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Path : G:/PleskVhosts/jaincensus.com/macciaweb.ultraliant.com/
File Upload :
Current File : G:/PleskVhosts/jaincensus.com/macciaweb.ultraliant.com/online.php

<?php include("header.php");?>
<link href="mm/css/style_cap.css" rel="stylesheet">
										<script type='text/javascript'>
                                        function refreshCaptcha(){
                                            var img = document.images['captchaimg'];
                                            img.src = img.src.substring(0,img.src.lastIndexOf("?"))+"?rand="+Math.random()*1000;
                                        }
                                        </script>
<div class="breadcrumb-box">
                <div class="container"><br>
                          <ul class="breadcrumb"  style="float:left;">
                            <li><a href="index.php">Home</a></li>
                            <li class="active">Apply Online</li>
                        </ul>
                    </div>
                       <div class="section-title" data-animation="fadeInUp">
                    <!-- Heading -->
                    <h2 class="title" style="color:#A13739">Apply Online</h2>
                </div> <br><br>
                </div>

<?php
		if(isset($_GET['msg'])) 
		{
			
		?>
        
         <div class="modal fade" id="myModal" role="dialog" style="z-index:99999">
        <div class="modal-dialog" role="document" >
            <div class="modal-content">
                <div class="modal-header">
                    <button type="button" class="close" data-dismiss="modal">&times;</button>
                    <h4 class="modal-title"></h4>
                </div>
                <div class="modal-body">
                    <div class="fetched-data"><?php  echo $_GET['msg']; ?></div> 
                </div>
                <div class="modal-footer">
                    <button type="button" class="btn btn-default" data-dismiss="modal" onClick="window.location.href='online.php';">Close</button>
                </div>
            </div>
        </div>
    </div><?php }?>
           <section id="contact-us" class="page-section">
                <div class="container">
					<div class="row">						

						<div class="col-md-9 col-sm-6">
                        <form role="form" name="contactform2"  id="contactform2"  method="POST" action="online_function.php" >
                        <div class="row"><div class="col-sm-4">
                          <label>APPLY ONLINE FOR*:</label>
                          <b><select class="input-name form-control" name="enqname" required >
                                                  <option value="">Select</option>
                                                   <?php $venueq1="select * from mc_enquiry WHERE active='y'";
														   $queryconn1=$connection->query($venueq1);
														   while($venue1=$queryconn1->fetch_assoc()){?>
                                     <option value="<?php echo $venue1['short_description'];?>"><?php echo $venue1['short_description'];?> </option>
                                         <?php }?>       </select></b></div> 
                                         
								<div class="col-sm-6"><br><b><input type="text" name="name" class="input-name form-control" placeholder="Name*"   required/></b></div></div>
                                 <div class="row"><div class="col-sm-10"><b><textarea name="contact_address" class="textarea-address hight-82 form-control" placeholder="Address*" rows="2" required ></textarea></b></div></div>
						<div class="row">
                        <div class="col-sm-3"><b><label>Select Country: *</label></b>
                                         <select class="input-name form-control" name="cname" required>
                                                  <option value="">Select</option>
                                       <?php $venueq="select country_name from jc_countries WHERE active='y'" ;
														   $queryconn=$connection->query($venueq);
														   while($venue=$queryconn->fetch_assoc()){?>
                             <option value="<?php echo $venue['country_name'];?>"><?php echo $venue['country_name'];?></option>
                                         <?php }?>       </select></div> 
                                          <div class="col-sm-3"><br><b><input type="text" name="contact_city" class="input-phone form-control" placeholder="City* "  pattern="[A-Za-z ]{1,32}"  oninvalid="this.setCustomValidity('numbers not allowed')"
    oninput="this.setCustomValidity('')" required/></b> </div>
    <div class="col-sm-4"> <br><b><input type="number" name="contact_pin" class="input-phone form-control" placeholder="pincode" /> </b></div>
                          </div> 
                       <div class="row"><b> <div class="col-sm-6"><input type="text" name="contact_fax" class="input-phone form-control" placeholder="Fax No" /> </b></div>
                                           
                                         <div class="col-sm-4"><b><input type="text" pattern="[789][0-9]{9}" id="contact_mob" name="contact_mob"  placeholder="mobile no*" maxlength="10" class="form-control" required>   </b></div></div>
                                     <div class="row"> 
                                          <div class="col-sm-6"><br><input type="email" name="contact_email" class="input-email form-control" placeholder="Email*" maxlength="50" data-validation-optional="true" data-validation="email" data-validation-error-msg="Invalid Email" required/>
                                                                  
</b></div></div>  
                                         
                                        
                                            <b> <label> Choose the sectors would you like to place yourself in:</label></b><br>
                                              <?php $query="select sector_name,srno from mc_enquiry_sector where active='y'";
													  $queryconn1=$connection->query($query);
													  while($sector=$queryconn1->fetch_assoc()){?><div class="col-sm-3 col-lg-4">
                                                <input type="checkbox" name="sector_name[]" value="<?php echo $sector['srno'];?>"> <?php echo $sector['sector_name'];?> </div><?php }?> 
                                           <div class="row"><div class="col-sm-10"><b><textarea name="name1" class="textarea-address hight-82 form-control" placeholder="Countries you are interested in" rows="2" ></textarea></b></div></div>
                                           <div class="row"><div class="col-sm-10"><b> <textarea name="inquiry" class="textarea-address hight-82 form-control" placeholder="Enquiry" rows="2" ></textarea>  </b></div> </div> 
                                            <br><br>
                                             <div class="col-sm-9" style="margin-left: 130px;margin-top: -7%;"> <label><span class="require"></span></label>
                                         </div>
                                         <div class="col-sm-9" style="margin-left: 130px;margin-top: -7%;">
                                            <img src="captcha.php"><br>
<p>Enter the code above:</p> <input type="text" name="captcha" style="border: solid;">
                                       </div>  <br><br>	
                        <center> <button id="submita" type="submit" class="btn btn-primary" style="margin-left: -784px;" >Submit</button></center>
                            </form>
							<p class="form-message" style="display: none;"></p>
					</div>
                    <div class="col-md-3 col-sm-6">
                    <img src="upload/award/enquiry-1.jpg"><br/><br/><br/>
                    <br/><br/><br/>
                  
                    
                    <img src="upload/award/enquiry.png">

                    </div>
				</div>
            </section>
           
           
            <?php include("footer.php");?>
			 <script>
$(document).ready(function(){ 
 // $("#submita").click(function(){
	 $("#submita").submit(function(e) {
    $.ajax({
		url: "online_function.php",
		type :"POST",
		  data:$('#contactform2').serialize(),
		success: function(result){//alert(result);
     // $("#div1").html(result);
	 alert(result);
	 location.reload();
    }
	});
  });
});
</script>
<!--<script>
        $(function() {
         $('#myModal').modal('show');
        });
        </script>-->
             
   

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