forms.zohopublic.in Open in urlscan Pro
169.148.148.113  Public Scan

Submitted URL: https://zfrmz.in/Q2QViBCgypaDcCf7mzJO
Effective URL: https://forms.zohopublic.in/societyofindiandefencemanufa/form/DelegateRegistrationFormSWAVLAMBANNavalInnovationa/formperma/E...
Submission: On July 13 via manual from AT — Scanned from DE

Form analysis 1 forms found in the DOM

Name: test

<form name="test" id="test"><input type="hidden" name="formName" value="DelegateRegistrationFormSWAVLAMBANNavalInnovationa" id="formName"><input type="hidden" name="verifyPerma" value=""
    id="verifyPerma"><!-- Form Perma will be sent only for PermaUrls -->
  <input type="hidden" name="formPerma" value="EXP5q_GrRw_bHa3eSqudGefstajRXtB7oBJbkvg1zeY" id="formPerma"><input type="hidden" name="referrerName" id="referrerName" value="null"><input type="hidden" name="isPaymentForm" value="true"
    id="isPaymentForm"><input type="hidden" name="formType" value="0" id="formType">
  <input type="hidden" id="zf_date_format" datelocale="en-GB" name="date_format" value="dd-MMM-yyyy"><input type="hidden" name="isDocsPublicForm" value="false" id="isDocsPublicForm">
  <input type="hidden" name="formrid" value="" id="formrid">
  <input type="hidden" name="resizeform" value="0" id="resizeform">
  <div id="zf_utmTrack" style="display: none;"></div>
  <div class="templateWrapper" id="formRedirectURL" style="min-height:1070px;">
    <!-- 'FieldElement' class is imported in order to get the key for display name of the component of 'Address' field.
'FormField' class is used to get field type of Zoho CRM field.-->
    <div id="formBodyDiv" class="formRelative subContWrap topAlign"><!-- <button elname="openPopUpSubForm" onclick="openPopUp();event.preventDefault()"> Open subform pop up </button> -->
      <!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
      <ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="1" needpagedata="true">
        <!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
        <!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
        <!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
        <!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
        <!-- formMetaData.key=Field link name -->
        <!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
        <!--To exclude Html field in rules we are setting comptype as 0 for Html field. That is Html field will not be included in any condition. -->
        <li tabindex="1" id="HtmlText-li" class="tempFrmWrapper note" elname="livefield-elem" compname="HtmlText" comptype="0" page_no="1" page_link_name="Page"><label class="descFld">
            <div><img style="max-width: 750px;" width="100%" src="/societyofindiandefencemanufa/downloadlogoperma?filepath=%2FDelegateRegistrationFormSWAVLAMBANNavalInnovationa%2Fzeimage%2F1656908582056_Banner_Navy.jpg"><br><br>
              <p class="wordsection1 align-center" style="margin: 0px 0cm 0cm; text-align: center">
                <a name="_Hlk86050436" target="_blank" rel="noopener noreferrer"><b><span class="font" style="font-family: Arial, sans-serif"><span class="size" style="font-size: 18pt">SWAVLAMBAN</span></span></b></a><br></p>
            </div>
            <p style="text-align: center; margin: 0px" align="center">
              <i><span class="font" style="font-family: Arial, sans-serif"><span class="size" style="font-size: 14pt">Naval Innovation &amp; Indigenisation Organisation Seminar &amp; Exhibition</span></span></i><br></p>
            <p style="margin-top: 0px; text-align: center" class="MsoTitle align-center">
              <u><span class="colour" style="color: black"><span class="font" style="font-family: Arial, sans-serif"><span class="size" style="font-size: 12pt"><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><span class="size" style="font-size: 13.3333px">18 – 19 July 2022,&nbsp;</span></span></span><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><span class="size" style="font-size: 13.3333px">Dr. Ambedkar International Centre, 15, Janpath, New Delhi</span></span></span></span></u><br>
            </p>
            <div><br></div>
            <div>
              <p class="wordsection1" style="margin: 0px 0cm 0cm; text-align: center" align="center">
                <b><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><u><span class="size" style="font-size: 16px">DELEGATE REGISTRATION FORM</span></u></span></b><br></p>
            </div>
            <div class="align-center" style="text-align: center"><b><span class="colour" style="color: rgb(255, 0, 0)">(Last Date of Registration: 13 July 2022 till 1200 Hrs)</span></b></div>
            <p style="margin-top: 0px"><br></p>
            <div>
              <b><span class="font" style="font-family: Arial, sans-serif"><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><span class="size" style="font-size: 13.3333px"><u>Delegate Fee Per Participant </u></span></span></span></b><span
                class="font" style="font-family: Arial, sans-serif"><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><span class="size" style="font-size: 13.3333px"><u> (+ GST)</u></span></span></span><br></div>
            <ul style="margin-top: 0cm">
              <li style="margin: 0px"><span class="font" style="font-family: Arial, sans-serif"><span class="size" style="font-size: 12pt"><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><span class="size"
                        style="font-size: 13.3333px">INR 3,000/- for SIDM/ CII Members</span></span></span></span><br></li>
              <li style="margin: 0px"><span class="font" style="font-family: Arial, sans-serif"><span class="size" style="font-size: 12pt"><span class="font" style="font-family: arial, helvetica, sans-serif, sans-serif"><span class="size"
                        style="font-size: 13.3333px">INR 5,000/- for Non-Members</span></span></span></span><br></li>
            </ul>
            <div><br></div>
          </label>
          <div class="clearBoth"></div>
        </li>
        <li class="zfradio tempFrmWrapper threeColumns " elname="livefield-elem" comptype="13" id="Radio-li" needdata="true" compname="Radio" linkname="Radio" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" choice_type="radio">
          <label class="labelName"><span>Category</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <div class="overflow customRadioBtn">
