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<!DOCTYPE html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta charset="utf-8" />
<meta
name="viewport"
content="width=device-width, initial-scale=1, shrink-to-fit=no"
/>
<!-- Bootstrap CSS -->
<link
rel="stylesheet"
href="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css"
integrity="sha384-JcKb8q3iqJ61gNV9KGb8thSsNjpSL0n8PARn9HuZOnIxN0hoP+VmmDGMN5t9UJ0Z"
crossorigin="anonymous"
/>
<link rel="stylesheet" href="./assets/css/form.css" />
<link
rel="stylesheet"
href="https://stackpath.bootstrapcdn.com/font-awesome/4.7.0/css/font-awesome.min.css"
/>
<style>
.imp-start {
color: red;
}
</style>
<title>Register - IEEE SPAAM</title>
<!-- Global site tag (gtag.js) - Google Analytics -->
<script
async
src="https://www.googletagmanager.com/gtag/js?id=UA-176044980-1"
></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag() {
dataLayer.push(arguments);
}
gtag("js", new Date());
gtag("config", "UA-176044980-1");
</script>
</head>
<body>
<header>
<a href="https://ieeespaam.macehub.in/">
<img src="./assets//images/logo.png" alt="logo" height="50px" />
</a>
</header>
<div class="container">
<div class="form-container">
<h2 class="my-5">
<span class="d-block mb-2">SPAAM Registration</span>
<small class="d-block"
>Immerse yourself in the world of opportunities. Fill out the form
and reserve your seat.</small
>
</h2>
<form method="post" autocomplete="off" name="google-sheet">
<div class="form-row">
<div class="form-group col-sm-6">
<label for="name">Name<span class="imp-start">*</span> </label>
<input type="text" class="form-control" id="name" name="Name" />
</div>
<div class="form-group col-sm-6">
<label for="email">Email<span class="imp-start">*</span> </label>
<input type="text" class="form-control" id="email" name="Email" />
</div>
</div>
<div class="form-group">
<label for="college"
>College<span class="imp-start">*</span>
</label>
<input
type="text"
class="form-control"
id="college"
name="College"
/>
</div>
<div class="form-group">
<label for="contact-no"
>Mobile No<span class="imp-start">*</span>
</label>
<input
type="tel"
class="form-control"
id="contact-no"
name="Contact no"
/>
</div>
<div class="form-row">
<div class="form-group col-sm-4">
<label for="year-of-study"
>Year of Study<span class="imp-start">*</span>
</label>
<select
class="custom-select"
id="year-of-study"
name="Year of study"
>
<option value="" selected>Choose a year</option>
<option value="1">First Year</option>
<option value="2">Second Year</option>
<option value="3">Third Year</option>
<option value="4">Fourth Year</option>
<option value="Other">Other</option>
</select>
</div>
<div class="form-group col-sm-8">
<label for="department"
>Department<span class="imp-start">*</span>
</label>
<input
type="text"
class="form-control"
id="department"
name="Department"
/>
</div>
</div>
<div class="form-row">
<div class="form-group col-sm-6">
<label for="ieee-section">IEEE Section </label>
<input
placeholder="eg.IEEE Kerala Section"
type="text"
class="form-control"
id="ieee-section"
name="IEEE Section"
/>
</div>
<div class="form-group col-sm-6">
<label for="ieee-region">IEEE Region </label>
<select class="custom-select" id="ieee-region" name="IEEE Region">
<option value="1">Region 1-6 (US)</option>
<option value="7">Region 7 (Canada)</option>
<option value="8"
>Region 8 (Africa, Europe, Middle East)</option
>
<option value="9">Region 9 (Latin America)</option>
<option value="10" selected
>Region 10 (Asia and Pacific)</option
>
</select>
</div>
</div>
<div class="form-group">
<legend class="col-form-label">
Are you an IEEE Member?<span class="imp-start">*</span>
</legend>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="isMember"
id="isMemberRad1"
value="Yes"
/>
<label class="form-check-label" for="isMemberRad1">Yes</label>
</div>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="isMember"
id="isMemberRad2"
value="No"
/>
<label class="form-check-label" for="isMemberRad2">No</label>
</div>
</div>
<br />
<div class="form-group">
<legend class="col-form-label">
Which sessions will you be attending?(Choose all that are
applicable )<span class="imp-start">*</span>
</legend>
<br />
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events1"
value="Should you go for an advanced degree"
name="events"
/>
<label class="form-check-label" for="events1">
Should you go for an advanced degree
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events2"
value="Competitive exams"
name="events"
/>
<label class="form-check-label" for="events2">
Competitive exams
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events3"
value="Freelancing: Challenges and opportunities"
name="events"
/>
<label class="form-check-label" for="events3">
Freelancing: Challenges and opportunities
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events4"
value="How IEEE helped me in my career"
name="events"
/>
<label class="form-check-label" for="events4">
How IEEE helped me in my career
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events5"
value="Startup experience"
name="events"
/>
<label class="form-check-label" for="events5">
Startup experience
</label>
</div>
<!-- <br /> -->
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events6"
value="Starting an independent business"
name="events"
/>
<label class="form-check-label" for="events6">
Starting an independent business
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events7"
value="Tackling financial problems"
name="events"
/>
<label class="form-check-label" for="events7">
Tackling financial problems
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events8"
value="Personnal finance management"
name="events"
/>
<label class="form-check-label" for="events8">
Personal finance management
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events9"
value="Documentation"
name="events"
/>
<label class="form-check-label" for="events9">
Documentation
</label>
</div>
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
id="events10"
value="Need for networking"
name="events"
/>
<label class="form-check-label" for="events10">
Need for networking
</label>
</div>
<br />
</div>
<div class="form-group">
<label for="message">Expectation from the event (optional) </label>
<textarea
class="form-control"
id="message"
rows="3"
name="Expectations"
></textarea>
</div>
<button type="submit" id="btn-submit" class="btn btn-info">
Submit
</button>
</form>
</div>
</div>
<footer>
<p class="text">
Designed and Developed by
<a href="https://www.linkedin.com/in/sruthyml/" target="_blank" style="color: white;" rel="nofollow">Sruthy M L</a> and team.
</p>
</footer>
<!-- Optional JavaScript -->
<!-- jQuery first, then Popper.js, then Bootstrap JS -->
<script
src="https://code.jquery.com/jquery-3.5.1.slim.min.js"
integrity="sha384-DfXdz2htPH0lsSSs5nCTpuj/zy4C+OGpamoFVy38MVBnE+IbbVYUew+OrCXaRkfj"
crossorigin="anonymous"
></script>
<script
src="https://cdn.jsdelivr.net/npm/popper.js@1.16.1/dist/umd/popper.min.js"
integrity="sha384-9/reFTGAW83EW2RDu2S0VKaIzap3H66lZH81PoYlFhbGU+6BZp6G7niu735Sk7lN"
crossorigin="anonymous"
></script>
<script
src="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/js/bootstrap.min.js"
integrity="sha384-B4gt1jrGC7Jh4AgTPSdUtOBvfO8shuf57BaghqFfPlYxofvL8/KUEfYiJOMMV+rV"
crossorigin="anonymous"
></script>
<script src="./assets/form/form.js"></script>
</body>
</html>