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Code Editor : misptest.html
<!DOCTYPE html> <html xmlns="http://www.w3.org/1999/xhtml" lang="en-US"> <head> <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"> <title>2014 Workshop cum IEEE SPS Winter School on Machine Intelligence and Signal Processing</title> <link rel="stylesheet" type="text/css" href="http://misp.iiitd.ac.in/css/style.css" media="screen" /> <style type="text/css">tr, th, td { padding: 5px 0px; border-bottom: 1px solid #EAE7DE; }</style> </head> <body class="home blog"> <div id="container"> <div id="header"> <div class="wrapper"> <div id="logo"> <a href="http://misp.iiitd.ac.in"> <img src="http://misp.iiitd.ac.in/images/logo6.png" alt="MISP" /> <img src="http://misp.iiitd.ac.in/images/logonew.png" alt="home" height="50"></a> </div><!-- end #logo --> <div class="cleaner"> </div> </div><!-- end .wrapper --> </div><!-- end #header --> <div class="wrapper"> <div id="frame"> <div id="content"> <div id="main" class="home"> <div class="cleaner"> </div> <div class="single"> <div class="row no-underline" align="center"> <h2>Registration Form</h2> <hr /> <FORM name='form' action='payhdfc.php' method='post' onSubmit="form.paynow.value='Redirecting to Payment Gateway.. ';form.paynow.disable=true;"> <table border="0" align="center" cellspacing="5" cellpadding="2"> <TBODY> <tr> <td >Last Name</td> <td > <input name="LName" type="text" required /></td> <td>First Name</td> <td > <input type="text" name="FName" required/></td> <td>Organization</td> <td> <input name="organization" type="text" required /></td> </tr> <tr> <td >Full Address </td><td colspan="5"> <input name="fulladress" type="text" size="98%" required /></td> </tr> <tr> <td>City</td> <td> <input type="text" name="city" required /></td> <td>State</td> <td> <input type="text" name="state" /></td> <td>Pincode</td> <td><input name="pincode" type="text" required step="8" size="6" /></td> </tr> <tr> <td>Country</td> <td> <input type="text" name="country" required /></td> <td>Number</td> <td><input type="tel" name="Mobile" id="mobile" required maxlength="13" max="13" placeholder="digits only" onBlur="check();" /></td> <td >Email</td> <td> <input type="email" name="Email" required /></td> </tr> <tr><td colspan="5"> </td></tr> <tr><td colspan="2">I want to register for:</td> <td><input type="radio" name="regtype" required value="Winter school only" onClick="showblock('winterschool');hideblock('workshop');form.tamount.placeholder='Membership Number required if Winter School';" /> Winter school only </td> <td colspan="3"><input type="radio" required name="regtype" value="Winter school plus Workshop" onClick="hideblock('winterschool');showblock('workshop');form.tamount.placeholder='Paper Id Required if workshop';" /> Workshop (winter school registration is included)</td> </tr> <tr><td colspan="2">IEEE Membership Number</td><td><input type="text" width="100%" name="memberid" placeholder="Required if IEEE Member" /></td><td colspan="2">Paper ID </td><td><input type="text" width="100%" name="PaperID" placeholder="Required if workshop" /></td></tr> <tr style="border-bottom:0px"> <td colspan="6" style="border-bottom:0px"><div id="winterschool" style="display:none"><h3>Registration charges for winter school</h3> <table border="1" cellspacing="0" cellpadding="0" width="100%" align="center" id="winterschool"> <tr align="center"> <td rowspan="2"><strong> Membership</strong></td> <td><strong> Student</strong></td> <td colspan="2"><strong> Faculty</strong></td> <td colspan="2" valign="top"><strong> Corporate</strong></td> </tr> <tr align="center"> <td> Full (4 days)</td> <td> Full(4 days)</td> <td> Single day</td> <td> Full(4 days)</td> <td> Single day</td> </tr> <tr align="center"> <td valign="top"> IEEE SPS Member</td> <td> <input type="radio" value="2500.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE SPS Student'" /> $40 / INR 2500</td> <td> <input type="radio" value="5000.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE SPS Faculty'"/> $80 / INR 5000</td> <td> <input type="radio" value="2500.