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="radio" id="Radio_1" name="Radio" elname="Radio" class="radioBtnType" value="MEMBER SIDM" formula_val=""
                  onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this);">
                <label for="Radio_1" class="radioChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">MEMBER SIDM</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="radio" id="Radio_2" name="Radio" elname="Radio" class="radioBtnType" value="MEMBER CII" formula_val=""
                  onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this);">
                <label for="Radio_2" class="radioChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">MEMBER CII</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="radio" id="Radio_3" name="Radio" elname="Radio" class="radioBtnType" value="NON MEMBER" formula_val=""
                  onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this);">
                <label for="Radio_3" class="radioChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">NON MEMBER</em>
                </label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Radio"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine-li" needdata="false" compname="SingleLine" linkname="SingleLine" isvisible="true" class="tempFrmWrapper small" mandatory="false" page_no="1" page_link_name="Page" showlabel="true"
          style="display: none;">
          <label class="labelName">
            <span>Membership Number</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine"></p>
            <p class="instruction instrSpace" elname="hint" id="hint-SingleLine"> Membership Number </p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine1-li" needdata="true" compname="SingleLine1" linkname="SingleLine1" isvisible="true" class="tempFrmWrapper large" mandatory="true" page_no="1" page_link_name="Page" showlabel="true">
          <label class="labelName">
            <span>Name of the Company</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine1" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine1"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper name namemedium zfSelect2CustomCont" elname="livefield-elem" comptype="7" needdata="true" id="Name-li" compname="Name" linkname="Name" isvisible="true" mandatory="true" page_no="1" page_link_name="Page"
          regex_type="0" showlabel="true">
          <label class="labelName">
            <span>Delegate Name</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv twoType">
            <div class="nameWrapper salutationWrapper">
              <span class="salutation">
                <div class="form_selectBox">
                  <div class="selectArrow"></div>
                  <select onchange="ZFLive.validateFieldConstraint(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" name="Name" complink="Name_Salutation" id="Name_Salutation" mandatory="true" tabindex="-1"
                    class="select2-hidden-accessible" aria-hidden="true">
                    <option selected="true" value="-Select-">-Select-</option>
                    <option value="Mr.">Mr.</option>
                    <option value="Mrs.">Mrs.</option>
                    <option value="Ms.">Ms.</option>
                  </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 107.188px;"><span class="selection"><span class="select2-selection select2-selection--single select2FormCont" role="combobox"
                        aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-Name_Salutation-container"><span class="select2-selection__rendered" id="select2-Name_Salutation-container" title="-Select-">
                          <div class="select2FormFont drpDwnPlaceholder">-Select-</div>
                        </span><span class="select2-selection__arrow select2FormArrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
                </div>
                <label class="formSubInfoText">Title</label>
              </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name" complink="Name_First" value="" mandatory="true" placeholder="">
                <label class="formSubInfoText">First Name</label>
              </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name" complink="Name_Last" value="" mandatory="true" placeholder="">
                <label class="formSubInfoText">Last Name</label>
              </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Name"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine2-li" needdata="true" compname="SingleLine2" linkname="SingleLine2" isvisible="true" class="tempFrmWrapper small" mandatory="false" page_no="1" page_link_name="Page" showlabel="true">
          <label class="labelName">
            <span>Designation</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine2" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine2"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper phone small" elname="livefield-elem" comptype="11" id="PhoneNumber-li" needdata="true" compname="PhoneNumber" linkname="PhoneNumber" isvisible="true" mandatory="true" page_no="1" page_link_name="Page"
          showlabel="true" need_reconf="false">
          <label class="labelName">
            <span>Mobile No.</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv" elname="phoneFormatElem" phoneformat="INTERNATIONAL">
            <div elname="phoneFld" name="phone-elements">
              <input name="PhoneNumber" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" id="PhoneNumber" type="text" elname="countrycode" maxlength="20" value="" iscodeenabled="false" phoneformattype="1" placeholder="">
            </div>
            <p class="errorMessage" elname="error" id="error-PhoneNumber"></p>
            <script type="module">
              if (false == true && (true)) {
                var allowedCountryList = [];
                var ipBasedCurrentCountry = null;
                var defaultCountry = ""; // No I18N
                var keyId = $("#PhoneNumber");
                var keyIdConf = ("#" + "PhoneNumber" + "-reconf"); // No I18N
                var listofcountries = [],
                  hasCode = false;
                var initialCountry = "auto"; // No I18N
                var countryCodeProps = jQuery.extend(true, {}, ZFPhone.countryCodeProps);
                var isRtlEnabled = false;
                var txtDir = "1"; // No I18N
                if (txtDir != null && txtDir != undefined) {
                  if (txtDir == 2) {
