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Form analysis
2 forms found in the DOM

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<form action="#">
  <input class="search-input" type="search" placeholder="Search Here">
  <div class="outer-close toggle-overlay">
    <button type="button" class="search-close">
      <i class="fas fa-times"></i>
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  </div>
</form>

Name: add_form — POST

<form id="add_form" name="add_form" method="post" enctype="multipart/form-data">
  <div class="row">
    <div class="col-sm-4">
      <div class="form-group">
        <label><b>Journal Name</b> <small>*</small></label>
        <select name="journal_id" id="journal_id" class="form-control txtarea ">
          <option value="">Please Select Journal</option>
          <option value="1">SMP Family Medicine and Primary Care</option>
          <option value="3">SMP Urology and Research</option>
          <option value="4">SMP Journal of Microbiology</option>
          <option value="17">SMP Human Nutrition and Dietetics</option>
          <option value="5">SMP Nursing Education</option>
          <option value="6">SMP Vascular Medicine and Surgery</option>
          <option value="18">SMP Sexual Medicine</option>
          <option value="7">SMP Sports Science and Medicine</option>
          <option value="8">SMP Brain and Neurological Disorders</option>
          <option value="9">SMP Chemical Engineering Science</option>
          <option value="10">SMP Sleep Medicine and Disorders</option>
          <option value="11">SMP Pediatrics and Child Health</option>
          <option value="12" selected="">SMP Obstetrics and Gynecology</option>
          <option value="13">SMP Psychiatry and Mental Health</option>
          <option value="14">SMP Pharmacology and Therapeutics</option>
          <option value="15">SMP Cardiology and Cardiovascular Medicine</option>
          <option value="20">SMP Environmental Science and Technology</option>
          <option value="16">SMP Biotechnology and Bioengineering</option>
          <option value="19">SMP Orthopedics Research and Traumatology</option>
          <option value="21">SMP Public Health and Research</option>
          <option value="22">SMP Clinical Nephrology and Research</option>
          <option value="23">SMP Journal of Cancer Research</option>
          <option value="24">SMP Clinical Case Reports</option>
          <option value="25">SMP Otolaryngology and Rhinology</option>
          <option value="26">SMP Gastroenterology and Hepatology</option>
          <option value="27">SMP Surgery and Medicine</option>
          <option value="28">SMP Dermatology and Clinical Research</option>
          <option value="29">SMP Emergency Medicine and Critical Care</option>
          <option value="30">SMP Radiology and Imaging</option>
          <option value="2">SMP Journal of Chemistry</option>
          <option value="31">SMP Clinical Anesthesiology</option>
          <option value="32">SMP Molecular and Cellular Biochemistry</option>
          <option value="33">SMP Nanotechnology and Nanomedicine</option>
          <option value="34">SMP Community Medicine and Practice</option>
          <option value="35">SMP Journal of Dentistry</option>
          <option value="36">SMP Journal of Hematology</option>
          <option value="37">SMP Veterinary Science</option>
          <option value="38">SMP Plant Biology and Research</option>
          <option value="39">Archives of Astronomy and Astrophysics</option>
          <option value="40">Archives of Polymer Engineering and Science</option>
        </select>
