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International Maritime Club -IMC

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<ul class="sub-menu"> <li><a href="about-imi">About</a></li> <li><a href="imi-members">Members</a></li> <li><a href="benefits-imi">Membership Benefits</a></li> <!-- <li><a href="imi-registration-form">Registration</a></li> --> <li><a href="imi-registration-form">Membership Registration</a></li> <li><a href="student-registration-form">Career Guidance Programs Registration</a></li> </ul> </li> <li class="menu-item-has-children"> <a href="#">Event</a> <ul class="sub-menu"> <!-- <li class="menu-item-has-children"><a href="#">Upcoming Events</a> <ul class="sub-menu"> <li><a href="imc-honorary-doctorate-leadership-awards-dubai-24" target="_blank">IMC Honorary Doctorate Leadership <br> Excellence Awards 2024</a></li> </ul> </li> --> <li><a href="event-partnership">Event Partners</a></li> <li><a href="event-calender">Event Calendar</a></li> <!-- <li class="menu-item-has-children"><a href="#">Previous Events</a> --> <li class="menu-item-has-children"><a href="#">IMC/IMI Events</a> <ul class="sub-menu"> <li><a href="imc-mighty-mariner-event-pune-24.php" target="_blank">IMC Maritime Career Guidance Event<br> "Mighty Mariner" Pune Edition 2024</a></li> <li><a href="imc-honorary-doctorate-leadership-awards-dubai-24" target="_blank">IMC Honorary Doctorate Leadership <br> Excellence Awards 2024</a></li> <li><a href="imc-golden-shield-awards-uk-2023" target="_blank">3 <sup>rd</sup> Edition IMC Golden Shield Excellence <br> Awards 2023 – UK Chapter</a></li> <li><a href="imc_golden_shield_excellence_award_2019_ukchapter" target="_blank">2<sup>nd</sup> Edition IMC Golden Shield <br>Excellence Awards 2019 – UK Chapter</a></li> <li><a href="imcgoldenshieldawards" target="_blank">IMC Golden Shield Excellence <br> Awards 2017 – UK CHAPTER</a></li> <li><a href="imc-professional-excellence-awards-kuwait-chapter" target="_blank">IMC Professional Excellence <br> Awards - Kuwait Chapter</a></li> <li><a href="IMC-maritime-excellence-awards-bahrain-KSA" target="_blank">IMC Maritime Excellence <br> Awards - Bahrain &amp; KSA Chapter</a></li> </ul> </li> </ul> </li> <li class="menu-item-has-children"> <a href="#">News</a> <ul class="sub-menu"> <li><a href="all-news">Daily News</a></li> <li><a href="imc-newsletters">Newsletters</a></li> </ul> </li> <li> <a href="gallery" target="_blank">Gallery</a> </li> <li> <a href="videoandachives">Video Archives</a> </li> <!-- <li> <a href="https://internationalmaritimeclub.com/webinar" target="_blank">Webinar </a> </li> --> <li> <a href="contact">Contact </a> </li> <li> <a href="links">Useful Links</a> </li> <!-- --> </ul> </div> </div> </div> <!--============================== Header Area ==============================--> <header class="themeholy-header header-layout1 header-layout7"> <div class="header-top"> <div class="container"> <div class="row justify-content-center justify-content-lg-between align-items-center gy-2"> <div class="col-auto d-none d-md-block"> <div class="header-links"> <ul> <!-- <li><i class="fa-regular 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href="imi-registration-form">Membership Registration</a></li> <li><a href="student-registration-form">Career Guidance Programs Registration</a></li> </ul> </li> <li class="menu-item-has-children"> <a href="#">Event</a> <ul class="sub-menu"> <!-- <li class="menu-item-has-children"><a href="#">Upcoming Events</a> <ul class="sub-menu"> <li><a href="imc-honorary-doctorate-leadership-awards-dubai-24" target="_blank">IMC Honorary Doctorate Leadership <br> Excellence Awards 2024</a></li> </ul> </li> --> <li><a href="event-partnership">Event Partners</a></li> <li><a href="event-calender">Event Calendar</a></li> <!