <h4 class="page-header">18. Ownership of Shop</h4>
839
 
840
                    <div class="btn-group">
841
                    <label class="btn btn-default">
842
                   <input type="radio" name="ownership" value="Selfowned">
843
                   <span>Self Owned</span>
844
                  </label>
845
                <label class="btn btn-default">
846
                    <input type="radio" name="ownership" value="Rented">
847
                    <span>Rented</span>
848
                </label>
849
                  <label class="btn btn-default">
850
                    <input type="radio" name="ownership" value="lease">
851
                    <span>Lease</span>
852
                </label>
853
                  </label>
854
                  <label class="btn btn-default">
855
                    <input type="radio" name="ownership" value="collaboration">
856
                    <span>Collaboration</span>
857
                </label>
858
 
859
                </div>
860
 
861
                 <div class="form-group bdetail">
862
                   <p>Provide relevant documents (Electricity bill/Rent Agreement/Lease Deed)to prove the status of ownership</p>
863
                     <input type="file" accept="application/pdf,image/*" name="doc_ownershipDoc">
864
                     <input type="hidden" name="ownershipDoc"/>
865
                   </div>
866
 
867
 
868
           <h4 class="page-header">19. Insurance of Shop (if yes, please provide the copy of the same)</h4>
869
 
870
 
871
                    <div class="btn-group">
872
                    <label class="btn btn-default">
873
                   <input type="radio" name="insurance" value="yes">
874
                   <span>Yes</span>
875
                  </label>
876
                <label class="btn btn-default">
877
                    <input type="radio" name="insurance" value="no">
878
                    <span>No</span>
879
                </label>
880
              </div>
881
 
882
                 <div class="form-group insurance doc"  id= "docyes">
883
                  <p>Please provide copy of insurance document</p>
884
                     <input type="file" accept="application/pdf,image/*" name="doc_insuranceDoc">
885
                      <input type="hidden" name="insuranceDoc"/>
886
                   </div>
887
 
888
 
889
         <h4 class="page-header">20. Loan on Shop (LAP/BL/CC/others)</h4>
890
 
891
                     <div class="btn-group">
892
                    <label class="btn btn-default">
893
                   <input type="radio" name="loan" value="yes">
894
                   <span>Yes</span>
895
                  </label>
896
                <label class="btn btn-default">
897
                    <input type="radio" name="loan" value="no">
898
                    <span>No</span>
899
                </label>
900
              </div>
901
 
902
                 <div class="form-group loan document" id ="documentyes">
903
                  <p>Please provide current statement Letter</p>
904
                     <input type="file" accept="application/pdf,image/*" name="doc_loanDoc">
905
                     <input type="hidden" name="loanDoc"/>
906
                      <p>Please provide current sanction Letter</p>
907
                     <input type="file" accept="application/pdf,image/*" name="doc_sanctionDoc">
908
                     <input type="hidden" name="sanctionDoc"/>
909
                   </div>
910
 
911
 
912
            <h4 class="page-header">21. Bank Name & Address</h4>
913
 
914
                  <div class="form-group float-label-control">
915
                        <label for="">Account Number</label>
22534 ashik.ali 916
                        <input type="text" name="accountNumber"class="form-control" placeholder="Account Number" style="text-transform:uppercase;">
22095 kshitij.so 917
                    </div>
918
                     <div class="form-group float-label-control">
919
                        <label for="">Bank Name</label>
22534 ashik.ali 920
                        <input type="text" name="bankName"class="form-control" placeholder="Bank Name" style="text-transform:uppercase;">
22095 kshitij.so 921
                    </div>
922
                     <div class="form-group float-label-control">
923
                        <label for="">IFSC Code</label>
22534 ashik.ali 924
                        <input type="text" name="ifscCode"class="form-control" placeholder="IFSC Code" style="text-transform:uppercase;">
22095 kshitij.so 925
                    </div>
926
                     <div class="form-group float-label-control">
927
                        <label for="">Branch Name</label>
22534 ashik.ali 928
                        <input type="text" name="branchName" class="form-control" placeholder="Branch Name" style="text-transform:uppercase;">
22095 kshitij.so 929
                    </div>
930
                     <div >
931
                  <p>Please attach the copy of cancelled cheque</p>
932
                      <div class="form-group">
933
                     <input type="file" name="doc_chequeCopy" accept="application/pdf,image/*">
934
                     <input type="hidden" name="chequeCopy"/>
935
                   </div>
936
 
