Welcome to Association of Petroleum Geologists

<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <title>Welcome to Association of Petroleum Geologists</title> <meta name="description" content="Welcome to Association of Petroleum Geologists"> <meta name="keywords" content="Welcome to Association of Petroleum Geologists"> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="stylesheet" href="css/style.css"> <link rel="stylesheet" href="css/responsive.css"> <link rel="stylesheet" href="css/pure-js-lightbox.css"> <style> @media (max-width: 767px) { .container_width{ padding-left:0px !important; padding-right:0px !important; } .mb_none{ display:none !important; } .single-header-info { margin-top: 0px !important; } } </style> <script src="js/jquery-1.11.1.min.js"></script> <script src="js/pure-js-lightbox.js"></script> <style> table.dataTable{ width:98%!important; border-collapse: collapse !important; } table.dataTable th{ background: #d1e4ee; } table.dataTable.no-footer, 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<div class="row"> <div class="col-md-12"> <h3 class="bg-highlight">MEMBERSHIP DETAILS</h3> </div> </div> <div class="row"> <div class="col-md-4"> <div class="form-group"> <label>Type of Membership: <b class="col-required">*</b></label> <select name="membershipType" required class="form-control"> <option value="">--Select--</option> <option value="Life Member">Life Member</option> <option value="Annual Member">Annual Member</option> <option value="Student Member">Student Member</option> <option value="Honorary Member">Honorary Member</option> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Chapter: <b class="col-required">*</b></label> <select name="chapter" required class="form-control"> <option value="">--Select--</option> <option value="Baroda">Baroda</option> <option value="Delhi">Delhi</option> <option value="Dehradun">Dehradun</option> <option value="Duliajan">Duliajan</option> <option value="Jorhat">Jorhat</option> <option value="Kolkata">Kolkata</option> <option value="Mumbai">Mumbai</option> <option value="Southern Chapter">Southern</option> <option value="IIT Kharagpur">IIT Kharagpur</option> <option value="Kurukshetra University APG Student Chapter">Kurukshetra University APG Student Chapter</option> <option value="鈦燯PES APG Student Chapter">鈦燯PES APG Student Chapter</option> <option value="鈦燝raphic Era University APG Student Chapter">鈦燝raphic Era University APG Student Chapter</option> <option value="鈦燚BS College APG Student Chapter">鈦燚BS College APG Student Chapter</option> <option value="Delhi University APG Student Chapter">Delhi University APG Student Chapter</option> <option value="Nainital University APG Student Chapter">Nainital Universitye APG Student Chapter</option> <option value="Lucknow University APG Student Chapter">Lucknow Universitye APG Student Chapter</option> </select> </div> </div> </div> <div class="row"> <div class="col-md-12"> <h3 class="bg-highlight">PERSONAL DETAILS</h3> </div> </div> <div class="row"> <div class="col-md-3"> <div class="form-group"> <label>Title: <b class="col-required">*</b></label> <select name="title" class="form-control" required> <option value="">--Select--</option> <option value="Dr.">Dr.</option> <option value="Mr.">Mr.</option> <option value="Mrs.">Mrs.</option> <option value="Ms.">Ms.</option> </select> </div> </div> <div class="col-md-3"> <div class="form-group"> <label>First Name: <b class="col-required">*</b></label> <input name="membername" required type="text" class="form-control"/> </div> </div> <div class="col-md-3"> <div class="form-group"> <label>Middle Name:</label> <input name="membermiddlename" type="text" class="form-control"/> </div> </div> <div class="col-md-3"> <div class="form-group"> <label>Last Name: <b class="col-required">*</b></label> <input name="memberlastname" required type="text" class="form-control"/> </div> </div> </div> <div class="row"> <div class="col-md-4"> <div class="form-group"> <label>Date of Birth: <b class="col-required">*</b></label> <input type="date" name="dateofbirth" placeholder="Select" required autocomplete="off" id="datepicker" class="form-control" value="" /> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Gender: <b class="col-required">*</b></label> <select name="gender" class="form-control" required> <option value="">--Select--</option> <option value="Male">Male</option> <option value="Female">Female</option> <option value="Others">Others</option> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Upload Passport Size Photograph: <b class="col-required">*</b></label> <input type="file" id="uploadPhoto" required class="form-control" name="uploadPhoto"></label> <p id="uploadPhotoerror1" style="display:none; color:#FF0000;">Invalid Image Format! Image Format Must Be JPG, JPEG, PNG.