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Rev 22191 Rev 22534
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                <form role="form" name="myform" id ="form"  enctype="multipart/form-data"  data-toggle="validator" novalidate>
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                <form role="form" name="myform" id ="form"  enctype="multipart/form-data"  data-toggle="validator" novalidate>
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             <h4 class="page-header">1. Registered Business Name of HSPS (in Block Letters)</h4>
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             <h4 class="page-header">1. Registered Business Name of HSPS (in Block Letters)</h4>
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                     <div class="form-group ">
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                     <div class="form-group ">
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                     <label for=""></label>
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                     <label for=""></label>
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                     <input type="text" name="registeredBusinessName" id="demo" class="bform" placeholder="Business Name"/>
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                     <input type="text" name="registeredBusinessName" id="demo" class="bform" placeholder="Business Name" style="text-transform:uppercase;"/>
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                     </div>
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                     </div>
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             <h4 class="page-header">2. Registered Address (In Block Letters)</h4>
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             <h4 class="page-header">2. Registered Address (In Block Letters)</h4>
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                    <div class="form-group float-label-control">
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                    <div class="form-group float-label-control">
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                        <label for="">Line 1</label>
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                        <label for="">Line 1</label>
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                        <input type="text" name ="line1" class="form-control" placeholder="Line 1">
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                        <input type="text" name ="line1" class="form-control" placeholder="Line 1" style="text-transform:uppercase;">
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                    </div>
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                    </div>
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                     <div class="form-group float-label-control">
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                     <div class="form-group float-label-control">
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                      <label for="">Line 2</label>
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                      <label for="">Line 2</label>
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                        <input type="text" name ="line2" class="form-control" placeholder="Line 2">
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                        <input type="text" name ="line2" class="form-control" placeholder="Line 2" style="text-transform:uppercase;">
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                    </div>
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                    </div>
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                     <div class="form-group float-label-control">
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                     <div class="form-group float-label-control">
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                        <label for="">Line 3</label>
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                        <label for="">Line 3</label>
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                        <input type="text" name="line3" class="form-control" placeholder="Line 3">
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                        <input type="text" name="line3" class="form-control" placeholder="Line 3" style="text-transform:uppercase;">
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                    </div>
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                    </div>
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                     <div class="form-group float-label-control">
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                     <div class="form-group float-label-control">
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                        <label for="">City</label>
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                        <label for="">City</label>
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                        <input type="text" name="city" class="form-control" placeholder="City">
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                        <input type="text" name="city" class="form-control" placeholder="City" style="text-transform:uppercase;">
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                    </div>
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                    </div>
179 
                      <div class="form-group float-label-control">
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                      <div class="form-group float-label-control">
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                        <label for="">District</label>
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                        <label for="">District</label>
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                        <input type="text" name="district" class="form-control" placeholder="District">
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                        <input type="text" name="district" class="form-control" placeholder="District" style="text-transform:uppercase;">
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                    </div>
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                    </div>
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                     <div class="form-group float-label-control">
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                     <div class="form-group float-label-control">
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                        <label for="">Pincode</label>
 184 
                        <label for="">Pincode</label>
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                        <input  type="text" name="pincode" maxlength="6" class="form-control" pattern="[0-9]{6}" title="Please enter correct Pin Code"placeholder="Pincode">
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                        <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;">
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                      </div>
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                      </div>
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                     <div class="form-group float-label-control">
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                     <div class="form-group float-label-control">
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                      <select class="form-control" name = "state" placeholder="State">
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                      <select class="form-control" name = "state" placeholder="State">
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                    </div>
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                    </div>
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                      <div class="form-group float-label-control">
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                      <div class="form-group float-label-control">
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                        <label for="">Email1</label>
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                        <label for="">Email1</label>
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                        <input type="email" class="form-control" name="registeredEmail1" placeholder="Email1">
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                        <input type="email" class="form-control" name="registeredEmail1" placeholder="Email1" style="text-transform:uppercase;">
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                      </div>
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                      </div>
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                         <p>Example:- xyz<strong>.hsps@gmail.com</strong></p>
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                         <p>Example:- xyz<strong>.hsps@gmail.com</strong></p>
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                        <div class="form-group float-label-control">
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                        <div class="form-group float-label-control">
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                        <label for="">Email2</label>
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                        <label for="">Email2</label>
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                        <input type="email" class="form-control" name="registeredEmail2" placeholder="Email2">
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                        <input type="email" class="form-control" name="registeredEmail2" placeholder="Email2" style="text-transform:uppercase;">
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                      </div>
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                      </div>
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                       <div class="form-group float-label-control">
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                       <div class="form-group float-label-control">
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                        <label for="">Mobile</label>
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                        <label for="">Mobile</label>
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                        <input  type="text" class="form-control" name="mobile" maxlength = "10" pattern="[0-9]{10}" title="Please enter valid Phone number" placeholder="Mobile">
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                        <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;">
249 
                      </div>
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                      </div>
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 250 
 