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label><b>Article Title</b> <small>*</small></label>
        <input id="article_title" name="article_title" type="text" placeholder="Enter your Title" class="form-control txtarea">
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label><b>Author Name</b> <small>*</small></label>
        <input name="fname" id="fname" type="text" placeholder="Enter your Name" class="form-control txtarea">
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label><b>Email Address</b> <small>*</small></label>
        <input id="email" name="email" class="form-control required email txtarea" type="email" placeholder="Enter your Email ID">
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label>Country <small>*</small></label>
        <select name="country" id="country" class="form-control">
          <option id="XX" value="">Please choose a country</option>
          <option id="us" value="UNITED STATES">UNITED STATES </option>
          <option id="af" value="AFGHANISTAN">AFGHANISTAN</option>
          <option id="ax" value="ALAND ISLANDS">ALAND ISLANDS</option>
          <option id="al" value="ALBANIA">ALBANIA</option>
          <option id="dz" value="ALGERIA">ALGERIA</option>
          <option id="as" value="AMERICAN SAMOA">AMERICAN SAMOA</option>
          <option id="ad" value="ANDORRA">ANDORRA</option>
          <option id="ao" value="ANGOLA">ANGOLA</option>
          <option id="ai" value="ANGUILLA">ANGUILLA</option>
          <option id="aq" value="ANTARCTICA">ANTARCTICA</option>
          <option id="ag" value="ANTIGUA AND BARBUDA">ANTIGUA AND BARBUDA</option>
          <option id="ar" value="ARGENTINA">ARGENTINA</option>
          <option id="am" value="ARMENIA">ARMENIA</option>
          <option id="aw" value="ARUBA">ARUBA</option>
          <option id="au" value="AUSTRALIA">AUSTRALIA</option>
          <option id="at" value="AUSTRIA">AUSTRIA</option>
          <option id="az" value="AZERBAIJAN">AZERBAIJAN</option>
          <option id="bs" value="BAHAMAS">BAHAMAS</option>
          <option id="bh" value="BAHRAIN">BAHRAIN</option>
          <option id="bd" value="BANGLADESH">BANGLADESH</option>
          <option id="bb" value="BARBADOS">BARBADOS</option>
          <option id="by" value="BELARUS">BELARUS</option>
          <option id="be" value="BELGIUM">BELGIUM</option>
          <option id="bz" value="BELIZE">BELIZE</option>
          <option id="bj" value="BENIN">BENIN</option>
          <option id="bm" value="BERMUDA">BERMUDA</option>
          <option id="bt" value="BHUTAN">BHUTAN</option>
          <option id="bo" value="BOLIVIA">BOLIVIA</option>
          <option id="ba" value="BOSNIA AND HERZEGOVINA">BOSNIA AND HERZEGOVINA</option>
          <option id="bw" value="BOTSWANA">BOTSWANA</option>
          <option id="bv" value="BOUVET ISLAND">BOUVET ISLAND</option>
          <option id="br" value="BRAZIL">BRAZIL</option>
          <option id="io" value="BRITISH INDIAN OCEAN TERRITORY">BRITISH INDIAN OCEAN TERRITORY</option>
          <option id="bn" value="BRUNEI DARUSSALAM">BRUNEI DARUSSALAM</option>
          <option id="bg" value="BULGARIA">BULGARIA</option>
          <option id="bf" value="BURKINA FASO">BURKINA FASO</option>
          <option id="bi" value="BURUNDI">BURUNDI</option>
          <option id="kh" value="CAMBODIA">CAMBODIA</option>
          <option id="cm" value="CAMEROON">CAMEROON</option>
          <option id="ca" value="CANADA">CANADA</option>
          <option id="cv" value="CAPE VERDE">CAPE VERDE</option>
          <option id="ky" value="CAYMAN ISLANDS">CAYMAN ISLANDS</option>
          <option id="cf" value="CENTRAL AFRICAN REPUBLIC">CENTRAL AFRICAN REPUBLIC</option>
