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<form id="register-form" method="post" class="contact-form-style-04" novalidate="novalidate">
  <div class="row justify-content-center">
    <input type="hidden" name="utm_source" id="utm_source" value="">
    <input type="hidden" name="code" id="code">
    <div class="col-12 mb-3">
      <input type="text" name="name" id="name" class="" placeholder="Name" required="" aria-required="true">
    </div>
    <div class="col-12 mb-3">
      <input type="text" name="email" id="email" class="" placeholder="Email id" required="" aria-required="true">
    </div>
    <div class="col-12 mb-3">
      <input type="tel" name="phone" id="phone" class="numbers_only" placeholder="Mobile Number" required="" aria-required="true">
    </div>
    <div class="col-12 mb-3">
      <input type="text" name="qualification" id="qualification" class="" placeholder="Highest Qualification" required="" aria-required="true">
    </div>
    <div class="col-12 mb-3">
      <select class="" name="courses" id="courses" style="    height: 49px;" required="" aria-required="true">
        <option value="" selected="" disabled="">Courses interested in </option>
        <option>Engineering </option>
        <option>Medical</option>
        <option>Management Studies </option>
        <option>Courses interested in </option>
        <option>Commerce </option>
        <option>Other </option>
      </select>
    </div>
    <div class="col-12 ">
      <input type="text" name="other" id="other" class="hide mb-3" placeholder="Other course">
    </div>
    <div class="col-12 ">
      <input type="text" name="otpinput" id="otpinput" class="hide mb-3" placeholder="OTP">
      <div class="alert alert-danger p-0 border-0 background-transparent hide alert-otp">Please enter valid OTP</div>
    </div>
    <div class="col-12 text-center">
      <button class="btn btn-primary submit-btn" type="submit">SUBMIT</button>
    </div>
  </div>
</form>

Text Content

MAKE A CAREER IN THE FASTEST-GROWING INDUSTRIES OF FUTURE

(Empowering Students, Enlighting Parents)

A Seminar for 10th and 12th std. appeared students and their parents

 * 
 * Speaker : Mr Vivek Velankar, Renowned Education Counselor

 * 
 * Date : 12th May 2024
   Time : 10:00 AM

 * 

 * Venue: NICMAR University, Pune 25/1, Balewadi, N. I. A. Post Office, Pune -
   411045

REGISTER NOW

Courses interested in Engineering Medical Management Studies Courses interested
in Commerce Other

Please enter valid OTP
SUBMIT
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