testtps.brdrlsxs.in Open in urlscan Pro
20.119.16.52  Public Scan

URL: https://testtps.brdrlsxs.in/
Submission: On March 28 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

POST

<form id="geoform" action="" method="POST" data-toggle="validator" role="form">
  <input type="hidden" name="_token" value="VS5lNFfzvSeSVs89SkBTBaQGFaV4kEDEVpuNRF1J" autocomplete="off">
  <h2 style="color: #060606;font-size: 16px;font-weight: 400;text-align: -webkit-center;margin-bottom: 10px;"> Register Now! It's Free! </h2>
  <div class="form-group form-button" style=" text-align: center;">
    <div class="fb-login-button fb_iframe_widget" scope="public_profile,email" onlogin="checkLoginState();" data-max-rows="1" data-size="medium" data-button-type="continue_with" data-show-faces="false" data-auto-logout-link="false"
      data-use-continue-as="false" style="padding:1px; margin-left: -1px;" login_text="" fb-xfbml-state="rendered"
      fb-iframe-plugin-query="app_id=282800132673325&amp;auto_logout_link=false&amp;button_type=continue_with&amp;container_width=0&amp;locale=en_US&amp;login_text=&amp;max_rows=1&amp;scope=public_profile%2Cemail&amp;sdk=joey&amp;show_faces=false&amp;size=medium&amp;use_continue_as=false">
      <span style="vertical-align: top; width: 0px; height: 0px; overflow: hidden;"><iframe name="f040c8d608e158d45" width="1000px" height="1000px" data-testid="fb:login_button Facebook Social Plugin" title="fb:login_button Facebook Social Plugin"
          frameborder="0" allowtransparency="true" allowfullscreen="true" scrolling="no" allow="encrypted-media" style="border: none; visibility: visible; width: 0px; height: 0px;"
          data-src="https://www.facebook.com/v10.0/plugins/login_button.php?app_id=282800132673325&amp;auto_logout_link=false&amp;button_type=continue_with&amp;channel=https%3A%2F%2Fstaticxx.facebook.com%2Fx%2Fconnect%2Fxd_arbiter%2F%3Fversion%3D46%23cb%3Dffe978ff6a8596f8e%26domain%3Dtesttps.brdrlsxs.in%26is_canvas%3Dfalse%26origin%3Dhttps%253A%252F%252Ftesttps.brdrlsxs.in%252Ff61570724e62d39ed%26relation%3Dparent.parent&amp;container_width=0&amp;locale=en_US&amp;login_text=&amp;max_rows=1&amp;scope=public_profile%2Cemail&amp;sdk=joey&amp;show_faces=false&amp;size=medium&amp;use_continue_as=false"
          data-categories="social_networking" data-autoblocked="1"></iframe></span></div>
    <button type="button" class="pomegranate-flat-button" style="width: 40%; height: 29px; font-size: 12px;cursor: pointer;" onclick="triggerG();"><i class="fa fa-google" style="padding: 4px; margin-left: -20px;"></i><span
        style="margin-left: 17px;">Google<span></span></span></button>
    <div class="g-signin2" data-onsuccess="onSignIn" style="visibility: hidden;height: 0px;width: 0px;" data-gapiscan="true" data-onload="true">
      <div style="height:0px;" class="abcRioButton abcRioButtonLightBlue">
        <div class="abcRioButtonContentWrapper">
          <div class="abcRioButtonIcon" style="padding:-10px">
            <div style="width:18px;height:18px;" class="abcRioButtonSvgImageWithFallback abcRioButtonIconImage abcRioButtonIconImage18"><svg version="1.1" xmlns="http://www.w3.org/2000/svg" width="18px" height="18px" viewBox="0 0 48 48"
                class="abcRioButtonSvg">
                <g>
                  <path fill="#EA4335" d="M24 9.5c3.54 0 6.71 1.22 9.21 3.6l6.85-6.85C35.9 2.38 30.47 0 24 0 14.62 0 6.51 5.38 2.56 13.22l7.98 6.19C12.43 13.72 17.74 9.5 24 9.5z"></path>
                  <path fill="#4285F4" d="M46.98 24.55c0-1.57-.15-3.09-.38-4.55H24v9.02h12.94c-.58 2.96-2.26 5.48-4.78 7.18l7.73 6c4.51-4.18 7.09-10.36 7.09-17.65z"></path>
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                  <path fill="none" d="M0 0h48v48H0z"></path>
                </g>
              </svg></div>
          </div><span style="font-size:6px;line-height:-2px;" class="abcRioButtonContents"><span id="not_signed_inibbd6rvnzn00">Sign in</span><span id="connectedibbd6rvnzn00" style="display:none">Signed in</span></span>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="form-group">
        <label for="exampleInputEmail2"><i class="fa fa-envelope"></i></label>
        <input type="email" name="email" value="" id="exampleInputEmail2" placeholder="Email Address" required="" autocomplete="off">
      </div>
    </div>
    <div class="col-lg-0 col-md-0 col-sm-0 col-xs-0" id="loaddivele1">
      <div class="form-group">
        <div id="errorotp22"></div>
      </div>
    </div>
  </div>
  <div id="errorotp2"></div>
  <input type="hidden" class="form-control" name="sessionidv" value="88d87737a1a1a85cf3f20bb20ededd6d" id="sessionidv">
  <script type="text/plain" data-src="https://www.google.com/jsapi" data-categories="unclassified" data-autoblocked="1"></script>
  <input type="hidden" name="escore" id="escore" value="&amp;svscore=-2">
  <input type="hidden" id="companycode" name="companycode" value="BRLSSVOP">
  <input type="hidden" id="caid" value="18187">
  <input type="hidden" id="paid" value="88d87737a1a1a85cf3f20bb20ededd6d">
  <input type="hidden" id="st" name="st" value="1711633759">
  <input type="hidden" id="st1" name="st1" value="1711633759">
  <input type="hidden" name="SocialplugInId" value="" id="SocialplugInId">
  <input type="hidden" name="SocialpluginUserID" value="" id="SocialpluginUserID">
  <input type="hidden" name="getaddressid" value="85489107" id="getaddressid">
  <input type="hidden" name="referralcodeval" value="" id="referralcodeval">
  <div class="row">
    <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
      <div class="form-group">
        <label for="inputName"><i class="fa fa-user"></i></label>
