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pages/paytmCheckout.html
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<div class="header"> <div> <!-- <img src="images/LOGO.png" class="logojalsa"><span class="jalsaheadr" style="">2018</span> --> <!-- <img src="images/SartupJalsa_Logo.png" style="width:200px;position:relative;"> --> </div> <div class="clearfix"></div> <div class="myLoaderWrap" ng-show="loading"> <img class="ajax-loader" src="images/loader.gif"> </div> </div> <!-- CLOSE HEADER --> <form name="applicantForm"> <div class="col-xs-12 col-md-8 col-md-offset-2"> <div class="form-all"> <h4 class="title">General Information</h4> <p></p> <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper" > <div class="form-group"> <label>Name: *</label> <input type="name" class="form-control" ng-model="data.name" required> </div> <div class="form-group"> <label>Startup Name: *</label> <input type="text" class="form-control" ng-model="data.startupName" required> </div> <div class="form-group"> <label>Phone No: *</label> <input type="text" class="form-control" ng-model="data.number" required> <!-- <label class="error-message f-family" id="invalidNumber">Please enter only numeric value.</label> --> </div> <div class="form-group"> <label>Email: *</label> <input type="email" class="form-control" ng-model="data.email" required> </div> <div class="form-group"> <label>City:</label> <input type="text" class="form-control" ng-model="data.city" readonly> </div> <div class="form-group"> <label>Website:</label> <input type="text" class="form-control" ng-model="data.website"> </div> <div class="form-group"> <label>Founding Year: *</label> <input type="text" class="form-control" ng-model="data.founder" required> </div> <div class="form-group"> <label>Business Types: *</label> <select class="form-control" ng-model="data.business" required> <option name="business" selected disabled value="">Choose business type</option> <option value="B2B">B2B</option> <option value="B2C">B2C</option> <option value="B2G">B2G</option> </select> </div> <div class="form-group"> <label>Stage: *</label> <select class="form-control" ng-model="data.stage" required> <option name="stage" selected disabled value="">Choose Startup Stage</option> <option value="Ideation">Ideation</option> <option value="POC/Beta">POC/Beta</option> <option value="Revenue">Revenue</option> </select> </div> <div class="form-group"> <label>Sector: *</label> <select class="form-control" ng-model="data.sector" ng-change="GetValue()" required> <option name="sector" selected disabled value="">Choose sector</option> <option value="Agriculture">Agriculture</option> <option value="Healthcare">Healthcare</option> <option value="e-Governance">e-Governance</option> <option value="Retail">Retail</option> <option value="Food and Beverages">Food and Beverages</option> <option value="Hardware">Hardware</option> <option value="Software">Software</option> <option value="Media and Entertainment">Media and Entertainment</option> <option value="AI">AI</option> <option value="AR&VR">AR&VR</option> <option value="Automobile">Automobile</option> <option value="Other">Other</option> </select> </div> <div class="form-group" ng-if="ngShowhide"> <input type="text" class="form-control" ng-model="data.sectorType" placeholder="Other Sector Name"> </div> <div class="form-group"> <label>How did you hear about us? *</label> <select class="form-control" ng-model="data.hear" ng-change="getValue()"required> <option name="stage" selected disabled value="">Choose Type</option> <option value="Ecells">Ecells</option> <option value="Accelerators/Incubators">Accelerators/Incubators</option> <option value="Facebook">Facebook</option> <option value="Instagram">Instagram</option> <option value="Youtube">Youtube</option> <option value="LinkedIn">LinkedIn</option> <option value="Google">Google</option> <option value="Other">Other</option> </select> </div> <div class="form-group" ng-if="ngShow"> <input type="text" class="form-control" ng-model="data.otherType" placeholder="Other Type Name"> </div> <div class="form-group"> <label>Twitter Pitch: *</label> <textarea type="text" class="form-control" ng-model="data.intro" maxlength="100" placeholder="Give us a brief introduction in two lines(100 characters limit)" rows="3" required></textarea> </div> <div class="form-group"> <label>Revenue: *</label> <textarea type="text" class="form-control" ng-model="data.revenue" placeholder="Are you generating any revenue? If yes, then mention your numbers" rows="3" required></textarea> </div> <div class="form-group"> <label>Previous Investments: *</label> <textarea type="text" class="form-control" ng-model="data.investment" placeholder="Did you receive any previous investment? If yes, then mention the investment amount and the equity you diluted?" rows="3" required></textarea> </div> <div class="form-group"> <label>PAYTM Transaction ID: *</label> <input type="text" class="form-control" ng-model="data.paytmId" required> </div> <div class="form-group"> <label>Attach Pitch Deck: *</label> <input type="file" class="form-control-file" valid-file ng-model="data.uploadFile" required id="filePicker" accept=".png, .jpg, .jpeg, .pdf, .ppt"> <span ng-show="fileSelect" class=form-group-text>Please Select a File</span> </div> <div class=form-group-text> Fields marked with "<b>*</b>" are mandatory. </div> </div> <div class="clearfix"></div> <div class="text-center"> <input type="submit" class="btn submit-button-form" style="outline: none;" ng-disabled="applicantForm.$invalid" value="Submit" ng-click="register()"> </div> </div> |
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</form> <!-- CLOSE FORM --> <!-- </div> CLOSE CHECK VIEW --> <span ng-show="span == true"> <span id="chennai"></span> <span id="mumbai"></span> <span id="hyderabad"></span> <span id="kolkata"></span> <span id="delhi"></span> <span id="ahmedabad"></span> <span id="bengaluru"></span> <span id="jaipur"></span> <span id="kanpur"></span> <span id="dharamsala"></span> </span> |