937
 
938
                  <h4 class="page-header">22. HSPS Bank Account Detail</h4> 
939
 
940
                  <p>Please deposit amount of <strong> Rs 1 Lac </strong>as advance payment in following account through NEFT and submit the UTR No.</p>
941
                    <div class="form-group float-label-control">
942
                        <label for="">UTR Number</label>
22534 ashik.ali 943
                        <input type="text" name="utr" class="form-control" placeholder="UTR No" style="text-transform:uppercase;">
22095 kshitij.so 944
                    </div>
945
                    <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>
946
 
947
 
948
 
949
                      <div class ="Account">
950
                      <label>Account Name: New Spice Solutions Pvt Ltd</label><br>
951
                       <label>Bank Name: IndusInd Bank Ltd.</label><br>
952
                        <label>Account No.:201000488351</label><br>
953
                        <label>Branch:M-56, Greater Kailash-II, Main Market New Delhi-110048</label><br>
954
                         <label>IFSC:INDB0000012</label><br>
955
                        </div>
956
 
957
                <div class="submit">
958
                    <button type="submit" class="btn btn-success btn-lg">Submit</button>
959
                </div>
960
 
961
                <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>
962
 
963
 
964
 
965
 
966
 <!--             <fieldset hidden disabled="disabled">
967
              <h4 class="page-header">PMP STORE REGISTRATION APPROVAL</h4>
968
                 <p>(FOR OFFICE USE ONLY)</P>
969
 
970
                <div class=breg>
971
                 <div class=bApproval>
972
 
973
                  <label>Recommended by</label>
22534 ashik.ali 974
                  <input type="text" name = "recommended"class="reg-control" size="50" style="text-transform:uppercase;">
22095 kshitij.so 975
 
976
                  </div>
977
                  <br>
978
 
979
                    <div class=bApproval>
980
                  <label>Business Manager</label>
22534 ashik.ali 981
                  <input type="text" name=" bManager" class="reg-control" size="50" style="text-transform:uppercase;">
22095 kshitij.so 982
                </div>
983
                      <br>
984
                        <div class=bApproval>
985
                    <label>Operations Manager</label>
22534 ashik.ali 986
                  <input type="text"name="operation"class="reg-control"  size="50" style="text-transform:uppercase;">
22095 kshitij.so 987
                </div>
988
                  <br>
989
               <div class=bApproval>
990
                     <label>BusinessHeadCategoryHead</label>
22534 ashik.ali 991
                  <input type="text" name="bhead"class="reg-control" size="50" style="text-transform:uppercase;">
22095 kshitij.so 992
                </div>
993
 
994
 
995
                 </div>
996
               </fieldset> -->
997
 
998
                      </form>
999
                    </div>
1000
          </div>
1001
   <div class="col-sm-4">
1002
                <div class="panel panel-default">
1003
 
1004
                    <div class="panel-body">
1005
 
1006
 
1007
                   <label>Spice Global Knowledge Park - 6th Floor, Plot No.19A & 19B, Sector 125, Noida, UP - 201301</label>
1008
                   <br>
23166 amit.gupta 1009
                    <label>Email - care@smartdukaan.com</<label>
22095 kshitij.so 1010
                    <br> 
1011
                    <label>Contact - 8588842949 </label>
1012
                    </div>
1013
                </div>
1014
            </div>
1015
 
1016
        </div>
1017
 
1018
    </div>
1019
    </div>
1020
</body>
1021
</html>