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<!DOCTYPE html> <html lang="en" class="notranslate" translate="no"> <head> <meta charset="utf-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta name="viewport" content="width=device-width, initial-scale=1"> <title>Pharma SCM 2025 || Delegate Registration</title> <meta name="description" content=""/> <meta name="keyword" content=""/> <meta name="robots" content="noindex,nofollow"> <link rel="stylesheet" href="https://registration.pharmascm.com/css/fonticon/css/font-awesome.min.css"> <link href="https://fonts.googleapis.com/css?family=Roboto:300,300i,400,400i,500,500i,700,700i,900,900i&display=swap" rel="stylesheet"> <link rel="icon" type="image/ico" href="https://registration.pharmascm.com/theme/dashboard/assets/images/favicon.ico"/> <link href="https://registration.pharmascm.com/theme/dashboard/assets/css/bootstrap.min.css" rel="stylesheet" /> <link href="https://registration.pharmascm.com/theme/dashboard/assets/css/style.css" rel="stylesheet" /> <link href="https://registration.pharmascm.com/theme/dashboard/assets/css/main.css" rel="stylesheet" /> <link href="https://registration.pharmascm.com/theme/dashboard/assets/css/style.min.css" rel="stylesheet" /> <link href="https://registration.pharmascm.com/theme/dashboard/assets/css/custom_dashboard.css" rel="stylesheet" />  <script src="https://registration.pharmascm.com/theme/dashboard//assets/js/jquery1.12.4.min.js"></script> <script src="https://registration.pharmascm.com/theme/dashboard//assets/js/bootstrap.bundle.min.js"></script> <script src="https://registration.pharmascm.com/theme/dashboard//assets/js/bundle.min.js"></script>   <style> .fourcolumn .checkbox-group{ column-count: 4; } .fourcolumn .checkbox label{ font-weight: 400 !important; } .btn.btn-primary{ border-radius: 6px !important; } .fw-500{ font-weight: 500 !important; } .fw-400 label{ font-weight: 400 !important; } .form-group label { font-weight: 400; padding-bottom: 5px; } .customcat-font{ font-size : 19px !important; font-weight: 400 !important; font-family: 'IBM Plex Sans'; } .category-section-title{ font-weight: 500 !important; } .form-group .checkbox-group .checkbox{ display: inline-block; min-width: 270px; margin-right: 20px; } #registrationform .form-control, #registrationform .multiselect{ height: 34px; color: #000000 !important; font-family: 'IBM Plex Sans'; border-radius: 8px !important; } #registrationform .multiselect.dropdown-toggle:hover{ border: 1px solid #cccccc !important; } .multiselect-native-select ul.multiselect-container { width: 100%; top: 34px; max-height: 300px; overflow-y: scroll; } .multiselect-container>li>a>label.radio, .multiselect-container>li>a>label.checkbox, .multiselect-container>li.multiselect-group label { font-size: 15px; color: #000000; } .form-group .multiselect-container li .checkbox{ width: 100%; margin-right: 0 !important; padding-left: 35px; } .form-group .multiselect-container li.multiselect-group label, .form-group .multiselect-container li.multiselect-all label{ padding-left: 15px; } .form-group .multiselect-container li.multiselect-group.group-level-2 label{ padding-left: 22px; } .multiselect-container .multiselect-filter .input-group { margin: 2%; width: 96%; } .fb-container { max-width: 1200px !important; padding-right: 15px; padding-left: 15px; } @media (max-width: 575px) { .resp{ display: flex !important; justify-content: center !important; } .resp-text{ font-size: 15px !important; } .header-style-1 .site-branding { margin: 0 auto; } .header-content-wrap .header-content-txt h4 { font-size: 15px; text-align: center; } .site-header.sticky .header-link-buttons, .site-header.sticky .header-content-wrap{ display: none; } } </style> <link href="https://registration.pharmascm.com/css/datepicker3.css" rel="stylesheet" type="text/css"> <link href="https://registration.pharmascm.com/css/bootstrap-multiselect.css" rel="stylesheet" type="text/css"> <link href="https://registration.pharmascm.com/css/dzone/basic.css" rel="stylesheet" type="text/css"> <link href="https://registration.pharmascm.com/css/dzone/dropzone.css" rel="stylesheet" type="text/css">  <link href="https://registration.pharmascm.com/css/common_boot4.css" rel="stylesheet" type="text/css">  <script src="https://registration.pharmascm.com/js/validator.js"></script> <script src="https://registration.pharmascm.com/js/bootstrap-multiselect.js"></script> <script src="https://registration.pharmascm.com/js/dzone/dropzone.js"></script> <script>Dropzone.autoDiscover = false;</script>  <script src="https://registration.pharmascm.com/js/webcam-easy/dist/webcam-easy.min.js"></script> <script src="https://registration.pharmascm.com/js/webcam-easy/webcamscript.js"></script>  <style> #registrationform textarea.form-control { min-height: 90px !important; } .innerpage-content-area-wrap.single-page-style-1 { max-width: 1346px; margin: 0 auto; } </style> </head> <body class="home page-template-default page page-id-208 wp-custom-logo wp-embed-responsive no-sidebar"> <div class="page--wrap"> <header class="fb-general-header header-style-1 site-header shadow-sm border-bottom" id="siteheader"> <div