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                    <label>Landline</label>
 251 
                    <label>Landline</label>
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                      <div class="form-group Pmpform">
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                      <div class="form-group Pmpform">
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                      <input type="text" name="stdcode" maxlength = "5" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="STDcode"/>
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                      <input type="text" name="stdcode" maxlength = "5" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="STDcode" style="text-transform:uppercase;"/>
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                      <input type="text" name="telephone" maxlength = "10" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="Telephone"/>
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                      <input type="text" name="telephone" maxlength = "10" pattern="[0-9]*" title="Please enter valid Phone number" placeholder="Telephone" style="text-transform:uppercase;"/>
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                      </div>
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                      </div>
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             <h4 class="page-header">3. Type of Business Entity</h4>
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             <h4 class="page-header">3. Type of Business Entity</h4>
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                     <div class="partnership box" id="salePartnership">Upload <strong>Partnership Deed</strong></div>
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                     <div class="partnership box" id="salePartnership">Upload <strong>Partnership Deed</strong></div>
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                     </div>
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                     </div>
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                      <div class="limitedcompany box" id="salePrivateLimitedCompany">
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                      <div class="limitedcompany box" id="salePrivateLimitedCompany">
286 
                      <div class="form-group float-label-control">
 286 
                      <div class="form-group float-label-control">
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                        <label for="">DIN Number</label>
 287 
                        <label for="">DIN Number</label>
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                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number">
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                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number" style="text-transform:uppercase;">
289 
                    </div>Upload <strong>Incorporation certificate,Memorandum & Article of association</strong>
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                    </div>Upload <strong>Incorporation certificate,Memorandum & Article of association</strong>
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                      </div>
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                      </div>
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                      <div class="LimitedLiabilityPartnership box" id="saleLimitedLiabilityPartnership">
 293 
                      <div class="LimitedLiabilityPartnership box" id="saleLimitedLiabilityPartnership">
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296 
                           <div class="form-group float-label-control">
 296 
                           <div class="form-group float-label-control">
297 
                        <label for="">DIN Number</label>
 297 
                        <label for="">DIN Number</label>
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                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number">
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                        <input type="text" class="form-control" name="dinNumber" disabled placeholder="DIN Number" style="text-transform:uppercase;">
299 
                    </div>Upload <strong>Registration certificate & partnership Deed</strong>
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                    </div>Upload <strong>Registration certificate & partnership Deed</strong>
300 
                     </div>
 300 
                     </div>
301
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                    <div class = "form-group file upload">
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                    <div class = "form-group file upload">
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                   <input type="file" accept="application/pdf,image/*" name = "bEntityDoc"  />
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                   <input type="file" accept="application/pdf,image/*" name = "bEntityDoc"  />
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                     <h4 class="page-header">4. Goods And Services Tax Number(GST)</h4>
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                     <h4 class="page-header">4. Goods And Services Tax Number(GST)</h4>
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                    <div class="Pmpform">
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                    <div class="Pmpform">
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                        <input type="text" name="gst" class="bform" placeholder="Goods And Services Tax Number"/>
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                        <input type="text" name="gst" class="bform" placeholder="Goods And Services Tax Number" style="text-transform:uppercase;"/>
314 
                    </div>
 314 
                    </div>
315 
                     <p>Provide Copy of GST document</p>
 315 
                     <p>Provide Copy of GST document</p>
316 
                    <div class = "file upload">
316 
                    <div class = "file upload">
317 
                   <input type="file"  accept="application/pdf,image/*" name ="gstDoc">
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                   <input type="file"  accept="application/pdf,image/*" name ="gstDoc">
318 
                     <a href="somelink" id="link-gstDoc" style="display:none">View GST Document</a>
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                     <a href="somelink" id="link-gstDoc" style="display:none">View GST Document</a>
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                     <h4 class="page-header">5. Permanent Account Number(PAN)</h4>
 322 
                     <h4 class="page-header">5. Permanent Account Number(PAN)</h4>
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                    <div class="form-group ">
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                    <div class="form-group ">
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                     <label for=""></label>
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                     <label for=""></label>
326 
                     <input type="text" name="pan" maxlength="10" class="bform" placeholder="Permanent Account Number"/></div>
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                     <input type="text" name="pan" maxlength="10" class="bform" placeholder="Permanent Account Number" style="text-transform:uppercase;"/></div>
327 
                     <p>Provide Copy of PAN </p>
 327 
                     <p>Provide Copy of PAN </p>
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 328 
 
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                    <div class = "form-group file upload">
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                    <div class = "form-group file upload">
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                   <input type="file" accept="application/pdf,image/*" id ="panDoc"  name="panDoc">
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                   <input type="file" accept="application/pdf,image/*" id ="panDoc"  name="panDoc">
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              <th class="PMPownership">Share %</th>
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              <th class="PMPownership">Share %</th>
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               </tr>
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               </tr>
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            <tr>
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            <tr>
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 366 
 