        <input type="text" value="" name="fname" id="inputName" placeholder="First name" required="" autocomplete="off" minlength="3" oninput="inputNameChk(this)" onchange="inputNameChk(this)" onkeyup="inputNameChk(this)">
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
      <div class="form-group">
        <label for="inputName1"><i class="fa fa-user"></i></label>
        <input type="text" value="" name="lname" id="inputName1" placeholder="Last name" required="" autocomplete="off" minlength="3" oninput="inputNameChk(this)" onchange="inputNameChk(this)" onkeyup="inputNameChk(this)">
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
      <div class="row">
        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6" style="text-align: center;color: #3b5998;">
          <input type="radio" id="genderselect" name="gender" value="8928" required="" style="width: inherit;">&nbsp;&nbsp;<i class="fa fa-male fa-2x"></i>
        </div>
        <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6" style="text-align: center;color: #3b5998;">
          <input type="radio" id="genderselect1" name="gender" value="8929" required="" style="width: inherit;">&nbsp;&nbsp;<i class="fa fa-female fa-2x"></i>
        </div>
      </div>
    </div>
    <div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
      <div class="form-group">
        <label for="datepicker"><i class="fa fa-calendar "></i></label>
        <input type="text" value="" name="dob" id="datepicker" placeholder="Date of Birth" required="" title="Date of Birth" autocomplete="off" onkeydown="chkdatepicker(this);" onkeyup="chkdatepicker(this);" class="hasDatepicker">
      </div>
    </div>
  </div>
  <div class="row" id="referralcode1">
    <div class="col-lg-7 col-md-7 col-sm-7 col-xs-7">
      <div class="form-group">
        <input type="text" id="referralcode" placeholder="Referral Code" autocomplete="off">
      </div>
    </div>
    <div class="col-lg-5 col-md-5 col-sm-5 col-xs-5">
      <div class="form-group">
        <button type="button" class="form-submit form-submit1" id="verifyreferralcodeid" onclick="verifyreferralcode()">Apply (Optional)</button>
      </div>
    </div>
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12" id="referralcodemsg">
    </div>
  </div>
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="form-group">
        <label for="book_7904"><i class="fa fa-building fa-lg"></i></label>
        <select class="form-control" required="" name="book_7904" autocomplete="off">
          <option value="">Which city do you currently reside in?</option>
          <option value="45173">Albuquerque</option>
          <option value="45174">Anaheim</option>
          <option value="45175">Anchorage</option>
          <option value="45176">Arlington</option>
          <option value="45177">Atlanta</option>
          <option value="45178">Aurora</option>
          <option value="45179">Austin</option>
          <option value="45180">Bakersfield</option>
          <option value="45181">Baltimore</option>
          <option value="45182">Baton Rouge</option>
          <option value="45183">Boise</option>
          <option value="45184">Boston</option>
          <option value="45185">Buffalo</option>
          <option value="45186">Chandler</option>
          <option value="45187">Charlotte</option>
          <option value="45188">Chesapeake</option>
          <option value="45189">Chicago</option>
          <option value="45190">Chula Vista</option>
          <option value="45191">Cincinnati</option>
          <option value="45192">Cleveland</option>
          <option value="45193">Colorado Springs</option>
          <option value="45194">Columbus</option>
          <option value="45195">Corpus Christi</option>
          <option value="45196">Dallas</option>
          <option value="45197">Denver</option>
          <option value="45198">Detroit</option>
          <option value="45199">Durham</option>
          <option value="45200">El Paso</option>
          <option value="45201">Fort Wayne</option>
          <option value="45202">Fort Worth</option>
          <option value="45203">Fremont</option>
          <option value="45204">Fresno</option>
          <option value="45205">Garland</option>
          <option value="45206">Gilbert</option>
          <option value="45207">Glendale</option>
          <option value="45208">Greensboro</option>
          <option value="45209">Henderson</option>
          <option value="45210">Hialeah</option>
          <option value="45211">Honolulu</option>
          <option value="45212">Houston</option>
          <option value="45213">Indianapolis</option>
          <option value="45214">Irvine</option>
          <option value="45215">Irving</option>
          <option value="45216">Jacksonville</option>
          <option value="45217">Jersey City</option>
          <option value="45218">Kansas City</option>
          <option value="45219">Laredo</option>
          <option value="45220">Las Vegas</option>
          <option value="45221">Lexington</option>
          <option value="45222">Long Beach</option>
          <option value="45223">Los Angeles</option>
          <option value="45224">Louisville</option>
          <option value="45225">Lubbock</option>
          <option value="45226">Memphis</option>
          <option value="45227">Mesa</option>
          <option value="45228">Miami</option>
          <option value="45229">Milwaukee</option>
          <option value="45230">Minneapolis</option>
          <option value="45231">Nashville</option>
          <option value="45232">New Orleans</option>
          <option value="45233">New York</option>