class="header-inner"> <div class="mid-header"> <div class="fb-container"> <div class="row py-3 align-items-center"> <div class="col-sm-4 resp text-center"> <div class="site-branding"> <h1 class="site-logo"> <a href="https://www.pharmascm.com/" class="custom-logo-link" rel="home" aria-current="page"> <img src="https://registration.pharmascm.com/theme/dashboard/assets/images/SCM logo-2025.png" class="custom-logo" width="181" alt=""> </a> </h1> </div> </div> <div class="col-sm-4 text-left resp"> <div class="row header-content-wrap"> <div class="col-12 header-content-block"> <div class="header-content-txt"> <h4 class="resp-text"><i class="fa fa-calendar mr-1" aria-hidden="true" style="color: #045ba1;"></i> 05th June 2025</h4> <h4 class="resp-text"><i class="fa fa-map-marker mr-2" aria-hidden="true" style="color: #045ba1;"></i> Sahara Star Mumbai</h4> </div> </div> </div> </div> <div class="col-sm-4 resp"> <div class="header-link-buttons text-center"> <a href="https://www.pharmascm.com/" class="button header-link-btn" style="font-size: 14px;border-radius: 6px;">Browse Website</a> </div> </div> </div>  </div>  </div>  </div>  </header> <div class="innerpage-content-area-wrap single-page-style-1 pb-0 pt-0" style="min-height: calc(100vh - 180px);"> <div class="fb-container"> <div class="single-content-container"> <h4 class="mt-5 pt-4 text-center fw-600">Delegate Registration </h4> <div class="text-center mt-5 mb-4 p-4 shadow-sm rounded align-items-center" style="background: #045ba1;color: #fff;font-size: 18px;padding:10px;margin-bottom:15px;"> Already registered for Pharm SCM 2025 ? <a href="https://registration.pharmascm.com/badge.php?s=1" class="button header-link-btn ml-4 bg-white" style="font-size: 14px;color: #045ba1 !important;border-radius: 25px; background: #fff !important;">Download Badge</a> </div> <div class="clearfix"></div> <div class="clearfix"> </div> <div class="clearfix pb-5"> <div id="regformcontainer"> <div class="clearfix"></div> <form id="registrationform" method="post" data-toggle="validator" data-disable="false" action="#" enctype="multipart/form-data"> <div class="clearfix"> <div class="form-step-wrapper" id="formstep-1"> <div class="panel panel-default reg-panel section_1"> <div class="panel-heading">Contact Detials</div> <div class="panel-body"> <div id="common-field-row-con" class="row mx-0"> <div id="common-fields-row1" class="common-fields-row clearfix">  <div class="common-field-container"><input type="hidden" name="registration_index[]" value="1"><div class="form-group fg-nametitle col-md-2 col-sm-2"><label class="col-md-12 no-padding" for="nametitle1" >Title<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><select name="nametitle[1]" id="nametitle1" class="form-control " required data-error="Please select option"><option value="" > -Please Select- </option><option value="Mr." >Mr.</option><option value="Mrs." >Mrs.</option><option value="Miss" >Miss</option><option value="Ms." >Ms.</option><option value="Dr." >Dr.</option><option value="Prof." >Prof.</option><option value="Capt." >Capt.</option><option value="Hon" >Hon</option><option value="Lord" >Lord</option></select><div class="help-block with-errors"></div></div></div><div class="form-group fg-fname col-md-3 col-sm-3"><label class="col-md-12 no-padding" for="fname1" >First Name<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><input type = "text" name="fname[1]" id="fname1" placeholder="" class="form-control " value="" required><div class="help-block with-errors"></div></div></div><div class="form-group fg-lname col-md-3 col-sm-3"><label class="col-md-12 no-padding" for="lname1" >Last Name<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><input type = "text" name="lname[1]" id="lname1" placeholder="" class="form-control " value="" required><div class="help-block with-errors"></div></div></div><div class="form-group fg-email col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="email1" >Email Id<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><input type = "email" name="email[1]" id="email1" placeholder="" class="form-control " pattern="[a-zA-Z0-9._%+-]+@[a-zA-Z0-9.-]+\.[a-zA-Z]{2,12}$" value="" required data-error="Please enter valid email id"><div class="help-block with-errors"></div></div></div><div class="form-group fg-designation col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="designation1" >Designation<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><input type = "text" name="designation[1]" id="designation1" placeholder="" class="form-control " value="" required><div class="help-block with-errors"></div></div></div><div class="form-group fg-mobile col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="mobile1" >Mobile Number<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><div class="form-group form-group-inner mobile-code"><select name="mobile_code[1]" id="code_mobile1" class="form-control" required data-error="Please enter code"><option value="">Please Select</option><option data-index="32" value="+1">+1</option><option data-index="185" value="+1">+1</option><option