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System:

Linux 4.18.0-553.70.1.lve.el8.x86_64

PHP Version:

8.1.33

User:

u998488001

Directory:

/home/u998488001/domains/shrital.com/public_html

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✏️ Editing: stock-proposal-form.php

<?php $pg_nm="Stock Proposal Form"?>
	<?php $title="Stock Proposal Form"; ?>
	<?php $desc="Stock Proposal Form Please make sure that all above information is correct and factual Once the form is complete all information Listed will be kept strictly confidential between the company and applicant It shall not be released to any 3rd party "; ?>
	<?php $keywords="Shri TaL Mukhvas, Healthy Habit, Shri TaL Ajwain Mix, Shri TaL Suva Mix, Shri TaL Plain, Bidaji, Harvis Food, name, address"; ?>
	<?php include 'include/header.php'?>
	<?php include 'include/menu.php'?>
	<?php include 'include/contacts-breadcrumb.php';?>
	<script type="text/javascript">
			window.onload();
			document.getElementById("button1").disabled = true;
			function enableBtn(){
				document.getElementById("button1").disabled = false;
			   }
		</script>
		<script src="https://www.google.com/recaptcha/api.js"></script>
		
		<div class="container p-160-cont">
			<div class="row">
				<div class="col-md-12">
					<h2 class="section-title2">Stock Proposal Form</h2>
					<div class="line-3-100"></div><br>
					<div class="tab-content">
						<form id="login-form" action="php/stock-proposal.php" method="POST">
							<div class="row mt-15">
								<div class="col-md-12 mb-15">
								<input type="text" name="cnm" id="cnm" class="form-control" placeholder="Company Name*" Required>
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-12 mb-15">
									<textarea type="text" name="address" id="address" class="form-control" placeholder="Address *" Required></textarea>
								</div>
							</div>
							<div class="row mt-15">
								<h3 class="h-3">Status Of Firm*</h3>
								<div class="col-md-2 col-xs-12 mb-15">
									<input type="radio" name="status" id="Proprietorship"  value="Proprietorship" class="form-control radiofrm">
									<label for="Proprietorship" class="radiofrm">Proprietorship</label>
								</div>
								<div class="col-md-2 col-xs-12 mb-15">
									<input type="radio" name="status" id="Partnership"  value="Partnership" class="form-control radiofrm">
									<label for="Partnership" class="radiofrm">Partnership</label>
								</div>
								<div class="col-md-2 col-xs-12 mb-15">
									<input type="radio" name="status" id="pvtltd" value="Private Limited" class="form-control radiofrm">
									<label for="pvtltd" class="radiofrm">Private Limited</label>
								</div>
								<div class="col-md-2 col-xs-12 mb-15">
									<input type="radio" name="status" id="ltd" value="Public Limited" class="form-control radiofrm">
									<label for="ltd" class="radiofrm">Public Limited</label>
								</div>
							</div><hr>
							<div class="row mt-15">
								<h3 class="h-3">Name & Designation of Partners</h3>
									<div class="col-md-4 mb-15">
									<label>Sr. No.</label>
									<input type="text" name="srno1" id="srno1" class="form-control"><br>
									<input type="text" name="srno2" id="srno2" class="form-control"><br>
									<input type="text" name="srno3" id="srno3" class="form-control">
								</div>
								<div class="col-md-4 mb-15">
									<label>Name</label>
									<input type="text" name="nm1" id="nm1" class="form-control"><br>
									<input type="text" name="nm2" id="nm2" class="form-control"><br>
									<input type="text" name="nm3" id="nm3" class="form-control">
								</div>
								<div class="col-md-4 mb-15">
									<label>Designation</label>
									<input type="text" name="designation1" id="designation" class="form-control"><br>
									<input type="text" name="designation2" id="designation" class="form-control"><br>
									<input type="text" name="designation3" id="designation" class="form-control">
								</div>
							</div><hr>
							<div class="row mt-15">
								<h3 class="h-3">Other Products Dealing in</h3>
								<div class="col-md-3 mb-15">
									<label>Sr. No.</label>
									<input type="text" name="othsrno1" id="add" class="form-control"><br>
									<input type="text" name="othsrno2" id="add" class="form-control"><br>
									<input type="text" name="othsrno3" id="add" class="form-control"><br>
									<input type="text" name="othsrno4" id="add" class="form-control">
								</div>
								<div class="col-md-2 mb-15">
									<label>Name of Company</label>
									<input type="text" name="nmcompny1" id="add" class="form-control"><br>
									<input type="text" name="nmcompny2" id="add" class="form-control"><br>
									<input type="text" name="nmcompny3" id="add" class="form-control"><br>
									<input type="text" name="nmcompny4" id="add" class="form-control">
								</div>
								<div class="col-md-2 mb-15">
									<label>Product Name</label>
									<input type="text" name="prod1" id="add" class="form-control"><br>
									<input type="text" name="prod2" id="add" class="form-control"><br>
									<input type="text" name="prod3" id="add" class="form-control"><br>
									<input type="text" name="prod4" id="add" class="form-control">