367 
                   <td class="form-group"><input type="text" name="proprietorBusineesName"size="25"></td>
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                   <td class="form-group"><input type="text" name="proprietorBusineesName"size="25" style="text-transform:uppercase;"></td>
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                   <td class="form-group"><textarea row="3" name="proprietorAddress"></textarea></td>
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                   <td class="form-group"><textarea row="3" name="proprietorAddress"></textarea></td>
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                   <td class="form-group"><input type="text" name="proprietorPhone" maxlength="10" pattern="[0-9]{10}"size="10"></th>
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                   <td class="form-group"><input type="text" name="proprietorPhone" maxlength="10" pattern="[0-9]{10}"size="10" style="text-transform:uppercase;"></th>
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                   <td class="form-group"><input type="text" name="proprietorPan" maxlength="10" title="Please enter correct pan number"size="10"></td>
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                   <td class="form-group"><input type="text" name="proprietorPan" maxlength="10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
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                    <td class="form-group"><input type="text"  name= "proprietorAdhaar" size="15"></td>
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                    <td class="form-group"><input type="text"  name= "proprietorAdhaar" size="15" style="text-transform:uppercase;"></td>
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                   <td class="form-group"><input type="email"  name= "proprietorEmail" size="20"></td>
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                   <td class="form-group"><input type="email"  name= "proprietorEmail" size="20" style="text-transform:uppercase;"></td>
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                   <td class="form-group"><input type="text" pattern="[0-9]" name="proprietorOwner" size="10"></td>
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                   <td class="form-group"><input type="text" pattern="[0-9]" name="proprietorOwner" size="10" style="text-transform:uppercase;"></td>
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                   </tr>
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                   </tr>
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            </table>
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            </table>
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              <th class="PMPownership">Share %</th>
 391 
              <th class="PMPownership">Share %</th>
392 
 
 392 
 
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               </tr>
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               </tr>
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                <tr>
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                <tr>
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 395 
 
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                   <td class="form-group"><input name="partnerName1"type="text" size="25"></td>
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                   <td class="form-group"><input name="partnerName1"type="text" size="25" style="text-transform:uppercase;"></td>
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                   <td class="form-group"><textarea name="partnerAddress1" type="text" size="60"></textarea></td>
 397 
                   <td class="form-group"><textarea name="partnerAddress1" type="text" size="60"></textarea></td>
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                   <td class="form-group"><input name = "partnerPhone1" pattern="[0-9]{10}"type="text" size="10"></th>
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                   <td class="form-group"><input name = "partnerPhone1" pattern="[0-9]{10}"type="text" size="10" style="text-transform:uppercase;"></th>
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                   <td class="form-group"><input  name ="partnerPan1"type="text" maxlength = "10" title="Please enter correct pan number"size="10"></td>
 399 
                   <td class="form-group"><input  name ="partnerPan1"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
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                    <td class="form-group"><input name="partnerAdhaar1" type="text"  size="15"></td>
 400 
                    <td class="form-group"><input name="partnerAdhaar1" type="text"  size="15" style="text-transform:uppercase;"></td>
401 
                   <td class="form-group"><input name="partnerEmail1" type="email"  size="20"></td>
 401 
                   <td class="form-group"><input name="partnerEmail1" type="email"  size="20" style="text-transform:uppercase;"></td>
402 
                   <td class="form-group"><input name="partnerOwner1" type="text"pattern="[0-9]"size="10"></td>
 402 
                   <td class="form-group"><input name="partnerOwner1" type="text"pattern="[0-9]"size="10" style="text-transform:uppercase;"></td>
403
403
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                   </tr>
 404 
                   </tr>
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            </table>
 407 
            </table>
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              <th class="PMPownership">Share %</th>
 418 
              <th class="PMPownership">Share %</th>
419 
 
 419 
 
420 
               </tr>
 420 
               </tr>
421 
              <tr>
 421 
              <tr>
422 
 
 422 
 
423 
                   <td class="form-group"><input name="partnerName2"type="text" size="25"></td>
 423 
                   <td class="form-group"><input name="partnerName2"type="text" size="25" style="text-transform:uppercase;"></td>
424 
                   <td class="form-group"><textarea name="partnerAddress2" type="text" size="60"></textarea></td>
 424 
                   <td class="form-group"><textarea name="partnerAddress2" type="text" size="60"></textarea></td>
425 
                   <td class="form-group"><input name = "partnerPhone2" pattern="[0-9]{10}" type="text" size="10"></th>
 425 
                   <td class="form-group"><input name = "partnerPhone2" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
426 
                   <td class="businesspan"><input  name ="partnerPan2"type="text" maxlength = "10" title="Please enter correct pan number"size="10"></td>
 426 
                   <td class="businesspan"><input  name ="partnerPan2"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
427 
                   <td class="form-group"><input name="partnerAdhaar2" type="text" size="15"></td>
 427 
                   <td class="form-group"><input name="partnerAdhaar2" type="text" size="15" style="text-transform:uppercase;"></td>
428 
                   <td class="form-group"><input name="partnerEmail2" type="email" size="20"></td>
 428 
                   <td class="form-group"><input name="partnerEmail2" type="email" size="20" style="text-transform:uppercase;"></td>
429 
                   <td class="form-group"><input name="partnerOwner2" pattern="[0-9]" type="text" size="10"></td>
 429 
                   <td class="form-group"><input name="partnerOwner2" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
430
430
431 
                   </tr>
 431 
                   </tr>
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432
433 
            </table>
 433 
            </table>
434 
                   <table class="businessdetail">
 434 
                   <table class="businessdetail">
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442 
              <th class="PMPownership">Share %</th>
 442 
              <th class="PMPownership">Share %</th>
443 
 