          <option id="td" value="CHAD">CHAD</option>
          <option id="cl" value="CHILE">CHILE</option>
          <option id="cn" value="CHINA">CHINA</option>
          <option id="cx" value="CHRISTMAS ISLAND">CHRISTMAS ISLAND</option>
          <option id="cc" value="COCOS (KEELING) ISLANDS">COCOS (KEELING) ISLANDS</option>
          <option id="co" value="COLOMBIA">COLOMBIA</option>
          <option id="km" value="COMOROS">COMOROS</option>
          <option id="cg" value="CONGO">CONGO</option>
          <option id="cd" value="CONGO, THE DEMOCRATIC REPUBLIC OF THE">CONGO, THE DEMOCRATIC REPUBLIC OF THE</option>
          <option id="ck" value="COOK ISLANDS">COOK ISLANDS</option>
          <option id="cr" value="COSTA RICA">COSTA RICA</option>
          <option id="ci" value="COTE D'IVOIRE">COTE D'IVOIRE</option>
          <option id="hr" value="CROATIA">CROATIA</option>
          <option id="cu" value="CUBA">CUBA</option>
          <option id="cy" value="CYPRUS">CYPRUS</option>
          <option id="cz" value="CZECH REPUBLIC">CZECH REPUBLIC</option>
          <option id="dk" value="DENMARK">DENMARK</option>
          <option id="dj" value="DJIBOUTI">DJIBOUTI</option>
          <option id="dm" value="DOMINICA">DOMINICA</option>
          <option id="do" value="DOMINICAN REPUBLIC">DOMINICAN REPUBLIC</option>
          <option id="tl" value="EAST TIMOR">EAST TIMOR</option>
          <option id="ec" value="ECUADOR">ECUADOR</option>
          <option id="eg" value="EGYPT">EGYPT</option>
          <option id="sv" value="EL SALVADOR">EL SALVADOR</option>
          <option id="gq" value="EQUATORIAL GUINEA">EQUATORIAL GUINEA</option>
          <option id="er" value="ERITREA">ERITREA</option>
          <option id="ee" value="ESTONIA">ESTONIA</option>
          <option id="et" value="ETHIOPIA">ETHIOPIA</option>
          <option id="fk" value="FALKLAND ISLANDS (MALVINAS)">FALKLAND ISLANDS (MALVINAS)</option>
          <option id="fo" value="FAROE ISLANDS">FAROE ISLANDS</option>
          <option id="fj" value="FIJI">FIJI</option>
          <option id="fi" value="FINLAND">FINLAND</option>
          <option id="fr" value="FRANCE">FRANCE</option>
          <option id="gf" value="FRENCH GUIANA">FRENCH GUIANA</option>
          <option id="pf" value="FRENCH POLYNESIA">FRENCH POLYNESIA</option>
          <option id="tf" value="FRENCH SOUTHERN TERRITORIES">FRENCH SOUTHERN TERRITORIES</option>
          <option id="ga" value="GABON">GABON</option>
          <option id="gm" value="GAMBIA">GAMBIA</option>
          <option id="ge" value="GEORGIA">GEORGIA</option>
          <option id="de" value="GERMANY">GERMANY</option>
          <option id="gh" value="GHANA">GHANA</option>
          <option id="gi" value="GIBRALTAR">GIBRALTAR</option>
          <option id="gr" value="GREECE">GREECE</option>
          <option id="gl" value="GREENLAND">GREENLAND</option>
          <option id="gd" value="GRENADA">GRENADA</option>
          <option id="gp" value="GUADELOUPE">GUADELOUPE</option>
          <option id="gu" value="GUAM">GUAM</option>
          <option id="gt" value="GUATEMALA">GUATEMALA</option>
          <option id="gg" value="GUERNSEY">GUERNSEY</option>
          <option id="gn" value="GUINEA">GUINEA</option>
          <option id="gw" value="GUINEA-BISSAU">GUINEA-BISSAU</option>
          <option id="gy" value="GUYANA">GUYANA</option>
          <option id="ht" value="HAITI">HAITI</option>
          <option id="hm" value="HEARD AND MC DONALD ISLANDS">HEARD AND MC DONALD ISLANDS</option>
          <option id="hn" value="HONDURAS">HONDURAS</option>
          <option id="hk" value="HONG KONG">HONG KONG</option>