</p> <p id="uploadPhotoerror2" style="display:none; color:#FF0000;">Maximum File Size Limit is 2MB.</p> </div> </div> </div> <div class="row"> <div class="col-md-4"> <div class="form-group"> <label>ID Proof Type: <b class="col-required">*</b></label> <select name="idType" class="form-control" required> <option value="">-- Select ID Proof --</option> <option value="Voter ID Card">Voter ID Card</option> <option value="Aadhar Card">Aadhar Card</option> <option value="Driving License">Driving License</option> <option value="Passport">Passport</option> <option value="PAN">PAN</option> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <label>Upload ID Proof: <b class="col-required">*</b></label> <input type="file" id="uploadID" required class="form-control" name="uploadID"></label> <p id="uploaduploadIDerror1" style="display:none; color:#FF0000;">Invalid Image Format! Image Format Must Be JPG, JPEG, PNG, PDF</p> <p id="uploaduploadIDerror2" style="display:none; color:#FF0000;">Maximum File Size Limit is 2MB.</p> </div> </div> </div> <div class="row"> <div class="col-md-12"> <h3 class="bg-highlight">COMMUNICATION DETAILS</h3> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Mobile No.: <b class="col-required">*</b></label> <input class="form-control" placeholder="Mandatory" required value="" name="mobile" type="text"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Alternate Mobile No.:</label> <input class="form-control" placeholder="" value="" name="alternatemobile" type="text"> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> E-Mail ID (Preferable personal): <b class="col-required">*</b></label> <input class="form-control" placeholder="Mandatory" value="" required name="email" type="text"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Alternate E-Mail ID: </label> <input class="form-control" placeholder="" value="" name="additionalEmail" type="text"> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Address: <b class="col-required">*</b></label> <input name="permaddress" required type="text" placeholder="Mandatory" class="form-control"/> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> City: <b class="col-required">*</b></label> <input class="form-control" value="" required placeholder="Mandatory" name="permcity" type="text"> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> State: <b class="col-required">*</b></label> <input class="form-control" value="" required placeholder="Mandatory" name="permstate" type="text"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Zip Code: <b class="col-required">*</b></label> <input class="form-control" value="" required placeholder="Mandatory" name="permzip" type="text"> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Country: <b class="col-required">*</b></label> <input class="form-control" value="" required placeholder="Mandatory" name="permcountry" type="text"> </div> </div> <div class="col-md-6"> </div> </div> <div class="row"> <div class="col-md-12"> <h3 class="bg-highlight">QUALIFICATION & INSTITUTION DETAILS</h3> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Academic Qualification: <b class="col-required">*</b></label> <textarea class="form-control" required placeholder="Mandatory" name="academicQualification" rows="3"></textarea> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Professional Experience: <b class="col-required">*</b></label> <textarea class="form-control" required placeholder="Mandatory" name="professionalExperience" rows="3"></textarea> </div> </div> </div> <div class="row"> <div class="col-md-4"> <div class="form-group"> <label> Graduation: <b class="col-required">*</b></label> <textarea class="form-control" required placeholder="Mandatory" rows="3" name="graduation"></textarea> </div> </div> <div class="col-md-4"> <div class="form-group"> <label> University Name: <b class="col-required">*</b></label> <input class="form-control" value="" required placeholder="Mandatory" name="gradunivname" type="text"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label> Year of Passing: <b class="col-required">*</b></label> <select name="gradpassyear" class="form-control" required> <option value="">-- Select --</option> <option value="2025" selected>2025</option> <option