Applicant's Full Name*

Gender

Male Female

Father Name:

Mobile No.*

Date Of Birth:

PAN No:.

State:

City:.

Address:

</div>
                                        <label class="col-sm-2 col-xs-12 control-label">Pincode:.</label>
                                         <div class="col-sm-4 col-xs-12">
                                         <input type="text" id="txtpincode" class="form-control"  ng-model="pincode" onkeypress="return numbersonly(event)" maxlength="6" ng-disabled="chkExistingPAN" />

</div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label"> Email:</label>
                                        <div class="col-sm-4 col-xs-12">
                                           <input type="email" id="txtemail" class="form-control"  ng-model="emailID" ng-disabled="chkExistingPAN" />
                                        </div>
                                    </div>
                                    
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="row">
        
        <div class="col-md-12">
            <div class="box box-primary">
                <div class="box-header with-border">
                    <h3 class="box-title"> Password Detail</h3>
                </div>
                <div class="box-body">
                    <div class="grid-form">
                        <div class="grid-form1">
                            <div class="form-body">
                                <div class="form-horizontal">
                                    <div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label">Enter Password :<span class="star">*</span></label>
                                        <div class="col-sm-4 col-xs-12">
                                           <input type="password" id="Text1" class=" form-control" ng-model="password" />

</div>
                                        <label class="col-sm-2 col-xs-12 control-label"> Re-Enter Password <span class="star">*</span></label>
                                         <div class="col-sm-4 col-xs-12">
                                          <input type="password" id="Text4" class=" form-control" ng-model="repassword" />

</div>
                                    </div>
                                    
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="row">
        
        <div class="col-md-12">
            <div class="box box-primary">
                <div class="box-header with-border">
                    <h3 class="box-title"> Nominee Detail</h3>
                </div>
                <div class="box-body">
                    <div class="grid-form">
                        <div class="grid-form1">
                            <div class="form-body">
                                <div class="form-horizontal">

<div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label">Nominee Name:</label>
                                        <div class="col-sm-4 col-xs-12">
                                           <input type="text" id="txtNomineeName" class=" form-control" ng-model="nomineeName" />

</div>
                                        <label class="col-sm-2 col-xs-12 control-label"> Relationship</label>
                                         <div class="col-sm-4 col-xs-12">
                                          <input type="text" id="txtRelation" class=" form-control" ng-model="nomineeRelationship" />

</div>
                                    </div>
                                    
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="row">
        
        <div class="col-md-12">
            <div class="box box-primary">
                <div class="box-header with-border">
                    <h3 class="box-title">Btc Address</h3>
                </div>
                <div class="box-body">
                    <div class="grid-form">
                        <div class="grid-form1">
                            <div class="form-body">
                                <div class="form-horizontal">

<div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label">BTC Recieve Address:</label>
                                        <div class="col-sm-4 col-xs-12">
                                           <input type="text" id="Text5" class=" form-control" ng-model="memberBtcReceiveAddress" />

</div>
                                        <label class="col-sm-2 col-xs-12 control-label">Ethereum Address</label>
                                         <div class="col-sm-4 col-xs-12">
                                          <input type="text" id="Text6" class=" form-control" ng-model="memberEtheriumAddress" />

</div>
                                    </div>
                                    
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="row">
        
        <div class="col-md-12">
            <div class="box box-primary">
                <div class="box-header with-border">
                    <h3 class="box-title"> Bank Information</h3>
                </div>
                <div class="box-body">
                    <div class="grid-form">
                        <div class="grid-form1">
                            <div class="form-body">
                                <div class="form-horizontal">

<div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label">Payee Name:</label>
                                        <div class="col-sm-4 col-xs-12">
                                         <input type="text" id="txtPayeeName" class=" form-control" ng-model="bankPayeeName" />

</div>
                                        <label class="col-sm-2 col-xs-12 control-label"> Bank Name:</label>
                                         <div class="col-sm-4 col-xs-12">
                                          <input type="text" id="txtBankName" class=" form-control" ng-model="bankName" />

</div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label"> Account No.:</label>
                                        <div class="col-sm-4 col-xs-12">
                                           <input type="text" id="txtAccountNo" class=" form-control" ng-model="accountNumber" />

</div>
                                        <label class="col-sm-2 col-xs-12 control-label"> Branch Name:</label>
                                         <div class="col-sm-4 col-xs-12">
                                          <input type="text" id="txtBranchName" class=" form-control" ng-model="branchName" />

</div>
                                    </div>
                                    <div class="form-group">
                                        <label class="col-sm-2 col-xs-12 control-label"> IFSC Code.:</label>
                                        <div class="col-sm-4 col-xs-12">
                                            <input type="text" id="txtIfscCode" class=" form-control" ng-model="ifscCode" />

</div>
                                       
                                    </div>
                                    
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>

<div class="row">
        
        <div class="col-md-12">
            <div class="box box-primary">
                <div class="box-header with-border">
                    <h3 class="box-title"> Term & Condition</h3>
                </div>
                <div class="box-body">
                    <div class="grid-form">
                        <div class="grid-form1">
                            <div class="form-body">
                                <div class="form-horizontal">
                                       <div class="form-group">
                                           <input type="checkbox" id="chkTerms" ng-model="termsAndConditions" />
                                    <a href="#/registration" style="text-decoration: underline;" class="lnchPopop">I Agree To Terms & Conditions <span class="star">*</span></a>
                                </div>

</div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-12 col-xs-12 control-label" style="color: red">{{lblMessage}}</label>
                                </div>
                                    
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    </section>
<script>

function showSuccessMessage() {
        notie.alert(1, 'Member Registered Successfully..', 2);
    }

function showErrorMessage(errorMessage) {
        notie.alert(3, errorMessage, 2);
    }

$(document).ready(function () {
        var strHtml = '';
        strHtml += '<ul style="overflow-y:scroll; height:300px;text-align:left">';
        strHtml += '<li>No cash shall be accepted by any company representative for Product Purchase</li>';
        strHtml += '<li>Payment according to the payment plan has to be made by cheque / demand draft/ banker\'s cheques and ECS transfer only.</li>';
        strHtml += '<li>Cheques must be drawn on any schedule bank, which is a member of banker\'s clearing house located at the place where application form is to be submitted.</li>';
        strHtml += '<li>Cheques / Demand Drafts(Payable at Pune) must be drawn in favour of Sneha Traders and crossed A/C Payee only.</li>';
        strHtml += '<li>Customer should mention name and complete address on reverse side of the cheque / demand draft</li>';
        strHtml += '<li>Cheque / demand draft / banker\'s cheques are subject to realization.</li>';
        strHtml += '<li>The customer will bear cheque bouncing chargesas applicable.</li>';
        strHtml += '<li>The company has all the rights to terminate and take legal action against any company representative	found speaking foul or doing any fraudulent act against the company	</li>';
        strHtml += '<li>Any dispute and proceedings shall be subject to Pune Jurisdiction Only.</li>';
        strHtml += '</ul>';
        $('.lnchPopop').click(function () {
            swal({ title: 'Terms and Conditions', text: strHtml, html: true });
        });

});
</script>

Registration

Placement Detail

User Information