data-index="12" value="+1-242">+1-242</option><option data-index="15" value="+1-246">+1-246</option><option data-index="6" value="+1-268">+1-268</option><option data-index="68" value="+1-473">+1-473</option><option data-index="145" value="+1-758">+1-758</option><option data-index="50" value="+1-767">+1-767</option><option data-index="146" value="+1-784">+1-784</option><option data-index="51" value="+1-809">+1-809</option><option data-index="175" value="+1-868">+1-868</option><option data-index="144" value="+1-869">+1-869</option><option data-index="84" value="+1-876">+1-876</option><option data-index="53" value="+20">+20</option><option data-index="161" value="+211">+211</option><option data-index="116" value="+212">+212</option><option data-index="3" value="+213">+213</option><option data-index="176" value="+216">+216</option><option data-index="97" value="+218">+218</option><option data-index="63" value="+220">+220</option><option data-index="151" value="+221">+221</option><option data-index="109" value="+222">+222</option><option data-index="106" value="+223">+223</option><option data-index="70" value="+224">+224</option><option data-index="41" value="+225">+225</option><option data-index="27" value="+226">+226</option><option data-index="125" value="+227">+227</option><option data-index="173" value="+228">+228</option><option data-index="19" 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value="+98">+98</option><option data-index="170" value="+992">+992</option><option data-index="178" value="+993">+993</option><option data-index="11" value="+994">+994</option><option data-index="64" value="+995">+995</option><option data-index="91" value="+996">+996</option><option data-index="187" value="+998">+998</option></select><div class="help-block with-errors"></div></div><div class="form-group form-group-inner mobile-number"><input type="text" name="mobile_number[1]" id="number_mobile1" placeholder="Mobile Number" class="form-control number_field" value="" pattern=".{8,12}" maxlength="12" required data-error="Please enter valid number."><div class="help-block with-errors"></div></div></div></div><div class="form-group fg-department col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="department1" >Department</label><div class="col-md-12 no-padding"><input type = "text" name="department[1]" id="department1" placeholder="" class="form-control " value="" ><div class="help-block with-errors"></div></div></div></div></div> <div class="form-group fg-field_1 col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="field_1" >Company Name<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><span class="required-icon"></span><input type = "text" name="field_1" id="field_1" placeholder="" class="form-control " value="" required ><div class="help-block with-errors"></div></div></div><div class="form-group fg-field_3 col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="field_3" >Country<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><span class="required-icon"></span><select name="country_field_3" id="field_3" onchange="changeState(this);" class="form-control country_field " required data-error="Please select country"><option value="">Please select</option><option value="1" >Afghanistan</option><option value="2" >Albania</option><option value="3" >Algeria</option><option value="4" >Andorra</option><option value="5" >Angola</option><option value="6" >Antigua and Barbuda</option><option value="7" >Argentina</option><option value="8" >Armenia</option><option value="9" >Australia</option><option value="10" >Austria</option><option value="11" >Azerbaijan</option><option value="12" >Bahamas</option><option value="13" >Bahrain</option><option value="14" >Bangladesh</option><option value="15" >Barbados</option><option value="16" >Belarus</option><option value="17" >Belgium</option><option value="18" >Belize</option><option value="19" >Benin</option><option value="20" >Bhutan</option><option value="21" >Bolivia</option><option value="22" >Bosnia and Herzegovina</option><option value="23" >Botswana</option><option value="24" >Brazil</option><option value="25" >Brunei Darussalam</option><option value="26" >Bulgaria</option><option value="27" >Burkina Faso</option><option value="28" >Burundi</option><option value="29" >Cabo Verde</option><option value="30" >Cambodia</option><option value="31" >Cameroon</option><option value="32" >Canada</option><option value="33" >Central African Republic</option><option value="34" >Chad</option><option value="35" >Chile</option><option value="36" >China</option><option value="37" >Colombia</option><option value="38" >Comoros</option><option value="39" >Congo</option><option value="40" >Costa Rica</option><option value="41" >Cote d'Ivoire</option><option value="42" >Croatia</option><option value="43" >Cuba</option><option value="44" >Cyprus</option><option value="45" >Czech Republic</option><option value="47" >Democratic Republic of the Cong</option><option value="48" >Denmark</option><option value="49" >Djibouti</option><option value="50" >Dominica</option><option value="51" >Dominican Republic</option><option value="52" >Ecuador</option><option