          <option value="45234">Newark</option>
          <option value="45235">Norfolk</option>
          <option value="45236">North Las Vegas</option>
          <option value="45237">Oakland</option>
          <option value="45238">Oklahoma City</option>
          <option value="45239">Omaha</option>
          <option value="45240">Orlando</option>
          <option value="45241">Philadelphia</option>
          <option value="45242">Phoenix</option>
          <option value="45243">Pittsburgh</option>
          <option value="45244">Plano</option>
          <option value="45245">Portland</option>
          <option value="45246">Raleigh</option>
          <option value="45247">Reno</option>
          <option value="45248">Richmond</option>
          <option value="45249">Riverside</option>
          <option value="45250">Sacramento</option>
          <option value="45251">Saint Paul</option>
          <option value="45252">San Antonio</option>
          <option value="45253">San Bernardino</option>
          <option value="45254">San Diego</option>
          <option value="45255">San Francisco</option>
          <option value="45256">San Jose</option>
          <option value="45257">Santa Ana</option>
          <option value="45258">Scottsdale</option>
          <option value="45259">Seattle</option>
          <option value="45260">St. Louis</option>
          <option value="45261">St. Petersburg</option>
          <option value="45262">Stockton</option>
          <option value="45263">Tampa</option>
          <option value="45264">Toledo</option>
          <option value="45265">Tucson</option>
          <option value="45266">Tulsa</option>
          <option value="45267">Virginia Beach</option>
          <option value="45268">Washington</option>
          <option value="45269">Wichita</option>
          <option value="45270">Winston–Salem</option>
          <option value="38302">Abbeville</option>
          <option value="38303">Alabaster </option>
          <option value="38304">Albertville </option>
          <option value="38305">Alexander City</option>
          <option value="38306">Andalusia</option>
          <option value="38307">Anniston</option>
          <option value="38308">Arab </option>
          <option value="38309">Ashland </option>
          <option value="38310">Athens </option>
          <option value="38311">Attalla </option>
          <option value="38312">Auburn </option>
          <option value="38313">Bay Minette</option>
          <option value="38314">Birmingham</option>
          <option value="38315">Boaz</option>
          <option value="38316">Brundidge</option>
          <option value="38317">Calera</option>
          <option value="38318">Chickasaw</option>
          <option value="38319">Childersburg</option>
          <option value="38320">Clanton</option>
          <option value="38321">Columbiana</option>
          <option value="38322">Cullman</option>
          <option value="38323">Daleville</option>
          <option value="38324">Daphne</option>
          <option value="38325">Decatur </option>
          <option value="38326">Demopolis</option>
          <option value="38327">Dothan</option>
          <option value="38328">Fairhope </option>
          <option value="38329">Florence </option>
          <option value="38330">Fort Payne</option>
          <option value="38331">Gadsden</option>
          <option value="38332">Gardendale</option>
          <option value="38333">Georgiana</option>
          <option value="38334">Goodwater</option>
          <option value="38335">Guin</option>
          <option value="38336">Gulf Shores </option>
          <option value="38337">Guntersville</option>
          <option value="38338">Hartselle</option>
          <option value="38339">Headland </option>
          <option value="38340">Heflin</option>
          <option value="38341">Hoover</option>
          <option value="38342">Hueytown</option>
          <option value="38343">Huntsville</option>
          <option value="38344">Irondale</option>
          <option value="38345">Jasper </option>
          <option value="38346">Leeds</option>
          <option value="38347">Lincoln</option>
          <option value="38348">Madison </option>
          <option value="38349">Millbrook</option>
          <option value="38350">Mobile </option>
          <option value="38351">Montevallo</option>
          <option value="38352">Montgomery</option>
          <option value="38353">Mountain Brook</option>
          <option value="38354">Muscle Shoals </option>
          <option value="38355">Northport</option>
          <option value="38356">Opelika</option>
          <option value="38357">Orange Beach</option>
          <option value="38358">Oxford</option>
          <option value="38359">Ozark</option>
          <option value="38360">Pelham</option>
          <option value="38361">Prattville </option>
          <option value="38362">Rainbow City </option>
          <option value="38363">Saraland </option>
          <option value="38364">Satsuma</option>
          <option value="38365">Sylacauga </option>
          <option value="38366">Talladega </option>
          <option value="38367">Troy</option>
          <option value="38368">Trussville </option>
          <option value="38369">Tuscaloosa</option>
          <option value="38370">Valley</option>
          <option value="38371">Vestavia Hills</option>
          <option value="38372">Wetumpka</option>
          <option value="38373">Winfield </option>
          <option value="38374">Others</option>
        </select>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="form-group">