                    isRtlEnabled = true;
                  }
                }
                countryCodeProps.isRtl = isRtlEnabled;
                if (defaultCountry != "") {
                  defaultCountry = countryUniqueCode[""]; // No I18N
                }
                if (allowedCountryList.length > 0) {
                  var phoneVal = ""; // No I18N
                  var codeVal = ""; // No I18N
                  for (var itr = 0; itr < allowedCountryList.length; itr++) {
                    if (codeVal != "" && codelist[allowedCountryList[itr]] == codeVal && !hasCode) {
                      phoneVal = codeVal + phoneVal;
                      hasCode = true;
                    }
                    listofcountries[itr] = countryUniqueCode[allowedCountryList[itr]];
                  }
                  countryCodeProps.onlyCountries = listofcountries;
                  if ("live" == 'live') {
                    if (jQuery.inArray(defaultCountry, listofcountries) !== -1) {
                      initialCountry = defaultCountry;
                    } else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-" && jQuery.inArray(ipBasedCurrentCountry, listofcountries) != -1) { // No I18N
                      initialCountry = ipBasedCurrentCountry;
                    }
                  } else {
                    $("#PhoneNumber").val(phoneVal);
                    if ("false" == "true") {
                      $(keyIdConf).val(phoneVal); // No I18N
                    }
                  }
                } else if ("live" == 'live') { // No I18N
                  if (defaultCountry != "") {
                    initialCountry = defaultCountry;
                  } else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-") { // No I18N
                    initialCountry = ipBasedCurrentCountry;
                  }
                }
                if ($(keyId).parents("ul").attr("elname") != "subFormFieldsCloneUl") {
                  countryCodeProps.initialCountry = initialCountry;
                  $(keyId).intlTelInput(countryCodeProps);
                  $(keyIdConf).intlTelInput(countryCodeProps); // No I18N
                  if ("live" == 'live') {
                    $(keyId).intlTelInput("setNumber", ""); // No I18N
                  }
                }
                $(keyId).attr({
                  "initCountry": initialCountry,
                  "countryList": listofcountries
                }); // No I18N
                //$("#PhoneNumber") is used instead of variable keyId, since event get attached only to the last dom element instead of all elements.
                setCountryCodePropsForFlds(("#" + "PhoneNumber"), isRtlEnabled); // No I18N
                if ("false" == "true") {
                  setCountryCodePropsForFlds(("#" + "PhoneNumber" + "-reconf"), isRtlEnabled); // No I18N
                }
              }
            </script>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper email small" elname="livefield-elem" comptype="9" id="Email-li" needdata="true" compname="Email" linkname="Email" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" showlabel="true" domain_option="0"
          need_reconf="false">
          <label class="labelName">
            <span>Email</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <span elname="livefield-email-elem"><input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="Email" value="" placeholder="">
              <p class="errorMessage" elname="error" id="error-Email"></p>
            </span>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper address addrlarge zfSelect2CustomCont" elname="livefield-elem" comptype="8" needdata="true" id="Address-li" compname="Address" linkname="Address" isvisible="true" mandatory="true" page_no="1" page_link_name="Page"
          showlabel="true">
          <div class="arrowNav"></div>
          <label class="labelName">
            <span>Address</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv address">
            <div class="addrCont">
              <!-- <input value=>-->
              <span class="addOne">
                <input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_AddressLine1" value="" mandatory="true" placeholder="">
                <!-- Display name of 'AddressLine1' component of 'Address' field. -->
                <label class="formSubInfoText">Address Line 1</label>
              </span>
              <!-- <input value=>-->
              <!-- <input value=>-->
              <span class="flLeft addtwo">
                <input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_City" value="" mandatory="true" placeholder="">
                <!-- Display name of 'City' component of 'Address' field. -->
                <label class="formSubInfoText">City</label>
              </span>
              <!-- <input value=>-->
              <span class="flLeft addtwo">
                <input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_Region" value="" mandatory="true" placeholder="">
                <!-- Display name of 'Region' component of 'Address' field. -->
                <label class="formSubInfoText">State</label>
              </span>
              <!-- <input value=>-->
              <span class="flLeft addtwo">
                <input name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" complink="Address_ZipCode" value="" mandatory="true" placeholder="">
                <!-- Display name of 'ZipCode' component of 'Address' field. -->
                <label class="formSubInfoText">Pin Code</label>
              </span>
              <!-- <input value=>-->
              <span class="flLeft addtwo">
                <div class="form_selectBox">
                  <div class="selectArrow"></div><select onchange="ZFLive.validateFieldConstraint(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" name="Address" complink="Address_Country" id="Address_Country"
                    mandatory="true" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
                    <option value="-Select-">-Select-</option>
                    <option value="Åland Islands">Åland Islands</option>
                    <option value="Afghanistan">Afghanistan</option>
                    <option value="Akrotiri">Akrotiri</option>
                    <option value="Albania">Albania</option>
                    <option value="Algeria">Algeria</option>