          <option id="hu" value="HUNGARY">HUNGARY</option>
          <option id="is" value="ICELAND">ICELAND</option>
          <option id="in" value="INDIA">INDIA</option>
          <option id="id" value="INDONESIA">INDONESIA</option>
          <option id="ir" value="IRAN (ISLAMIC REPUBLIC OF)">IRAN (ISLAMIC REPUBLIC OF)</option>
          <option id="iq" value="IRAQ">IRAQ</option>
          <option id="ie" value="IRELAND">IRELAND</option>
          <option id="im" value="ISLE OF MAN">ISLE OF MAN</option>
          <option id="il" value="ISRAEL">ISRAEL</option>
          <option id="it" value="ITALY">ITALY</option>
          <option id="jm" value="JAMAICA">JAMAICA</option>
          <option id="jp" value="JAPAN">JAPAN</option>
          <option id="je" value="JERSEY">JERSEY</option>
          <option id="jo" value="JORDAN">JORDAN</option>
          <option id="kz" value="KAZAKHSTAN">KAZAKHSTAN</option>
          <option id="ke" value="KENYA">KENYA</option>
          <option id="ki" value="KIRIBATI">KIRIBATI</option>
          <option id="kp" value="KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF">KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF</option>
          <option id="kr" value="KOREA, REPUBLIC OF">KOREA, REPUBLIC OF</option>
          <option id="kw" value="KUWAIT">KUWAIT</option>
          <option id="kg" value="KYRGYZSTAN">KYRGYZSTAN</option>
          <option id="la" value="LAO PEOPLE'S DEMOCRATIC REPUBLIC">LAO PEOPLE'S DEMOCRATIC REPUBLIC</option>
          <option id="lv" value="LATVIA">LATVIA</option>
          <option id="lb" value="LEBANON">LEBANON</option>
          <option id="ls" value="LESOTHO">LESOTHO</option>
          <option id="lr" value="LIBERIA">LIBERIA</option>
          <option id="ly" value="LIBYAN ARAB JAMAHIRIYA">LIBYAN ARAB JAMAHIRIYA</option>
          <option id="li" value="LIECHTENSTEIN">LIECHTENSTEIN</option>
          <option id="lt" value="LITHUANIA">LITHUANIA</option>
          <option id="lu" value="LUXEMBOURG">LUXEMBOURG</option>
          <option id="mo" value="MACAU">MACAU</option>
          <option id="mk" value="MACEDONIA, THE FORMER YUGOSLAV REPUBLIC">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC</option>
          <option id="mg" value="MADAGASCAR">MADAGASCAR</option>
          <option id="mw" value="MALAWI">MALAWI</option>
          <option id="my" value="MALAYSIA">MALAYSIA</option>
          <option id="mv" value="MALDIVES">MALDIVES</option>
          <option id="ml" value="MALI">MALI</option>
          <option id="mt" value="MALTA">MALTA</option>
          <option id="mh" value="MARSHALL ISLANDS">MARSHALL ISLANDS</option>
          <option id="mq" value="MARTINIQUE">MARTINIQUE</option>
          <option id="mr" value="MAURITANIA">MAURITANIA</option>
          <option id="mu" value="MAURITIUS">MAURITIUS</option>
          <option id="yt" value="MAYOTTE">MAYOTTE</option>
          <option id="mx" value="MEXICO">MEXICO</option>
          <option id="fm" value="MICRONESIA, FEDERATED STATES OF">MICRONESIA, FEDERATED STATES OF</option>
          <option id="md" value="MOLDOVA, REPUBLIC OF">MOLDOVA, REPUBLIC OF</option>
          <option id="mc" value="MONACO">MONACO</option>
          <option id="mn" value="MONGOLIA">MONGOLIA</option>
          <option id="me" value="MONTENEGRO">MONTENEGRO</option>
          <option id="ms" value="MONTSERRAT">MONTSERRAT</option>
          <option id="ma" value="MOROCCO">MOROCCO</option>
          <option id="mz" value="MOZAMBIQUE">MOZAMBIQUE</option>
          <option id="mm" value="MYANMAR">MYANMAR</option>
          <option id="na" value="NAMIBIA">NAMIBIA</option>
