registrationexpress.in Open in urlscan Pro
43.225.55.144  Public Scan

URL: https://registrationexpress.in/dell/eventregistration/
Submission: On March 02 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: registrationformPOST registration.php

<form name="registrationform" method="post" action="registration.php" onsubmit="return checkForm(this);">
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <input name="first_Name" type="text" class="form-control form-control-sm" id="first_Name" placeholder="Name*">
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <input name="email_id" type="text" class="form-control form-control-sm" id="email_id" placeholder="Email ID*">
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <input name="mobile_number" type="text" class="form-control bfh-phone form-control-sm" id="mobile_number" minlength="1" pattern="[0-9]*" placeholder="Mobile*">
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <input name="designation" type="text" class="form-control form-control-sm" id="designation" placeholder="Designation*">
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <input name="Organization" type="text" class="form-control form-control-sm" id="Organization" placeholder="Organization*">
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <input name="city" type="text" class="form-control form-control-sm" id="city" placeholder="City*">
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <select class="form-control form-control-sm" name="company_size" id="company_size" placeholder="Company size">
        <option value="" disabled="" selected="" style="color:#6c757d">Company size*</option>
        <option value="">Select Company Size</option>
        <option value="1 - 25">1 - 25</option>
        <option value="26 - 99">26 - 99</option>
        <option value="100 - 499">100 - 499</option>
        <option value="500 - 999">500 - 999</option>
        <option value="1000 - 4999">1000 - 4999</option>
        <option value="5000 - 9999">5000 - 9999</option>
        <option value="10000+">10000+</option>
      </select>
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <select class="form-control form-control-sm" name="jobfunction" id="jobfunction" placeholder="Job Function">
        <option value="" disabled="" selected="" style="color:#6c757d">Job Function*</option>
        <option value="">Select Job Function</option>
        <option value="Facilities">Facilities</option>
        <option value="Finance">Finance</option>
        <option value="HR">HR</option>
        <option value="IT">IT</option>
        <option value="Marketing">Marketing</option>
        <option value="Operations">Operations</option>
        <option value="Training">Training</option>
        <option value="Procurement">Procurement</option>
        <option value="Sales">Sales</option>
        <option value="Others">Others</option>
      </select>
    </div>
  </div>
  <div class="form-group row col-lg-4 col-md-6 form-check-inline">
    <div class="col-sm-12">
      <select class="form-control form-control-sm" name="jobrole" id="jobrole" placeholder="Job Role">
        <option value="" disabled="" selected="" style="color:#6c757d">Job Role*</option>
        <option value="CXO/EVP">CXO/EVP</option>
        <option value="SVP/VP">SVP/VP</option>
        <option value="Senior Director/ Director/ Head">Senior Director/ Director/ Head</option>
        <option value="Senior Manager/ Manager / Lead">Senior Manager/ Manager / Lead</option>
        <option value="Individual Contributor/ Others">Individual Contributor/ Others</option>
      </select>
    </div>
  </div>
  <div class="form-group row"></div>
  <div class="form-group row" id="Nominated" style="display: none">
    <div class="col-sm-12"> Nominate your colleague for 7 Oct.: <input name="nom_name" type="text" class="form-control form-control-sm" id="nom_name" placeholder="Name*">
      <input name="nom_email" type="text" class="form-control form-control-sm" id="nom_email" placeholder="Email Id*">
      <input name="nom_mobile" type="text" class="form-control form-control-sm" id="nom_mobile" placeholder="Mobile No.*">
    </div>
  </div>
  <div class="form-group row">
    <div class="col-sm-11">
      <strong style="padding-bottom:10px; padding-top:20px; color:#0076CE;">Please take a survey for us to understand your current IT challenges:</strong><br>
    </div>
    <div class="col-sm-11"> 1. What are the current IT challenges faced by your organization related to the workforce? (Tick all that apply) <br>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q7a" id="q7a" value="Device Provisioning - Management">
        <label class="form-check-label align-middle" for="checkbox"> Device Provisioning &amp; Management </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q7b" id="q7b" value="End-point Security">
        <label class="form-check-label align-middle" for="checkbox"> End-point Security </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q7c" id="q7c" value="PC Lifecycle Costs">
        <label class="form-check-label align-middle" for="checkbox"> PC Lifecycle Costs </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q7d" id="q7d" value="Unified Endpoint Management">
        <label class="form-check-label align-middle" for="checkbox"> Unified Endpoint Management </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q7e" id="q7e" value="Workforce Productivity">
        <label class="form-check-label align-middle" for="checkbox"> Workforce Productivity </label>
      </div>
      <div class="form-check col-sm-2 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q7g" id="q7g" value="Others">
        <label class="form-check-label align-middle" for="checkbox"> Others </label>
      </div>
      <div class="form-check form-check-inline">
        <input name="q7g_specify" type="text" class="form-control form-control-sm" id="q7g_specify" placeholder="Please Specify">
      </div>
    </div>
  </div>
  <div class="form-group row ">
    <div class="col-sm-11"> 2. Is your organization considering a refresh or an upgrade or a new deployment of any of the following workforce devices or end user technologies? (Tick all that apply)<br>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q1b" id="q1b" value="Desktops">
        <label class="form-check-label align-middle" for="checkbox"> Desktops </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q1c" id="q1c" value="End Point Security">
        <label class="form-check-label align-middle" for="checkbox"> End Point Security </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q1d" id="q1d" value="Monitors">
        <label class="form-check-label align-middle" for="checkbox"> Monitors </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q1e" id="q1e" value="Notebooks">
        <label class="form-check-label align-middle" for="checkbox"> Notebooks </label>
      </div>
      <div class="form-check col-sm-5 form-check-inline">
        <input class="form-check-input align-middle" type="checkbox" name="q1h" id="q1h" value="Workstations">
        <label class="form-check-label align-middle" for="checkbox"> Workstations </label>
      </div>
    </div>
  </div>
  <!--	 
<div class="form-group row col-sm-5 form-check-inline" >

