gems.scriptmatrix.in Open in urlscan Pro
103.250.153.76  Public Scan

Form analysis
1 forms found in the DOM

POST ./

<form method="post" action="./" id="form1" enctype="multipart/form-data">
  <div class="aspNetHidden">
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  </div>
  <div class="aspNetHidden">
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="10E78360">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="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">
  </div>
  <div class="card-header">
    <h3 class="card-title">Registration Now</h3>
  </div>
  <div class="card-body">
    <div class="form-group mb-3">
      <label>Your Name <span class="text-danger">*</span></label><br>
      <input name="txtName" type="text" id="txtName" required="" class="form-control" placeholder="Enter Your Name" autocomplete="off" maxlength="100">
    </div>
    <div class="form-group mb-3">
      <label>Company Name <span class="text-danger">*</span></label><br>
      <input name="txtCompanyName" type="text" id="txtCompanyName" class="form-control" placeholder="Enter Company Name" required="" autocomplete="off" maxlength="255">
    </div>
    <div class="form-group mb-3">
      <label>WhatsApp Number <span class="text-danger">*</span></label><br>
      <input name="txtWhatsAppNumber" type="text" id="txtWhatsAppNumber" class="form-control" placeholder="Enter WhatsApp Number" maxlength="10" required="" onkeypress="return isNumber(event);" autocomplete="off">
      <small>Confirmation will be send on WhatsApp</small>
    </div>
    <div class="form-group mb-3">
      <label>Your Email <span class="text-danger">*</span></label><br>
      <input name="txtEmail" type="email" id="txtEmail" required="" class="form-control" placeholder="Enter Your Email" autocomplete="off">
    </div>
    <div class="row">
      <div class="col-md-6">
        <div class="form-group mb-3">
          <label>City <span class="text-danger">*</span></label><br>
          <select name="ddlCity" id="ddlCity" required="" class="form-control select2bs4 select2-hidden-accessible" data-select2-id="ddlCity" tabindex="-1" aria-hidden="true">
            <option selected="selected" value="-1" data-select2-id="2">-- Select --</option>
            <option value="417">Adalaj</option>
            <option value="1534">Adipur</option>
            <option value="418">Adityana</option>
            <option value="333">Ahmedabad</option>
            <option value="419">Alang</option>
            <option value="420">Ambaji</option>
            <option value="421">Ambaliyasan</option>
            <option value="334">Amreli</option>
            <option value="335">Anand</option>
            <option value="422">Andada</option>
            <option value="423">Anjar</option>
            <option value="424">Anklav</option>
            <option value="336">Ankleshwar</option>
            <option value="425">Antaliya</option>
            <option value="426">Arambhada</option>
            <option value="427">Atul</option>
            <option value="337">Bharuch</option>
            <option value="338">Bhavnagar</option>
            <option value="339">Bhuj</option>
            <option value="1511">Botad</option>
            <option value="340">Cambay</option>
            <option value="341">Dahod</option>
            <option value="342">Deesa</option>
            <option value="343">Dharampur</option>
            <option value="344">Dholka</option>
            <option value="1508">Gandhidham</option>
            <option value="345">Gandhinagar</option>
            <option value="346">Godhra</option>
            <option value="1532">Gondal</option>
            <option value="347">Himatnagar</option>
            <option value="348">Idar</option>
            <option value="349">Jamnagar</option>
            <option value="350">Junagadh</option>
            <option value="351">Kadi</option>
            <option value="352">Kalavad</option>
            <option value="353">Kalol</option>
            <option value="354">Kapadvanj</option>
            <option value="355">Karjan</option>
            <option value="1533">Kathwada</option>
            <option value="356">Keshod</option>
            <option value="357">Khambhalia</option>
            <option value="358">Khambhat</option>
            <option value="359">Kheda</option>
            <option value="360">Khedbrahma</option>
            <option value="361">Kheralu</option>
            <option value="362">Kodinar</option>
            <option value="1509">Kutch</option>
            <option value="363">Lathi</option>
            <option value="364">Limbdi</option>
            <option value="365">Lunawada</option>
            <option value="366">Mahesana</option>
            <option value="367">Mahuva</option>
            <option value="368">Manavadar</option>
            <option value="369">Mandvi</option>
            <option value="370">Mangrol</option>
            <option value="371">Mansa</option>
            <option value="372">Mehmedabad</option>
            <option value="373">Modasa</option>
            <option value="374">Morbi</option>
            <option value="375">Nadiad</option>
            <option value="376">Navsari</option>
            <option value="377">Padra</option>
            <option value="378">Palanpur</option>
            <option value="379">Palitana</option>
            <option value="380">Pardi</option>
            <option value="381">Patan</option>
            <option value="382">Petlad</option>
            <option value="383">Porbandar</option>