                    <option value="American Samoa">American Samoa</option>
                    <option value="Andorra">Andorra</option>
                    <option value="Angola">Angola</option>
                    <option value="Anguilla">Anguilla</option>
                    <option value="Antarctica">Antarctica</option>
                    <option value="Antigua and Barbuda">Antigua and Barbuda</option>
                    <option value="Argentina">Argentina</option>
                    <option value="Armenia">Armenia</option>
                    <option value="Aruba">Aruba</option>
                    <option value="Ashmore and Cartier Islands">Ashmore and Cartier Islands</option>
                    <option value="Australia">Australia</option>
                    <option value="Austria">Austria</option>
                    <option value="Azerbaijan">Azerbaijan</option>
                    <option value="Bahrain">Bahrain</option>
                    <option value="Bangladesh">Bangladesh</option>
                    <option value="Barbados">Barbados</option>
                    <option value="Bassas Da India">Bassas Da India</option>
                    <option value="Belarus">Belarus</option>
                    <option value="Belgium">Belgium</option>
                    <option value="Belize">Belize</option>
                    <option value="Benin">Benin</option>
                    <option value="Bermuda">Bermuda</option>
                    <option value="Bhutan">Bhutan</option>
                    <option value="Bolivia">Bolivia</option>
                    <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
                    <option value="Botswana">Botswana</option>
                    <option value="Bouvet Island">Bouvet Island</option>
                    <option value="Brazil">Brazil</option>
                    <option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
                    <option value="British Virgin Islands">British Virgin Islands</option>
                    <option value="Brunei">Brunei</option>
                    <option value="Bulgaria">Bulgaria</option>
                    <option value="Burkina Faso">Burkina Faso</option>
                    <option value="Burma">Burma</option>
                    <option value="Burundi">Burundi</option>
                    <option value="Cambodia">Cambodia</option>
                    <option value="Cameroon">Cameroon</option>
                    <option value="Canada">Canada</option>
                    <option value="Cape Verde">Cape Verde</option>
                    <option value="Caribbean Netherlands">Caribbean Netherlands</option>
                    <option value="Cayman Islands">Cayman Islands</option>
                    <option value="Central African Republic">Central African Republic</option>
                    <option value="Chad">Chad</option>
                    <option value="Chile">Chile</option>
                    <option value="China">China</option>
                    <option value="Christmas Island">Christmas Island</option>
                    <option value="Clipperton Island">Clipperton Island</option>
                    <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
                    <option value="Colombia">Colombia</option>
                    <option value="Comoros">Comoros</option>
                    <option value="Cook Islands">Cook Islands</option>
                    <option value="Coral Sea Islands">Coral Sea Islands</option>
                    <option value="Costa Rica">Costa Rica</option>
                    <option value="Cote D'Ivoire">Cote D'Ivoire</option>
                    <option value="Croatia">Croatia</option>
                    <option value="Cuba">Cuba</option>
                    <option value="Curaçao">Curaçao</option>
                    <option value="Cyprus">Cyprus</option>
                    <option value="Czech Republic">Czech Republic</option>
                    <option value="Democratic Republic of the Congo">Democratic Republic of the Congo</option>
                    <option value="Denmark">Denmark</option>
                    <option value="Dhekelia">Dhekelia</option>
                    <option value="Djibouti">Djibouti</option>
                    <option value="Dominica">Dominica</option>
                    <option value="Dominican Republic">Dominican Republic</option>
                    <option value="Ecuador">Ecuador</option>
                    <option value="Egypt">Egypt</option>
                    <option value="El Salvador">El Salvador</option>
                    <option value="Equatorial Guinea">Equatorial Guinea</option>
                    <option value="Eritrea">Eritrea</option>
                    <option value="Estonia">Estonia</option>
                    <option value="Ethiopia">Ethiopia</option>
                    <option value="Europa Island">Europa Island</option>
                    <option value="Falkland Islands (Islas Malvinas)">Falkland Islands (Islas Malvinas)</option>
                    <option value="Faroe Islands">Faroe Islands</option>
                    <option value="Federated States of Micronesia">Federated States of Micronesia</option>
                    <option value="Fiji">Fiji</option>
                    <option value="Finland">Finland</option>
                    <option value="France">France</option>
                    <option value="French Guiana">French Guiana</option>
                    <option value="French Polynesia">French Polynesia</option>
                    <option value="French Southern and Antarctic Lands">French Southern and Antarctic Lands</option>
                    <option value="Gabon">Gabon</option>
                    <option value="Gaza Strip">Gaza Strip</option>
                    <option value="Georgia">Georgia</option>
                    <option value="Germany">Germany</option>
                    <option value="Ghana">Ghana</option>
                    <option value="Gibraltar">Gibraltar</option>
                    <option value="Glorioso Islands">Glorioso Islands</option>
                    <option value="Greece">Greece</option>
                    <option value="Greenland">Greenland</option>
                    <option value="Grenada">Grenada</option>
                    <option value="Guadeloupe">Guadeloupe</option>
                    <option value="Guam">Guam</option>
