paytmCheckout.html 8.26 KB
<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" ng-if="data.city != 'Hyderabad'">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>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>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>
    </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>