<div class="col-sm-12">
	3. If yes, what is the time frame within which you are looking to implement the above? (Tick the earliest one)
<select class="form-control form-control-sm" name="q2" id="q2" placeholder="" >
<option value="" selected style="color:#6c757d">Select One</option>
   <option value="Immediately">Immediately</option>
<option value="1-3 months">1-3 months</option>				
</select>
    </div>
  </div>
	-->
  <div class="form-group row col-sm-5 form-check-inline">
    <div class="col-sm-12"> 3. When is your organisation looking to address these requirements? <select class="form-control form-control-sm" name="q3" id="q3" placeholder="">
        <option value="" selected="" style="color:#6c757d">Select One</option>
        <option value="Immediately">Immediately</option>
        <option value="1-3 months">1-3 months</option>
      </select>
    </div>
  </div>
  <div class="form-group row col-sm-5 form-check-inline">
    <div class="col-sm-12"> 4. What is the budget available for this project? <select class="form-control form-control-sm" name="q4" id="q4" placeholder="">
        <option value="" selected="" style="color:#6c757d">Select One</option>
        <option value="Less than $25,000">Less than $25,000</option>
        <option value="$25,000 to $49,999">$25,000 to $49,999</option>
        <option value="$50,000 to $99,999">$50,000 to $99,999</option>
        <option value="$100,000 to $499,999">$100,000 to $499,999</option>
        <option value="$500,000 to $999,999">$500,000 to $999,999</option>
        <option value="$1,000,000 above">$1,000,000 above</option>
      </select>
    </div>
  </div>
  <div class="form-group row col-sm-5 form-check-inline">
    <div class="col-sm-12"> 5. Please share your role in the decision-making process for the above-mentioned requirement. <select class="form-control form-control-sm" name="q5" id="q5" placeholder="">
        <option value="" selected="" style="color:#6c757d">Select One</option>
        <option value="Decision Maker">Decision Maker</option>
        <option value="Influencer">Influencer</option>
        <option value="User">User</option>
        <option value="Evaluator">Evaluator</option>
        <option value="Procurement">Procurement</option>
      </select>
    </div>
  </div>
  <div class="form-group row col-sm-5 form-check-inline">
    <div class="col-sm-12"> 6. Would you like to have a 1x1 telephonic discussion with a Dell Technologies specialist? <select class="form-control form-control-sm" name="q6" id="q6" placeholder="">
        <option value="" selected="" style="color:#6c757d">Select One</option>
        <option value="Yes">Yes</option>
        <option value="No">No</option>
      </select>
    </div>
  </div>
  <br>
  <hr>
  <div class="form-group row ">
    <div class="col-sm-12 pl-5 pr-5 " style="font-size: 12px">
      <input name="checkbox" type="checkbox" class="form-check-input" id="checkbox" value="Yes"> Yes, please stay in touch by email and post.
      <a href="http://i.dell.com/sites/doccontent/legal/terms-conditions/en/Documents/Dell-Technologies-List-for-Privacy-Statement-May-2018.pdf">Dell Technologies and its group of companies</a> would love to stay in touch and to keep you updated on
      products, services, solutions, exclusive offers and special events. For information on how we protect your personal data, see our
      <a href="http://app.response.dell.com/e/er?elq_mid=FY20Q1W01-MULAPJAW-IN-Outbound-Personalized-Sales-Email-Pilot-OOW-Refresh&amp;elq_cid=23383217&amp;s=2502&amp;lid=44603&amp;elqTrackId=d0e28cd054614977bc5f479b742097c9&amp;elq=59bea8adf3104cc2b93b52b1a9b170fe&amp;elqaid=60549&amp;elqat=1">Privacy Statement</a>.
      You can unsubscribe at any time.<br>
    </div>
  </div>
  <div class="form-group row">
    <div class="col-sm-12 justify-content-center">
      <input type="hidden" name="fr" value="/dell/eventregistration/"> <input type="submit" name="registration" id="registration" value="Submit" class="button1 justify-content-center" onclick="checkForm();" style="float: left">
    </div>
  </div>
</form>

