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169.148.148.113
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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
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 DOMName: 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 & Indigenisation Organisation Seminar & 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, </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>
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<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
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<option value="Isle of Man">Isle of Man</option>
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<option value="Italy">Italy</option>
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<option value="Wake Island">Wake Island</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="West Bank">West Bank</option>
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<option value="Zambia">Zambia</option>
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<span class="razorLogo"></span> </a>
<div class="clearBoth"></div>
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<div class="clearBoth"></div>
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<div class="pageFotDef">
<div class="alignSubmit">
<div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
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<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>
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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