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<!DOCTYPE html>
<html lang="en" dir="ltr">
<head>
<meta charset="utf-8">
<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css"
integrity="sha384-Vkoo8x4CGsO3+Hhxv8T/Q5PaXtkKtu6ug5TOeNV6gBiFeWPGFN9MuhOf23Q9Ifjh" crossorigin="anonymous">
<!-- MDB icon -->
<link rel="icon" href="img/mdb-favicon.ico" type="image/x-icon">
<!-- Font Awesome -->
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.11.2/css/all.css">
<!-- Bootstrap core CSS -->
<link rel="stylesheet" href="css/bootstrap.min.css">
<!-- Material Design Bootstrap -->
<link rel="stylesheet" href="css/mdb.min.css">
<!-- Your custom styles (optional) -->
<link rel="stylesheet" href="css/codex-style.css">
<title>CodeX Registrations</title>
</head>
<body>
<!--Navbar-->
<nav class="navbar navbar-light navbar-expand-lg fixed-top bg-white transparency border-bottom border-light"
id="transmenu">
<div class="container">
<!-- class="collapse navbar-collapse" id="navcol-1" -->
<ul class="nav navbar-nav mr-auto">
<!--<style>
#navbar-hover:hover {
background-color: black;
}
</style>-->
<li class="nav-item" role="presentation">
<a id="navbar-hover" class="nav-link" style="font-family: 'Roboto';" href=""> <strong>
About</strong></a>
</li>
<li class="nav-item" role="presentation">
<a id="navbar-hover" class="nav-link" style="font-family: 'Roboto';"
href=""><strong>Prizes</strong></a>
</li>
<li class="nav-item" role="presentation">
<a id="navbar-hover" class="nav-link" style="font-family: 'Roboto';"
href=""><strong>Rules</strong></a>
</li>
<li class="nav-item" role="presentation">
<a id="navbar-hover" class="nav-link" style="font-family: 'Roboto';"
href=""><strong>Register</strong></a>
</li>
</ul>
</div>
</nav>
<section style="margin-top: 50px;">
<div class="row justify-content-end">
<div class="text-center container col-4">
<h1 style="font-size: 80px; margin-top: 200px;"> > CodeX <</h1> <h2>#Coders online</h2>
<h2>19th December, 2019</h2>
</div>
<div class="col-4 container">
<form class="my-5 mx-md-5 text-center" id="form-new" action="#!">
<br>
<h3 style="color: white; font-size: 40px;" class="font-weight-bold my-4 pb-1">REGISTER</h3>
<div class="col-md-9 ml-5">
<p>Name(required)</p>
<input type="" id="new-input" class="form-control mb-4" placeholder="Enter your name"
name="name" pattern="^\w[\w, ]+$" required>
</div>
<div class="col-md-9 ml-5">
<p>Email(required)</p>
<input type="" id="new-input" class="form-control mb-4" placeholder="Enter you email"
name="email" pattern="^.+@[^\.].*\.[a-z]{2,}$" required>
</div>
<div class="col-md-9 ml-5">
<p>Name of 2nd person</p>
<input type="" id="new-input" class="form-control mb-4" placeholder="Enter name"
name="name_second_person" pattern="^\w[\w, ]+$">
</div>
<div class="col-md-9 ml-5">
<p>Email of 2nd person</p>
<input type="" id="new-input" class="form-control mb-4" placeholder="Enter email"
name="email_second_person" pattern="^.+@[^\.].*\.[a-z]{2,}$">
</div>
<div class="col-md-9 ml-5">
<p>Phone number(required)</p>
<input type="" id="new-input" class="form-control mb-4" placeholder="Enter phone number"
name="phone" pattern="[\d]{10}" maxlength="10" required>
</div>
<div class="col-md-9 ml-5">
<p>WhatsApp number(If different)</p>
<input type="" id="new-input" class="form-control mb-4" placeholder="Enter phone number"
name="whatsapp_number" pattern="[\d]{10}" maxlength="10">
</div>
<div class="col-md-9 ml-5">
<p>Department</p>
<select name="department" class="form-control mb-4" id="new-input">
<option id="new-input" value="cse" selected>Computer Science and Engineering</option>
<option id="new-input" value="ece">Electronics and Communication Engineering</option>
<option id="new-input" value="ee">Electrical Engineering</option>
<option id="new-input" value="mech">Mechanical Engineering</option>
<option id="new-input" value="r&a">Robotics and Automation Engineering</option>
<option id="new-input" value="civil">Civil Engineering</option>
<option id="new-input" value="chem">Chemical Engineering</option>
<option id="new-input" value="polymer">Polymer Engineering</option>
<option id="new-input" value="petroleum">Petroleum Engineering</option>
<option id="new-input" value="mtech">M.Tech</option>
<option id="new-input" value="others">Others</option>
</select>
</div>
<div class="col-md-9 ml-5">
<p>Year</p>
<select name="year" class="form-control" id="new-input">
<option id="new-input" value="1st" selected>FY</option>
<option id="new-input" value="2nd">SY</option>
<option id="new-input" value="3rd">TY</option>
</select>
</div>
<div class="form-check">
<label class="form-check-label" for="privpolicy">
By using this service, you hereby consent to our<a
href="https://thescriptgroup.in/privacypolicy" class="btn btn-link" role="button">
Privacy
Policy
</a>.
</label>
</div>
<input type="text" id="event" name="event" style="visibility: hidden" value="CodeX December 2019"
contenteditable="false">
<input type="text" id="db" name="db" style="visibility: hidden" value="codex_december_2019"
contenteditable="false">
<input type="text" id="date" name="date" style="visibility: hidden" value="19th December, 2019"
contenteditable="false">
<div class="text-center">
<button type="submit" style="margin:auto;display:block"
class="btn btn-outline-white btn-rounded my-4 waves-effect">
Submit
</button><br>
</div>
</form>
</div>
</div>
</section>
<!-- jQuery -->
<script type="text/javascript" src="js/jquery.min.js"></script>
<!-- Bootstrap tooltips -->
<script type="text/javascript" src="js/popper.min.js"></script>
<!-- Bootstrap core JavaScript -->
<script type="text/javascript" src="js/bootstrap.min.js"></script>
<!-- NAVBAR JAVASCRIPT -->
<script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/4.3.1/js/bootstrap.bundle.min.js"></script>
<script src="assets/js/-Fixed-Navbar-start-with-transparency-background-BS4-.js"></script>
<script src="https://code.jquery.com/jquery-3.4.1.slim.min.js"
integrity="sha384-J6qa4849blE2+poT4WnyKhv5vZF5SrPo0iEjwBvKU7imGFAV0wwj1yYfoRSJoZ+n"
crossorigin="anonymous"></script>
<script src="https://cdn.jsdelivr.net/npm/popper.js@1.16.0/dist/umd/popper.min.js"
integrity="sha384-Q6E9RHvbIyZFJoft+2mJbHaEWldlvI9IOYy5n3zV9zzTtmI3UksdQRVvoxMfooAo"
crossorigin="anonymous"></script>
<script src="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/js/bootstrap.min.js"
integrity="sha384-wfSDF2E50Y2D1uUdj0O3uMBJnjuUD4Ih7YwaYd1iqfktj0Uod8GCExl3Og8ifwB6"
crossorigin="anonymous"></script>
</body>
</html>