 443 
 
444 
               </tr>
 444 
               </tr>
445 
                 <tr>
 445 
                 <tr>
446 
 
 446 
 
447 
                   <td class="form-group"><input name="partnerName3"type="text" size="25"></td>
 447 
                   <td class="form-group"><input name="partnerName3"type="text" size="25" style="text-transform:uppercase;"></td>
448 
                   <td class="form-group"><textarea name="partnerAddress3" type="text" size="60"></textarea></td>
 448 
                   <td class="form-group"><textarea name="partnerAddress3" type="text" size="60"></textarea></td>
449 
                   <td class="form-group"><input name = "partnerPhone3" type="text"  maxlength = "10" pattern="[0-9]{10}"  size="10"></th>
 449 
                   <td class="form-group"><input name = "partnerPhone3" type="text"  maxlength = "10" pattern="[0-9]{10}"  size="10" style="text-transform:uppercase;"></th>
450 
                   <td class="form-group"><input  name ="partnerPan3"type="text" maxlength = "10" title="Please enter correct pan number"size="10"></td>
 450 
                   <td class="form-group"><input  name ="partnerPan3"type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
451 
                    <td class="form-groupr"><input name="partnerAdhaar3" type="text" size="15"></td>
 451 
                    <td class="form-groupr"><input name="partnerAdhaar3" type="text" size="15" style="text-transform:uppercase;"></td>
452 
                   <td class="form-group"><input name="partnerEmail3"  type="email" size="20"></td>
 452 
                   <td class="form-group"><input name="partnerEmail3"  type="email" size="20" style="text-transform:uppercase;"></td>
453 
                   <td class="form-group"><input name="partnerOwner3" pattern="[0-9"  type="text" size="10"></td>
 453 
                   <td class="form-group"><input name="partnerOwner3" pattern="[0-9"  type="text" size="10" style="text-transform:uppercase;"></td>
454
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455 
                   </tr>
 455 
                   </tr>
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458 
            </table>
 458 
            </table>
Line 469... Line 469...
469 
              <th class="PMPemail">Email</th>
 469 
              <th class="PMPemail">Email</th>
470 
              <th class="PMPownership">Share %</th>
 470 
              <th class="PMPownership">Share %</th>
471 
               </tr>
 471 
               </tr>
472 
               <tr>
 472 
               <tr>
473 
 
 473 
 
474 
                   <td class="form-group"><input name="partnerName4"type="text" size="25"></td>
 474 
                   <td class="form-group"><input name="partnerName4"type="text" size="25" style="text-transform:uppercase;"></td>
475 
                   <td class="form-group"><textarea name="partnerAddress4" type="text" size="60"></textarea></td>
 475 
                   <td class="form-group"><textarea name="partnerAddress4" type="text" size="60"></textarea></td>
476 
                   <td class="form-group"><input name = "partnerPhone4"  pattern="[0-9]{10}" type="text" size="10"></th>
 476 
                   <td class="form-group"><input name = "partnerPhone4"  pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
477 
                   <td class="form-group"><input  name ="partnerPan4"type="text" maxlength = "10"title="Please enter correct pan number"size="10"></td>
 477 
                   <td class="form-group"><input  name ="partnerPan4"type="text" maxlength = "10"title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
478 
                    <td class="form-group"><input name="partnerAdhaar4" type="text" size="15"></td>
 478 
                    <td class="form-group"><input name="partnerAdhaar4" type="text" size="15" style="text-transform:uppercase;"></td>
479 
                   <td class="form-group"><input name="partnerEmail4" type="email" size="20"></td>
 479 
                   <td class="form-group"><input name="partnerEmail4" type="email" size="20" style="text-transform:uppercase;"></td>
480 
                   <td class="form-group"><input name="partnerOwner4" pattern="[0-9]" type="text" size="10"></td>
 480 
                   <td class="form-group"><input name="partnerOwner4" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
481
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                   </tr>
 482 
                   </tr>
483
483
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484
485 
            </table>
 485 
            </table>
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498 
              <th class="PMPemail">Email</th>
 498 
              <th class="PMPemail">Email</th>
499 
              <th class="PMPownership">Share %</th>
 499 
              <th class="PMPownership">Share %</th>
500 
 
