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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>
<!-- <table style="width: 100%;">
<tr>
<td>
<div class="step-one-form" > -->
<!-- form step 1 -->
<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>
</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">
<label>How did you hear about us? *</label>
<select class="form-control" ng-model="data.hear" 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>
</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>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>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 coupen-approved" ng-if="tokencheck == true">check</i>
<i class="material-icons coupen-approved" style="color:red;" ng-if="tokencheck == false">close</i>
<button type="button" ng-click="tokenCall(data.referalToken)" class="pull-right apply-coupen-btn">Apply</button>
</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.$invalid" value="Submit" ng-click="submit()">
</div>
</div>
<!-- <div class="col-xs-12 col-md-6 input-wrapper" >
<div id="snackbar">Error ! Please fill in all fields.</div>
<div class="icon-circle-c">
<i class="material-icons" style="line-height: 31px;">person</i>
</div>
<input type="text" class="text-input" required ng-model="data.name" placeholder="Name *" id="myBtn" name="name" ng-change="entername(data.name); firstNamekeyPress(data.name)">
</div>
<div class="col-xs-12 col-md-6 input-wrapper" >
<div id="snackbar">Error ! Please fill in all fields.</div>
<div class="icon-circle-d">
<i class="material-icons" style="line-height: 30px;">email</i>
</div>
<input type="email" name="email" ng-pattern="/^[^\s@]+@[^\s@]+\.[^\s@]+$/" class="text-input" required class="" ng-model="data.email" ng-blur="emailcheck(data.email)" ng-focus="removeError()" placeholder="Email Address *" ng-change="enteremail(data.email); emailkeyPress(data.email)">
<label class="error-message f-family" id="invalidEmail">Please enter a valid email address.</label>
</div>
<div class="col-xs-12 col-md-6 input-wrapper">
<div class="icon-circle-f">
<i class="material-icons" style="line-height: 30px;">location_city</i>
</div>
<select ng-model="data.city" ng-change="selectcity(data.city); citykeyPress(data.city)" style="background-color: #fff; border-radius: 0; font-size: 12px; height: 44px;" required>
<option name="city" selected disabled value="">{{data.city}}</option>
<option value="Ahmedabad">Ahmedabad</option>
<option value="Bengaluru">Bengaluru</option>
<option value="Chennai">Chennai</option>
<option value="Delhi">Delhi</option>
<option value="Hyderabad">Hyderabad</option>
<option value="Jaipur">Jaipur</option>
<option value="Kanpur">Kanpur</option>
<option value="Kolkata">Kolkata</option>
<option value="Mumbai">Mumbai</option>
</select>
</div>
<div class="col-xs-12 col-md-6 input-wrapper" >
<div class="icon-circle-e">
<i class="material-icons" style="line-height: 30px;">phone</i>
</div>
<input type="phone" name="phone" ng-pattern="/^\d*(?:\.\d{1,2})?$/" maxlength="10" class="text-input" required class="" ng-model="data.number" ng-blur="numbercheck(data.number)" ng-focus="removeNoError()" placeholder="Mobile No.*" ng-change="enternumber(data.number); phonekeyPress(data.number)">
<label class="error-message f-family" id="invalidNumber">Please enter only numeric value.</label>
</div>
<div class="col-xs-12 col-md-6 input-wrapper">
<div class="icon-circle-i">
<i class="material-icons" style="line-height: 30px;">perm_identity</i>
</div>
<input type="text" class="text-input" ng-model="data.companyName" placeholder="Company Name *" ng-change="enternumber(data.companyName); companykeyPress(data.companyName)" required>
</div>
<div class="col-xs-12 col-md-6 input-wrapper">
<div class="icon-circle-n">
<i class="material-icons" style="line-height: 30px;">web</i>
</div>
<input name="website" class="text-input" ng-model="data.website" placeholder="Website link" ng-change="enterwebsite(data.website); revenuekeyPress(data.website)"></input>
</div>
<div class="col-xs-12 col-md-6 input-wrapper">
<div class="icon-circle-y">
<i class="material-icons" style="line-height: 30px;">assignment</i>
</div>
<select ng-model="data.stage" ng-change="selectechnology(data.stage); fundkeyPress(data.stage)" style="background-color: #fff; border-radius: 0; font-size: 12px; height: 44px;" required>
<option name="stage" selected disabled value="">Choose Startup Stage *</option>
<option value="Idea">Idea</option>
<option value="Prototype">Prototype</option>
</select>
</div>
<div class="col-xs-12 col-md-6 input-wrapper">
<div class="icon-circle-q">
<i class="material-icons" style="line-height: 30px;">business</i>
</div>
<select ng-model="data.business" ng-change="selectechnology(data.business); ideakeyPress(data.business)" style="background-color: #fff; border-radius: 0; font-size: 12px; height: 44px;" required>
<option name="business" selected disabled value="">Type of business *</option>
<option value="B2B">B2B</option>
<option value="B2C">B2C</option>
<option value="Other">Other</option>
</select>
</div>
<div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>How many founders/teammates will be attending pitch session? *</strong>
<p class="line-space" ></p>
</div>
<div class="col-xs-12 col-md-12 input-wrapper" >
<div class="icon-circle-o">
