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- ✘✘✘ WIBUHAX0R1337 ✘✘✘ -
files >> /home/indianstaffing/www/membership-form.php
 <?php 
include'header.php';
$created_at = date('Y-m-d');
$business_details_year = GetDataByID('business_details_year',10); 
if(isset($_POST['submit'])){
	
    $company_name = mysqli_real_escape_string($con,$_POST['company_name']);
    $operation = mysqli_real_escape_string($con,$_POST['operation']);
    $company_type = mysqli_real_escape_string($con,$_POST['company_type']);
    $company_address = mysqli_real_escape_string($con,$_POST['company_address']);
    $company_city = mysqli_real_escape_string($con,$_POST['company_city']);
    $company_zip = $_POST['company_zip'];
    $company_country = mysqli_real_escape_string($con,$_POST['company_country']);
    $name = mysqli_real_escape_string($con,$_POST['name']);
    $designation = mysqli_real_escape_string($con,$_POST['designation']);
    $email = mysqli_real_escape_string($con,$_POST['email']);
    $mobile = $_POST['mobile'];
    $landline = $_POST['landline'];
    $leader1_name = mysqli_real_escape_string($con,$_POST['leader1_name']);
    $leader2_name = mysqli_real_escape_string($con,$_POST['leader2_name']);
    $leader3_name = mysqli_real_escape_string($con,$_POST['leader3_name']);
    $leader1_designation = mysqli_real_escape_string($con,$_POST['leader1_designation']);
    $leader2_designation = mysqli_real_escape_string($con,$_POST['leader2_designation']);
    $leader3_designation = mysqli_real_escape_string($con,$_POST['leader3_designation']);
    $leader1_mobile = $_POST['leader1_mobile'];
    $leader2_mobile = $_POST['leader2_mobile'];
    $leader3_mobile = $_POST['leader3_mobile'];
    $year_follow = mysqli_real_escape_string($con,$_POST['year_follow']);
    $india_turnover1 = $_POST['india_turnover1'];
    $india_turnover2 = $_POST['india_turnover2'];
    $india_turnover3 = $_POST['india_turnover3'];
    $internal_staff1 = $_POST['internal_staff1'];
    $internal_staff2 = $_POST['internal_staff2'];
    $internal_staff3 = $_POST['internal_staff3'];
    $staffing_turnover1 = $_POST['staffing_turnover1'];
    $staffing_turnover2 = $_POST['staffing_turnover2'];
    $staffing_turnover3 = $_POST['staffing_turnover3'];
    $staffing_asociate1 = $_POST['staffing_asociate1'];
    $staffing_asociate2 = $_POST['staffing_asociate2'];
    $staffing_asociate3 = $_POST['staffing_asociate3'];
    $employed_year1 = $_POST['employed_year1'];
    $employed_year2 = $_POST['employed_year2'];
    $employed_year3 = $_POST['employed_year3'];
    $active_number1 = $_POST['active_number1'];
    $active_number2 = $_POST['active_number2'];
    $active_number3 = $_POST['active_number3'];
    $white_collar1 = $_POST['white_collar1'];
    $white_collar2 = $_POST['white_collar2'];
    $white_collar3 = $_POST['white_collar3'];
    $blue_collar1 = $_POST['blue_collar1'];
    $blue_collar2 = $_POST['blue_collar2'];
    $blue_collar3 = $_POST['blue_collar3'];
    $no_of_location = $_POST['no_of_location'];
    $leased_office = $_POST['leased_office'];
    $resident_office = $_POST['resident_office'];
    $holding_compnay = mysqli_real_escape_string($con,$_POST['holding_compnay']);
    $mode_of_holding = mysqli_real_escape_string($con,$_POST['mode_of_holding']);
    $wages_act = mysqli_real_escape_string($con,$_POST['wages_act']);
    $esic_act = mysqli_real_escape_string($con,$_POST['esic_act']);
    $clr_act = mysqli_real_escape_string($con,$_POST['clr_act']);
    $fund_act = mysqli_real_escape_string($con,$_POST['fund_act']);
    $gratuity_act = mysqli_real_escape_string($con,$_POST['gratuity_act']);
    $bonus_act = mysqli_real_escape_string($con,$_POST['bonus_act']);
    $employee_benefits = mysqli_real_escape_string($con,$_POST['employee_benefits']);
    $law_of_land = mysqli_real_escape_string($con,$_POST['law_of_land']);
    $code_of_conduct = mysqli_real_escape_string($con,$_POST['code_of_conduct']);
    $mail_doc = mysqli_real_escape_string($con,$_POST['mail_doc']);
    $date = $_POST['date'];
    $place = mysqli_real_escape_string($con,$_POST['place']);
    $signature = mysqli_real_escape_string($con,$_POST['signature']);