value="53" >Egypt</option><option value="54" >El Salvador</option><option value="55" >Equatorial Guinea</option><option value="56" >Eritrea</option><option value="57" >Estonia</option><option value="58" >Ethiopia</option><option value="59" >Fiji</option><option value="60" >Finland</option><option value="61" >France</option><option value="62" >Gabon</option><option value="63" >Gambia</option><option value="64" >Georgia</option><option value="65" >Germany</option><option value="66" >Ghana</option><option value="67" >Greece</option><option value="68" >Grenada</option><option value="69" >Guatemala</option><option value="70" >Guinea</option><option value="71" >Guinea-Bissau</option><option value="72" >Guyana</option><option value="73" >Haiti</option><option value="74" >Honduras</option><option value="75" >Hungary</option><option value="76" >Iceland</option><option selected value="77" >India</option><option value="78" >Indonesia</option><option value="79" >Iran</option><option value="80" >Iraq</option><option value="81" >Ireland</option><option value="82" >Israel</option><option value="83" >Italy</option><option value="84" >Jamaica</option><option value="85" >Japan</option><option value="86" >Jordan</option><option value="87" >Kazakhstan</option><option value="88" >Kenya</option><option value="89" >Kiribati</option><option value="90" >Kuwait</option><option value="91" >Kyrgyzstan</option><option value="92" >Laos</option><option value="93" >Latvia</option><option value="94" >Lebanon</option><option value="95" >Lesotho</option><option value="96" >Liberia</option><option value="97" >Libya</option><option value="98" >Liechtenstein</option><option value="99" >Lithuania</option><option value="100" >Luxembourg</option><option value="101" >Macedonia</option><option value="102" >Madagascar</option><option value="103" >Malawi</option><option value="104" >Malaysia</option><option value="105" >Maldives</option><option value="106" >Mali</option><option value="107" >Malta</option><option value="108" >Marshall Islands</option><option value="109" >Mauritania</option><option value="110" >Mauritius</option><option value="111" >Mexico</option><option value="112" >Micronesia (Federated States of)</option><option value="113" >Monaco</option><option value="114" >Mongolia</option><option value="115" >Montenegro</option><option value="116" >Morocco</option><option value="117" >Mozambique</option><option value="118" >Myanmar</option><option value="119" >Namibia</option><option value="120" >Nauru</option><option value="121" >Nepal</option><option value="122" >Netherlands</option><option value="123" >New Zealand</option><option value="124" >Nicaragua</option><option value="125" >Niger</option><option value="126" >Nigeria</option><option value="127" >Norway</option><option value="128" >Oman</option><option value="129" >Pakistan</option><option value="130" >Palau</option><option value="131" >Panama</option><option value="132" >Papua New Guinea</option><option value="133" >Paraguay</option><option value="134" >Peru</option><option value="135" >Philippines</option><option value="136" >Poland</option><option value="137" >Portugal</option><option value="138" >Qatar</option><option value="139" >Republic of Korea (South Korea)</option><option value="140" >Republic of Moldova</option><option value="141" >Romania</option><option value="142" >Russian Federation</option><option value="143" >Rwanda</option><option value="144" >Saint Kitts and Nevis</option><option value="145" >Saint Lucia</option><option value="146" >Saint Vincent and the Grenadines</option><option value="147" >Samoa</option><option value="148" >San Marino</option><option value="149" >Sao Tome and Principe</option><option value="150" >Saudi Arabia</option><option value="151" >Senegal</option><option value="152" >Serbia</option><option value="153" >Seychelles</option><option value="154" >Sierra Leone</option><option value="155" >Singapore</option><option value="156" >Slovakia</option><option value="157" >Slovenia</option><option value="158" >Solomon Islands</option><option value="159" >Somalia</option><option value="160" >South Africa</option><option value="161" >South Sudan</option><option value="162" >Spain</option><option value="163" >Sri Lanka</option><option value="164" >Sudan</option><option value="165" >Suriname</option><option value="166" >Swaziland</option><option value="167" >Sweden</option><option value="168" >Switzerland</option><option value="169" >Syria</option><option value="194" >Taiwan</option><option value="170" >Tajikistan</option><option value="171" >Thailand</option><option value="172" >Timor-Leste</option><option value="173" >Togo</option><option value="174" >Tonga</option><option value="175" >Trinidad and Tobago</option><option value="176" >Tunisia</option><option value="177" >Turkey</option><option value="178" >Turkmenistan</option><option value="179" >Tuvalu</option><option value="180" >Uganda</option><option value="181" >Ukraine</option><option value="182" >United Arab Emirates</option><option value="183" >United Kingdom of Great Britain and Northern Ireland</option><option