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<datalist id="cities">
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<datalist id="cities">
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</datalist>
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</datalist>
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<input type="text" placeholder="City*" id="city" name="city" list="cities" required/>
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<input type="text" placeholder="City*" id="city" name="city" list="cities" required/>
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<!-- <label>Phone<span>*</span></label> -->
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<!-- <label>Phone<span>*</span></label> -->
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<input type="text" id="phone" value="<?php echo $user_contact;?>" placeholder="Contact number*" name="phone" pattern="\d.{9,9}" required title="Invalid Phone number.."/>
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<input type="text" id="phone" value="<?php echo $user_contact;?>" placeholder="Contact number*" name="phone"/>
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</div>
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</div>
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<div class='col-xs-6' style='padding:0px 0px 0px 5px ;'>
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<div class='col-xs-6' style='padding:0px 0px 0px 5px ;'>
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<!-- <label>Pincode<span>*</span></label> -->
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<!-- <label>Pincode<span>*</span></label> -->
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<input placeholder="Pincode*" required value='<?php echo $pinval;?>' type="text" id="pin" name="pin" pattern="\d.{5,5}" title="Invalid Pin" />
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<input placeholder="Pincode*" value='<?php echo $pinval;?>' type="text" id="pin" name="pin" />
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<!-- <label>State<span>*</span></label> -->
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<!-- <label>State<span>*</span></label> -->
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<select id="state" name="state" required>
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<select id="state" name="state" required>
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<option value="">Select State</option>
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<option value="">Select State</option>
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<option value="Andaman & Nicobar Island">Andaman & Nicobar Island</option>
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<option value="Andaman & Nicobar Island">Andaman & Nicobar Island</option>
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