value="2024" >2024</option> <option value="2023" >2023</option> <option value="2022" >2022</option> <option value="2021" >2021</option> <option value="2020" >2020</option> <option value="2019" >2019</option> <option value="2018" >2018</option> <option value="2017" >2017</option> <option value="2016" >2016</option> <option value="2015" >2015</option> <option value="2014" >2014</option> <option value="2013" >2013</option> <option value="2012" >2012</option> <option value="2011" >2011</option> <option value="2010" >2010</option> <option value="2009" >2009</option> <option value="2008" >2008</option> <option value="2007" >2007</option> <option value="2006" >2006</option> <option value="2005" >2005</option> <option value="2004" >2004</option> <option value="2003" >2003</option> <option value="2002" >2002</option> <option value="2001" >2001</option> <option value="2000" >2000</option> <option value="1999" >1999</option> <option value="1998" >1998</option> <option value="1997" >1997</option> <option value="1996" >1996</option> <option value="1995" >1995</option> <option value="1994" >1994</option> <option value="1993" >1993</option> <option value="1992" >1992</option> <option value="1991" >1991</option> <option value="1990" >1990</option> <option value="1989" >1989</option> <option value="1988" >1988</option> <option value="1987" >1987</option> <option value="1986" >1986</option> <option value="1985" >1985</option> <option value="1984" >1984</option> <option value="1983" >1983</option> <option value="1982" >1982</option> <option value="1981" >1981</option> <option value="1980" >1980</option> <option value="1979" >1979</option> <option value="1978" >1978</option> <option value="1977" >1977</option> <option value="1976" >1976</option> <option value="1975" >1975</option> <option value="1974" >1974</option> <option value="1973" >1973</option> <option value="1972" >1972</option> <option value="1971" >1971</option> <option value="1970" >1970</option> <option value="1969" >1969</option> <option value="1968" >1968</option> <option value="1967" >1967</option> <option value="1966" >1966</option> <option value="1965" >1965</option> <option value="1964" >1964</option> <option value="1963" >1963</option> <option value="1962" >1962</option> <option value="1961" >1961</option> <option value="1960" >1960</option> <option value="1959" >1959</option> <option value="1958" >1958</option> <option value="1957" >1957</option> <option value="1956" >1956</option> <option value="1955" >1955</option> <option value="1954" >1954</option> <option value="1953" >1953</option> <option value="1952" >1952</option> <option value="1951" >1951</option> </select> </div> </div> </div> <div class="row"> <div class="col-md-4"> <div class="form-group"> <label> Post-Graduation: </label> <textarea class="form-control" placeholder="" rows="3" name="qualification"></textarea> </div> </div> <div class="col-md-4"> <div class="form-group"> <label> University Name: </label> <input class="form-control" value="" placeholder="" name="postgradunivname" type="text"> </div> </div> <div class="col-md-4"> <div class="form-group"> <label> Year of Passing: </label> <select name="postgradpassyear" class="form-control"> <option value="">-- Select --</option> <option value="2025" selected>2025</option> <option value="2024" >2024</option> <option value="2023" >2023</option> <option value="2022" >2022</option> <option value="2021" >2021</option> <option value="2020" >2020</option> <option value="2019" >2019</option> <option value="2018" >2018</option> <option value="2017" >2017</option> <option value="2016" >2016</option> <option value="2015" >2015</option> <option value="2014" >2014</option> <option value="2013" >2013</option> <option value="2012" >2012</option> <option value="2011" >2011</option> <option value="2010" >2010</option> <option value="2009" >2009</option> <option value="2008" >2008</option> <option value="2007" >2007</option> <option value="2006" >2006</option> <option value="2005" >2005</option> <option value="2004" >2004</option> <option value="2003" >2003</option> <option value="2002" >2002</option> <option value="2001" >2001</option> <option value="2000" >2000</option> <option value="1999" >1999</option> <option value="1998" >1998</option> <option value="1997" >1997</option> <option value="1996" >1996</option> <option value="1995" >1995</option> <option value="1994" >1994</option> <option value="1993" >1993</option> <option value="1992" >1992</option> <option value="1991" >1991</option> <option