          <option id="nr" value="NAURU">NAURU</option>
          <option id="np" value="NEPAL">NEPAL</option>
          <option id="nl" value="NETHERLANDS">NETHERLANDS</option>
          <option id="an" value="NETHERLANDS ANTILLES">NETHERLANDS ANTILLES</option>
          <option id="nc" value="NEW CALEDONIA">NEW CALEDONIA</option>
          <option id="nz" value="NEW ZEALAND">NEW ZEALAND</option>
          <option id="ni" value="NICARAGUA">NICARAGUA</option>
          <option id="ne" value="NIGER">NIGER</option>
          <option id="ng" value="NIGERIA">NIGERIA</option>
          <option id="nu" value="NIUE">NIUE</option>
          <option id="nf" value="NORFOLK ISLAND">NORFOLK ISLAND</option>
          <option id="mp" value="NORTHERN MARIANA ISLANDS">NORTHERN MARIANA ISLANDS</option>
          <option id="no" value="NORWAY">NORWAY</option>
          <option id="om" value="OMAN">OMAN</option>
          <option id="pk" value="PAKISTAN">PAKISTAN</option>
          <option id="pw" value="PALAU">PALAU</option>
          <option id="ps" value="PALESTINIAN TERRITORY, OCCUPIED">PALESTINIAN TERRITORY, OCCUPIED</option>
          <option id="pa" value="PANAMA">PANAMA</option>
          <option id="pg" value="PAPUA NEW GUINEA">PAPUA NEW GUINEA</option>
          <option id="py" value="PARAGUAY">PARAGUAY</option>
          <option id="pe" value="PERU">PERU</option>
          <option id="ph" value="PHILIPPINES">PHILIPPINES</option>
          <option id="pn" value="PITCAIRN">PITCAIRN</option>
          <option id="pl" value="POLAND">POLAND</option>
          <option id="pt" value="PORTUGAL">PORTUGAL</option>
          <option id="pr" value="PUERTO RICO">PUERTO RICO</option>
          <option id="qa" value="QATAR">QATAR</option>
          <option id="re" value="REUNION">REUNION</option>
          <option id="ro" value="ROMANIA">ROMANIA</option>
          <option id="ru" value="RUSSIAN FEDERATION">RUSSIAN FEDERATION</option>
          <option id="rw" value="RWANDA">RWANDA</option>
          <option id="kn" value="SAINT KITTS AND NEVIS">SAINT KITTS AND NEVIS</option>
          <option id="lc" value="SAINT LUCIA">SAINT LUCIA</option>
          <option id="vc" value="SAINT VINCENT AND THE GRENADINES">SAINT VINCENT AND THE GRENADINES</option>
          <option id="ws" value="SAMOA">SAMOA</option>
          <option id="sm" value="SAN MARINO">SAN MARINO</option>
          <option id="st" value="SAO TOME AND PRINCIPE">SAO TOME AND PRINCIPE</option>
          <option id="sa" value="SAUDI ARABIA">SAUDI ARABIA</option>
          <option id="sn" value="SENEGAL">SENEGAL</option>
          <option id="rs" value="SERBIA">SERBIA</option>
          <option id="sc" value="SEYCHELLES">SEYCHELLES</option>
          <option id="sl" value="SIERRA LEONE">SIERRA LEONE</option>
          <option id="sg" value="SINGAPORE">SINGAPORE</option>
          <option id="sk" value="SLOVAKIA">SLOVAKIA</option>
          <option id="si" value="SLOVENIA">SLOVENIA</option>
          <option id="sb" value="SOLOMON ISLANDS">SOLOMON ISLANDS</option>
          <option id="so" value="SOMALIA">SOMALIA</option>
          <option id="za" value="SOUTH AFRICA">SOUTH AFRICA</option>
          <option id="gs" value="SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS">SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS</option>
          <option id="es" value="SPAIN">SPAIN</option>
          <option id="lk" value="SRI LANKA">SRI LANKA</option>
          <option id="sh" value="ST. HELENA">ST. HELENA</option>
          <option id="pm" value="ST. PIERRE AND MIQUELON">ST. PIERRE AND MIQUELON</option>
          <option id="sd" value="SUDAN">SUDAN</option>
