91 lines
4.4 KiB
PHP
91 lines
4.4 KiB
PHP
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<?php include('header.php');?>
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<div class="container-fluid bg-breadcrumb">
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<div class="container text-center py-5" style="max-width: 900px;">
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<h3 class="text-white display-3 mb-4 wow fadeInDown" data-wow-delay="0.1s">Apply Form</h1>
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<ol class="breadcrumb justify-content-center text-white mb-0 wow fadeInDown" data-wow-delay="0.3s">
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<li class="breadcrumb-item"><a href="index.php" class="text-white">Home</a></li>
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<li class="breadcrumb-item"><a href="#" class="text-white">Apply Now</a></li>
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</ol>
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</div>
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</div>
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<!-- Contact Start -->
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<div class="container-fluid contact overflow-hidden py-5">
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<div class="container py-5">
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<div class="row g-5 mb-5">
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<div class="col-lg-6 wow fadeInLeft" data-wow-delay="0.1s">
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<div class="bg-light rounded">
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<!-- <img src="img/about-2.png" class="img-fluid w-100" style="margin-bottom: -7px;" alt="Image"> -->
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<img src="img/reg-form.jpg" class=" "
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style="width: 650px; height: 800px; object-fit: cover; object-position: 100% 0;" alt="Image">
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</div>
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</div>
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<div class="col-lg-6 wow fadeInRight" data-wow-delay="0.3">
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<div class="sub-style">
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<h5 class="sub-title pe-3">Quick Enquiry</h5>
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</div>
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<h1 class="display-5 mb-4">Fill your details and we’ll be in touch shortly.</h1>
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<form>
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<div class="row g-4">
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<div class="col-lg-12 col-xl-6">
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<div class="form-floating">
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<input type="text" class="form-control" id="name" placeholder="Your Name">
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<label for="name">Your Name</label>
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</div>
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</div>
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<div class="col-lg-12 col-xl-6">
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<div class="form-floating">
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<input type="email" class="form-control" id="email" placeholder="Your Email">
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<label for="email">Your Email</label>
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</div>
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</div>
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<div class="col-lg-12 col-xl-6">
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<div class="form-floating">
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<input type="phone" class="form-control" id="phone" placeholder="Phone">
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<label for="phone">Your Phone</label>
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</div>
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</div>
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<div class="col-lg-12 col-xl-6">
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<div class="form-floating">
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<input type="text" class="form-control" id="project" placeholder="Destination">
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<label for="Destination">Study Destination</label>
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</div>
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</div>
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<div class="col-12">
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<div class="form-floating">
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<input type="text" class="form-control" id="subject" placeholder="Subject">
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<label for="subject">Subject</label>
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</div>
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</div>
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<div class="col-12">
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<div class="form-floating">
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<textarea class="form-control" placeholder="Leave a message here" id="message"
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style="height: 160px"></textarea>
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<label for="message">Enter your Enquiry in Detail(Optional)</label>
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</div>
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</div>
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<div class="col-12">
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<div class="g-recaptcha mb-3" data-sitekey="6LcYxAETAAAAACHBoSfbKWFI5G5o24X3wU-3WA06">
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<div style="width: 304px; height: 78px;">
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<div><iframe title="reCAPTCHA" width="304" height="78" role="presentation" name="a-6uj92ut1c260"
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frameborder="0" scrolling="no"
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sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox allow-storage-access-by-user-activation"
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src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LcYxAETAAAAACHBoSfbKWFI5G5o24X3wU-3WA06&co=aHR0cHM6Ly9hY2Nlc3NuZXBhbC5uZXQ6NDQz&hl=en&v=9pvHvq7kSOTqqZusUzJ6ewaF&size=normal&cb=3vx1ipul9wvl"></iframe>
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</div><textarea id="g-recaptcha-response" name="g-recaptcha-response" class="g-recaptcha-response"
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style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
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</div><iframe style="display: none;"></iframe>
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</div>
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<a href="#"><button class="btn btn-primary w-100 py-3 ">Submit your Enquiry</button></a>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div>
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</div>
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<!-- Contact End -->
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<?php include('footer.php');?>
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