udyogmitraonline.com
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Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On August 10 via api from IT — Scanned from IT
Submission Tags: @ecarlesi possiblethreat phishing Search All
Submission: On August 10 via api from IT — Scanned from IT
Form analysis 1 forms found in the DOM
POST https://udyogmitraonline.com/appointments
<form action="https://udyogmitraonline.com/appointments" id="myForm" method="POST" style="padding: 3%;">
<input type="hidden" name="_token" value="sOaJuZcFcKEwgXHOh5M7H6c2PT7aYt9gOenRenfg">
<div class="row">
<div class="col-md-6 form-group">
<label for="name" class="form-label">Your Name *</label>
<input type="text" name="Your_Name" class="form-control" id="name">
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<label for="companyName" class="form-label">Company Name *</label>
<input type="text" class="form-control" name="Company_Name" id="companyName">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 form-group">
<label for="phoneNumber" class="form-label">Phone Number *</label>
<input type="text" name="Phone_Number" class="form-control" id="phoneNumber">
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<label for="companyName" class="form-label">Email ID *</label>
<input type="email" class="form-control" name="Email_ID" id="email">
</div>
</div>
<br>
<div class="form-group mt-3">
<label for="Address" class="form-label">Address *</label>
<input type="text" class="form-control" name="Address" id="Address">
</div>
<br>
<div class="row">
<div class="col-md-4 form-group">
<label for="city" class="form-label">City *</label>
<input type="text" name="City" class="form-control" id="city">
</div>
<div class="col-md-4 form-group mt-3 mt-md-0">
<label for="district" class="form-label">District *</label>
<input type="text" class="form-control" name="District" id="district">
</div>
<div class="col-md-4 form-group mt-3 mt-md-0">
<label for="pinCode" class="form-label">Pin Code *</label>
<input type="text" class="form-control" name="Pincode" id="pinCode">
</div>
</div>
<br>
<div class="form-group mt-3">
<label for="website" class="form-label">Website</label>
<input type="text" class="form-control" name="Website" id="website">
</div>
<br>
<div class="row">
<label for="website" class="form-label">Company Type</label>
<div class="col-md-2 form-group mt-3 mt-md-0">
<input class="form-check-input" type="radio" name="company_type" id="company_type"> <label class="form-check-label" for="company type">Proprietorship</label>
</div>
<div class="col-md-2 form-group mt-3 mt-md-0">
<input class="form-check-input" type="radio" name="Partnership" id="partnership"> <label class="form-check-label" for="partnership">Partnership</label>
</div>
<div class="col-md-2 form-group mt-3 mt-md-0">
<input class="form-check-input" type="radio" name="LLP" id="limitedPartnership"> <label class="form-check-label" for="limitedPartnership">LLP</label>
</div>
<div class="col-md-2 form-group">
<input class="form-check-input" type="radio" name="PVT_LTD" id="PrivateLTD"> <label class="form-check-label" for="PrivateLTD">PVT LTD</label>
</div>
<div class="col-md-2 form-group">
<input class="form-check-input" type="radio" name="LTD" id="LTD"> <label class="form-check-label" for="LTD">LTD</label>
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 form-group">
<label for="natureOfBusiness" class="form-label">Nature of Business</label>
<input type="natureOfBusiness" class="form-control" name="Nature_of_Business" id="Nature_of_Business">
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<label for="natureOfBusiness" class="form-label">Date of Company Establishment</label>
<input type="date" id="End_Date" name="Date_of_Company_Establishment" class="form-control">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 form-group">
<label for="annualTurnover" class="form-label">Annual Turnover Last 3 Years *</label>
<select class="form-select" aria-label="Default select example" id="yearDropdown1" name="First_Year_Annual_Turnover">
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
</select>
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<label for="annualTurnoverInLakh" class="form-label">(Rs. In Lakh) *</label>
<input type="annualTurnoverInLakh" id="annualTurnoverInLakh" name="First_Year_Annual_Turnover_In_Lakh" class="form-control">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 form-group">