 500 
 
501 
               </tr>
 501 
               </tr>
502 
               <tr>
 502 
               <tr>
503 
                   <td class="form-group"><input name="shareholderName1"type="text" size="25"></td>
 503 
                   <td class="form-group"><input name="shareholderName1"type="text" size="25" style="text-transform:uppercase;"></td>
504 
                   <td class="form-group"><textarea name="shareholderAddress1" type="text" size="60"></textarea></td>
 504 
                   <td class="form-group"><textarea name="shareholderAddress1" type="text" size="60"></textarea></td>
505 
                   <td class="form-group"><input name = "shareholderPhone1" pattern="[0-9]{10}" type="text" size="10"></th>
 505 
                   <td class="form-group"><input name = "shareholderPhone1" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
506 
                   <td class="form-group"><input  name ="shareholderPan1"type="text" maxlength = "10"  title="Please enter correct pan number"size="10"></td>
 506 
                   <td class="form-group"><input  name ="shareholderPan1"type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
507 
                   <td class="form-group"><input name="shareholderAdhaar1" type="text" size="15"></td>
 507 
                   <td class="form-group"><input name="shareholderAdhaar1" type="text" size="15" style="text-transform:uppercase;"></td>
508 
                   <td class="form-group"><input name="shareholderEmail1" type="email" size="20"></td>
 508 
                   <td class="form-group"><input name="shareholderEmail1" type="email" size="20" style="text-transform:uppercase;"></td>
509 
                   <td class="form-group"><input name="shareholderOwner1" pattern="[0-9]" type="text" size="10"></td>
 509 
                   <td class="form-group"><input name="shareholderOwner1" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
510
510
511 
                   </tr>
 511 
                   </tr>
512
512
513
513
514 
            </table>
 514 
            </table>
Line 522... Line 522...
522 
              <th class="PMPAdhaar">Aadhaar Number</th>
 522 
              <th class="PMPAdhaar">Aadhaar Number</th>
523 
              <th class="PMPemail">Email</th>
 523 
              <th class="PMPemail">Email</th>
524 
              <th class="PMPownership">Share %</th>
 524 
              <th class="PMPownership">Share %</th>
525 
               </tr>
 525 
               </tr>
526 
                 <tr>
 526 
                 <tr>
527 
                   <td class="form-group"><input name="shareholderName2"type="text" size="25"></td>
 527 
                   <td class="form-group"><input name="shareholderName2"type="text" size="25" style="text-transform:uppercase;"></td>
528 
                   <td class="form-group"><textarea name="shareholderAddress2" type="text" size="60"></textarea></td>
 528 
                   <td class="form-group"><textarea name="shareholderAddress2" type="text" size="60"></textarea></td>
529 
                   <td class="form-group"><input name = "shareholderPhone2" pattern="[0-9]{10}" type="text" size="10"></th>
 529 
                   <td class="form-group"><input name = "shareholderPhone2" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
530 
                   <td class="form-group"><input  name ="shareholderPan2"type="text" maxlength = "10"  title="Please enter correct pan number"size="10"></td>
 530 
                   <td class="form-group"><input  name ="shareholderPan2"type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
531 
                    <td class="form-group"><input name="shareholderAdhaar2" type="text" size="15"></td>
 531 
                    <td class="form-group"><input name="shareholderAdhaar2" type="text" size="15" style="text-transform:uppercase;"></td>
532 
                   <td class="form-group"><input name="shareholderEmail2"  type="email" size="20"></td>
 532 
                   <td class="form-group"><input name="shareholderEmail2"  type="email" size="20" style="text-transform:uppercase;"></td>
533 
                   <td class="form-group"><input name="shareholderOwner2" pattern="[0-9]"  type="text" size="10"></td>
 533 
                   <td class="form-group"><input name="shareholderOwner2" pattern="[0-9]"  type="text" size="10" style="text-transform:uppercase;"></td>
534
534
535 
                   </tr>
 535 
                   </tr>
536 
            </table>
 536 
            </table>
537 
 
 537 
 
538 
                   <table class="businessdetail">
 538 
                   <table class="businessdetail">
Line 545... Line 545...
545 
              <th class="PMPemail">Email</th>
 545 
              <th class="PMPemail">Email</th>
546 
              <th class="PMPownership">Share %</th>
 546 
              <th class="PMPownership">Share %</th>
547 
 