<i class="material-icons" style="line-height: 30px;">confirmation_number</i>
</div>
<select ng-model="data.founder" ng-change="selectfounder(data.founder); discountkeyPress(data.founder)" style="background-color: #fff; border-radius: 0; font-size: 12px; height: 44px;" required>
<option name="founder" selected disabled value="">Choose</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="more than 3">more than 3</option>
</select>
</div> -->
<!-- <div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>In which city is your startup registered at?</strong>
<p class="line-space" ></p>
</div> -->
<!-- <div class="col-xs-12 col-md-12 input-wrapper">
<div class="icon-circle-m">
<i class="material-icons" style="line-height: 30px;">assessment</i>
</div>
<input type="text" class="text-input" ng-model="data.cityRegister" placeholder="Your Answer.." ng-change="entertechnology(data.cityRegister); annualkeyPress(data.cityRegister)">
</div> -->
<!-- <div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>Give us a brief introduction about your startup. *</strong>
<p class="line-space" >Kindly write a powerful Twitter Pitch (characters limit - 200).</p>
</div>
<div class="col-xs-12 col-md-12 input-wrapper">
<div class="icon-circle-x">
<i class="material-icons" style="line-height: 30px;">line_weight</i>
</div>
<textarea name="intro" class="text-input textarea" ng-model="data.intro" placeholder="Your Answer.." maxlength="200" ng-change="enterproblem(data.intro); startupNamekeyPress(data.intro)" required></textarea>
</div>
<div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>Who are your customers? *</strong>
<p class="line-space" >We are looking for a simple and clear answer of who you are selling to (characters limit - 512).</p>
</div>
<div class="col-xs-12 col-md-12 input-wrapper">
<div class="icon-circle-k">
<i class="material-icons" style="line-height: 30px;">help</i>
</div>
<textarea name="customer" class="text-input textarea" ng-model="data.customer" placeholder="Your Answer.." maxlength="512" ng-change="entersolution(data.customer); websitekeyPress(data.customer)" required></textarea>
</div> -->
<!-- <div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>What problem you are solving for them? *</strong>
<p class="line-space" >We want to understand how clearly you know the pain point, and how big of a problem it is for the customers.</p>
</div>
<div class="col-xs-12 col-md-12 input-wrapper f-family">
<div class="icon-circle-p">
<i class="material-icons" style="line-height: 30px;">business_center</i>
</div>
<textarea name="problem" class="text-input textarea" ng-model="data.problem" placeholder="Your Answer.." ng-change="enterbusiness(data.problem); businesskeyPress(data.problem)" required>
</textarea>
</div> -->
<!-- <div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>Link your pitch deck presentation. *</strong>
<p class="line-space" > Kindly upload the link to your pitch deck (Dropbox/Google Drive, if on google drive make the link open to all).</p>
</div>
<div class="col-xs-12 col-md-12 input-wrapper f-family">
<div class="icon-circle-h">
<i class="material-icons" style="line-height: 30px;">web</i>
</div>
<input name="link" class="text-input" ng-pattern="/^(http[s]?:\/\/){0,1}(www\.){0,1}[a-zA-Z0-9\.\-]+\.[a-zA-Z]{2,5}[\.]{0,1}/" ng-blur="emailcheck(data.link)" ng-focus="removeError()" ng-model="data.link" placeholder="link" ng-change="enterbusiness(data.link); linkedInkeyPress(data.link)" required>
<label class="error-message f-family" id="invalidEmail">Please enter a valid link.</label>
</div> -->
<!-- <div class="col-xs-12 col-md-12 f-family line-adjust">
<strong>Coupon Code.</strong>
<p class="line-space" >Only applicable for venue partner ecosystem</p>
</div>
<div class="col-xs-12 input-wrapper">
<div class="referel-icon" style="z-index: 999;">
<i class="material-icons" style="line-height: 30px;">code</i>
</div>
<input class="text-input" ng-model="data.referalToken" placeholder="Enter Coupon code" style="position: relative;" ng-required="referalToken" ng-change="changeReferalIconColor(data.referalToken)">
<i class="material-icons coupen-approved" ng-if="tokencheck == true">check</i>
<i class="material-icons coupen-approved" style="color:red;" ng-if="tokencheck == false">close</i>
<button type="button" ng-click="tokenCall(data.referalToken)" class="pull-right apply-coupen-btn">Apply</button>
</div> -->
<!-- <div class="clearfix"></div> -->
<!-- </div> -->
<!-- close step-one-form -->
<!-- </td>
</tr>
</table> -->
<!-- <div class="text-center">
<input type="submit" class="btn submit-button-form" ng-disabled="applicantForm.$invalid || filePicker" value="Submit" ng-click="submit()">
</div>
</div> -->
<!-- CLOSE form-all -->
<!-- </div> -->
<!-- <div class="clearfix"></div>
<div class="text-center">
<input type="submit" class="btn submit-button-form" ng-disabled="applicantForm.$invalid" value="Submit" ng-click="submit()">
</div> -->
</div>
<!-- col-xs-12 col-md-8 col-md-offset-2 -->
<!-- <footer>
<img id="footer" class="img-responsive banner">
<center class="footer"><a class="footer-link" href="http://www.viithiisys.com/" target="_blank"></a>
</center>
</footer> -->
</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>
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