hybrid.chkdin.com Open in urlscan Pro
157.245.78.125  Public Scan

Form analysis
1 forms found in the DOM

POST https://hybrid.chkdin.com/save_ticket

<form id="neweventForm" action="https://hybrid.chkdin.com/save_ticket" enctype="multipart/form-data" method="post">
  <input type="hidden" name="category_id" id="category_id" value="0">
  <input type="hidden" name="slug" id="slug" value="Karnataka-Government-2024">
  <input type="hidden" name="event_id" id="event_id" value="117700">
  <div class="row" id="regform">
    <h2>presonal info:</h2>
    <div class="col-md-4 col-sm-6">
      <div class="input-group">
        <label for="name">Name</label>
        <input type="text" required="" class="form-control" name="name" id="name" placeholder="Enter Name">
      </div>
    </div>
    <div class="col-md-4 col-sm-6">
      <div class="input-group">
        <label for="email">Email</label>
        <input type="email" required="" class="form-control" name="email" id="email" placeholder="Enter Email">
      </div>
    </div>
    <div class="col-md-4 col-sm-6">
      <div class="input-group mobile_dropdown">
        <label for="mobile">Mobile/Whatsapp</label>
        <select name="country_code">
          <option value="91">+91</option>
        </select>
        <input type="mobile" required="" class="form-control" name="mobile" id="mobile" placeholder="Enter Mobile No.">
      </div>
    </div>
    <div class="col-md-4 col-sm-6">
      <div class="input-group">
        <label for="company">Company</label>
        <input type="company" class="form-control" name="company" id="company" placeholder="Enter Company Name">
      </div>
    </div>
    <div class="col-md-4 col-sm-6">
      <div class="input-group">
        <label for="designation">Designation</label>
        <input type="designation" class="form-control" name="designation" id="designation" placeholder="Enter Designation">
      </div>
    </div>
    <div class="col-md-4">
      <div class="input-group">
        <label for="city">City</label>
        <input type="text" class="form-control" name="city" id="city" placeholder="Enter City">
      </div>
    </div>
    <div class="col-md-4">
      <div class="input-group">
        <label for="bio">Country</label>
        <input type="text" class="form-control" name="country" id="country" placeholder="Enter Country">
      </div>
    </div>
    <div class="col-md-12">
      <div class="input_sub_button">
        <input type="submit" id="checkout" value="continue to checkout">
      </div>
    </div>
  </div>
</form>

Text Content

HOSTED BY




KFCSC 50TH ANNIVERSARY & ANNABHAGYA 10TH ANNIVERSARY CELEBRATION

 * 29th Feb 2024 - 29th Feb 2024


 * Registration

Tickets

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

In-person Registration


FAIR PRICE SHOP MEMBERS 

 



VISITOR 

 



REGISTRATION FORM


PRESONAL INFO:

Name
Email
Mobile/Whatsapp +91
Company
Designation
City
Country





DATE & TIME


TOPICS