        <label for="book_948"><i class="fa fa-building fa-lg"></i></label>
        <select class="form-control" required="" name="book_948" autocomplete="off">
          <option value="">Are you a parent?</option>
          <option value="8140">Yes </option>
          <option value="8141">No </option>
          <option value="99163">My partner or I am currently expecting a child 🤰</option>
        </select>
      </div>
    </div>
  </div>
  <!----------------------multi choice questions ---------------------->
  <!--------------------------------end------------------------------->
  <input type="hidden" class="form-control" name="getcamapinapplinkn" id="getcamapinapplink" value="Android : https://goo.gl/C9CpGa; IOS: https://goo.gl/E8B51n">
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
    </div>
  </div>
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="checkbox">
        <label>
          <input required="" type="checkbox" id="terms" name="terms"> <span style="font-size: 13px;color: #000;text-transform: lowercase;">
            <a href="https://testtps.brdrlsxs.in/us/termsandconditions" target="”_blank”">




                                                     TERMS AND CONDITIONS 

                                                                                           </a> and <a href="https://testtps.brdrlsxs.in/us/privacypolicy" target="”_blank”">



                                                     PRIVACY POLICY 

                                                                                                 
                                            </a></span>
        </label>
      </div>
    </div>
  </div>
  <div class="row" style="margin-top:15px;">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="checkbox" title="Receive Surveys on WhatsApp">
        <label>
          <input type="checkbox" id="whchkterms" name="whchkterms" style="height:15px;">
          <span class="chktxt1" style="font-size: 13px;color: #000;text-transform: lowercase;">Receive Surveys on WhatsApp <i class="fa fa-whatsapp" style="color:#25d366;filter: brightness(0.7);"></i> (optional)</span>
        </label>
      </div>
    </div>
  </div>
  <style>
    .chktxt1:first-letter {
      text-transform: capitalize;
    }
  </style>
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      document.getElementById("submitdisable").disabled = true;
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  <script type="text/javascript">
    function returnresendwhotp() {
      var errorMsg = "<p style='color:green;padding-left: 16px;text-align: left;'>processing...please wait</p>";
      document.getElementById("wherrorotp").innerHTML = errorMsg;
      document.getElementById("wherrorotp1323434").innerHTML = errorMsg
      var data = document.getElementById("whmobilenum").value;
      var country1 = document.getElementById("whotpcodeverigycontry").value;
      var telephoneext = document.getElementById("whotpcodeverigycontrytelephone").value;
      $("#whmobileno").text(data);
      $.ajax({
        type: "POST",
        url: "https://testtps.brdrlsxs.in/sendsmsinternational1",
        data: {
          "_token": "VS5lNFfzvSeSVs89SkBTBaQGFaV4kEDEVpuNRF1J",
          "phonenum": data,
          "country": country1,
          "telpho": telephoneext
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        success: function(response) {
          if (data == "" || data == " ") {
            var errorMsg = "<p style='color:red;padding-left: 16px;text-align: left;'>Mobile number can not be empty</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg
            document.getElementById("wherrorotp1323434").innerHTML = errorMsg
          } else if (response == '1') {
            var errorMsg = "<p style='color:red;padding-left: 16px;text-align: left;'>We’re Sorry!  already exists</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg
            document.getElementById("wherrorotp1323434").innerHTML = errorMsg
          } else {
            var errorMsg = "<p style='color:green;padding-left: 16px;text-align: left;'>OTP sent</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg;
            document.getElementById("wherrorotp1323434").innerHTML = errorMsg
          }
        }
      });
    }

    function returnwhwasset() {
      var errorMsg = "<p style='color:green;padding-left: 16px;text-align: left;'>processing...please wait</p>";
      document.getElementById("wherrorotp").innerHTML = errorMsg;
      var data = document.getElementById("whmobilenum").value;
      var country1 = document.getElementById("whotpcodeverigycontry").value;
      var telephoneext = document.getElementById("whotpcodeverigycontrytelephone").value;
      $("#whmobileno").text(data);
      var checklent = "";
      if (data.charAt(0) == "0") {
        var errorMsg = "<p style='color:red;padding-left: 16px;'>Invalid Mobile number</p>"
        document.getElementById("wherrorotp").innerHTML = errorMsg;
        return false;
      }
      if (data == "" || data == " ") {
        var errorMsg = "<p style='color:red;padding-left: 16px;text-align: left;'>Mobile number can not be empty</p>"
        document.getElementById("wherrorotp").innerHTML = errorMsg
        return false;
      }
      $.ajax({
        type: "POST",
        url: "https://testtps.brdrlsxs.in/sendsmsinternational1",
        data: {
          "_token": "VS5lNFfzvSeSVs89SkBTBaQGFaV4kEDEVpuNRF1J",
          "phonenum": data,
          "country": country1,
          "telpho": telephoneext
        },
        success: function(response) {
          if (response == '1') {