-- <li class="menu-item-has-children"><a href="#">Previous Events</a> --> <li class="menu-item-has-children"><a href="#">IMC/IMI Events</a> <ul class="sub-menu"> <li><a href="imc-mighty-mariner-event-pune-24.php" target="_blank">IMC Maritime Career Guidance Event<br> "Mighty Mariner" Pune Edition 2024</a></li> <li><a href="imc-honorary-doctorate-leadership-awards-dubai-24" target="_blank">IMC Honorary Doctorate Leadership <br> Excellence Awards 2024</a></li> <li><a href="imc-golden-shield-awards-uk-2023" target="_blank">3 <sup>rd</sup> Edition IMC Golden Shield Excellence <br> Awards 2023 – UK Chapter</a></li> <li><a href="imc_golden_shield_excellence_award_2019_ukchapter" target="_blank">2<sup>nd</sup> Edition IMC Golden Shield <br>Excellence Awards 2019 – UK Chapter</a></li> <li><a href="imcgoldenshieldawards" target="_blank">IMC Golden Shield Excellence <br> Awards 2017 – UK CHAPTER</a></li> <li><a href="imc-professional-excellence-awards-kuwait-chapter" target="_blank">IMC Professional Excellence <br> Awards - Kuwait Chapter</a></li> <li><a href="IMC-maritime-excellence-awards-bahrain-KSA" target="_blank">IMC Maritime Excellence <br> Awards - Bahrain &amp; KSA Chapter</a></li> </ul> </li> </ul> </li> <li class="menu-item-has-children"> <a href="#">News</a> <ul class="sub-menu"> <li><a href="all-news">Daily News</a></li> <li><a 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class="logo-shape"><img src="assets/img/logo-shape.svg" alt=""></div> --> </div> </header><!-- banner --> <!-- <div class="breadcumb-wrapper " data-bg-src="assets/img/breadcumb/breadcumb-bg.jpg"> --> <div style="position: relative;" class="breadcumb-wrapper overlayy" data-bg-src="assets/our/inner-banner/imc-inner-banner.webp"> <div class="container"> <div class="breadcumb-content"> <h1 class="breadcumb-title">IMI - Registration</h1> <div class="breadcumb-menu-wrapper"> <ul class="breadcumb-menu"> <li><a href="./">Home</a></li> <li>IMI - Registration</li> </ul> </div> </div> </div> </div> <!-- end banner --> <div class="space" id="contact-sec"> <div class="container"> <div class="row gy-40 flex-row-reverse"> <div class="col-12"> <div class="contact-form-wrapper"> <form action="registration-action-imi.php" id="regform" name="regform" method="POST" class="contact-form " enctype="multipart/form-data"> <h2 class="form-title">Register Now<span class="shape"></span></h2> <div class="row"> <div class="form-group col-md-4"> <!-- <label for="org-name">Name Of The Organisation</label> --> <label for="org-name">Name Of The Institution</label> <input type="text" class="form-control" name="organisation_name" id="org_name"> <!-- <i class="fal fa-user"></i> --> </div> <input type="hidden" class="form-control" name="imc-registration" value=""> <!-- <div class="form-group col-md-6"> <label for="type">Type</label> <select name="type" id="type" class="form-control" style="height:2.75em"> <option value="Association">Association</option> <option value="Institute">Institute</option> </select> --> <!-- <input type="email" class="form-control" name="email" id="email" placeholder="Email Address"> <i class="fal fa-envelope"></i> --> <!-- </div> --> <div class="form-group col-md-4"> <!-- <label style="text-transform: capitalize;" for="mem_number">Approximate Number of Members</label> --> <label style="text-transform: capitalize;" for="mem_number">Approximate Number of Students</label> <input type="number" class="form-control" name="member_number" id="member_number" required> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-4"> <label style="text-transform: capitalize;" for="authorized">Authorized Person</label> <input type="text" class="form-control" name="authorized_person" id="authorized_person"> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <!-- <div class="form-group col-md-3"> <label style="text-transform: capitalize;" for="fax_number">Fax Number</label> <input type="number" class="form-control" name="fax_number" id="fax_number"> --> <!-- <i class="fa-regular fa-phone-flip"></i> --> <!-- </div> --> <!-- <div class="form-group col-md-3"> <label style="text-transform: capitalize;" for="zip_number">Zip Code</label> <input type="number" class="form-control" name="zip_code" id="zip_code"> --> <!-- <i class="fa-regular fa-phone-flip"></i> --> <!-- </div> --> <div class="form-group col-md-6"> <label style="text-transform: capitalize;" for="org_email">Institution Email Id</label> <input type="email" class="form-control" name="organisation_email" id="organisation_email" required> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-6"> <label style="text-transform: capitalize;" for="phone_number">Institution Contact Number</label> <input type="number" class="form-control" name="org_contact_number" id="org_contact_number" required> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-6"> <label style="text-transform: capitalize;" for="website">Website</label> <input type="text" class="form-control" name="org_website" id="org_website" required> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-6"> <label style="text-transform: capitalize;" for="logo">Institution Logo</label> <input type="file" class="form-control pt-3" name="logo" id="logo"> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-12"> <textarea name="address" id="address" cols="10" rows="3" class="form-control" placeholder="Address"></textarea> <!