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<?php include 'comman/header.php'; ?>
<?php include 'comman/nav.php'; ?>
<style>
input {
outline: 0;
border-width: 0 0 2px;
border-color: black;
}
input:focus {
border-color: green
}
.file-upload {
width: 267px;
margin: 0 auto;
padding: 20px;
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.file-upload-btn {
width: 100%;
margin: 0;
color: #fff;
background: #1FB264;
border: none;
padding: 10px;
border-radius: 4px;
border-bottom: 4px solid #15824B;
transition: all .2s ease;
outline: none;
text-transform: uppercase;
font-weight: 700;
}
.file-upload-btn:hover {
background: #1AA059;
transition: all .2s ease;
cursor: pointer;
}
.file-upload-btn:active {
border: 0;
transition: all .2s ease;
}
.file-upload-content {
display: none;
text-align: center;
}
.file-upload-input {
position: absolute;
margin: 0;
padding: 0;
width: 100%;
height: 100%;
outline: none;
opacity: 0;
cursor: pointer;
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.image-upload-wrap {
margin-top: 20px;
position: relative;
height: 185px;
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.image-title-wrap {
padding: 0 15px 15px 15px;
color: #222;
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.drag-text {
text-align: center;
}
.drag-text h3 {
font-weight: 100;
text-transform: uppercase;
color: #15824B;
padding: 60px 0;
}
.file-upload-image {
max-height: 200px;
max-width: 200px;
margin: auto;
padding: 20px;
}
.remove-image {
width: 200px;
margin: 0;
color: #fff;
background: #cd4535;
border: none;
padding: 10px;
border-radius: 4px;
border-bottom: 4px solid #b02818;
transition: all .2s ease;
outline: none;
text-transform: uppercase;
font-weight: 700;
}
.remove-image:hover {
background: #c13b2a;
color: #ffffff;
transition: all .2s ease;
cursor: pointer;
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.remove-image:active {
border: 0;
transition: all .2s ease;
}
.donation-form-outer button {
padding: 9px 30px;
width: 100%;
}
.dropdown-menu ul li
{
font-size: 15px;
}
@media only screen and (max-width: 600px)
{
.drb
{
width: 50%;
}
}
</style>
<section class="inner-header">
<div class="container">
<div class="row">
<div class="col-md-12 sec-title colored text-center">
<h2>Membership</h2>
<ul class="breadcumb">
<li><a href="index.php">Home</a></li>
<li><i class="fa fa-angle-right"></i></li>
<li><span>Membership</span></li>
</ul>
<span class="decor"><span class="inner"></span></span>
</div>
</div>
</div>
</section>
<section class="sec-padding donation-section">
<div class="container">
<h2 class="text-thm">Form only to be filled by serious candidates</h2>
<p>A chance to do something for society to awaken your soul and feel great. The joy and satisfaction of bringing smile to the others through our organization.</p>
<hr>
<div class="donation-form-outer">
<!--Form Portlet-->
<div class="form-portlet">
<h3>MEMBERSHIP REGISTRATION FORM</h3>
</div>
<hr>
<!--Form Portlet-->
<form id="mf" method="post">
<div class="form-portlet">
<div class="row clearfix">
<div class="col-md-8">
<label for="">Name</label>
<input type="text" name="name" >
</div>
<div class="col-md-4">
<div class="image-upload-wrap">
<input class="file-upload-input" name="file" type='file' onchange="readURL(this);" accept="image/*" />
<div class="drag-text">
<h6> <img src="img/user.png" height="100" alt=""></h6>
</div>
</div>
<div class="file-upload-content">
<img class="file-upload-image" src="#" alt="your image" />
<div class="image-title-wrap">
<button type="button" onclick="removeUpload()" class="remove-image">Remove <span class="image-title">Uploaded Image</span></button>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-4">
<label for="">Date of Birth</label><br>
<input type="date" name="dob">
</div>
<div class="col-md-4">
<label for="">Gender</label>
<Select class="form-control" name="gen">
<option selected disabled >Select Gender</option>
<option value="male">Male</option>
<option value="Female">Female</option>
<option value="other">Other</option>
</Select>
</div>
</div>
<br>
<div class="row ">
<div class="col-md-6 ">
<label for="">Father’s Name</label>
<input type="text" name="fname">
</div>
<div class="col-md-6 ">
<label for="">Contact No</label>
<input type="text" name="contact">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6 ">
<label for="">E-mail</label>
<input type="text" name="email">
</div>
<div class="col-md-6 ">
<label for="">Address</label>
<input type="text" name="add">
</div>
</div>
<br>
<div class="row">
<div class="col-md-2 ">
<label for="">Country</label>
<select class="form-control" name="co">
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antartica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia and Herzegowina">Bosnia and Herzegowina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo">Congo, the Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cota D'Ivoire">Cote d'Ivoire</option>