    $data = array(
        'company_name' => $company_name,
        'operation' => $operation,
        'company_type' => $company_type,
        'company_address' => $company_address,
        'company_city' => $company_city,
        'company_zip' => $company_zip,
        'company_country' => $company_country,
        'name' => $name,
        'designation' => $designation,
        'email' => $email,
        'mobile' => $mobile,
        'landline' => $landline,
        'leader1_name' => $leader1_name,
        'leader2_name' => $leader2_name,
        'leader3_name' => $leader3_name,
        'leader1_designation' => $leader1_designation,
        'leader2_designation' => $leader2_designation,
        'leader3_designation' => $leader3_designation,
        'leader1_mobile' => $leader1_mobile,
        'leader2_mobile' => $leader2_mobile,
        'leader3_mobile' => $leader3_mobile,
        'year_follow' => $year_follow,
        'india_turnover1' => $india_turnover1,
        'india_turnover2' => $india_turnover2,
        'india_turnover3' => $india_turnover3,
        'internal_staff1' => $internal_staff1,
        'internal_staff2' => $internal_staff2,
        'internal_staff3' => $internal_staff3,
        'staffing_turnover1' => $staffing_turnover1,
        'staffing_turnover2' => $staffing_turnover2,
        'staffing_turnover3' => $staffing_turnover3,
        'staffing_asociate1' => $staffing_asociate1,
        'staffing_asociate2' => $staffing_asociate2,
        'staffing_asociate3' => $staffing_asociate3,
        'employed_year1' => $employed_year1,
        'employed_year2' => $employed_year2,
        'employed_year3' => $employed_year3,
        'active_number1' => $active_number1,
        'active_number2' => $active_number2,
        'active_number3' => $active_number3,
        'white_collar1' => $white_collar1,
        'white_collar2' => $white_collar2,
        'white_collar3' => $white_collar3,
        'blue_collar1' => $blue_collar1,
        'blue_collar2' => $blue_collar2,
        'blue_collar3' => $blue_collar3,
        'no_of_location' => $no_of_location,
        'leased_office' => $leased_office,
        'resident_office' => $resident_office,
        'holding_compnay' => $holding_compnay,
        'mode_of_holding' => $mode_of_holding,
        'wages_act' => $wages_act,
        'esic_act' => $esic_act,
        'clr_act' => $clr_act,
        'fund_act' => $fund_act,
        'gratuity_act' => $gratuity_act,
        'bonus_act' => $bonus_act,
        'employee_benefits' => $employee_benefits,
        'law_of_land' => $law_of_land,
        'code_of_conduct' => $code_of_conduct,
        'mail_doc' => $mail_doc,
        'date' => $date,
        'place' => $place,
        'signature' => $signature,
        'created_at' =>$created_at
    );
    // print_r($data);die;
    $insert = InsertData('membership_form',$data);
    if($insert){
       $last_data = mysqli_query($con,"SELECT id,year(created_at) as curyear FROM `membership_form` ORDER BY id DESC LIMIT 1");
       $last_user = mysqli_fetch_object($last_data);

        // mail
       	$headers = "MIME-Version: 1.0" . "\r\n";
		$headers .= "Content-type:text/html;charset=UTF-8" . "\r\n";
        $to="suchita@isf.org.in";
        $subject = $last_user->curyear.' '.$last_user->id.'th form submittion';

        $message="
        <h3>About the company</h3>

        <table style='border-collapse: collapse;'>
            <tr>
                <th style='border:1px solid;'><b>Name</b> :</th> <td style='border:1px solid;'> $company_name <br></td>
            </tr>
            <tr>
                <th style='border:1px solid;'><b>Operations</b> :</th> <td style='border:1px solid;'> $operation <br></td>
            </tr>
            <tr>
                <th style='border:1px solid;'><b>Company Type</b> :</th> <td style='border:1px solid;'> $company_type <br></td>
            </tr>
            <tr>
                <th style='border:1px solid;'><b>Address</b> :</th><td style='border:1px solid;'> $company_address <br></td>
            </tr>
            <tr>
                <th style='border:1px solid;'><b>City/Town</b> :</th><td style='border:1px solid;'> $company_city <br></td>
            </tr>
            <tr>    
                <th style='border:1px solid;'><b>ZIP</b> :</th><td style='border:1px solid;'> $company_zip <br></td>
            </tr>
            <tr>
                <th style='border:1px solid;'><b>Country</b> :</th><td style='border:1px solid;'> $company_country <br></td>
            </tr>
        </table><br>