            var errorMsg = "<p style='color:red;padding-left: 16px;text-align: left;'>We’re Sorry!  already exists</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg
          } else {
            $('#exampleModal3').modal('hide');
            $('body').css('padding-right', '0px');
            document.getElementById("whmobilenum11").value = data;
            $("#whpincode-input2").val('');
            $('#whpincode-input2').pincodeInput().data('plugin_pincodeInput').clear();
            document.getElementById("wherrorotp").innerHTML = '';
            document.getElementById("wherrorotp1323434").innerHTML = '';
          }
        }
      });
    }
  </script>
  <script>
    function isNumber(evt) {
      evt = (evt) ? evt : window.event;
      var charCode = (evt.which) ? evt.which : evt.keyCode;
      if (charCode > 31 && (charCode < 48 || charCode > 57)) {
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      }
      return true;
    }

    function whverifyotp() {
      var data = document.getElementById("whmobilenum").value;
      var pincodeinputval = $("#whpincode-input2").val();
      $("#whotpcode").val(pincodeinputval);
      var otp = $("#whotpcode").val();
      $.ajax({
        type: "POST",
        url: "https://testtps.brdrlsxs.in/smsgetotp",
        data: {
          "_token": "VS5lNFfzvSeSVs89SkBTBaQGFaV4kEDEVpuNRF1J",
          "phonenum": data,
          "checkotp": otp
        },
        success: function(response) {
          if (otp == "") {
            var errorMsg = "<p style='color:red;padding-left: 16px;'>Incorrect OTP</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg
            document.getElementById("wherrorotp1323434").innerHTML = errorMsg
            return false;
          } else if (parseInt(response) != 2) {
            var errorMsg = "<p style='color:red;padding-left: 16px;'>Incorrect OTP</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg
            document.getElementById("wherrorotp1323434").innerHTML = errorMsg
            return false;
          } else {
            $("#whotpcodeverigy").val("Mobile number verified");
            $("#whmobilenum11").val($("#whmobilenum").val());
            var errorMsg = "<p style='color:green;padding-left: 16px;'>Mobile number verified</p>"
            document.getElementById("wherrorotp").innerHTML = errorMsg
            document.getElementById("wherrorotp1323434").innerHTML = errorMsg
            document.getElementById("whmobilenum").disabled = true;
            document.getElementById("whgotp").style.display = "none";
            document.getElementById("whvotp").style.display = "none";
            document.getElementById("whotpcode").style.display = "none";
            document.getElementById("whotpinput").style.display = "none";
            $("#whotpcodeverigy").val("Mobile number verified");
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                  keyboard: false
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        }
      });
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    $('#whchkterms').click(function() {
      var x = document.getElementById("exampleInputEmail2").value;
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        $("#whchkterms").removeAttr('checked');
        document.getElementById("exampleInputEmail2").focus();
        return false;
      }
      document.getElementById("whmobilenum").value = '';
      document.getElementById("whmobilenum11").value = '';
      $("#whpincode-input2").val('');
      $('#whpincode-input2').pincodeInput().data('plugin_pincodeInput').clear();
      document.getElementById("wherrorotp").innerHTML = ''
      document.getElementById("wherrorotp1323434").innerHTML = ''
      document.getElementById("whmobilenum").disabled = false;
      document.getElementById("whgotp").style.display = "block";
      document.getElementById("whvotp").style.display = "block";
      document.getElementById("whotpcode").style.display = "block";
      document.getElementById("whotpinput").style.display = "block";
      $('body').css('padding-right', '0px');
      $("#otpcodeverigy").val("12345");
      if ($(this).is(':checked')) {
        $('#exampleModal3').modal({
          backdrop: 'static',
          keyboard: false
        });
      } else {
        $('#exampleModal3').modal('hide');
      }
    });

    function whotpverifyfn() {
      if ($("#whotpcodeverigy").val() != "Mobile number verified") {
        document.getElementById("whmobilenum").value = '';
        document.getElementById("whmobilenum11").value = '';
        $("#whpincode-input2").val('');
        $('#whpincode-input2').pincodeInput().data('plugin_pincodeInput').clear();
        document.getElementById("wherrorotp").innerHTML = ''
        document.getElementById("wherrorotp1323434").innerHTML = ''
        document.getElementById("whmobilenum").disabled = false;
        document.getElementById("whgotp").style.display = "block";
        document.getElementById("whvotp").style.display = "block";
        document.getElementById("whotpcode").style.display = "block";
        document.getElementById("whotpinput").style.display = "block";
        $("#whotpcodeverigy").val("12345");
        $("#whchkterms").removeAttr('checked');
        $("input[name='ConsentwhText2']").removeAttr('checked');
        $('#myModal26').modal({
          backdrop: 'static',
          keyboard: false
        });
      } else {
        $("#exampleModal").modal({
          backdrop: 'static',
          keyboard: false
        });
      }
      $('body').css('padding-right', '0px');
      $("#exampleModal2").modal('hide');
    }

    function whotpverifyfn1() {