<option value="Croatia">Croatia (Hrvatska)</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="France Metropolitan">France, Metropolitan</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and Mc Donald Islands</option>
<option value="Holy See">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran (Islamic Republic of)</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Democratic People's Republic of Korea">Korea, Democratic People's Republic of</option>
<option value="Korea">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon" selected>Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia, The Former Yugoslav Republic of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia, Federated States of</option>
<option value="Moldova">Moldova, Republic of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russia">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint LUCIA">Saint LUCIA</option>
<option value="Saint Vincent">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia (Slovak Republic)</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">South Georgia and the South Sandwich Islands</option>
<option value="Span">Spain</option>
<option value="SriLanka">Sri Lanka</option>
<option value="St. Helena">St. Helena</option>
<option value="St. Pierre and Miguelon">St. Pierre and Miquelon</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard">Svalbard and Jan Mayen Islands</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syrian Arab Republic</option>
<option value="Taiwan">Taiwan, Province of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania, United Republic of</option>
<option value="Thailand">Thailand</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Viet Nam</option>
<option value="Virgin Islands (British)">Virgin Islands (British)</option>
<option value="Virgin Islands (U.S)">Virgin Islands (U.S.)</option>
<option value="Wallis and Futana Islands">Wallis and Futuna Islands</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Serbia">Serbia</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
</select>
</div>
<div class="col-md-2 ">
<label for="">State</label>
<input type="text" name="st">
</div>
<div class="col-md-4 ">
<label for="">Aadhaar No</label>
<input type="text" name="an">
</div>
<div class="col-md-4 ">
<label for="">Pan No</label>
<input type="text" name="pn">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6">
<label for="">Occupation / Profession</label>
<input type="text" name="op">
</div>
<div class="col-md-6 ">
<label for="">Office Address & Contact No</label>
<input type="text" name="odd">
</div>
</div><br>
<div class="row">
<div class="col-md-6">
<label for="">Educational Qualification </label>
<input type="text" name="eq">
</div>
<div class="col-md-6">
<label for="">Hobbies</label>
<input type="text" name="hb">
</div>
</div>
<br>
<div class="row">
<div class="col-md-6">
<label for="">Define yourself and your goal in life</label>
<input type="text" name="dy">
</div>
<div class="col-md-6">
<label for="">Why do you want to join our Organisation?</label>
<input type="text" name="wd">
</div>
</div>
<br>
<div class="row clearfix">
<div class="col-md-12">
<div class="dropdown">
<button class="btn btn-primary drb dropdown-toggle" type="button" id="dropdownMenu2" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">
Terms & Condition
</button>
<div class="dropdown-menu" aria-labelledby="dropdownMenu2">
<ul>
<li>The person should be above 18 years to be active member of this organization and without any criminal background.</li>
<li>The person should be mentally strong and willing to work for the organization individually or in a group and travel at his/her own expenses.</li>
<li>A person can be selected and can be removed by the directors or core group members without any prior notice or giving reason for misconduct, misbehaviour, indiscipline.</li>
<li> The member is willing to work and obey the directors and core group members.</li>
<li>The member will give his/her best effort to fill objective and task assigned to him/her.</li>
<li>Member should attend the general meetings and participate fully and have to give written application for being absent, 3 days before the meeting.</li>
<li>The meetings will be held on weekends on Saturday or Sundays at various locations.</li>
<li>Meetings will be headed by directors and the core group members.</li>
<li>The directors have the supreme power to form or diffuse a core group, members.</li>
<li>It is duty of a member to obey and give due respect to the directors and the core group members.</li>
<li>Membership Fee should be paid with Application Form; on Rejection of Application the Membership fee will be refund in a week.</li>
</ul>
</div>
</div>
</div>
</div>
</div>
<hr>
<div class="row">
<div class="col-md-12">
<h3><b>MEMBERSHIP FEE & SUBSCRIPTION </b> </h3>
</div>
</div>
<div class="row">
<div class="col-md-12">
<ul style="list-style: none;">
<li>(i) The membership fee and the subscription shall be as under/ unless/ otherwise revised by the Governing Body of the Foundation.