								</div>
								<div class="col-md-2 mb-15">
									<label>Product Area</label>
									<input type="text" name="prodarea1" id="add" class="form-control"><br>
									<input type="text" name="prodarea2" id="add" class="form-control"><br>
									<input type="text" name="prodarea3" id="add" class="form-control"><br>
									<input type="text" name="prodarea4" id="add" class="form-control">
								</div>
								<div class="col-md-3 mb-15">
								<label>Turnover</label>
									<input type="text" name="turnover1" id="add" class="form-control"><br>
									<input type="text" name="turnover2" id="add" class="form-control"><br>
									<input type="text" name="turnover3" id="add" class="form-control"><br>
									<input type="text" name="turnover4" id="add" class="form-control">
								</div>
							</div><hr>
							<div class="row mt-15">
								<div class="col-md-4 mb-15">
									<label>Company's Annual Turnover for Last 3 Years</label>
									<input type="text" name="annual1" id="add" class="form-control">
								</div>
									<div class="col-md-4 mb-15">&nbsp;
									<input type="text" name="annual2" id="add" class="form-control">
								</div>
									<div class="col-md-4 mb-15">&nbsp;
									<input type="text" name="annual3" id="add" class="form-control">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-6 mb-15">
									<input type="text" name="cperson" id="c_person" class="form-control" placeholder="Contact Person">
								</div>
								<div class="col-md-6 mb-15">
									<input type="text" name="cdetail" id="c_detail" class="form-control" placeholder="Contact Details">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-6 mb-15">
									<input type="text" name="position" id="position" class="form-control" placeholder="Position with the Company">
								</div>
								<div class="col-md-6 mb-15">
									<input type="text" name="email" id="email" class="form-control" placeholder="Email Address">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-6 mb-15">
									<input type="text" name="manpower" id="manpower" class="form-control" placeholder="Existing Manpower/Salesmen (in numbers)">
								</div>
								<div class="col-md-6 mb-15">
									<input type="text" name="marketing" id="marketing" class="form-control" placeholder="Area of Marketing">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-6 mb-15">
									<input type="text" name="godown" id="godown" class="form-control" placeholder="Godown Address & Capacity (Sq. Mtrs.)">
								</div>
								<div class="col-md-6 mb-15">
									<input type="text" name="vehicle" id="vehicle" class="form-control" placeholder="Vehicle">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-4 mb-15">
									<label>GST No.</label>
									<input type="text" name="gst" id="gst" class="form-control">
									</div>
								<div class="col-md-4 mb-15">
									<label>Pan Card No.</label>
									<input type="text" name="pan" id="pan" class="form-control">
								</div>
								<div class="col-md-4 mb-15">
									<label>Aadhar Card No.</label>
									<input type="text" name="aadhar" id="aadhar" class="form-control">
								</div>
							</div><hr>
							<div class="row mt-15">
								<h3 class="h-3">Bank Details</h3>
								<div class="col-md-6 mb-15">
									<input type="text" name="bname" id="bname" class="form-control" placeholder="Bank Name">
								</div>
								<div class="col-md-6 mb-15">
									<input type="text" name="acno" id="acno" class="form-control" placeholder="A/c No">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-6 mb-15">
									<input type="text" name="ifsc" id="ifsc" class="form-control" placeholder="IFSC">
								</div>
								<div class="col-md-6 mb-15">
									<input type="text" name="branch" id="branch" class="form-control" placeholder="Branch">
								</div>
							</div><hr>
							<div class="row mt-15">
								<div class="col-md-12 mb-15">
									<input type="text" name="reson" id="reson" class="form-control" placeholder="Reason for Joining Hands with Us">
								</div>
							</div>
							<div class="row mt-15">
								<div class="col-md-12 mb-15">
									<input type="text" name="reading" id="reading" class="form-control" placeholder="Do you have Reading Habit, Please Specify some of your Favourite Books">
								</div>
							</div>
							<p>Please make sure that all above information is correct and factual. Once the form is complete, all information Listed will be kept strictly confidential between the company and applicant. It shall not be released to any 3rd party.</p>
						<div class="row mb-20">
							<div class="col-sm-5"></div>
							<div class="col-sm-2">
							<div class="g-recaptcha" data-sitekey="6Lf9p2sUAAAAAMmei50lMpfmu1LZz0evWHMSX_zV" data-callback="enableBtn"></div>
								<br>
							<button type="submit" name="send"  id= "button1" disabled="disabled" value="SEND MESSAGE" class="button small button rounded medium gray rounded btn-block text-center">Send</button></div>
							<div class="col-sm-5"></div>
						</div>
						
						</form>
					</div>
				</div>
			</div>
		</div>
		<?php include 'include/footer.php'?>

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