          <option id="sr" value="SURINAME">SURINAME</option>
          <option id="sj" value="SVALBARD AND JAN MAYEN ISLANDS">SVALBARD AND JAN MAYEN ISLANDS</option>
          <option id="sz" value="SWAZILAND">SWAZILAND</option>
          <option id="se" value="SWEDEN">SWEDEN</option>
          <option id="ch" value="SWITZERLAND">SWITZERLAND</option>
          <option id="sy" value="SYRIAN ARAB REPUBLIC">SYRIAN ARAB REPUBLIC</option>
          <option id="tw" value="TAIWAN">TAIWAN</option>
          <option id="tj" value="TAJIKISTAN">TAJIKISTAN</option>
          <option id="tz" value="TANZANIA, UNITED REPUBLIC OF">TANZANIA, UNITED REPUBLIC OF</option>
          <option id="th" value="THAILAND">THAILAND</option>
          <option id="tg" value="TOGO">TOGO</option>
          <option id="tk" value="TOKELAU">TOKELAU</option>
          <option id="to" value="TONGA">TONGA</option>
          <option id="tt" value="TRINIDAD AND TOBAGO">TRINIDAD AND TOBAGO</option>
          <option id="tn" value="TUNISIA">TUNISIA</option>
          <option id="tr" value="TURKEY">TURKEY</option>
          <option id="tm" value="TURKMENISTAN">TURKMENISTAN</option>
          <option id="tc" value="TURKS AND CAICOS ISLANDS">TURKS AND CAICOS ISLANDS</option>
          <option id="tv" value="TUVALU">TUVALU</option>
          <option id="ug" value="UGANDA">UGANDA</option>
          <option id="ua" value="UKRAINE">UKRAINE</option>
          <option id="ae" value="UNITED ARAB EMIRATES">UNITED ARAB EMIRATES</option>
          <option id="gb" value="UNITED KINGDOM">UNITED KINGDOM</option>
          <option id="um" value="UNITED STATES MINOR OUTLYING ISLANDS">UNITED STATES MINOR OUTLYING ISLANDS</option>
          <option id="uy" value="URUGUAY">URUGUAY</option>
          <option id="uz" value="UZBEKISTAN">UZBEKISTAN</option>
          <option id="vu" value="VANUATU">VANUATU</option>
          <option id="va" value="VATICAN CITY STATE (HOLY SEE)">VATICAN CITY STATE (HOLY SEE)</option>
          <option id="ve" value="VENEZUELA">VENEZUELA</option>
          <option id="vn" value="VIET NAM">VIET NAM</option>
          <option id="vg" value="VIRGIN ISLANDS (BRITISH)">VIRGIN ISLANDS (BRITISH)</option>
          <option id="vi" value="VIRGIN ISLANDS (U.S.)">VIRGIN ISLANDS (U.S.)</option>
          <option id="wf" value="WALLIS AND FUTUNA ISLANDS">WALLIS AND FUTUNA ISLANDS</option>
          <option id="eh" value="WESTERN SAHARA">WESTERN SAHARA</option>
          <option id="ye" value="YEMEN">YEMEN</option>
          <option id="zm" value="ZAMBIA">ZAMBIA</option>
          <option id="zw" value="ZIMBABWE">ZIMBABWE</option>
        </select>
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label><b>Phone Number</b> <small>*</small></label>
        <input id="txtPhoneNo" name="txtPhoneNo" type="number" placeholder="Enter your Phone Number" class="form-control txtarea">
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label><b>Whatsapp Number</b></label>
        <input id="whatsapp" name="whatsapp" type="number" placeholder="Enter your Whatsapp Number" class="form-control txtarea">
      </div>
    </div>
    <div class="col-sm-4">
      <div class="form-group">
        <label>Upload File</label>
        <input name="manuscript" id="eb_image" class="form-control txtarea" type="file" multiple="" data-show-upload="false" data-show-caption="true" style="width:">
      </div>
    </div>
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  <small><b>Note:</b> We allowed only pdf, doc, docx, zip, rar. If you have more than one file, we request you to make it as zip or rar and upload it. </small>
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