The applicant can also transfer the Membership Fee & Subscription to the Foundation's bank account which is mentioned below: -
</li>
</ul>
</div>
</div>
<div class="row">
<div class="col-md-12">
<h4 style="font-family: sans-serif;">
<b> Bank Details: <br> IDFC FIRST BANK, ACCOUNT NO.: 1xxxxxxxxx0, IFSC: Ixxxxxxx2</b>
</h4>
<br>
<p>
<ul style="list-style: none;">
<div class="row"><div class="col-md-3">At the time of Submission <i class="fa fa-inr" aria-hidden="true"></i> <input type="text" name="Submission" class="form-control"></div><div class="col-md-2">Annual Subscription <i class="fa fa-inr" aria-hidden="true"></i> <input type="text" name="Subscription" class="form-control"></div></div>
<li>
(ii) The Governing Body have the power to increase, decrease or vary the amount of monthly/annual subscription. Additional subscription, in addition to the monthly/annual subscription referred to herein above, may be collected by the Governing Body Form Members for general of specific purpose or project.
</li>
</ul>
</p>
<br>
<h4> </h4>
<p class="text-center">
<h4 style="font-family: sans-serif;"> <center><b>YOUR CONTRIBUTIONS ARE ELIGIBLE FOR UP TO 50% TAX BENEFIT UNDER SECTION 80G AS
Harishtara Agricultural Trust IS REGISTERED AS NON PROFIT ORGANIZATION” <br>
“PAN: AADTH1357D | 80G NUMBER AADTH1357GF2024101”</b> </center></h4>
</p>
<h5>Declaration: - </h5>
<p><input type="checkbox" name="dc" value="Yes I declare"> I declare that all the information furnished in this form is true and best of my knowledge. I have read the terms and condition and rules. And I will abide by them and work in the interest of the organization. My membership can be cancelled by the directors without any reason if my activities or conduct are deemed unfit for the organization or for any other reason. By signing this document, I agree to be part of this organization and work for it and ready to obey and follow orders task assigned by the core group under leadership of directors & founder. </p>
<br> <br>
</div>
</div>
<div class="row">
<div class="col-md-12 text-center ">
<button type="submit" class="btn btn-primary">Submit</button>
</div>
</div>
</form>
</div>
</div>
</section>
<!-- <section class="bg-color-eee p_40">
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reader.onload = function(e) {
$('.image-upload-wrap').hide();
$('.file-upload-image').attr('src', e.target.result);
$('.file-upload-content').show();
$('.image-title').html(input.files[0].name);
};
reader.readAsDataURL(input.files[0]);
} else {
removeUpload();
}
}
function removeUpload() {
$('.file-upload-input').replaceWith($('.file-upload-input').clone());
$('.file-upload-content').hide();
$('.image-upload-wrap').show();
}
$('.image-upload-wrap').bind('dragover', function () {
$('.image-upload-wrap').addClass('image-dropping');
});
$('.image-upload-wrap').bind('dragleave', function () {
$('.image-upload-wrap').removeClass('image-dropping');
});
</script>
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<script src="js/jquery-1.11.1.min.js"></script>
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<script>
$(document).ready(function(){
$('#mf').unbind().submit(function(e){
e.preventDefault();
var data=document.getElementById('mf');
var formdata= new FormData(data);
$.ajax({
type: "POST",
url: "login_process.php",
data: formdata,
processData: false,
contentType: false,
cache: false,
success: function (data)
{
if(data==1)
{
swal({
title: "Good job!",
text: "You clicked the button!",
icon: "success",
}).then(function() {
window.location = "index.php";
});
}
else
{
alert(data);
}
}
});
})
})
</script>
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</html>