value="184" >United Republic of Tanzania</option><option value="185" >United States of America</option><option value="186" >Uruguay</option><option value="187" >Uzbekistan</option><option value="188" >Vanuatu</option><option value="189" >Venezuela</option><option value="190" >Vietnam</option><option value="191" >Yemen</option><option value="192" >Zambia</option><option value="193" >Zimbabwe</option></select><input type="hidden" name="field_3" class="country_text" id="country_text" value="India"><script> function changeState(element){ if(element.value == ''){ document.getElementById('country_text').value = ''; } else { document.getElementById('country_text').value = element.options[element.selectedIndex].text; } if(document.getElementById('state_select')){ var c = element.value; var statelist = {"77":[{"id":"1","state":"Andaman and Nicobar Islands"},{"id":"2","state":"Andhra Pradesh"},{"id":"3","state":"Arunachal Pradesh"},{"id":"4","state":"Assam"},{"id":"6","state":"Bihar"},{"id":"7","state":"Chandigarh"},{"id":"8","state":"Chhattisgarh"},{"id":"9","state":"Dadra and Nagar Haveli"},{"id":"38","state":"Daman and Diu"},{"id":"26","state":"Delhi"},{"id":"11","state":"Goa"},{"id":"12","state":"Gujarat"},{"id":"13","state":"Haryana"},{"id":"14","state":"Himachal Pradesh"},{"id":"17","state":"Jammu and Kashmir"},{"id":"15","state":"Jharkhand"},{"id":"16","state":"Karnataka"},{"id":"18","state":"Kerala"},{"id":"37","state":"Ladakh"},{"id":"19","state":"Lakshadweep"},{"id":"20","state":"Madhya Pradesh"},{"id":"21","state":"Maharashtra"},{"id":"22","state":"Manipur"},{"id":"23","state":"Meghalaya"},{"id":"24","state":"Mizoram"},{"id":"25","state":"Nagaland"},{"id":"27","state":"Odisha"},{"id":"33","state":"Puducherry"},{"id":"28","state":"Punjab"},{"id":"29","state":"Rajasthan"},{"id":"30","state":"Sikkim"},{"id":"31","state":"Tamil Nadu"},{"id":"36","state":"Telangana"},{"id":"32","state":"Tripura"},{"id":"34","state":"Uttar Pradesh"},{"id":"35","state":"Uttarakhand"},{"id":"5","state":"West Bengal"}]}; if(statelist[c] != undefined){ //show dropdown var txtbx = document.getElementById('state_text'); var selbx = document.getElementById('state_select'); txtbx.style.display = 'none'; selbx.style.display = 'block'; /*txtbx.required = false; selbx.required = true;*/ txtbx.value = ''; var optlist = ''; optlist += '<option value="">Please Select</option>'; var stlist = statelist[c]; for (var k in stlist){ optlist += '<option value="'+stlist[k].id+'">'+stlist[k].state+'</option>'; } jQuery(selbx).html(optlist); jQuery(selbx).trigger('change'); /* if(c == 77){ jQuery(selbx).val(36).trigger('change'); }*/ } else { var txtbx = document.getElementById('state_text'); var selbx = document.getElementById('state_select'); //show textbox selbx.style.display = 'none'; txtbx.style.display = 'block'; /*selbx.required = false; txtbx.required = true;*/ txtbx.value = ''; if(document.getElementById('city_select')){ var txtbx = document.getElementById('city_text'); var selbx = document.getElementById('city_select'); //show textbox selbx.style.display = 'none'; txtbx.style.display = 'block'; /*selbx.required = false; txtbx.required = true;*/ txtbx.value = ''; } } } } jQuery(document).ready(function(){ if(document.getElementById('state_select')){ var statetext = document.getElementById('state_text').value; } if(document.getElementById('city_select')){ var citytext = document.getElementById('city_text').value; } if(document.getElementById('state_select')){ jQuery('#field_3').trigger('change'); if(statetext != ''){ if(jQuery('#state_select option:contains('+statetext+')').length){ jQuery('#state_select option:contains('+statetext+')').attr('selected', 'selected'); jQuery('#state_select').trigger('change'); } else { document.getElementById('state_text').value = statetext; } } if(document.getElementById('city_select')){ if(citytext != ''){ setTimeout(function(){ if(jQuery('#city_select option:contains('+citytext+')').length){ jQuery('#city_select option:contains('+citytext+')').attr('selected', 'selected'); jQuery('#city_select').trigger('change'); } else { document.getElementById('city_text').value = citytext; } },4000); } } } }); </script><div class="help-block with-errors"></div></div></div><div class="form-group fg-field_4 col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="field_4" >State<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><span class="required-icon"></span><select name="field_4_select" id="state_select" onchange="changeCity(this);" data-validate="false" class="form-control state_field " ><option value="">Please select</option></select><input type="text" name="field_4" id="state_text" class="form-control" value="" required><script> function changeCity(element){ if(element.value == ''){ document.getElementById('state_text').value = ''; } else { document.getElementById('state_text').value = element.options[element.selectedIndex].text; } if(document.getElementById('city_select')){ var s = element.value; var url = 'https://registration.pharmascm.com/getlistjson.php?getcity=1'; jQuery.ajax({ dataType: 'json', type: 'POST', url: url, data: {state:s}, success : function(data){ if(data.status == 'success'){ var citytlist = data.citylist; if(citytlist[s] != undefined){ //show dropdown var txtbx = document.getElementById('city_text'); var selbx = document.getElementById('city_select'); txtbx.style.display = 'none'; selbx.style.display = 'block'; /*txtbx.required = false; selbx.required = true;*/ txtbx.value = ''; var optlist = ''; optlist += '<option value="">Please Select</option>'; var ctlist = citytlist[s]; for (var k in ctlist){ optlist += '<option value="'+ctlist[k].id+'">'+ctlist[k].city+'</option>'; } jQuery(selbx).html(optlist); } else { var txtbx = document.getElementById('city_text'); var selbx = document.getElementById('city_select'); //show textbox /*selbx.style.display = 'none'; txtbx.style.display = 'block';*/ selbx.required = false; txtbx.required = true; txtbx.value = ''; } } else { var txtbx = document.getElementById('city_text'); var selbx = document.getElementById('city_select'); //show textbox selbx.style.display = 'none'; txtbx.style.display = 'block'; /*selbx.required = false; txtbx.required = true;*/ txtbx.value = ''; } } }); } } </script><div class="help-block with-errors"></div></div></div><div class="form-group fg-field_5 col-md-4 col-sm-4"><label class="col-md-12 no-padding" for="field_5" >City<span class="form-label-span" style="color:#ff0000;"> *</span></label><div class="col-md-12 no-padding"><span class="required-icon"></span><select name="field_5" id="city_select" data-validate="false" class="form-control city_field " onchange="changeFieldValueBySelect(this,'city_text');"><option value="">Please select</option></select><input type="text" name="field_5" id="city_text" class="form-control" value="" required><script> function changeFieldValueBySelect(element,field){ if(element.value == ''){ document.getElementById(field).value = ''; } else { document.getElementById(field).value = element.options[element.selectedIndex].text; } } </script><div class="help-block with-errors"></div></div></div> </div> <p style=' font-size: 20px;'><b>PLEASE NOTE : </b><span style='color:red;'>Delegate Registrations are strictly open to professionals (manager and above) working for pharmaceutical/drug manufacturing companies. Any registrations apart from pharma drug companies will be deemed invalid.</span></p> </div> </div> <div class="panel panel-default reg-panel section_2"> <div class="panel-heading">Disclaimer</div> <div class="panel-body"> <p><strong>Disclaimer:</strong><br /> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b>EVENT RELATED GENERAL GUIDELINES OR ADVOSIRY FOR THE VISITORS</b></span></span></span><br /> <span style="font-size:11.0pt"><span style="line-height:106%"><span calibri="" style="font-family:">While visiting the Exhibition, the visitors are requested (at all the time) to: -</span></span></span></p> <ol style="list-style-type: decimal;margin-left: 30px; margin-bottom:30px; "> <li>Maintain at least 6 feet physical distance from each other.</li> <li>Use face masks, which covers their face properly. Entry to the exhibition halls will be declined in absence of face masks.</li> <li>Practice frequent hand washing with soap (for at least 40-60 seconds) / alcohol-based hand sanitizers (for at least 20 seconds);</li> <li>Strictly follow respiratory etiquettes, which involves strict practice of covering one’s mouth and nose while coughing/sneezing with a tissue/handkerchief/ flexed elbow and disposing off used tissues properly in the bio-waste dustbins.</li> <li>Exercise self-health monitoring and to immediately report any health issues to COVID onsite helpdesk.</li> <li>Avoid visiting the exhibition venue if they are having temperature or not feeling well.</li> <li>Not to spit anywhere while they are inside the exhibition venue, failing which a fine of INR_1,000/- will be payable, including other disciplinary action at the Organisers sole discretion.</li> <li>Mandatorily undergo thermal screening without fail.</li> <li>Follow Informa’s AllSecure Guidelines (available at www.informamarkets.com) and such other guidelines as may be made available by the Organisers from time to time.</li> <li>Carry their E-badge (received through email or sms) and present the same for scanning purpose while entering the Exhibition. No entry in the Exhibition will be granted in the absence of valid E-badge.</li> <li>Mandatorily carry with them any one (01) of the Government issued photo identity card such as PAN Card, Aadhar Card, Driving License, Passport etc. (“Identity Card”). Passport is to be mandatorily provided by the foreign nationals. The mentioned Identity Card is to be presented at the request of the Organisers or by any of its assigned staff.</li> </ol> <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><b>OTHER IMPORTANT NOTICES: </b></span></span></span> <ol style="list-style-type: decimal;margin-left: 30px; margin-bottom:30px; "> <li>Individuals above 65 years of age, persons with co-morbidities and pregnant women’s are recommended not to visit the Exhibition. Individuals below 18 years of age and infants in arms are strictly not allowed inside the exhibition halls.