 547 
 
548 
               </tr>
 548 
               </tr>
549 
                   <tr>
 549 
                   <tr>
550 
                   <td class="form-group"><input name="shareholderName3"type="text" size="25"></td>
 550 
                   <td class="form-group"><input name="shareholderName3"type="text" size="25" style="text-transform:uppercase;"></td>
551 
                   <td class="form-group"><textarea name="shareholderAddress3" type="text" size="60"></textarea></td>
 551 
                   <td class="form-group"><textarea name="shareholderAddress3" type="text" size="60"></textarea></td>
552 
                   <td class="form-group"><input name = "shareholderPhone3" pattern="[0-9]{10}" type="text" size="10"></th>
 552 
                   <td class="form-group"><input name = "shareholderPhone3" pattern="[0-9]{10}" type="text" size="10" style="text-transform:uppercase;"></th>
553 
                   <td class="form-group"><input  name ="shareholderPan3" type="text" maxlength = "10" title="Please enter correct pan number"size="10"></td>
 553 
                   <td class="form-group"><input  name ="shareholderPan3" type="text" maxlength = "10" title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
554 
                   <td class="form-group"><input name="shareholderAdhaar3" type="text" size="15"></td>
 554 
                   <td class="form-group"><input name="shareholderAdhaar3" type="text" size="15" style="text-transform:uppercase;"></td>
555 
                   <td class="form-group"><input name="shareholderEmail3" type="email" size="20"></td>
 555 
                   <td class="form-group"><input name="shareholderEmail3" type="email" size="20" style="text-transform:uppercase;"></td>
556 
                   <td class="form-group"><input name="shareholderOwner3" pattern="[0-9]" type="text" size="10"></td>
 556 
                   <td class="form-group"><input name="shareholderOwner3" pattern="[0-9]" type="text" size="10" style="text-transform:uppercase;"></td>
557
557
558 
                   </tr>
 558 
                   </tr>
559
559
560 
            </table>
 560 
            </table>
561 
 
 561 
 
Line 568... Line 568...
568 
              <th class="PMPAdhaar">Aadhaar Number</th>
 568 
              <th class="PMPAdhaar">Aadhaar Number</th>
569 
              <th class="PMPemail">Email</th>
 569 
              <th class="PMPemail">Email</th>
570 
              <th class="PMPownership">Share %</th>
 570 
              <th class="PMPownership">Share %</th>
571 
               </tr>
 571 
               </tr>
572 
                     <tr>
 572 
                     <tr>
573 
                   <td class="form-group"><input name="shareholderName4" type="text" size="25"></td>
 573 
                   <td class="form-group"><input name="shareholderName4" type="text" size="25" style="text-transform:uppercase;"></td>
574 
                   <td class="form-group"><textarea name="shareholderAddress4" type="text" size="60"></textarea></td>
 574 
                   <td class="form-group"><textarea name="shareholderAddress4" type="text" size="60"></textarea></td>
575 
                   <td class="form-group"><input name = "shareholderPhone4" type="text" pattern="[0-9]{10}" size="10"></th>
 575 
                   <td class="form-group"><input name = "shareholderPhone4" type="text" pattern="[0-9]{10}" size="10" style="text-transform:uppercase;"></th>
576 
                   <td class="form-group"><input  name ="shareholderPan4" type="text" maxlength = "10"  title="Please enter correct pan number"size="10"></td>
 576 
                   <td class="form-group"><input  name ="shareholderPan4" type="text" maxlength = "10"  title="Please enter correct pan number"size="10" style="text-transform:uppercase;"></td>
577 
                    <td class="form-group"><input name="shareholderAdhaar4" type="text" size="15"></td>
 577 
                    <td class="form-group"><input name="shareholderAdhaar4" type="text" size="15" style="text-transform:uppercase;"></td>
578 
                   <td class="form-group"><input name="shareholderEmail4"  type="email" size="20"></td>
 578 
                   <td class="form-group"><input name="shareholderEmail4"  type="email" size="20" style="text-transform:uppercase;"></td>
579 
                   <td class="form-group"><input name="shareholderOwner4" pattern="[0-9]"  type="text" size="10"></td>
 579 
                   <td class="form-group"><input name="shareholderOwner4" pattern="[0-9]"  type="text" size="10" style="text-transform:uppercase;"></td>
580
580
581 
                   </tr>
 581 
                   </tr>
582
582
583
583
584 
            </table>
 584 
            </table>
Line 588... Line 588...
588 
         <h4 class="page-header">7. Store Manager Details</h4>
 588 
         <h4 class="page-header">7. Store Manager Details</h4>
589
589
590
590
591 
                    <div class="form-group">
 591 
                    <div class="form-group">
592 
                    <label for="">Name
 592 
                    <label for="">Name
593 
                    <input type="text" name="managerName"placeholder="Name"></label>
 593 
                    <input type="text" name="managerName"placeholder="Name" style="text-transform:uppercase;"></label>
594 
                    <label for="">Mobile
 594 
                    <label for="">Mobile
595 
                        <input type="text" name="managerNo" pattern="[0-9]{10}" title="Please enter Valid Mobile number" placeholder="Mobile No"> </label>
595 
                        <input type="text" name="managerNo" pattern="[0-9]{10}" title="Please enter Valid Mobile number" placeholder="Mobile No" style="text-transform:uppercase;"> </label>
596 
                    <label for="">Email
 596 
                    <label for="">Email
597 
                        <input type="email" name="managerEmail"size="25px" placeholder="Emailid"> </label>
597 
                        <input type="email" name="managerEmail"size="25px" placeholder="Emailid" style="text-transform:uppercase;"> </label>
598
- 
 