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE SPS Faculty single day'" /> $40 / INR 2500</td> <td> <input type="radio" value="6000.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE SPS Corporate'" /> $100 / INR 6000</td> <td> <input type="radio" value="3000.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE SPS Corporate single day'" /> $50 / INR 3000</td> </tr> <tr align="center"> <td valign="top">IEEE Member</td> <td><input type="radio" value="3000.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE Student'" /> $50 / INR 3000</td> <td><input type="radio" value="6000.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE Faculty'" /> $100 / INR 6000</td> <td><input type="radio" value="3000.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE Faculty Single day'" /> $50 / INR 3000</td> <td><input type="radio" value="7200.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE Corporate'" /> $120 / INR 7200</td> <td><input type="radio" value="3600.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'IEEE Corporate Single day'" /> $60 / INR 3600</td> </tr> <tr align="center"> <td valign="top">Non-Member</td> <td><input type="radio" value="3600.00" name="amount" required onClick="form.tamount.value = this.value;form.remark.value = 'Student'" /> $60 / INR 3600</td> <td><input required type="radio" value="7200.00" name="amount" onClick="form.tamount.value = this.value;form.remark.value = 'Faculty'" /> $120 / INR 7200</td> <td><input required type="radio" value="3600.00" name="amount" onClick="form.tamount.value = this.value;form.remark.value = 'Faculty Single Day'"/> $60 / INR 3600</td> <td><input required type="radio" value="9000.00" name="amount" onClick="form.tamount.value = this.value;form.remark.value = 'Corporate'"/> $150 / INR 9000</td> <td><input required type="radio" value="4500.00" name="amount" onClick="form.tamount.value = this.value;form.remark.value = 'Corporate Single Day'"/> $75 / INR 4500</td> </tr><tr><td colspan="6"><strong>Winter School Registration Includes:</strong> Lunches and coffee breaks. </td></tr> </table></div><div id="workshop" style="display:none"> <table width="100%"> <tr> <td colspan="2"><h3>Registration charges for workshop</h3></td><td colspan="2"></td> </tr> <tr> <td colspan="2"><input required type="radio" name="amount" value="6000.00" onClick="form.tamount.value = this.value;form.remark.value = 'Student for workshop'" /> Students</td><td colspan="2">USD 100/ INR 6000 </td></tr> <tr> <td colspan="2"><input required type="radio" name="amount" value="9000.00" onClick="form.tamount.value = this.value;form.remark.value = 'IEEE Members for workshop'" /> IEEE Member</td><td colspan="2">USD 150 /INR 9000 </td></tr> <tr> <td colspan="2"><input required type="radio" name="amount" value="12000.00" onClick="form.tamount.value = this.value;form.remark.value = 'For Workshop'" /> Non Member</td><td colspan="2">USD 200 /INR 12000</td></tr> <tr><td colspan="6"><b>Workshop Registration Includes:</b> Registration for winter school, Proceedings (USB), lunches and coffee breaks.<br /><br /></td></tr> </table></div></td> </tr> <tr > <td colspan="6"><h3>Accommodation</h3> </td> </tr> <tr> <td colspan="3">Do you require accommodation in the institute hostel</td><td align="left"><input type="radio" name="accomodation" value="Required" /> Yes <input type="radio" name="accomodation" value="no"/> No</td> <tr><td colspan="6">* Hostel rooms are available at the rate of Rs. 500 per night.</td></tr> </tr> <tr> <td colspan="6"><h3>Important Information</h3><ol style="color:red"><li> Attendees/authors of accepted papers are required to pay the registration fees in full by 10th December 2014.</li> <li>The charges for accommodation have to be paid during the workshop</li> <li>No refunds are allowed either for the winter school or for the workshop.</li> <li>All the transactions will be made in INR only.