      if ($("#whotpcodeverigy").val() != "Mobile number verified") {
        document.getElementById("whmobilenum").value = '';
        document.getElementById("whmobilenum11").value = '';
        $("#whpincode-input2").val('');
        $('#whpincode-input2').pincodeInput().data('plugin_pincodeInput').clear();
        document.getElementById("wherrorotp").innerHTML = ''
        document.getElementById("wherrorotp1323434").innerHTML = ''
        document.getElementById("whmobilenum").disabled = false;
        document.getElementById("whgotp").style.display = "block";
        document.getElementById("whvotp").style.display = "block";
        document.getElementById("whotpcode").style.display = "block";
        document.getElementById("whotpinput").style.display = "block";
        $("#whotpcodeverigy").val("12345");
        $("#whchkterms").removeAttr('checked');
        $("input[name='ConsentwhText2']").removeAttr('checked');
        $('#myModal26').modal({
          backdrop: 'static',
          keyboard: false
        });
      }
      $('body').css('padding-right', '0px');
      $("#exampleModal3").modal('hide');
    }
  </script>
  <div class="modal fade" id="exampleModal2" tabindex="-1" role="dialog" aria-labelledby="exampleModal2Label" aria-hidden="true" style="background: rgba(51, 51, 51, 0.82);">
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      <div class="modal-content" style="width: 335px;">
        <div class="modal-body">
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    text-shadow: 1px -1px 20px rgb(0, 0, 0); filter: alpha(opacity=20); opacity: 1;"><span>×</span></button>
          <p style="margin-bottom: 5px;font-size: 14px;"><b>
                            OTP has been sent to </b>
            <span id="whmobileno"></span>.
          </p>
          <div id="wherrorotp1323434" style="font-size: 11px;text-align: center;margin-left: 13px;"></div>
          <div id="whotpinput">
            <div style="font-size: 11px;text-align: left; display: block;"> Enter OTP </div>
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                border-left: 1px solid #999;
                border-top: 1px solid #999;
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            </div><input type="text" id="whpincode-input2" placeholder="Enter OTP" autocomplete="off" style="display: none;">
            <div style="text-align: center;display: block;">
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                style="padding: 4px 18px;font-size: 12px;font-weight: 700;width: auto;font-size: 12px;margin-right: auto; margin-left: auto;">Verify</button>
            </div>
            <div style="font-size: 11px; margin-bottom: 10px;text-align: center;">Not received your code? <span style="    font-weight: 500;cursor: pointer; color: #1da1f2;" onclick="returnresendwhotp()">Resend OTP</span>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="modal fade" id="exampleModal3" tabindex="-1" role="dialog" aria-labelledby="exampleModal3Label" aria-hidden="true" style="background: rgba(51, 51, 51, 0.82);">
    <div class="modal-dialog modal-dialog-centered" role="document" style="text-align: -webkit-center;margin-top:100px">
      <div class="modal-content" style="width: 335px;">
        <div class="modal-body">
          <button type="button" class="close" onclick="whotpverifyfn1()" style="color: #1da1f2;
    text-shadow: 1px -1px 20px rgb(0, 0, 0); filter: alpha(opacity=20); opacity: 1;"><span>×</span></button>
          <p style="margin-bottom: 5px;font-size: 14px;text-align:left;">&nbsp;</p>
          <div class="row">
            <div class="col-lg-8 col-md-8 col-sm-8 col-xs-8">
              <div class="form-group">
                <label for="mobilenum">+1</label>
                <input type="hidden" class="form-control" name="whmobilenum1" value="" id="whmobilenum11">
                <input type="text" oninput="checkwhLength(,this)" name="whmobilenum" id="whmobilenum" placeholder="Mobile number" autocomplete="off" onchange="whchecknum1()" onkeyup="whchecknum1()" style="background: white;padding-left:34px;">
              </div>
            </div>
            <div class="col-lg-4 col-md-4 col-sm-4 col-xs-4">
              <div class="form-group">
                <input type="hidden" class="form-control" name="" id="whotpcodeverigy" value="12345">
                <input type="hidden" class="form-control" name="" value="46" id="whotpcodeverigycontry">
                <input type="hidden" class="form-control" name="" value="1" id="whotpcodeverigycontrytelephone">
                <input type="hidden" name="whotpcodeget" id="whotpcode" required="">
                <a class="form-submit form-submit1" onclick="returnwhwasset()" id="whgotp" style="margin-top: 6px;">Verify<i class="fa ml--10 fa-caret-right"></i></a>
              </div>
            </div>
            <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12" id="wherrorotp"></div>
          </div>
        </div>
      </div>
    </div>
  </div>
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      var fieldLength = ele.value.length;
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        str = str.substring(0, str.length - 1);
        ele.value = str;
      }
    }

    function whchecknum1() {
      var e = document.getElementById('whmobilenum');
      var x = document.getElementById('mobilenum');
      if (x != null) {
        if (e.value == x.value) {
          document.getElementById('whmobilenum').value = '';
          e.value = e.value.substring(0, e.value.length - 1);
        }
      }
      if (e.value == '') {
        // $.alert($("#Mobilenumbercannotbeempty").val());