</li> <li>Kindly make a note that Entry within the Exhibition halls or Conference Program, is allowed / permitted only at the given time slots in the E-Badge. You are hereby requested to kindly adhere to the entry and exit time slot provided in your E-badge. As Organisers of the exhibition, we hereby request your full co-operation in this to avoid any discomfort to you.</li> <li>The rights for admission in the Exhibition, are reserved with the Organisers.</li> <li>No Food & Beverages are allowed inside the exhibition halls.</li> <li>Without prior written permission of the Organizers, photography & videography inside the Exhibition venue is strictly prohibited.</li> <li>The Organizers does not takes any responsibility of your personal belongings. Kindly be vigilant about your personal belongings while visiting the Exhibition. Any theft / loss of the same will not be entertained by the Organizers under any circumstances.</li> <li>The event is subject to Force Majeure conditions.</li> <li>Installation and use of ‘Arogya Setu’ app is mandatory for all the attendees with smart phones.</li> </ol><div class="form-group fg-field_7 col-md-12"><div><div class="checkbox"> <label> <input type="hidden" id="field_7" name="field_7" value="yes"> <input type = "checkbox" name="checkbox_field_7" checked class="" onchange="changeynvalue(this,'field_7')" value="yes" required> <span class="form-label-span" style="color:#ff0000;"> *</span><strong>WhatsApp Opt-</strong><br>In Tick here to receive updates from Informa about this event as well as relevant messages about other relevant events, products and services. By opting in you understand that your contact details will be shared with the WhatsApp platform in order for us to contact you. </label> </div><script> function changeynvalue(element,hidden){ if(element.checked == true){ document.getElementById(hidden).value = 'yes'; } else { document.getElementById(hidden).value = 'no'; } } </script><div class="help-block with-errors"></div></div></div><div class="form-group fg-field_8 col-md-12"><div><div class="checkbox"> <label> <input type="hidden" id="field_8" name="field_8" value="yes"> <input type = "checkbox" name="checkbox_field_8" checked class="" onchange="changeynvalue(this,'field_8')" value="yes" required> <span class="form-label-span" style="color:#ff0000;"> *</span>I accept the <a href='https://www.informamarkets.com/en/visitor-terms-and-conditions.html' style=' color: #045ba1;'>Visitor Terms & Conditions</a> and <a href='https://privacy.informa.com/policies/en/?AspxAutoDetectCookieSupport=1' style=' color: #045ba1;'>Privacy Terms</a>. By continuing to register, you accept that Informa Markets in India may contact you with updates, relevant promotions, and information about future events provided by Informa Markets. Your details may be shared with the event sponsors, who may contact you about their products and services. </label> </div><script> function changeynvalue(element,hidden){ if(element.checked == true){ document.getElementById(hidden).value = 'yes'; } else { document.getElementById(hidden).value = 'no'; } } </script><div class="help-block with-errors"></div></div></div> </div> </div> </div> <div id="submit-wrapper" class="text-center">  <input type="hidden" name="ttst" id="st" value="1744222349" /> <div class="d-none"> <input type="text" name="middle_name" id="middle_name" value="" autocomplete="mdlnme" /> </div>  <input type="hidden" name="frmkey" value="ab5758b5a39824b09206d6a58974f787"> <input type="hidden" name="chk_mob_regid" value="0"> <input type="hidden" name="stepid" value="1"> <input id="showid" type="hidden" name="showid" value="1"> <input type="submit" class="btn btn-primary" style="padding:12px 50px;border-radius: 25px;" value="Submit" name="register"> </div> </div> </form> <form id="previous_step_form" class="hidden" action="#" method="post"> <input type="hidden" name="previous_step" value="1"> <input type="hidden" name="stepid" value="1"> <input id="showid" type="hidden" name="showid" value="1"> </form> </div> <script> jQuery(document).ready(function(){ function checkboxValidate(name){ var min = 1 //minumum number of boxes to be checked for this form-group if(jQuery('input[name="'+name+'"]:checked').length < min){ jQuery('input[name="'+name+'"]').prop('required',true); } else{ jQuery('input[name="'+name+'"]').prop('required',false); } } jQuery('.form-group .checkbox-group.required').on("change",'input[type="checkbox"]',function(){ checkboxValidate(jQuery(this).attr('name')); jQuery('#registrationform').validator('update'); }); jQuery('#registrationform').validator({ disable: false }); }); jQuery(document).ready(function(){ var mobilefield = jQuery('#number_mobile1'); var emailfield = jQuery('#email1'); emailfield.focus(function(){ jQuery(this).removeClass('invaliddata'); var currformgroup = jQuery(this).parents('.form-group'); if(currformgroup.find('.validate-message').length){ currformgroup.find('.validate-message').remove(); } }); emailfield.focusout(function(){ var emailid = jQuery(this).val(); var showidval = jQuery('#showid').val(); var currformgroup = jQuery(this).parents('.form-group'); var