75 lines
3.9 KiB
PHP
75 lines
3.9 KiB
PHP
<!--Form Section-->
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<section class="form-bg mt-0 p-0 md-h-600px sm-h-500px border-top border-4 position-relative" data-parallax-background-ratio="0.3">
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<div class="container">
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<div class="row text-white pt-5 pb-5 align-items-center">
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<div class="col-lg-6">
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<h3 class="text-white custom-title alt-font ls-minus-2px xs-mb-35px">Need Help with Your Study Abroad Plans?</h3>
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<p class="text-white pt-3 pb-3">We're here to guide you through every step of your study abroad journey, providing expert advice and support tailored to your needs.</p>
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</div>
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<div class="col-lg-6 bg-white p-4 border-radius-6px box-shadow-double-large">
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<!-- start contact form -->
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<form action="email-templates/contact-form.php" method="post" class="row contact-form-style-02">
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<div class="col-md-6 mb-30px">
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<label class="text-dark pb-2">Personal Information</label>
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<input class="input-name form-control required" type="text" name="name" placeholder="Full Name*">
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</div>
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<div class="col-md-6 mb-30px">
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<label class="text-dark pb-2">Email Address</label>
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<input class="form-control required" type="email" name="email" placeholder="Your email address*">
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</div>
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<div class="col-md-6 mb-30px">
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<label class="text-dark pb-2">Contact Number</label>
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<input class="form-control required" type="tel" name="phone" placeholder="Your phone*">
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</div>
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<div class="col-md-6 mb-30px">
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<label class="text-dark pb-2">Study Destination</label>
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<select name="country" id="city" class="form-control">
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<option value="">Select Country</option>
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<option value="country1">Australia</option>
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<option value="country2">USA</option>
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<option value="country3">UK</option>
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<option value="country4">Canada</option>
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<option value="country5">New Zealand</option>
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</select>
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</div>
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<div class="col-md-6 mb-30px">
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<label class="text-dark pb-2">Ofice Location</label>
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<select name="type" id="type" class="form-control">
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<option value="">Select Location</option>
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<option value="type1">Putalisadak Office</option>
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<option value="type2">Baneshwor Office</option>
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<option value="type3">Pokhara Office</option>
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<option value="type4">Kumaripati Office</option>
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<option value="type5">Chitwan Office</option>
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<option value="type6">Butwal Office</option>
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<option value="type7">Biratnagar Office</option>
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<option value="type8">Access Canada Office</option>
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<option value="type9">Access New Zealand Office</option>
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</select>
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</div>
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<div class="col-md-6 mb-30px">
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<label class="text-dark pb-2">Counceling Oprtions</label>
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<select name="incoter" id="incoter" class="form-control">
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<option value="">Select Options</option>
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<option value="incoter1">In-Person / Visit Office Location</option>
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<option value="incoter2">Online / Distance Counselling</option>
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</select>
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</div>
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<div class="col-md-12 mb-30px">
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<label class="text-dark pb-2">Enquiry Details</label>
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<textarea class="form-control" cols="40" rows="4" name="message" placeholder="Your message"></textarea>
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</div>
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<div class="col-xl-5 col-md-5 sm-mt-20px">
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<input type="hidden" name="redirect" value="">
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<button class="btn btn-base-color btn-medium btn-rounded btn-box-shadow submit" type="submit">Send message</button>
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</div>
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<div class="col-12">
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<div class="form-results mt-20px d-none"></div>
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</div>
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</form>
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<!-- end contact form -->
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</div>
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</div>
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</div>
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</section>
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<!--Form Section End--> |