</li></ol></td> </tr> <tr><td colspan="6"> <h3>Payment Information</h3> </td></tr><tr><td colspan="2"> Total Amount for</td><td colspan="4"> <input type="text" readonly value="" name="remark" /> = <input type="text" readonly value="0.00" name="tamount" /></td></tr> <tr><td colspan="2"><input name="MTrackid" size="25" value="90002954" type="hidden" ><input type="radio" value="hdfc" name="paymenttype" checked required onClick="this.form.action='payhdfc.php'" /> Via Credit Card</td> <td colspan="4"> <input name="paymenttype" type="radio" value="billdesk" required onClick="this.form.action='paybilldesk.php'"> Via Bank Transfer (only for Banks within India)</td></tr><tr><td colspan="6"> After the bank transfer is completed, please send us the confirmation via email at <a href="mailto:misp.ws2014@gmail.com">misp.ws2014@gmail.com</a>. We will send the receiving in 3-5 days."</td></tr> <tr> <td colspan="6" align="center"><input type="submit" name="paynow" value=" PAY NOW " /> </td> </tr> </TBODY> </table> </form> </div> </div> </div><!-- end #main --> <div id="sidebar"> <div class="widget"> <div id="navSide"> <ul id="menu-header-menu" class=""><li id="menu-item-40" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-40"><a href="http://misp.iiitd.ac.in/">Winter School</a> <ul class="sub-menu"> <li id="menu-item-44" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-44"><a href="http://misp.iiitd.ac.in/speakers.html">Speakers</a></li> <li id="menu-item-43" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-43"><a href="http://misp.iiitd.ac.in/program.html">Program</a></li> <li id="menu-item-42" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-42"><a href="http://misp.iiitd.ac.in/organizers.html">Organizers</a></li> </ul> </li> <li id="menu-item-45" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-45"><a href="http://misp.iiitd.ac.in/workshop.html">Workshop</a> <ul class="sub-menu"> <li id="menu-item-47" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-47"><a href="http://misp.iiitd.ac.in/submission.html">Instructions for Paper Submission</a></li> <li id="menu-item-47" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-47"><a href="http://misp.iiitd.ac.in/dates.html">Important Dates</a></li> <li id="menu-item-48" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-48"><a href="http://misp.iiitd.ac.in/wprogram.html">Program</a></li> <li id="menu-item-48" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-48"><a href="http://misp.iiitd.ac.in/p_committee.html">Organizing Committee</a></li> </ul> </li> <li id="menu-item-50" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-50"><a href="http://misp.iiitd.ac.in/logistics.html">Logistics</a> <ul class="sub-menu"> <li id="menu-item-51" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-51"><a href="http://misp.iiitd.ac.in/registration.html">Registration</a></li> <li id="menu-item-52" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-52"><a href="http://misp.iiitd.ac.in/accommodation.html">Accommodation</a></li> <li id="menu-item-53" class="menu-item menu-item-type-taxonomy menu-item-object-category menu-item-53"><a href="http://iiitd.ac.in/">IIIT-Delhi</a></li> </ul> </li> <li id="menu-item-50" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-50"><a href="http://misp.iiitd.ac.in/sponsors.html">Sponsors and Supporters</a></li> </ul> </div><!-- end #navSide --> <div class="cleaner"> </div> </div><!-- end .widget --> <div class="cleaner"> </div> </div> <div class="cleaner"> </div> </div><!-- end #sidebar --> <div class="cleaner"> </div> </div><!-- end #content --> </div> <div class="cleaner"> </div> </div><!-- end #footer --> </div><!-- end .wrapper --> </div><!-- end #container --> <script type="text/javascript"> function showblock(t){ document.getElementById(t).style.display='block'; } function check(){ var m = document.getElementById('mobile').value; if(isNaN(m)){ alert (m + " is not a valid number"); } } function hideblock(t){ document.getElementById(t).style.display='none'; }</script> </body> </html> <!-- Dynamic page generated in 0.162 seconds. --> <!-- Cached page generated by WP-Super-Cache on 2014-08-07 14:32:36 --> <!-- Compression = gzip -->
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