599 
                    </div>
 598 
                    </div>
600 
 
 599 
 
601
600
602 
            <h4 class="page-header">8. Manpower Details</h4>
 601 
            <h4 class="page-header">8. Manpower Details</h4>
603
602
604 
               <div class="form-group">
 603 
               <div class="form-group">
605 
                    <label for="">Number of Employees
 604 
                    <label for="">Number of Employees
606 
                    <input type="text" pattern="[0-9]" name="noOfEmployees"placeholder="Number of Employees"></label>
 605 
                    <input type="text" pattern="[0-9]" name="noOfEmployees"placeholder="Number of Employees" style="text-transform:uppercase;"></label>
607 
                    <label for="">Number of Management Staff
 606 
                    <label for="">Number of Management Staff
608 
                        <input type="text" pattern="[0-9]" name="managementStaff" placeholder="Management Staff"> </label>
607 
                        <input type="text" pattern="[0-9]" name="managementStaff" placeholder="Management Staff" style="text-transform:uppercase;"> </label>
609
- 
 
610 
                    </div>
 608 
                    </div>
611 
 
 609 
 
612 
              <h4 class="page-header">9. Experience In Telecom Trade/other Trade (Brand & Product Category)</h4>
 610 
              <h4 class="page-header">9. Experience In Telecom Trade/other Trade (Brand & Product Category)</h4>
613 
                <div class="bcontacts">
 611 
                <div class="bcontacts">
614 
                   <textarea rows="4" name="experienceinTelecome"cols="50" placeholder="Describe yourself here..."></textarea>
612 
                   <textarea rows="4" name="experienceinTelecome"cols="50" placeholder="Describe yourself here..."></textarea>
Line 659... Line 657...
659 
                    <span>No</span>
 657 
                    <span>No</span>
660 
                </label>
 658 
                </label>
661 
              </div>
 659 
              </div>
662 
                   <div class="form-group portal Names" id = "sellingyes">
 660 
                   <div class="form-group portal Names" id = "sellingyes">
663 
                   <label>Portal Names</label>
 661 
                   <label>Portal Names</label>
664 
                       <input type="text" name="portalName1" size="25">
 662 
                       <input type="text" name="portalName1" size="25" style="text-transform:uppercase;">
665 
                       <input type="text" name="portalName2" size="25">
 663 
                       <input type="text" name="portalName2" size="25" style="text-transform:uppercase;">
666 
                       <input type="text" name="portalName3" size="25">
 664 
                       <input type="text" name="portalName3" size="25" style="text-transform:uppercase;">
667 
                  </div>
 665 
                  </div>
668 
            <h4 class="page-header">13. Area of Shop(in Sq Feet)</h4>
 666 
            <h4 class="page-header">13. Area of Shop(in Sq Feet)</h4>
669 
              <div>
 667 
              <div>
670 
                 <div class="form-group">
 668 
                 <div class="form-group">
671 
                    <label>
 669 
                    <label>
Line 817... Line 815...
817
815
818 
                </div>
 816 
                </div>
819 
 
 817 
 
820 
                 <div class="form-group location">
 818 
                 <div class="form-group location">
821 
                   <label>Name of the Shop</label>
 819 
                   <label>Name of the Shop</label>
822 
                       <input type="text" size ="35" name="storeName">
 820 
                       <input type="text" size ="35" name="storeName" style="text-transform:uppercase;">
823 
                       <br>
 821 
                       <br>
824 
                       <br>
 822 
                       <br>
825 
                        <label>Address of the Shop</label>
 823 
                        <label>Address of the Shop</label>
826 
                       <input type="text" size ="65" name="storeAddress">
 824 
                       <input type="text" size ="65" name="storeAddress" style="text-transform:uppercase;">
827 
                  </div>
 825 
                  </div>
828
826
829 
 
 827 
 
830
828
831 
            <h4 class="page-header">18. Ownership of Shop</h4>
 829 
            <h4 class="page-header">18. Ownership of Shop</h4>
Line 906... Line 904...
906 
 
