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padding: 35px; margin: 10px;" data-gtm-form-interact-id="0"> <input type="hidden" name="lead_source" value="website-downloadbooklet"> <input type="hidden" name="utm_campaign" value="organic"> <input type="hidden" name="utm_medium" value="downloadbooklet"> <input type="hidden" name="page" id="page" value="downloadbooklet"> <input type="hidden" name="country" value="101"> <input type="hidden" name="campus_id" id="campus_id" value="Sijoul"> <input type="hidden" name="campus" id="campus" value="S"> <div class="row"> <div class="col-md-4 col-sm-4 pb"> <div class="form-group"> <input name="name" id="name" type="text" required="" class="form-control" placeholder="Name*" onkeydown="onlyAlphabets(event)" onpaste="onlyAlphabets(event)" > </div> </div> <div class="col-md-4 col-sm-4 pb"> <div class="form-group"> <input name="email" id="email" type="email" class="form-control" required="" pattern="[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,}$" placeholder="Email*" > </div> </div> <div class="col-md-4 col-sm-4 pb"> <div class="form-group"> <input type="text" id="mobile" name="mobile" class="form-control" onkeyup="if (/\D/g.test(this.value)) this.value = this.value.replace(/\D/g,'')" placeholder="Contact Number *" minlength="10" maxlength="10" required="" > </div> </div> <div class="col-md-4 col-sm-4 pb"> <div class="form-group"> <select id="standard" name="standard" class="form-control" required="" > <option value="">Select Standard *</option> <option value="6">X</option> <option value="2">XII</option> </select> </div> </div> <div class="col-md-4 col-sm-4 hidden pb" id="std" style="display:none"> <div class="form-group"> <select id="stream" name="stream" class="form-control" > <option value="">Select Stream *</option> <option value="1">Arts </option><option value="2">Commerce </option><option value="17">Science-PCB </option><option value="3">Science-PCM </option> </select> </div> </div> <div class="col-md-4 col-sm-4 pb"> <div class="form-group"> <select id="state" name="state" title="State" class="form-control" onchange="getcity()" required> <option value="">Select State *</option> <option value="1">Andaman and Nicobar Islands</option><option value="2">Andhra Pradesh</option><option value="3">Arunachal Pradesh</option><option value="4">Assam</option><option value="5">Bihar</option><option value="6">Chandigarh</option><option value="7">Chhattisgarh</option><option value="8">Dadra and Nagar Haveli</option><option value="9">Daman and Diu</option><option value="10">Delhi</option><option value="11">Goa</option><option value="12">Gujarat</option><option value="13">Haryana</option><option value="14">Himachal Pradesh</option><option value="15">Jammu and Kashmir</option><option value="16">Jharkhand</option><option value="17">Karnataka</option><option value="19">Kerala</option><option value="20">Lakshadweep</option><option value="21">Madhya Pradesh</option><option value="22">Maharashtra</option><option value="23">Manipur</option><option value="24">Meghalaya</option><option value="25">Mizoram</option><option value="26">Nagaland</option><option value="29">Odisha</option><option value="31">Pondicherry</option><option value="32">Punjab</option><option value="33">Rajasthan</option><option value="34">Sikkim</option><option value="35">Tamil Nadu</option><option value="36">Telangana</option><option value="37">Tripura</option><option value="38">Uttar Pradesh</option><option value="39">Uttarakhand</option><option value="41">West Bengal</option> </select> </div> </div> <div class="col-md-4 col-sm-4 pb"> <div class="form-group"> <select name="city" id="city" title="City" class="form-control" required> <option>Select District *</option> </select> </div> </div> <div class="col-sm-4 "> <div class="row"> </div> </div> </div> <div class="clearfix"></div> <div class="text-center"> <button type="submit" name="form-submit" class="form-submit-btn btn-sm btn formbtn cu-btn red-bg text-white d-inline-block" style="margin-top:10px;">Submit </button> </div> </form> </div> </div> </div> </div></div></section>  </div>     <div id="scrollUp"> <i class="fa fa-angle-up"></i> </div>    <script src="https://code.jquery.com/jquery-1.9.1.min.js"></script> <script> var common_url='https://www.sandipuniversity.edu.in/'; function onlyAlphabets(event) { //allows only alphabets in a textbox if (event.type == "paste") { var clipboardData = event.clipboardData || window.clipboardData; var pastedData = clipboardData.getData('Text'); var format = /[!@#$%^&*()_+\-=\[\]{};':"\\|,.<>\/?]+/; if (isNaN(pastedData) ) { if(format.test(pastedData)){ event.preventDefault(); } else{ return; } } else { event.preventDefault(); } } var charCode = event.which; if (!(charCode >= 65 && charCode <= 120) && (charCode != 32 && charCode != 0) && charCode != 8 && charCode != 9) { event.preventDefault(); } } $("#namedd").keydown(function(event){ var inputValue = event.which; // allow letters and whitespaces only. if(!(inputValue >= 65 && inputValue <= 120) && (inputValue != 32 && inputValue != 0 && inputValue != 8 && inputValue != 9)) { event.preventDefault(); } }); $('#email').on('keypress', function() { var re = /([A-Z0-9a-z_-][^@])+?@[^$#<>?]+?\.[\w]{2,4}/.test(this.value); if(!re) { //$('#error').show(); } else { // $('#error').hide(); } }); function lettersOnly() { var charCode = event.keyCode; if ((charCode > 64 && charCode < 91) || (charCode > 96 && charCode < 123) || charCode == 8 || charCode == 9) return true; else return false; } function validate() { //alert("DDD"); var name=$("#name").val(); var email=$("#email").val(); var mobile=$("#mobile").val(); var format = /[!@#$%^&*()_+\-=\[\]{};':"\\|,.<>\/?]+/; var emailf=/^\S+@\S+\.\S+$/; if (isNaN(name) && format.test(name)==false ) { } else { alert("Name should be in proper format"); return false; // Stop the form submitting } if (isNaN(email) && emailf.test(email)==true ) { } else { alert("Email should be in proper format"); return false; // Stop the form submitting } var regx = /^[6-9]\d{9}$/ ; if(regx.test(mobile) && mobile.length==10) { } else { alert("Contact Number should be in proper format"); return false; // Stop the form submitting } return true; } function getcity() { var state = $("#state").val(); $.ajax({ type: 'POST', url: common_url+'api/api.php', data: {'action':'city','stateid':state}, success: function (html) { //alert(html); $('#city').html(html); } }); } function only_number(id) { var r_no=$('#'+id).val(); r_no = r_no.replace(/[^0-9]/g, ''); $('#'+id).val(r_no); } $( document ).ready(function() { $('#standard').on('change', function () { var standard = $(this).val(); // alert(standard); if (standard==2) { document.getElementById("std").style.display="block"; //$("#std").removeClass('hidden'); } else { document.getElementById("std").style.display="none"; } }); }); </script> </body></html>

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