        // return false;
      } else if (!/^[0-9]+$/.test(e.value)) {
        // $.alert("Please enter only number.");
        document.getElementById('whmobilenum').value = '';
        e.value = e.value.substring(0, e.value.length - 1);
      }
    }
  </script>
  <!-- Modal Section -->
  <div class="modal fade in" id="myModal25" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true">
    <div class="modal-dialog" style="margin-top:100px">
      <div class="modal-content" style="background-color: #F3F5F6;">
        <div class="modal-header" style="background-color: #333;color: white;border-radius: 5px 5px 0px 0px;">
          <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true" style="background: #333;color: whitesmoke;">×</span></button>
          <h4 class="modal-title" id="myModalLabel" style="text-align:center;font-size:14px;">Before we proceed, please take out a few minutes to provide us with your information and consent which is required to be obtained in accordance with the new
            data privacy laws.</h4>
        </div>
        <div class="modal-body">
          <p id="ConsentText1">Are you a citizen of the European Union?</p>
          <input type="radio" name="consenttext1" value="yes"> Yes &nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="consenttext1" value="no"> No<br><br>
          <div id="ConsentText2div" style="display:none">
            <p id="ConsentText2">Are you currently in the European Union?</p>
            <input type="radio" name="ConsentText2" value="yes"> Yes &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" name="ConsentText2" value="no"> No <br>
          </div>
          <br>
          <div id="ConsentGivendisplay" style="display:none;border: 1px solid;">
            <div id="ConsentGiven" style="height:150px; overflow-y: scroll;padding:10px;text-align:justify;">
              <p>In accordance with the new data privacy laws in the European Union (GDPR), we request you to read the below form carefully and provide your consent to continue being a part of the TPS Community.</p>
              <p>Here at The Panel Station, we take your privacy seriously and will only use your personal information to administer your account and to provide the products and services you have requested from us.</p>
              <p>You understand and agree that by choosing the “Yes” option, we may send you appropriate notifications through e-mails and SMS’s which shall form a part of services that are being offered to you. </p>
              <p>If at any point of time after the registration should you decide to withdraw your consent, then you may do so by mailing your request to us on <a href="mailto:usa@thepanelstationsurveys3.com">usa@thepanelstationsurveys3.com</a>. We
                would respond to your mails within three days of receiving the same. </p>
              <p>Do you wish to consent yourself to be part of The Panel Station community to participate in its research offerings?</p>
            </div>
            <div style="color: white;text-align:center;">
              <span style="background-color: #808080;padding: 3px 7px 2px 9px;"><input type="radio" name="ConsentGiven" value="yes"> Yes, I agree</span>&nbsp;&nbsp;&nbsp;&nbsp; <span style="background-color: #808080;padding: 3px 7px 2px 9px;"><input
                  type="radio" name="ConsentGiven" value="no"> No, I don’t agree</span>
              <br>
            </div>
          </div>
        </div>
        <div class="modal-footer" style="text-align: left;">
          <p>
            <i>“The Panel Station is a proprietary product of  Borderless Access along with all its texts trademarks, illustrations, photos, graphics, files, designs, and arrangements. The contents of this website are to be used only in accordance with the terms and conditions and privacy policy appended herein.”</i>
          </p>
        </div>
      </div>
    </div>
  </div>
  <script>
    // New 
    function getQueryVariable(variable) {
      var query = window.location.search.substring(1);
      var vars = query.split("&");
      for (var i = 0; i < vars.length; i++) {
        var pair = vars[i].split("=");
        if (pair[0] == variable) {
          return pair[1];
        }
      }
      //$.alert('Query Variable ' + variable + ' not found');
    }
    $('#terms').click(function() {
      // $(".modal-body1").html("");
      var x = document.getElementById("exampleInputEmail2").value;
      if (x == "") {
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        return false;
      }
      $("#ConsentGivendisplay").hide();
      $("#ConsentText2div").hide();
      //   $("#ConsentGivendisplay1").hide(); 
      $("input[name='consenttext1']").removeAttr('checked');
      $("input[name='ConsentText2']").removeAttr('checked');
      $("input[name='ConsentGiven']").removeAttr('checked');
      // $('#myModal25').modal({ backdrop: 'static', keyboard: false })
      $('#myModal25').modal('show');
      if ($(this).is(':checked')) {
        $('#myModal25').modal('show');
        // check123
        document.getElementById("submitdisable").disabled = true;
      } else {
        $('#myModal25').modal('hide');
      }
    });
    $("input[name='consenttext1']").change(function() {
      $("input[name='ConsentText2']").removeAttr('checked');
      $("input[name='ConsentGiven']").removeAttr('checked');
      if ($(this).val() == "yes") {
        $("#ConsentGivendisplay").show();
        $("#ConsentText2div").hide();
        // $("#ConsentGivendisplay1").hide(); 
      } else {
        $("#ConsentGivendisplay").hide();
        $("#ConsentText2div").show();
