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Something went wrong! Try again!</font>'); } }, error:function(response){ $('#materials_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }); } }); }); </script> <div class="modal fade" id="customisedSponsorship" tabindex="-1" role="dialog"> <div class="modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h3 class="modal-title text-center">Customised Sponsorship</h3> <div id="sponsorship_msg" class="span12 text-center"></div> </div> <div class="modal-body" id="contact_form"> <p class="text-center text-success"><strong>Please fill the form. we will get back you soon.</strong></p> <form class="form-horizontal" id="sponsorship_form"> <input type="hidden" name="conference_url" id="conference_url" value=""> <input type="hidden" name="conference_country" id="conference_country" value=""> <input type="hidden" name="conference_name" id="conference_name" value="" /> <input type="hidden" name="conference_email" id="conference_email" value="gynecology@globalannualsummit.com" /> <input type="hidden" name="confId" id="confId" value="12527" /> <div class="form-group"> <label for="inputName" class="col-sm-2 control-label">Name</label> <div class="col-sm-10"> <input type="name" class="form-control" name="inputName" id="inputName" placeholder="Enter Your Name Here" name="name" required="required"> </div> </div> <div class="form-group"> <label for="inputEmail" class="col-sm-2 control-label">Email</label> <div class="col-sm-10"> <input type="email" class="form-control" name="inputEmail" id="inputEmail" placeholder="Enter Your Email Address Here" name="email" required="required"> </div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Mobile Number</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputMobile" id="inputMobile" placeholder="Enter Your Mobile Number Here" name="mobile" required="required"> </div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Country</label> <div class="col-sm-10"> <select class="form-control" name="Country" id="Country" required=""> <option value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canadian Nunavut Territory">Canadian Nunavut Territory</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="France, Metropolitan">France, Metropolitan</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta<">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Palau">Palau</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="form-group"> <label for="inputSubject" class="col-sm-2 control-label">Category Type</label> <div class="col-sm-10"> <select class="form-control" name="SponsorType" id="SponsorType" required=""> <option value="">Select Your Category</option> <option value="Young Researcher Awards Sponsor">Young Researcher Awards Sponsor</option> <option value="Best Poster Award Sponsor">Best Poster Award Sponsor</option> <option value="Keynote Forum Sponsor">Keynote Forum Sponsor</option> <option value="Speaker Forum">Speaker Forum</option> <option value="Program Sponsor">Program Sponsor</option> <option value="Coffee Break Sponsor">Coffee Break Sponsor</option> <option value="Luncheon Sponsor">Luncheon Sponsor</option> <option value="Pre Conference Dinner Sponsor ">Pre Conference Dinner Sponsor </option> <option value="Backdrop Sponsor">Backdrop Sponsor</option> <option value="Souvenir Sponsor">Souvenir Sponsor</option> <option value="Conference Kit Sponsor">Conference Kit Sponsor</option> <option value="Podium Sponsor">Podium Sponsor</option> <option value="Lanyard Sponsor">Lanyard Sponsor</option> <option value="Add Sponsor (In Souvenir)">Add Sponsor (In Souvenir)</option> </select> </div> </div> <div class="form-group"> <label for="inputMessage" class="col-sm-2 control-label">Message</label> <div class="col-sm-10"> <textarea class="form-control" rows="3" name="inputMessage" id="inputMessage" name="message" Placeholder="Enter Your Message Here"></textarea> </div> </div> <div class="form-group"> <p class="text-center"><button type="button" id="sponsorshipBtn" class="btn btn-success">Submit</button><button type="button" class="btn btn-default" data-dismiss="modal">Close</button></p> </div> </form> </div> </div> </div> </div> <script> $(document).ready(function(){ var Emailfilter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/; $('#sponsorshipBtn').click(function(event){ event.preventDefault(); var postData = { 'conference_name' : $('#customisedSponsorship input[id=conference_name]').val(), 'conference_url' : $('#customisedSponsorship input[id=conference_url]').val(), 'conference_email' : $('#customisedSponsorship input[id=conference_email]').val(), 'inputName' : $('#customisedSponsorship input[id=inputName]').val(), 'inputEmail' : $('#customisedSponsorship input[id=inputEmail]').val(), 'inputMobile' : $('#customisedSponsorship input[id=inputMobile]').val(), 'inputCountry' : $('#customisedSponsorship select[id=Country]').val(), 'sponsorType' : $('#customisedSponsorship select[id=SponsorType]').val(), 'inputMessage' : $('#customisedSponsorship textarea[id=inputMessage]').val(), 'confId' : $('#customisedSponsorship input[id=confId]').val(), 'country' : $('#customisedSponsorship input[id=conference_country]').val() } if (postData.inputName=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Name Required.</font>'); } else if (postData.inputEmail=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Email Required.</font>'); } else if (!Emailfilter.test(postData.inputEmail)) { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Invalid Email.</font>'); } else if (postData.inputMobile=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Mobile Number Required.</font>'); } else if (postData.inputCountry=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Country Required.</font>'); } else if (postData.SponsorType=='') { $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Sponsor Type Required.