<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 - Checkout</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>Type: *</label>

                             <select class="form-control" ng-model="data.business" required>

                                <option name="business" selected disabled value="">Choose 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" ng-if="data.city != 'Delhi'">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>What is the investment amount that you are seeking? Please mention the equity you are willing to dilute as well. *</label>
                             <input type="text" class="form-control" ng-model="data.equity" required>
                          </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 class=form-group-text>
                             * Total Amount: &#x20b9;{{payingAmnt}}

                          </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>