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151.101.65.195  Public Scan

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Submitted URL: https://addeventbop.braingymacademy.in/
Effective URL: https://neartail.com/public/115435065118301984962/all/form/1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg
Submission: On July 15 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST https://docs.google.com/forms/u/1/d/e/1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg/formResponse

<form dir="ltr" id="Publish1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg" class="ff-form ff-layout-default ff-public-mode ff-text-left" method="POST"
  action="https://docs.google.com/forms/u/1/d/e/1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg/formResponse">
  <input type="hidden" name="id" value="1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg">
  <input type="hidden" name="pageHistory" value="">
  <input type="hidden" id="Payment1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg" name="paymentId" value="">
  <input type="hidden" id="PaymentData1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg" name="paymentData" value="">
  <input type="hidden" id="Accepted1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg" name="accepted" value="">
  <input type="hidden" id="AcceptedAt1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg" name="acceptedAt" value="">
  <div class="ff-section" id="ff-sec-root" style="display:block;">
    <img src="https://lh3.googleusercontent.com/F_eP9pAr1x-cylG9zjyzMTmhN5Yw8WGvLRa-hzMO-C0h_tYueKU3jVO8zLLAre9IpTJfYb99-ePX1-WmS-tRtQqV3YeOVH8hxsYOwIClSvydhxXuhq_-ckgxulR-OnH8-A=w1916" class="ff-banner-image ff-image">
    <h3 class="ff-title" id="ff-title-root"> BATTLE OF PUZZLES 3 </h3>
    <div class="ff-description mdViewer">
      <p> Event Adding form </p>
    </div>
    <div class="ff-secfields">
      <div class="rest-form-group ff-item   ff-text ff-part-width  ff-item-noprd" id="ff-id-583882425">
        <label class="ff-item-qs " for="Widget583882425"> Name of the Participant (As required on certificate) <span class="ff-required">*</span>
          <i class="ff-editwidget material-icons">
                    settings
                  </i>
        </label>
        <small id="Static583882425" class="ff-help-empty ff-help form-text mdViewer"></small>
        <input type="text" class="ff-widget-control rest-form-control" id="Widget583882425" name="entry.1440693859" value="" placeholder="" required="">
        <div id="Error583882425" class="ff-widget-error"></div>
      </div>
      <div class="rest-form-group ff-item   ff-text ff-part-width  ff-item-noprd" id="ff-id-230800262">
        <label class="ff-item-qs " for="Widget230800262"> Email <span class="ff-required">*</span>
          <i class="ff-editwidget material-icons">
                    settings
                  </i>
        </label>
        <small id="Static230800262" class="ff-help-empty ff-help form-text mdViewer"></small>
        <input type="email" pattern="[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,63}$" class="ff-widget-control rest-form-control ff-email-widget" id="Widget230800262" name="entry.1214904697" autocomplete="email" autocorrect="off" spellcheck="false"
          value="" placeholder="" required="">
        <div id="Error230800262" class="ff-widget-error"></div>
      </div>
      <div class="rest-form-group ff-item   ff-checkbox ff-full-width  ff-item-noprd" id="ff-id-196062522">
        <label class="ff-item-qs " for="Widget196062522"> Event to add <i class="ff-editwidget material-icons">
                    settings
                  </i>
        </label>
        <small id="Static196062522" class="ff-help-empty ff-help form-text mdViewer"></small>
        <div class="ff-widget-control ff-check-table ff-wrap-choices">