 904 
 
907 
            <h4 class="page-header">21. Bank Name & Address</h4>
 905 
            <h4 class="page-header">21. Bank Name & Address</h4>
908
906
909 
                  <div class="form-group float-label-control">
 907 
                  <div class="form-group float-label-control">
910 
                        <label for="">Account Number</label>
 908 
                        <label for="">Account Number</label>
911 
                        <input type="text" name="accountNumber"class="form-control" placeholder="Account Number">
 909 
                        <input type="text" name="accountNumber"class="form-control" placeholder="Account Number" style="text-transform:uppercase;">
912 
                    </div>
 910 
                    </div>
913 
                     <div class="form-group float-label-control">
 911 
                     <div class="form-group float-label-control">
914 
                        <label for="">Bank Name</label>
 912 
                        <label for="">Bank Name</label>
915 
                        <input type="text" name="bankName"class="form-control" placeholder="Bank Name">
 913 
                        <input type="text" name="bankName"class="form-control" placeholder="Bank Name" style="text-transform:uppercase;">
916 
                    </div>
 914 
                    </div>
917 
                     <div class="form-group float-label-control">
 915 
                     <div class="form-group float-label-control">
918 
                        <label for="">IFSC Code</label>
 916 
                        <label for="">IFSC Code</label>
919 
                        <input type="text" name="ifscCode"class="form-control" placeholder="IFSC Code">
 917 
                        <input type="text" name="ifscCode"class="form-control" placeholder="IFSC Code" style="text-transform:uppercase;">
920 
                    </div>
 918 
                    </div>
921 
                     <div class="form-group float-label-control">
 919 
                     <div class="form-group float-label-control">
922 
                        <label for="">Branch Name</label>
 920 
                        <label for="">Branch Name</label>
923 
                        <input type="text" name="branchName" class="form-control" placeholder="Branch Name">
 921 
                        <input type="text" name="branchName" class="form-control" placeholder="Branch Name" style="text-transform:uppercase;">
924 
                    </div>
 922 
                    </div>
925 
                     <div >
 923 
                     <div >
926 
                  <p>Please attach the copy of cancelled cheque</p>
 924 
                  <p>Please attach the copy of cancelled cheque</p>
927 
                      <div class="form-group">
 925 
                      <div class="form-group">
928 
                     <input type="file" name="chequeCopy" accept="application/pdf,image/*">
 926 
                     <input type="file" name="chequeCopy" accept="application/pdf,image/*">
Line 934... Line 932...
934 
                  <h4 class="page-header">22. HSPS Bank Account Detail</h4>
932 
                  <h4 class="page-header">22. HSPS Bank Account Detail</h4>
935 
 
 933 
 
936 
                  <p>Please deposit amount of <strong> Rs 1 Lac </strong>as advance payment in following account through NEFT and submit the UTR No.</p>
 934 
                  <p>Please deposit amount of <strong> Rs 1 Lac </strong>as advance payment in following account through NEFT and submit the UTR No.</p>
937 
                    <div class="form-group float-label-control">
 935 
                    <div class="form-group float-label-control">
938 
                        <label for="">UTR Number</label>
 936 
                        <label for="">UTR Number</label>
939 
                        <input type="text" name="utr" class="form-control" placeholder="UTR No">
 937 
                        <input type="text" name="utr" class="form-control" placeholder="UTR No" style="text-transform:uppercase;">
940 
                    </div>
 938 
                    </div>
941 
                    <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>
 939 
                    <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>
942
940
943
941
944
942
Line 965... Line 963...
965
963
966 
                <div class=breg>
 964 
                <div class=breg>
967 
                 <div class=bApproval>
 965 
                 <div class=bApproval>
968 
 
 966 
 
969 
                  <label>Recommended by</label>
 967 
                  <label>Recommended by</label>
970 
                  <input type="text" name = "recommended"class="reg-control" size="50">
 968 
                  <input type="text" name = "recommended"class="reg-control" size="50" style="text-transform:uppercase;">
971 
 
 969 
 
972 
                  </div>
 970 
                  </div>
973 
                  <br>
 971 
                  <br>
974
972
975 
                    <div class=bApproval>
 973 
                    <div class=bApproval>
976 
                  <label>Business Manager</label>
 974 
                  <label>Business Manager</label>
977 
                  <input type="text" name=" bManager" class="reg-control" size="50">
 975 
                  <input type="text" name=" bManager" class="reg-control" size="50" style="text-transform:uppercase;">
978 
                </div>
 976 
                </div>
979 
                      <br>
 977 
                      <br>
980 
                        <div class=bApproval>
 978 
                        <div class=bApproval>
981 
                    <label>Operations Manager</label>
 979 
                    <label>Operations Manager</label>
982 
                  <input type="text"name="operation"class="reg-control"  size="50">
 980 
                  <input type="text"name="operation"class="reg-control"  size="50" style="text-transform:uppercase;">
983 
                </div>
 981 
                </div>
984 
                  <br>
 982 
                  <br>
985 
               <div class=bApproval>
 983 
               <div class=bApproval>
986 
                     <label>BusinessHeadCategoryHead</label>
 984 
                     <label>BusinessHeadCategoryHead</label>
987 
                  <input type="text" name="bhead"class="reg-control" size="50">
 985 
                  <input type="text" name="bhead"class="reg-control" size="50" style="text-transform:uppercase;">
988 
                </div>
 986 
                </div>
989 
 
 987 
 
990 
 
 988 
 
991 
                 </div>
 989 
                 </div>
992 
               </fieldset> -->
 990 
               </fieldset> -->