hsaserror = currformgroup.hasClass('has-error'); if(currformgroup.find('.validate-message').length){ currformgroup.find('.validate-message').remove(); } if(emailid != '' && !hsaserror){ var data = {email:emailid,showid:showidval, regid: 0}; var url = "https://registration.pharmascm.com/ajaxaction.php?action=validateemail"; var response = getAjaxResponse(url,data); if(response != ''){ if(response.status == 'success'){ if(currformgroup.find('.validate-message')){ currformgroup.find('.validate-message').remove(); } if(!response.isvalid){ jQuery(this).addClass('invaliddata'); currformgroup.append('<div class="validate-message" style="color:#a94442;font-size:12px;">'+response.message+'</div>'); } else { //currformgroup.append('<div class="validate-message" style="color:green">'+response.message+'</div>'); } } } } }); mobilefield.focus(function(){ jQuery(this).removeClass('invaliddata'); var currformgroup = jQuery(this).parents('.form-group'); if(currformgroup.find('.validate-message').length){ currformgroup.find('.validate-message').remove(); } }); mobilefield.focusout(function(){ var mobileno = jQuery(this).val(); var showidval = jQuery('#showid').val(); var currformgroup = jQuery(this).parents('.form-group-inner'); var hsaserror = currformgroup.hasClass('has-error'); if(currformgroup.find('.validate-message').length){ currformgroup.find('.validate-message').remove(); } if(mobileno != '' && !hsaserror){ var data = {mobile:mobileno,showid:showidval, regid: 0}; var url = "https://registration.pharmascm.com/ajaxaction.php?action=validatemobile"; var response = getAjaxResponse(url,data); if(response != ''){ if(response.status == 'success'){ if(currformgroup.find('.validate-message')){ currformgroup.find('.validate-message').remove(); } if(!response.isvalid){ jQuery(this).addClass('invaliddata'); currformgroup.append('<div class="validate-message" style="color:#a94442;font-size:12px;">'+response.message+'</div>'); } else { //currformgroup.append('<div class="validate-message" style="color:green">'+response.message+'</div>'); } } } } }); function getAjaxResponse(url,data){ var responsedata = jQuery.parseJSON( jQuery.ajax({ dataType: 'json', type: 'POST', url: url, data: data, async: false }).responseText); return responsedata; } jQuery('#registrationform').validator().on('submit', function (e) { if (e.isDefaultPrevented()) { } else { var scrollto = ''; var frmvalidate = true; var mobilefield = jQuery('#number_mobile1'); if(mobilefield.hasClass('invaliddata')){ mobilefield.parents('.form-group').addClass('has-error has-danger'); frmvalidate = false; scrollto = 'number_mobile1'; } var emailfield = jQuery('#email1'); if(emailfield.hasClass('invaliddata')){ emailfield.parents('.form-group').addClass('has-error has-danger'); frmvalidate = false; scrollto = 'email1'; } if(!frmvalidate){ jQuery('html, body').animate({scrollTop: jQuery('#'+scrollto).offset().top - 100}, 400); e.isDefaultPrevented() return false; } jQuery('#submit_loader').show(); } }); }); </script> </div> </div> <div id="submit_loader" style="position:fixed;top:0;left:0;width:100%;height:100%;z-index:9999;text-align:center;background:rgba(255,255,255,0.6);display:none;"> <img src="https://registration.pharmascm.com/images/ajax-loader.gif" style="top:40%;position:absolute;" width="48"> </div> <script> jQuery(document).ready(function(){ if(jQuery('.form-group.mobile-code').length && jQuery('.form-group.mobile-number').length){ jQuery('.mobile-code').find('.form-control').change(function(){ if(jQuery(this).val() == '+91'){ jQuery(this).parents('.form-group').siblings('.mobile-number').find('.form-control').attr('pattern','.{10,10}').attr('maxlength','10'); } else { jQuery(this).parents('.form-group').siblings('.mobile-number').find('.form-control').attr('pattern','.{8,12}').attr('maxlength','12'); } jQuery('#registrationform').validator('update'); }); jQuery('.mobile-code').find('.form-control').trigger('change'); } }); </script> <script> jQuery(document).ready(function(){ if(jQuery('.address_country').length && jQuery('.address_postcode').length){ jQuery('.address_country .country_field').change(function(){ if(jQuery(this).val() == 77){ jQuery('.address_postcode .form-control').addClass('number_field').attr('pattern','.{6,6}').attr('maxlength','6'); } else { jQuery('.address_postcode .form-control').removeClass('number_field').removeAttr('pattern').removeAttr('maxlength'); } jQuery('#registrationform').validator('update'); }); } }); </script> <style> .dropzone .dz-message { margin: 0 !important; } </style> </div> </div> </div> <footer class="footer dark secondary-widget-area" id="footer"> <div class="footer-inner"> <div class="footer-bottom py-0"> <div class="fb-container"> <div class="row align-items-center"> <div class="col-lg-12 col-md-12"> <div class="footer-bottom-copy text-center py-4"> © 2022 All right reserved. </div> </div> <div class=""> </div> </div>  </div>  </div>  </div>  </footer>  </div>  <style>.wp-container-1 {display: flex;gap: 0.5em;flex-wrap: wrap;align-items: center;}.wp-container-1 > * { margin: 0; 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