                    <option value="Guatemala">Guatemala</option>
                    <option value="Guernsey">Guernsey</option>
                    <option value="Guinea">Guinea</option>
                    <option value="Guinea-bissau">Guinea-bissau</option>
                    <option value="Guyana">Guyana</option>
                    <option value="Haiti">Haiti</option>
                    <option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option>
                    <option value="Holy See (Vatican City)">Holy See (Vatican City)</option>
                    <option value="Honduras">Honduras</option>
                    <option value="Hong Kong">Hong Kong</option>
                    <option value="Hungary">Hungary</option>
                    <option value="Iceland">Iceland</option>
                    <option value="India" selected="true">India</option>
                    <option value="Indonesia">Indonesia</option>
                    <option value="Iran">Iran</option>
                    <option value="Iraq">Iraq</option>
                    <option value="Ireland">Ireland</option>
                    <option value="Isle of Man">Isle of Man</option>
                    <option value="Israel">Israel</option>
                    <option value="Italy">Italy</option>
                    <option value="Jamaica">Jamaica</option>
                    <option value="Jan Mayen">Jan Mayen</option>
                    <option value="Japan">Japan</option>
                    <option value="Jersey">Jersey</option>
                    <option value="Jordan">Jordan</option>
                    <option value="Juan De Nova Island">Juan De Nova Island</option>
                    <option value="Kazakhstan">Kazakhstan</option>
                    <option value="Kenya">Kenya</option>
                    <option value="Kiribati">Kiribati</option>
                    <option value="Kuwait">Kuwait</option>
                    <option value="Kyrgyzstan">Kyrgyzstan</option>
                    <option value="Laos">Laos</option>
                    <option value="Latvia">Latvia</option>
                    <option value="Lebanon">Lebanon</option>
                    <option value="Lesotho">Lesotho</option>
                    <option value="Liberia">Liberia</option>
                    <option value="Libya">Libya</option>
                    <option value="Liechtenstein">Liechtenstein</option>
                    <option value="Lithuania">Lithuania</option>
                    <option value="Luxembourg">Luxembourg</option>
                    <option value="Macau">Macau</option>
                    <option value="Macedonia">Macedonia</option>
                    <option value="Madagascar">Madagascar</option>
                    <option value="Malawi">Malawi</option>
                    <option value="Malaysia">Malaysia</option>
                    <option value="Maldives">Maldives</option>
                    <option value="Mali">Mali</option>
                    <option value="Malta">Malta</option>
                    <option value="Marshall Islands">Marshall Islands</option>
                    <option value="Martinique">Martinique</option>
                    <option value="Mauritania">Mauritania</option>
                    <option value="Mauritius">Mauritius</option>
                    <option value="Mayotte">Mayotte</option>
                    <option value="Mexico">Mexico</option>
                    <option value="Moldova">Moldova</option>
                    <option value="Monaco">Monaco</option>
                    <option value="Mongolia">Mongolia</option>
                    <option value="Montenegro">Montenegro</option>
                    <option value="Montserrat">Montserrat</option>
                    <option value="Morocco">Morocco</option>
                    <option value="Mozambique">Mozambique</option>
                    <option value="Myanmar">Myanmar</option>
                    <option value="Namibia">Namibia</option>
                    <option value="Nauru">Nauru</option>
                    <option value="Navassa Island">Navassa Island</option>
                    <option value="Nepal">Nepal</option>
                    <option value="Netherlands">Netherlands</option>
                    <option value="Netherlands Antilles">Netherlands Antilles</option>
                    <option value="New Caledonia">New Caledonia</option>
                    <option value="New Zealand">New Zealand</option>
                    <option value="Nicaragua">Nicaragua</option>
                    <option value="Niger">Niger</option>
                    <option value="Nigeria">Nigeria</option>
                    <option value="Niue">Niue</option>
                    <option value="Norfolk Island">Norfolk Island</option>
                    <option value="North Korea">North Korea</option>
                    <option value="Northern Mariana Islands">Northern Mariana Islands</option>
                    <option value="Norway">Norway</option>
                    <option value="Oman">Oman</option>
                    <option value="Pakistan">Pakistan</option>
                    <option value="Palau">Palau</option>
                    <option value="Palestine">Palestine</option>
                    <option value="Panama">Panama</option>
                    <option value="Papua New Guinea">Papua New Guinea</option>
                    <option value="Paracel Islands">Paracel Islands</option>
                    <option value="Paraguay">Paraguay</option>
                    <option value="Peru">Peru</option>
                    <option value="Philippines">Philippines</option>
                    <option value="Pitcairn Islands">Pitcairn Islands</option>
                    <option value="Poland">Poland</option>
                    <option value="Portugal">Portugal</option>
                    <option value="Puerto Rico">Puerto Rico</option>
                    <option value="Qatar">Qatar</option>
                    <option value="Republic of the Congo">Republic of the Congo</option>
                    <option value="Reunion">Reunion</option>
                    <option value="Romania">Romania</option>
                    <option value="Russia">Russia</option>
                    <option value="Rwanda">Rwanda</option>
                    <option value="Saint Barthélemy">Saint Barthélemy</option>
                    <option value="Saint Helena">Saint Helena</option>