Text Content

REGISTER

1
Day
22
Hours
36
Minutes
14
Seconds
Company size* Select Company Size 1 - 25 26 - 99 100 - 499 500 - 999 1000 - 4999
5000 - 9999 10000+
Job Function* Select Job Function Facilities Finance HR IT Marketing Operations
Training Procurement Sales Others
Job Role* CXO/EVP SVP/VP Senior Director/ Director/ Head Senior Manager/ Manager
/ Lead Individual Contributor/ Others

Nominate your colleague for 7 Oct.:
Please take a survey for us to understand your current IT challenges:

1. What are the current IT challenges faced by your organization related to the
workforce? (Tick all that apply)

Device Provisioning & Management
End-point Security
PC Lifecycle Costs
Unified Endpoint Management
Workforce Productivity
Others

2. Is your organization considering a refresh or an upgrade or a new deployment
of any of the following workforce devices or end user technologies? (Tick all
that apply)

Desktops
End Point Security
Monitors
Notebooks
Workstations
3. When is your organisation looking to address these requirements? Select One
Immediately 1-3 months
4. What is the budget available for this project? Select One Less than $25,000
$25,000 to $49,999 $50,000 to $99,999 $100,000 to $499,999 $500,000 to $999,999
$1,000,000 above
5. Please share your role in the decision-making process for the above-mentioned
requirement. Select One Decision Maker Influencer User Evaluator Procurement
6. Would you like to have a 1x1 telephonic discussion with a Dell Technologies
specialist? Select One Yes No


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

Yes, please stay in touch by email and post. Dell Technologies and its group of
companies would love to stay in touch and to keep you updated on products,
services, solutions, exclusive offers and special events. For information on how
we protect your personal data, see our Privacy Statement. You can unsubscribe at
any time.







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