            <option value="384">Radhanpur</option>
            <option value="385">Rajkot</option>
            <option value="386">Rajpipla</option>
            <option value="387">Rajula</option>
            <option value="388">Ranavav</option>
            <option value="389">Rapar</option>
            <option value="390">Salaya</option>
            <option value="391">Sanand</option>
            <option value="392">Savarkundla</option>
            <option value="393">Sidhpur</option>
            <option value="394">Sihor</option>
            <option value="395">Songadh</option>
            <option value="396">Surat</option>
            <option value="1512">Surendranagar</option>
            <option value="397">Talaja</option>
            <option value="398">Thangadh</option>
            <option value="399">Tharad</option>
            <option value="400">Umbergaon</option>
            <option value="401">Umreth</option>
            <option value="402">Una</option>
            <option value="403">Unjha</option>
            <option value="404">Upleta</option>
            <option value="405">Vadnagar</option>
            <option value="406">Vadodara</option>
            <option value="407">Valsad</option>
            <option value="408">Vapi</option>
            <option value="409">Vapi</option>
            <option value="410">Veraval</option>
            <option value="411">Vijapur</option>
            <option value="412">Viramgam</option>
            <option value="413">Visnagar</option>
            <option value="414">Vyara</option>
            <option value="415">Wadhwan</option>
            <option value="416">Wankaner</option>
          </select><span class="select2 select2-container select2-container--bootstrap4" dir="ltr" data-select2-id="1" style="width: 295.203px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-ddlCity-container"><span class="select2-selection__rendered" id="select2-ddlCity-container" role="textbox" aria-readonly="true"
                  title="-- Select --">-- Select --</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group mb-3">
          <label>Gender <span class="text-danger">*</span></label><br>
          <select name="ddlGender" id="ddlGender" required="" class="form-control select2bs4 select2-hidden-accessible" data-select2-id="ddlGender" tabindex="-1" aria-hidden="true">
            <option value="0" data-select2-id="4">-- Select Gender --</option>
            <option value="Male">Male</option>
            <option value="Female">Female</option>
          </select><span class="select2 select2-container select2-container--bootstrap4" dir="ltr" data-select2-id="3" style="width: 295.203px;"><span class="selection"><span class="select2-selection select2-selection--single" role="combobox"
                aria-haspopup="true" aria-expanded="false" tabindex="0" aria-disabled="false" aria-labelledby="select2-ddlGender-container"><span class="select2-selection__rendered" id="select2-ddlGender-container" role="textbox" aria-readonly="true"
                  title="-- Select Gender --">-- Select Gender --</span><span class="select2-selection__arrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
        </div>
      </div>
    </div>
    <div class="form-group mb-3">
      <label>Suggest Room Mate</label><br>
      <input name="txtRoomMate" type="text" id="txtRoomMate" class="form-control" placeholder="Enter Suggest Room Mate" autocomplete="off" maxlength="200">
    </div>
    <div class="row">
      <div class="col-md-6">
        <div class="form-group mb-3">
          <label>Upload Adhar Card Front <span class="text-danger">*</span></label><br>
          <input type="file" name="fuAdharFront" id="fuAdharFront" required="" accept=".png,.jpg,.jpeg,.pdf">
        </div>
      </div>
      <div class="col-md-6">
        <div class="form-group mb-3">
          <label>Upload Adhar Card Back <span class="text-danger">*</span></label><br>
          <input type="file" name="fuAdharBack" id="fuAdharBack" required="" accept=".png,.jpg,.jpeg,.pdf">
        </div>
      </div>
    </div>
    <hr>
    <div class="form-group mb-3">
      <label><b>ONLINE PAYMENT</b></label><br>
      <div style="text-align: center;">
        <img title="Payment" width="50%" src="https://gems.scriptmatrix.in/Data/CompanyLogos/Untitled-design-5.jpg">
        <p>UPI ID: amit19751240@okaxis</p>
      </div>
    </div>
    <div class="form-group mb-3">
      <div style="text-align: center;">
        <a href="upi://pay?pa=amit19751240@okaxis&amp;pn=Amit%20Patel&amp;am=7999.50&amp;cu=INR&amp;aid=uGICAgIC1obqUHw" target="_self" aria-label="Pay with">
                      <img title="Payment" width="70%" src="https://gems.scriptmatrix.in/Data/CompanyLogos/Pay-with.png">
                    </a>
      </div>
    </div>
    <hr>
    <div class="form-group mb-3">
      <label><b>Direct Bank Transfer</b></label><br>
      <p> Bank Name: Kotak Mahindra<br> Name: Sanctum Holidays<br> Account Number: 1614521509<br> IFSC: KKBK0002750<br> Branch: 2750 </p>
    </div>
    <hr>
    <div class="form-group mb-3">
      <label>Upload Payment Screenshot <span class="text-danger">*</span></label><br>
      <input type="file" name="fuPaymentScreenshot" id="fuPaymentScreenshot" required="" accept=".png,.jpg,.jpeg,.pdf">
    </div>
  </div>
  <div class="card-footer">
    <div class="form-group mt-3" style="text-align: center; text-align: -webkit-center;">
      <input type="submit" name="btnRegister" value="REGISTRATION NOW" id="btnRegister" class="btn btn-primary btn-block" style="width:200px;">
    </div>
  </div>
</form>