                    <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
                    <option value="Saint Lucia">Saint Lucia</option>
                    <option value="Saint Martin">Saint Martin</option>
                    <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
                    <option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
                    <option value="Samoa">Samoa</option>
                    <option value="San Marino">San Marino</option>
                    <option value="Sao Tome and Principe">Sao Tome and Principe</option>
                    <option value="Saudi Arabia">Saudi Arabia</option>
                    <option value="Senegal">Senegal</option>
                    <option value="Serbia">Serbia</option>
                    <option value="Seychelles">Seychelles</option>
                    <option value="Sierra Leone">Sierra Leone</option>
                    <option value="Singapore">Singapore</option>
                    <option value="Sint Maarten">Sint Maarten</option>
                    <option value="Slovakia">Slovakia</option>
                    <option value="Slovenia">Slovenia</option>
                    <option value="Solomon Islands">Solomon Islands</option>
                    <option value="Somalia">Somalia</option>
                    <option value="South Africa">South Africa</option>
                    <option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</option>
                    <option value="South Korea">South Korea</option>
                    <option value="South Sudan">South Sudan</option>
                    <option value="Spain">Spain</option>
                    <option value="Spratly Islands">Spratly Islands</option>
                    <option value="Sri Lanka">Sri Lanka</option>
                    <option value="Sudan">Sudan</option>
                    <option value="Suriname">Suriname</option>
                    <option value="Svalbard">Svalbard</option>
                    <option value="Swaziland">Swaziland</option>
                    <option value="Sweden">Sweden</option>
                    <option value="Switzerland">Switzerland</option>
                    <option value="Syria">Syria</option>
                    <option value="Taiwan">Taiwan</option>
                    <option value="Tajikistan">Tajikistan</option>
                    <option value="Tanzania">Tanzania</option>
                    <option value="Thailand">Thailand</option>
                    <option value="The Bahamas">The Bahamas</option>
                    <option value="The Gambia">The Gambia</option>
                    <option value="Timor-leste">Timor-leste</option>
                    <option value="Togo">Togo</option>
                    <option value="Tokelau">Tokelau</option>
                    <option value="Tonga">Tonga</option>
                    <option value="Trinidad and Tobago">Trinidad and Tobago</option>
                    <option value="Tromelin Island">Tromelin Island</option>
                    <option value="Tunisia">Tunisia</option>
                    <option value="Turkey">Turkey</option>
                    <option value="Turkmenistan">Turkmenistan</option>
                    <option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
                    <option value="Tuvalu">Tuvalu</option>
                    <option value="Uganda">Uganda</option>
                    <option value="Ukraine">Ukraine</option>
                    <option value="United Arab Emirates">United Arab Emirates</option>
                    <option value="United Kingdom">United Kingdom</option>
                    <option value="United States">United States</option>
                    <option value="Uruguay">Uruguay</option>
                    <option value="Uzbekistan">Uzbekistan</option>
                    <option value="Vanuatu">Vanuatu</option>
                    <option value="Venezuela">Venezuela</option>
                    <option value="Vietnam">Vietnam</option>
                    <option value="Virgin Islands">Virgin Islands</option>
                    <option value="Wake Island">Wake Island</option>
                    <option value="Wallis and Futuna">Wallis and Futuna</option>
                    <option value="West Bank">West Bank</option>
                    <option value="Western Sahara">Western Sahara</option>
                    <option value="Yemen">Yemen</option>
                    <option value="Zambia">Zambia</option>
                    <option value="Zimbabwe">Zimbabwe</option>
                  </select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: 347.438px;"><span class="selection"><span class="select2-selection select2-selection--single select2FormCont" role="combobox"
                        aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-Address_Country-container"><span class="select2-selection__rendered" id="select2-Address_Country-container" title="India">
                          <div class="select2FormFont">India</div>
                        </span><span class="select2-selection__arrow select2FormArrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
                </div><!-- Display name of 'Country' component of 'Address' field. -->
                <label class="formSubInfoText formSubInfoAlign">Country</label>
              </span>
              <div class="clearBoth"></div>
              <p class="errorMessage" elname="error" id="error-Address"></p>
            </div>
          </div>
          <div class="clearBoth"></div>
          <script type="module">
            $(function() {
              var mode = "live"; // No I18N
              if (mode == "edit") { // No I18N
                var selectedCountry = ""; // No I18N
                var selectedCountryNonEncoded = ""; // No I18N
                var countryDropdown = $("#Address-li").find('select');
                if (selectedCountry.length > 0 && (typeof($(countryDropdown).find('option:selected').val()) == 'undefined' || $(countryDropdown).find('option:selected').val().toLowerCase() != selectedCountryNonEncoded.toLowerCase())) { // No I18N
                  $(countryDropdown).append($("<option></option>").attr("value", selectedCountryNonEncoded).html(selectedCountry).hide()); // No I18N 
                  $(countryDropdown).val(selectedCountryNonEncoded).change();
                }
              }
            });