<select class="form-select" aria-label="Default select example" id="yearDropdown2" name="Second_Year_Annual_Turnover">
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
</select>
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<input type="annualTurnoverInLakh" id="annualTurnoverInLakh1" name="Second_Year_Annual_Turnover_In_Lakh" class="form-control">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 form-group">
<select class="form-select" aria-label="Default select example" id="yearDropdown3" name="Thired_Year_Annual_Turnover">
<option value="2024">2024</option>
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
<option value="1949">1949</option>
<option value="1948">1948</option>
<option value="1947">1947</option>
<option value="1946">1946</option>
<option value="1945">1945</option>
<option value="1944">1944</option>
<option value="1943">1943</option>
<option value="1942">1942</option>
<option value="1941">1941</option>
<option value="1940">1940</option>
<option value="1939">1939</option>
<option value="1938">1938</option>
<option value="1937">1937</option>
<option value="1936">1936</option>
<option value="1935">1935</option>
<option value="1934">1934</option>
<option value="1933">1933</option>
<option value="1932">1932</option>
<option value="1931">1931</option>
<option value="1930">1930</option>
<option value="1929">1929</option>
<option value="1928">1928</option>
<option value="1927">1927</option>
<option value="1926">1926</option>
<option value="1925">1925</option>
<option value="1924">1924</option>
<option value="1923">1923</option>
<option value="1922">1922</option>
<option value="1921">1921</option>
<option value="1920">1920</option>
<option value="1919">1919</option>
<option value="1918">1918</option>
<option value="1917">1917</option>
<option value="1916">1916</option>
<option value="1915">1915</option>
<option value="1914">1914</option>
<option value="1913">1913</option>
<option value="1912">1912</option>
<option value="1911">1911</option>
<option value="1910">1910</option>
<option value="1909">1909</option>
<option value="1908">1908</option>
<option value="1907">1907</option>
<option value="1906">1906</option>
<option value="1905">1905</option>
<option value="1904">1904</option>
<option value="1903">1903</option>
<option value="1902">1902</option>
<option value="1901">1901</option>
<option value="1900">1900</option>
</select>
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<input type="annualTurnoverInLakh" id="annualTurnoverInLakh2" name="Thired_Year_Annual_Turnover_In_Lakh" class="form-control">
</div>
</div>
<br>
<div class="row">
<div class="form-group mt-3">
<table class="table table-bordered">
<thead>
<tr>
<th>Sr. No.</th>
<th>Consultation Requirement<span>
<p>(Describe here your topic for which you need expert's opinion)</p>
</span></th>
</tr>
</thead>
<tbody>
<tr>
<td data-label="Sr. No.">1</td>
<td data-label="Topic To Discuss"> <input type="text" name="Consultation_Requirement_Topic_1" id="Consultation_Requirement_Topic_1" aria-label="First name" class="form-control"></td>
</tr>
<tr>
<td data-label="Sr. No.">2</td>
<td data-label="Topic To Discuss"> <input type="text" name="Consultation_Requirement_Topic_2" aria-label="First name" class="form-control"></td>
</tr>
<tr>
<td data-label="Sr. No.">3</td>
<td data-label="Topic To Discuss"> <input type="text" name="Consultation_Requirement_Topic_3" aria-label="First name" class="form-control"></td>
</tr>
</tbody>
</table>
</div>
</div>
<br>
<div class="row">
<label for="website" class="form-label">Are you a subscriber of udyogmitra sanstha</label>
<div class="col-md-2 form-group">
<input class="form-check-input" type="radio" name="Yes_I_am_a_subscriber_of_udyogmitra_sanstha" id="Yes"> <label class="form-check-label" for="yes">Yes</label>
</div>
<div class="col-md-2 form-group mt-3 mt-md-0">
<input class="form-check-input" type="radio" name="No_I_am_not_a_subscriber_of_udyogmitra_sanstha" id="no"> <label class="form-check-label" for="no">No</label>
</div>
</div>
<br>
<div class="row">
<div class="col-md-12 form-group">
<input class="form-check-input" type="checkbox" name="termsconditions" id="termsconditions"> <label class="form-check-label" for="termsconditions1">I agree to the Terms and Conditions *</label>
</div>
</div>
<br>
<div class="row">
<div style="display: flex; justify-content: center;">
<button type="submit" id="appointmentButton">Submit</button>
</div>
</div>
</form>Text Content
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