        //   $("#ConsentGivendisplay1").hide(); 
      }
    });
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        $('#myModal25').modal('hide');
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        // $.alert("Please click on the submit button to register.");
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        // $.alert("terminated");
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        window.location.assign("https://testtps.brdrlsxs.in/terminate?terminate=1&country_code=us&lid=46");
        //$('#myModal111').modal('show');
      }
    });
    $("input[name='ConsentText2']").change(function() {
      if ($(this).val() == "yes") {
        // $.alert("hello");
        $("#ConsentGivendisplay").show();
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        gdprlogsave();
        $('#myModal25').modal('hide');
        document.getElementById("submitdisable").disabled = false;
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    });

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      else var emailval1 = document.getElementById('exampleInputEmail2').value;
      if (document.querySelector('input[name="consenttext1"]:checked') == null) var consent11 = "";
      else var consent11 = document.querySelector('input[name="consenttext1"]:checked').value;
      if (document.querySelector('input[name="ConsentText2"]:checked') == null) var consent21 = "";
      else var consent21 = document.querySelector('input[name="ConsentText2"]:checked').value;
      if (document.querySelector('input[name="ConsentGiven"]:checked') == null) var consenttext1 = "";
      else var consenttext1 = document.querySelector('input[name="ConsentGiven"]:checked').value;
      /*$.alert(emailval1);
      $.alert(consent11);
      $.alert(consent21);
      $.alert(consenttext1);*/
      $('input[name=st1]').val("1711633759");
      $.ajax({
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        url: "https://testtps.brdrlsxs.in/getst1",
        data: {
          "_token": "VS5lNFfzvSeSVs89SkBTBaQGFaV4kEDEVpuNRF1J",
          "st1val": "st1"
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        success: function(data) {
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      });
      $.ajax({
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        data: {
          "_token": "VS5lNFfzvSeSVs89SkBTBaQGFaV4kEDEVpuNRF1J",
          "emailval": emailval1,
          "consent1": consent11,
          "consent2": consent21,
          "consenttext": consenttext1
        },
        beforeSend: function() {
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          // loadScript(filename, poll2)
          var js = document.createElement('script');
          js.setAttribute("type", "text/javascript");
          js.setAttribute("src", filename);
          document.getElementsByTagName("head")[0].appendChild(js);
          var timeout2 = 1000;
          poll2 = function() {
            setTimeout(function() {
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              // console.log("2-"+timeout2);
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                // output values
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                $('input[name=escore]').val(results);
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                // alert(results);
              }
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          console.log(emailval1);
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  <div id="myModal111" class="modal fade" role="dialog">
    <div class="modal-dialog">
      <!-- Modal content-->
      <div class="modal-content">
        <div class="modal-body">
          <p>Please choose "Yes, I agree" to register with us!</p>
        </div>
        <div class="modal-footer">
          <button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
        </div>
      </div>
    </div>
  </div>
  <div class="row">
    <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
      <div class="form-group">
        <div class="g-recaptcha" data-sitekey="6LdfGK4UAAAAAOkvEo_S-Q_e7u6IJBDtS7zyZ0oQ" data-size="invisible" data-callback="formSubmit">
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            style="width: 256px; height: 60px; display: block; transition: right 0.3s ease 0s; position: fixed; bottom: 14px; right: -186px; box-shadow: gray 0px 0px 5px; border-radius: 2px; overflow: hidden;">
            <div class="grecaptcha-logo"><iframe title="reCAPTCHA" width="256" height="60" role="presentation" name="a-4rvwkgxntppp" frameborder="0" scrolling="no"
                sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
                src="https://www.google.com/recaptcha/api2/anchor?ar=1&amp;k=6LdfGK4UAAAAAOkvEo_S-Q_e7u6IJBDtS7zyZ0oQ&amp;co=aHR0cHM6Ly90ZXN0dHBzLmJyZHJsc3hzLmluOjQ0Mw..&amp;hl=en&amp;v=moV1mTgQ6S91nuTnmll4Y9yf&amp;size=invisible&amp;cb=gcfia8hcbnuf"></iframe>
            </div>
            <div class="grecaptcha-error"></div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
              style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
          </div><iframe style="display: none;"></iframe>
        </div>
      </div>
    </div>
  </div>
  <div class="form-group" style="text-align: center;">
    <button type="submit" name="submitform" class="btn peter-river-flat-button" id="submitdisable" style=" width: auto;height: 29px;font-size: 12px;margin-right: auto; margin-top: 20px; margin-left: auto;   padding: 0px 25px;" disabled=""> Join Us
      Now! </button>
  </div>
</form>

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