          </script>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine4-li" needdata="true" compname="SingleLine4" linkname="SingleLine4" isvisible="true" class="tempFrmWrapper small" mandatory="true" page_no="1" page_link_name="Page" showlabel="true">
          <label class="labelName">
            <span>GST No</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine4" value="" placeholder=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine4"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper small" tabindex="1" elname="livefield-elem" comptype="27" id="Formula-li" needdata="true" compname="Formula" linkname="Formula" summary_type="0" isvisible="true" decimalformat="1" decimallength="0" mandatory="false"
          page_no="1" page_link_name="Page" unit_position="2">
          <label class="labelName"><span>Total Delegate Fee</span>
          </label>
          <div elname="tempContDiv" class="tempContDiv">
            <span><input type="text" name="Formula" disabled="true" class="inputDisabled"></span>
            <span class="symbol" name="formula_unit_after" elname="formula_unit_span"></span>
            <p class="instruction instrSpace" elname="hint" id="hint-Formula"> Including 18% GST </p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <!--To exclude payment field in rules we are setting comptype as 0 for payment. That is payment field will not be included in any condition. -->
        <li tabindex="1" class="tempFrmWrapper pmnt" elname="livefield-elem" id="PaymentAmount-li" compname="PaymentAmount" linkname="PaymentAmount" comptype="0" mandatory="true" needdata="true" page_no="1" page_link_name="Page"><label
            class="labelName">
            <span>Pay Fee</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv"><!-- While viewing a saved record(requestType=3 and mode will be edit) then entire payment will be constructed. -->
            <!-- Merchant Type List Construction -->
            <div class="merchantTypeWrapper" elname="merchantDiv" paymenttype="1" mandatory="true" merchanttype="5">
              <a class="flLeft selected" href="javascript:;" merchanttype="5" onclick="ZFLive.modifyMerchantType(this)" currencycode="201" currencypos="1" amounttype="2" amount="">
<em class="icon22"></em>
<span class="razorLogo"></span> </a>
              <div class="clearBoth"></div>
            </div>
            <div class="pmtActionField disabledField" elname="paymentDetailsDiv" style=""><span class="symbolBefore" name="currencysymbol1" elname="currency">₹</span>
              <input class="flLeft" type="text" name="PaymentAmount" disabled="true" value=""><span class="symbol" style="display:none;" name="currencysymbol2" elname="currency">₹</span>
              <div class="clearBoth"></div>
              <p class="errorMessage" elname="error" id="error-PaymentAmount"></p>
            </div>
          </div>
          <div class="clearBoth"></div>
          <script type="module">
            $(function() {
              var mode = "live"; // No I18N
              var saveRecord = "false";
              if (mode == "live" || saveRecord == "true") { // No I18N
                var paymentLI = $("#PaymentAmount-li");
                var merchantType = "5"; // No I18N
                var merchantDiv = $(paymentLI).find("div[elname=merchantDiv]").find("a[merchantType=" + merchantType + "]");
                var isMandatory = $(paymentLI).attr("mandatory"); // No I18N
                if (isMandatory == "true") {
                  $(merchantDiv).addClass("selected");
                  $(paymentLI).find("div[elname=merchantDiv]").attr("merchantType", merchantType); // No I18N
                  $(paymentLI).find("div[elname=paymentDetailsDiv]").show();
                  if (merchantType == ZFFormPayments.MERCHANT_TYPE.STRIPE) {
                    $(paymentLI).find("div[elname=stripeMerchantDiv]").show();
                  } else if (merchantType == ZFFormPayments.MERCHANT_TYPE.AUTHORIZE_NET) {
                    $(paymentLI).find("div[elname=authNetMerchantDiv]").show();
                  }
                }
                var pymntType = $(paymentLI).find("div[elname=merchantDiv]").attr("paymenttype"); // No I18N
                if (pymntType == 2) { // varied
                  if ($.trim($(merchantDiv).attr("minamnt")) != "" || $.trim($(merchantDiv).attr("maxamnt")) != "") {
                    $(paymentLI).find("p[elemType=instruction]").show();
                  } else {
                    $(paymentLI).find("p[elemType=instruction]").hide();
                  }
                } else {
                  $(paymentLI).find("p[elemType=instruction]").hide();
                }
              }
            });
          </script>
        </li>
      </ul>
    </div>
    <ul elname="footer" class="footerWrapper formRelative" page_no="1" page_count="1" page_link_name="Page">
      <li style="overflow:visible; position: relative;" class="btnAllign fmFooter" id="formAccess" elname="0">
        <div class="pageFotDef">
          <div class="alignSubmit">
            <div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
                <em>Submit</em>
              </button></div>
          </div>
        </div>
        <div class="clearBoth"></div>
      </li>
    </ul>
    <!-- Uncomment the following Code to enable automation location based value filling for GeoLocation Fields -->
    <!-- Set the mapquestURL from zohoforms.properties -->
    <!--   -->
    <!--Div to show error for unconfirmed users -->
    <div id="errorDiv" style="display:none" class="errorMsgWrapper">
      <div class="flLeft errorIcon"></div>
      <div class="errorMsgCont">
        <h2>Error Occurred!</h2>
        <span id="errorMsgSpan">You haven't verified your email yet, click<a href="javascript:;" onclick="ZFUtil.resendMail('0');"> here </a> to receive a verification email.</span>
      </div>
      <div class="clearBoth"></div>
    </div>
  </div><!-- 'formRedirectURL' ends -->
  <div id="popupdiv" class="dim-div2" style="display:none;">
    <div id="imageChoiceDiv-cont" class="popUpOuter imageTypeZoom">
      <div class="popUpInnerWrapper">
        <div class="popupHeader removeBdr"><a class="flRight ppDeleteIcon" onclick="ZFLive.hideZoomedImage();" href="javascript:;"></a>
          <div class="clearBoth"></div>
        </div>
        <div class="popupMainCont"><img src=""></div>
      </div>
    </div>
  </div>
</form>