Text Content

GUJARAT ENERGY MEET
OF SOLAR INDUSTRY
@ DAMAN


7TH JAN 2024 - SUNDAY


REGISTRATION NOW

Your Name *

Company Name *

WhatsApp Number *
Confirmation will be send on WhatsApp
Your Email *

City *
-- Select -- Adalaj Adipur Adityana Ahmedabad Alang Ambaji Ambaliyasan Amreli
Anand Andada Anjar Anklav Ankleshwar Antaliya Arambhada Atul Bharuch Bhavnagar
Bhuj Botad Cambay Dahod Deesa Dharampur Dholka Gandhidham Gandhinagar Godhra
Gondal Himatnagar Idar Jamnagar Junagadh Kadi Kalavad Kalol Kapadvanj Karjan
Kathwada Keshod Khambhalia Khambhat Kheda Khedbrahma Kheralu Kodinar Kutch Lathi
Limbdi Lunawada Mahesana Mahuva Manavadar Mandvi Mangrol Mansa Mehmedabad Modasa
Morbi Nadiad Navsari Padra Palanpur Palitana Pardi Patan Petlad Porbandar
Radhanpur Rajkot Rajpipla Rajula Ranavav Rapar Salaya Sanand Savarkundla Sidhpur
Sihor Songadh Surat Surendranagar Talaja Thangadh Tharad Umbergaon Umreth Una
Unjha Upleta Vadnagar Vadodara Valsad Vapi Vapi Veraval Vijapur Viramgam
Visnagar Vyara Wadhwan Wankaner -- Select --
Gender *
-- Select Gender -- Male Female -- Select Gender --
Suggest Room Mate

Upload Adhar Card Front *

Upload Adhar Card Back *


--------------------------------------------------------------------------------

ONLINE PAYMENT


UPI ID: amit19751240@okaxis



--------------------------------------------------------------------------------

Direct Bank Transfer


Bank Name: Kotak Mahindra
Name: Sanctum Holidays
Account Number: 1614521509
IFSC: KKBK0002750
Branch: 2750

--------------------------------------------------------------------------------

Upload Payment Screenshot *