</font>'); } else { $('#sponsorship_msg').html(""); $.ajax({ url:'http://gynecology.healthconferences.org/customised_sponsorship.php', type:'post', data:postData, success: function(response){ if(response==1){ $('#sponsorship_form').html('<p style="color:green;font-weight:bold; font-size:20px; text-align:center;">Thanks for contacting us for customied sporsorship,<br/> we will get back to you soon from </p><a id="contact_mail" href="mailto:' + postData.conference_email + '">' + postData.conference_email + '</a>'); }else{ $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }, error:function(response){ $('#sponsorship_msg').html('<font style="color:red;font-weight:bolder;">Sorry! Something went wrong! Try again!</font>'); } }); } }); }); </script> <div class="modal fade" id="callForWebinars" tabindex="-1" role="dialog"> <div class="modal-dialog" role="document"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button> <h3 class="modal-title text-center">Download Call for Webinars</h3> <div id="webinar_msg" class="span12 text-center"></div> </div> <div class="modal-body" id="call_for_webinar_form"> <p class="text-center text-success"><strong>Please fill the form to download Call for Webinars.</strong></p> <form class="form-horizontal" id="enquiry_form"> <input type="hidden" name="conference_url" id="conference_url" value=""> <input type="hidden" name="conference_country" id="conference_country" value=""> <input type="hidden" name="conference_name" id="conference_name" value="" /> <input type="hidden" name="conference_email" id="conference_email" value="gynecology@globalannualsummit.com" /> <input type="hidden" name="confId" id="confId" value="12527" /> <div class="form-group"> <label for="inputName" class="col-sm-2 control-label">Name</label> <div class="col-sm-10"> <input type="name" class="form-control" name="inputName" id="inputName" placeholder="Enter Your Name Here" name="name" required="required"/> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputEmail" class="col-sm-2 control-label">Email</label> <div class="col-sm-10"> <input type="email" class="form-control" name="inputEmail" id="inputEmail" placeholder="Enter Your Email Address Here" name="email" required="required"/> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Mobile Number</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputMobile" id="inputMobile" placeholder="Enter Your Mobile Number Here" name="mobile" required="required"/> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputMobile" class="col-sm-2 control-label">Country</label> <div class="col-sm-10"> <select class="form-control" name="WebinarCountry" id="WebinarCountry" required=""> <option value="">Select country</option> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Canadian Nunavut Territory">Canadian Nunavut Territory</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling Islands)">Cocos (Keeling Islands)</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'Ivoire (Ivory Coast)">Cote D'Ivoire (Ivory Coast)</option> <option value="Croatia (Hrvatska)">Croatia (Hrvatska)</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="East Timor">East Timor</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="France, Metropolitan">France, Metropolitan</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-Bissau">Guinea-Bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard and McDonald Islands">Heard and McDonald Islands</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran">Iran</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea (North)">Korea (North)</option> <option value="Korea (South)">Korea (South)</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Laos">Laos</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libya">Libya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macau">Macau</option> <option value="Macedonia">Macedonia</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta<">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia">Micronesia</option> <option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palestine">Palestine</option> <option value="Palau">Palau</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="S. Georgia and S. Sandwich Isls.">S. Georgia and S. Sandwich Isls.</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia">Serbia</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovak Republic">Slovak Republic</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="St. Helena">St. Helena</option> <option value="St. Pierre and Miquelon">St. Pierre and Miquelon</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="US Minor Outlying Islands">US Minor Outlying Islands</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State (Holy See)">Vatican City State (Holy See)</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands (British)">Virgin Islands (British)</option> <option value="Wallis and Futuna Islands">Wallis and Futuna Islands</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Yugoslavia">Yugoslavia</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputSubject" class="col-sm-2 control-label">Research Interest</label> <div class="col-sm-10"> <input type="text" class="form-control" name="inputSubject" id="inputSubject" placeholder="Enter Your Research Here" name="mobile"/> </div> <div class="clear"></div> </div> <div class="form-group"> <label for="inputMessage" class="col-sm-2 control-label">Message</label> <div class="col-sm-10"> <textarea class="form-control" rows="3" name="inputMessage" id="inputMessage" name="message" Placeholder="Enter Your Message Here"></textarea> </div> <div class="clear"></div> </div> <div class="form-group"> <p class="text-center"><button type="button" id="submitbtn" class="btn btn-success">Submit</button><button type="button" class="btn btn-default" data-dismiss="modal">Close</button></p> </div> </form> </div> </div> </div> </div> <script> $(document).ready(function(){ var Emailfilter = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/; 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