-- <i class="fal fa-comment"></i> --> </div> <h2 class="form-title mt-2"><span class="shape"></span></h2> <div class="form-group col-md-6"> <label style="text-transform: capitalize;" for="full_name">Full Name</label> <input type="text" class="form-control" name="fullname" id="fullname" required> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-6"> <label style="text-transform: capitalize;" for="designation">Designation</label> <input type="text" class="form-control" name="designation" id="designation"> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-4"> <label style="text-transform: capitalize;" for="email">Email ID</label> <input type="email" class="form-control" name="email" id="email" required> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-4"> <label style="text-transform: capitalize;" for="mob_number">Phone Number</label> <input type="number" class="form-control" name="mob_number" id="mob_number"> <!-- <i class="fa-regular fa-phone-flip"></i> --> </div> <div class="form-group col-md-4"> <div class="row"> <label style="text-transform: capitalize;">Gender</label> <div class="col-md-6"> <div class="form-check"> <input class="form-check-input" type="radio" name="gender" id="flexRadioDefault1" value="male"> <label class="form-check-label" for="flexRadioDefault1"> Male </label> </div> </div> <div class="col-md-6"> <div class="form-check"> <input class="form-check-input" type="radio" name="gender" id="flexRadioDefault2" value="female"> <label class="form-check-label" for="flexRadioDefault2"> Female </label> </div> </div> </div> </div> <div class="col-12 mb-3"> <div class="g-recaptcha" data-sitekey="6Ldxe20UAAAAAD_17wcLirt0F7WmMb_Ixgoi3AYt"></div> </div> <div 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href="./"><img src="assets/our/logo/logo-footer.png" alt="IMC Logo"></a> </div> <!-- <p class="about-text">Pellentesque non dolor vitae lacus fringilla consequat vel quis enim. Cras venenatis mollis neque in fringilla. In vitae</p> --> <div class="themeholy-social"> <a href="https://www.facebook.com/International-Maritime-Club-137131579633756/" target="_blank"><i class="fab fa-facebook-f"></i></a> <a href="https://www.youtube.com/@InternationalMaritimeClub" target="_blank"><i class="fab fa-youtube"></i></a> <a href="https://www.linkedin.com/company/imc---international-maritime-club" target="_blank"><i class="fab fa-linkedin-in"></i></a> <a href="https://www.instagram.com/internationalmaritimeclub/" target="_blank"><i class="fab fa-instagram"></i></a> <!-- <a href="https://www.behance.net/"><i class="fa-brands fa-behance"></i></a> --> </div> </div> </div> </div> <div class="col-md-6 col-xl-auto"> <div class="widget footer-widget"> <h3 class="widget_title">Head Quarters</h3> <div class="themeholy-widget-contact"> <div class="info-box"> <p class="info-box_text"> International Maritime Club<br> BCG Tower,1st Floor<br> Opp. CSEZ, Seaport Airport Road<br> Kakkanad, Cochin – 682037,India </p> </div> </div> </div> </div> <div class="col-md-6 col-xl-auto"> <div class="widget widget_nav_menu footer-widget"> <h3 class="widget_title">Regional Office</h3> <!-- <h3 class="widget_title">Head Quarters</h3> --> <div class="themeholy-widget-contact"> <div class="info-box"> <p class="info-box_text"> International Maritime Club<br> Post Box No: 94354<br> Dubai, UAE </p> </div> </div> </div> </div> </div> </div> </div> <!-- <div class="shape-mockup d-none d-xl-block" data-bottom="15%" data-left="0%"><img src="assets/img/update_4/shape/shape-2.png" alt="shape"></div> --> <!-- <div class="shape-mockup jump d-none d-xl-block" data-bottom="15%" data-right="0%"><img src="assets/img/update_4/shape/shape-3.png" alt="shape"></div> --> <div class="copyright-wrap"> <div class="container"> <div class="row justify-content-between"> <div class="col-lg-6"> <p class="copyright-text">Copyrights <i class="fal fa-copyright"></i> <script> document.write(new Date().getFullYear()) </script> All Rights Reserved. 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