Text Content

   
   
   
   
   
   
   
 * 
   
   
   
   SWAVLAMBAN
   
   
   Naval Innovation & Indigenisation Organisation Seminar & Exhibition
   
   
   18 – 19 July 2022, Dr. Ambedkar International Centre, 15, Janpath, New Delhi
   
   
   
   
   
   DELEGATE REGISTRATION FORM
   
   
   (Last Date of Registration: 13 July 2022 till 1200 Hrs)
   
   
   
   
   Delegate Fee Per Participant (+ GST)
   
    * INR 3,000/- for SIDM/ CII Members
      
    * INR 5,000/- for Non-Members
      
   
   
   
   
 * Category *
   
   MEMBER SIDM
   
   MEMBER CII
   
   NON MEMBER
   
   
   
   
   
 * Membership Number
   
   Membership Number
   
   
 * Name of the Company *
   
   
   
   
 * Delegate Name *
   
   -Select- Mr. Mrs. Ms.
   -Select-
   Title First Name Last Name
   
   
   
   
   
 * Designation
   
   
   
   
 * Mobile No. *
   
   
   
   
 * Email *
   
   
   
   
 * 
   Address *
   Address Line 1 City State Pin Code
   
   -Select- Åland Islands Afghanistan Akrotiri Albania Algeria American Samoa
   Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia
   Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahrain
   Bangladesh Barbados Bassas Da India Belarus Belgium Belize Benin Bermuda
   Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British
   Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso
   Burma Burundi Cambodia Cameroon Canada Cape Verde Caribbean Netherlands
   Cayman Islands Central African Republic Chad Chile China Christmas Island
   Clipperton Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Coral
   Sea Islands Costa Rica Cote D'Ivoire Croatia Cuba Curaçao Cyprus Czech
   Republic Democratic Republic of the Congo Denmark Dhekelia Djibouti Dominica
   Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea
   Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe
   Islands Federated States of Micronesia Fiji Finland France French Guiana
   French Polynesia French Southern and Antarctic Lands Gabon Gaza Strip Georgia
   Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe
   Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and
   Mcdonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland
   India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen
   Japan Jersey Jordan Juan De Nova Island Kazakhstan Kenya Kiribati Kuwait
   Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania
   Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta
   Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova
   Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia
   Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New
   Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern
   Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea
   Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal
   Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint
   Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint
   Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao
   Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone
   Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa
   South Georgia and the South Sandwich Islands South Korea South Sudan Spain
   Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden
   Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas The Gambia
   Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia
   Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United
   Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu
   Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank
   Western Sahara Yemen Zambia Zimbabwe
   India
   Country
   
   
   
   
   
 * GST No *
   
   
   
   
 * Total Delegate Fee
   
   Including 18% GST
   
   
   
 * Pay Fee *
   ₹ ₹
   
   
   
   
   

 * Submit
   


ERROR OCCURRED!

You haven't verified your email yet, click here to receive a verification email.





OK
OK

Retry Cancel

That CAPTCHA was incorrect.



Your form has been deactivated. Contact support@zohoforms.com for further
information.
Submitting...
Please Wait...
Saving...

Redirecting to Merchant Website..
Verifying Credit Card Details...
Please wait...

Verification Code
Enter the text in the box below












Continue

Verification mail sent.


LINK TO RESUME THIS FORM LATER:

Email Link to

Send


Please enter a valid email address to configure Zoho Sign settings.

 
Copy Link Copied to clipboard.

 * 



 * 


 * Done
   




TURN ON THE CAMERA PERMISSION IN YOUR BROWSER TO CONTINUE FURTHER

Test Mode