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.2x2x2 ₹300.00" value="2x2x2 ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.2x2x2 ₹300.00"> 2x2x2 ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.3x3x3 ₹300.00" value="3x3x3 ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.3x3x3 ₹300.00"> 3x3x3 ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.4x4x4 ₹300.00" value="4x4x4 ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.4x4x4 ₹300.00"> 4x4x4 ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.5x5x5 ₹300.00" value="5x5x5 ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.5x5x5 ₹300.00"> 5x5x5 ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.Pyraminx ₹300.00" value="Pyraminx ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.Pyraminx ₹300.00"> Pyraminx ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.Skewb ₹300.00" value="Skewb ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.Skewb ₹300.00"> Skewb ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.Mirror ₹300.00" value="Mirror ₹300.00">
            <label class="ff-form-check-label" for="entry.1824028202.Mirror ₹300.00"> Mirror ₹300.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.3 Cube Relay ₹500.00" value="3 Cube Relay ₹500.00">
            <label class="ff-form-check-label" for="entry.1824028202.3 Cube Relay ₹500.00"> 3 Cube Relay ₹500.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.Sudoku ₹500.00" value="Sudoku ₹500.00">
            <label class="ff-form-check-label" for="entry.1824028202.Sudoku ₹500.00"> Sudoku ₹500.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.Wordsearch ₹500.00" value="Wordsearch ₹500.00">
            <label class="ff-form-check-label" for="entry.1824028202.Wordsearch ₹500.00"> Wordsearch ₹500.00 </label>
          </div>
          <div class="ff-form-check">
            <input class="ff-form-check-input" type="checkbox" name="entry.1824028202" id="entry.1824028202.Crossword ₹500.00" value="Crossword ₹500.00">
            <label class="ff-form-check-label" for="entry.1824028202.Crossword ₹500.00"> Crossword ₹500.00 </label>
          </div>
        </div>
        <input type="hidden" name="entry.1824028202_sentinel" title="Event to add" class="">
        <div id="Error196062522" class="ff-widget-error"></div>
      </div>
      <div class="rest-form-group ff-item   ff-text ff-part-width  ff-item-noprd" id="ff-id-1145454467">
        <label class="ff-item-qs " for="Widget1145454467"> Amount <i class="ff-editwidget material-icons">
                    settings
                  </i>
        </label>
        <small id="Static1145454467" class="ff-help-empty ff-help form-text mdViewer"></small>
        <input type="text" class="ff-widget-control ff-readonly rest-form-control" id="Display1145454467" value="" readonly="">
        <input type="hidden" id="Widget1145454467" name="entry.483316297" value="0">
        <div id="Error1145454467" class="ff-widget-error"></div>
      </div>
      <div class="rest-form-group ff-item   ff-multiple_choice ff-full-width  ff-item-noprd" id="ff-id-1417589007">
        <label class="ff-item-qs " for="Widget1417589007"> Mode of Payment <span class="ff-required">*</span>
          <i class="ff-editwidget material-icons">
                    settings
                  </i>
        </label>
        <small id="Static1417589007" class="ff-help-empty ff-help form-text mdViewer"></small>
        <div class="ff-widget-control ff-check-table ff-wrap-images">
          <div onclick="let input = this.querySelector('input');if(input) { input.click() }" class="ff-form-check ff-check-cell">
            <img class="ff-check-cell-image" alt="" src="https://formfacade.com/itemimg/1FAIpQLScaWZS-3xjgCmscQKpQNBfSqAXWFbKYOlNzBSCwCzzidux1jg/item/1417589007/choice/1plE1WkvjHH9_ZxIPK6RF-6NZ2YUwWMliAXlwG637l8J2kJE">
            <input class="ff-form-check-input ff-pointer-events-none" type="radio" name="entry.1651905465" id="entry.1651905465.Gpay/ Paytm - 9004896292"
              onclick="entr=1651905465; if(formFacade.draft.entry[entr]==this.value){ delete formFacade.draft.entry[entr]; this.checked=false; formFacade.saveDraft(); }" value="Gpay/ Paytm - 9004896292" required="">
            <label class="ff-form-check-label ff-pointer-events-none" for="entry.1651905465.Gpay/ Paytm - 9004896292"> Gpay/ Paytm - 9004896292 </label>
