viithiisys / startup_jalsa_frontend

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pages/registrationForm.html 5.52 KB
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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">
              <div class="col-xs-12 col-md-8 col-md-offset-2 input-wrapper">
                  <h4 class="title">REGISTRATION FORM</h4>
                  <div style="color: #FF6600;margin-bottom: 15px;">GENERAL DETAILS</div>
                  <div>
                      <div class="form-group">
                          <label>Name:</label>
                          <input type="name" class="form-control" ng-model="data.name" required>
                      </div>
                      <div class="form-group">
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                          <label>Contact Number:</label>
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                          <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 ID:</label>
                          <input type="email" class="form-control" ng-model="data.email" required>
                      </div>
                      <div class="form-group">
                          <p style="font-weight: bold;">How do you want to register?</p>
                          <!-- <input type="community" class="form-control" ng-model="data.community" required> -->
                          <form>
                              <label class="radio-inline">
                                <input type="radio" name="Attend" value="Attend" ng-model="data.register" required>Attend
                              </label>
                              <label class="radio-inline">
                                <input type="radio" name="Pitch" value="Pitch" ng-model="data.register" required>Pitch
                              </label>
                          </form>
                      </div>
                  </div>
                  <div ng-switch="data.register">
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                      <div ng-switch-when="Pitch">
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                          <div class="form-group">
                              <label>Startup Name:</label>
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                              <input type="startupName" class="form-control" ng-model="data.startupName" required>
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                          </div>
                          <div class="form-group">
                              <label>Introduction about your startup</label>
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                              <textarea type="intro" class="form-control" rows="5" ng-model="data.intro" required></textarea>
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                          </div>
                          <div class="form-group">
                              <label>Stage</label>
                              <!-- <input type="people" class="form-control" ng-model="data.people" required> -->
                              <form>
                                  <label class="radio-inline">
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                                      <input type="radio" name="Idea" value="Idea" ng-model="data.stage" required>Idea
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                                  </label>
                                  <label class="radio-inline">
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                                      <input type="radio" name="POC/Beta" value="POC/Beta" ng-model="data.stage" required>POC/Beta
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                                  </label>
                                  <label class="radio-inline">
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                                      <input type="radio" name="Revenue" value="Revenue" ng-model="data.stage" required>Revenue
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                                  </label>
                              </form>
                          </div>
                      </div>
                  </div>
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                  <div class="form-group">
                      <label>Coupon Code:</label>
                      <!-- <input type="text" class="form-control" placeholder="If you have a coupon code then apply here"ng-model="data.referalToken"> -->
                      <input type="text" class="form-control" ng-model="data.referalToken" style="position: relative;" placeholder="If you have a coupon code then apply here" ng-required="referalToken" ng-change="changeReferalIconColor(data.referalToken)">
                      <i class="material-icons coupon-approved" ng-if="tokencheck == true">check</i>
                      <i class="material-icons coupon-approved" style="color:red;"  ng-if="tokencheck == false">close</i>
                      <button type="button" ng-click="tokenCall(data.referalToken)" class="pull-right apply-coupon-btn">Apply</button>
                  </div>
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              </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="formRegister()">
              </div>
          </div>
      </div>
    </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>