value="1990" >1990</option> <option value="1989" >1989</option> <option value="1988" >1988</option> <option value="1987" >1987</option> <option value="1986" >1986</option> <option value="1985" >1985</option> <option value="1984" >1984</option> <option value="1983" >1983</option> <option value="1982" >1982</option> <option value="1981" >1981</option> <option value="1980" >1980</option> <option value="1979" >1979</option> <option value="1978" >1978</option> <option value="1977" >1977</option> <option value="1976" >1976</option> <option value="1975" >1975</option> <option value="1974" >1974</option> <option value="1973" >1973</option> <option value="1972" >1972</option> <option value="1971" >1971</option> <option value="1970" >1970</option> <option value="1969" >1969</option> <option value="1968" >1968</option> <option value="1967" >1967</option> <option value="1966" >1966</option> <option value="1965" >1965</option> <option value="1964" >1964</option> <option value="1963" >1963</option> <option value="1962" >1962</option> <option value="1961" >1961</option> <option value="1960" >1960</option> <option value="1959" >1959</option> <option value="1958" >1958</option> <option value="1957" >1957</option> <option value="1956" >1956</option> <option value="1955" >1955</option> <option value="1954" >1954</option> <option value="1953" >1953</option> <option value="1952" >1952</option> <option value="1951" >1951</option> </select> </div> </div> </div> <div class="row"> <div class="col-md-12"> <div class="form-group"> <label> Any Other Qualification :</label> <textarea class="form-control" required placeholder="" rows="3" name="otherQualification"></textarea> </div> </div> </div> <div class="row"> <div class="col-md-12"> <h3 class="bg-highlight">ORGANISATION DETAILS</h3> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Organisation Name: <b class="col-required">*</b></label> <input class="form-control" placeholder="Mandatory" required value="" name="firmname" type="text"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Designation: <b class="col-required">*</b></label> <input class="form-control" placeholder="Mandatory" required value="" name="designation" type="text"> </div> </div> </div> <div class="row"> <div class="col-md-12"> <h3 class="bg-highlight">OTHER DETAILS</h3> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Your Expectation from APG: </label> <textarea class="form-control" placeholder="What are your Your Expectation from APG?" name="expectations" rows="3"></textarea> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Your Past Contribution in APG activities:</label> <textarea class="form-control" placeholder="Mention your past contribution in APG activities" name="apgActivity" rows="3"></textarea> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> How would you like to contribute towards future of APG: </label> <textarea class="form-control" placeholder="How would you like to contribute towards future of APG" rows="3" name="futureContributions"></textarea> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Vest Size:</label> <select name="chestSize" class="form-control"> <option value="">--Select Vest Size--</option> <option value="S">S - 88-91 cm</option> <option value="M">M - 92-95 cm</option> <option value="L">L - 96-103 cm</option> <option value="XL">XL - 104-113 cm</option> </select> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label> Blood Group: <b class="col-required">*</b></label> <select name="bloodgroup" class="form-control" required> <option value="">--Select--</option> <option value="A+">A+</option> <option value="A">A</option> <option value="B+">B+</option> <option value="B">B</option> <option value="B-">B-</option> <option value="O+">O+</option> <option value="O">O</option> <option value="AB+">AB+</option> <option value="AB-">AB-</option> <option value="NA">Do not Know</option> </select> </div> </div> <div class="col-md-6"> <div class="form-group"> <label> Any Major Ailment:</label> <input class="form-control" placeholder="Any Major Ailment" name="anymeasure" value="" type="text"> </div> </div> </div> <div class="row"> <div class="col-xs-12 col-sm-6 col-md-6"> <div class="form-group"> <label>Captcha : <b class="col-required">*</b></label><br> <div class="g-recaptcha" style="margin: 0 auto;" data-sitekey="6LeDVLMgAAAAADOvWQgV4K-YH6sut4MhgcHzqLmb"></div> </div> </div> <div class="col-xs-12 col-sm-6 col-md-6 text-right"> <div class="form-group"> <label> </label><br> <input 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