          </div>
          <div onclick="let input = this.querySelector('input');if(input) { input.click() }" class="ff-form-check ff-check-cell">
            <img class="ff-check-cell-image" alt=""
              src="https://formfacade.com/itemload/item/aHR0cHM6Ly9saDQuZ29vZ2xldXNlcmNvbnRlbnQuY29tL1oyQUVONmZFZVh4VXdpdTBTT2x4Qk0zR3MxdWZPR3BfN3p5S0MwakltNEQzM1lrQk5ud3BCWjdsLXc5c0lzVFg4eU9La19EYlhoNVdDVWxMN2RiUnFUQmg4bUNvQTNaRnE2LXNJdlFSc2pqMDFuWTN6dzRWRW8tMWNqZmNmd0ZSYUE9dzI2MA==">
            <input class="ff-form-check-input ff-pointer-events-none" type="radio" name="entry.1651905465" id="entry.1651905465.Bank Transfer"
              onclick="entr=1651905465; if(formFacade.draft.entry[entr]==this.value){ delete formFacade.draft.entry[entr]; this.checked=false; formFacade.saveDraft(); }" value="Bank Transfer" required="">
            <label class="ff-form-check-label ff-pointer-events-none" for="entry.1651905465.Bank Transfer"> Bank Transfer </label>
          </div>
        </div>
        <div id="Error1417589007" class="ff-widget-error"></div>
      </div>
      <div class="rest-form-group ff-item   ff-file ff-full-width  ff-item-noprd" id="ff-id-258068523">
        <label class="ff-item-qs " for="Widget258068523"> Add screenshot of your payment <span class="ff-required">*</span>
          <i class="ff-editwidget material-icons">
                    settings
                  </i>
        </label>
        <small id="Static258068523" class="ff-help-empty ff-help form-text mdViewer"></small>
        <input type="hidden" id="Widget258068523" name="entry.96743789" value="">
        <div id="Display258068523" class="ff-widget-control ff-file-upload" data-files="" data-entry="96743789" data-id="258068523" data-uppied="true"><a class="addfile" href="javascript:void(0)">Add file</a></div>
        <div id="Error258068523" class="ff-widget-error"></div>
      </div>
    </div>
    <div class="ff-button-bar">
      <button type="button" class="rest-btn rest-btn-lg rest-btn-primary ff-submit" id="ff-submit-root" onclick="formFacade.submit(this.form, 'root')">
        <img alt="Submit" style="" src="https://formfacade.com/img/send.svg" class="ff-submit-icon">
        <span> Submit </span>
      </button>
    </div>
  </div>
  <div class="ff-section" id="ff-sec-ending" style="display:none">
    <div class="ff-secfields">
      <h3 class="ff-title">BATTLE OF PUZZLES 3</h3>
      <p style="padding-bottom:80px;">Click Submit to finish.</p>
    </div>
    <div class="ff-button-bar">
      <button type="button" class="rest-btn rest-btn-lg rest-btn-secondary ff-back" onclick="formFacade.gotoSection(this.form, 'root', 'back')">
        <!-- arrow back SVG -->
        <span class="material-icons">arrow_back</span>
        <span>Back</span>
      </button>
      <button type="button" class="rest-btn rest-btn-lg rest-btn-primary ff-submit" onclick="formFacade.submit(this.form, '-3')">
        <!-- send SVG -->
        <svg xmlns="http://www.w3.org/2000/svg" height="19" viewBox="0 -960 960 960" width="19" role="img" aria-label="Submit">
          <path d="M120-160v-640l760 320-760 320Zm80-120 474-200-474-200v140l240 60-240 60v140Zm0 0v-400 400Z"></path>
        </svg>
        <span>Submit</span>
      </button>
    </div>
  </div>
</form>

Text Content

Battle of Puzzles
shopping_cart 0
 * shopping_cart 0


shopping_cart Cart close
 * - Your cart is empty -





BATTLE OF PUZZLES 3

Start


BATTLE OF PUZZLES 3

Event Adding form

Name of the Participant (As required on certificate) * settings

Email * settings

Event to add settings
2x2x2 ₹300.00
3x3x3 ₹300.00
4x4x4 ₹300.00
5x5x5 ₹300.00
Pyraminx ₹300.00
Skewb ₹300.00
Mirror ₹300.00
3 Cube Relay ₹500.00
Sudoku ₹500.00
Wordsearch ₹500.00
Crossword ₹500.00

Amount settings

Mode of Payment * settings
Gpay/ Paytm - 9004896292
Bank Transfer

Add screenshot of your payment * settings
Add file

Submit


BATTLE OF PUZZLES 3

Click Submit to finish.

arrow_back Back Submit



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