        <h3>Primary Contact for ISF</h3>
        <table style='border-collapse: collapse;'>
            <tr style='border:1px solid;'>
                <th style='border:1px solid;'><b>Name</b> :</th><td style='border:1px solid;'> $name <br></td>
            </tr>
            <tr style='border:1px solid;'><th style='border:1px solid;'><b>Designation</b> :</th><td style='border:1px solid;'> $designation <br></td></tr>
            <tr style='border:1px solid;'><th style='border:1px solid;'><b>Email</b> :</th><td style='border:1px solid;'> $email <br></td></tr>
            <tr style='border:1px solid;'><th style='border:1px solid;'><b>Mobile No.</b> :</th><td style='border:1px solid;'> $mobile <br></td></tr>
            <tr style='border:1px solid;'><th style='border:1px solid;'><b>Landline</b> :</th><td style='border:1px solid;'> $landline <br></td></tr>
        </table><br>

        <h3>Key Business Leaders (Director/CXO level)</h3>
        <table style='border-collapse: collapse;'>
            <thead>
                <tr>
                    <th style='border:1px solid;'>Key Business Leader 1</th>
                    <th style='border:1px solid;'>Key Business Leader 2</th>
                    <th style='border:1px solid;'>Key Business Leader 3</th>
                </tr>
            </thead>
            <tbody>
                <tr>
                    <td style='border:1px solid;'>Name : $leader1_name</td>
                    <td style='border:1px solid;'>Name : $leader2_name</td>
                    <td style='border:1px solid;'>Name : $leader3_name</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'>Designation : $leader1_designation</td>
                    <td style='border:1px solid;'>Designation : $leader2_designation</td>
                    <td style='border:1px solid;'>Designation : $leader3_designation</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'>Mobile No. : $leader1_mobile</td>
                    <td style='border:1px solid;'>Mobile No. : $leader2_mobile</td>
                    <td style='border:1px solid;'>Mobile No. : $leader3_mobile</td>
                </tr>
                
            </tbody>
        </table><br>
        <table style='border-collapse: collapse;'>
            <thead>
                <tr>
                    <th style='border:1px solid;'>Business Details</th>
                    <th style='border:1px solid;'>$business_details_year->year1</th>
                    <th style='border:1px solid;'>$business_details_year->year2</th>
                    <th style='border:1px solid;'>$business_details_year->year3</th>
                </tr>
            <thead>
            <tbody>
                <tr>
                    <td style='border:1px solid;'><b>Year( we follow):</b> $year_follow</td>
                    <td style='border:1px solid;'></td>
                    <td style='border:1px solid;'></td>
                    <td style='border:1px solid;'></td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Total India Turnover (in Cr):</b></td>
                    <td style='border:1px solid;'>$india_turnover1</td>
                    <td style='border:1px solid;'>$india_turnover2</td>
                    <td style='border:1px solid;'>$india_turnover3</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Internal Staff (Staffing SBU only):</b></td>
                    <td style='border:1px solid;'>$internal_staff1</td>
                    <td style='border:1px solid;'>$internal_staff2</td>
                    <td style='border:1px solid;'>$internal_staff3</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Staffing Business Turnover:</b></td>
                    <td style='border:1px solid;'>$staffing_turnover1</td>
                    <td style='border:1px solid;'>$staffing_turnover2</td>
                    <td style='border:1px solid;'>$staffing_turnover3</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Staffing Associate Numbers(India):</b></td>
                    <td style='border:1px solid;'>$staffing_asociate1</td>
                    <td style='border:1px solid;'>$staffing_asociate2</td>
                    <td style='border:1px solid;'>$staffing_asociate3</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Employed & payrolled in the year:</b></td>
                    <td style='border:1px solid;'>$employed_year1</td>
                    <td style='border:1px solid;'>$employed_year2</td>
                    <td style='border:1px solid;'>$employed_year3</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Active numbers at closing of year:</b></td>
                    <td style='border:1px solid;'>$active_number1</td>
                    <td style='border:1px solid;'>$active_number2</td>
                    <td style='border:1px solid;'>$active_number3</td>
                </tr>
                <tr><td><b>Breakup of Active numbers at closing of year</b></td></tr>
                <tr>
                    <td style='border:1px solid;'><b>White collar:</b></td>
                    <td style='border:1px solid;'>$white_collar1</td>
                    <td style='border:1px solid;'>$white_collar2</td>
                    <td style='border:1px solid;'>$white_collar3</td>
                </tr>
                <tr>
                    <td style='border:1px solid;'><b>Blue collar:</b></td>
                    <td style='border:1px solid;'>$blue_collar1</td>
                    <td style='border:1px solid;'>$blue_collar2</td>
                    <td style='border:1px solid;'>$blue_collar3</td>
                </tr>
            <tbody>
        </table><br>
        <h3>Business Operations</h3>
        <b>Number of Locations of presence (operating Staffing Business): </b> $no_of_location<br> 
        <b>Leased/owned office premises exclusive to the organisation (of above): </b> $leased_office<br> 
        <b>Resident business representatives without leased office (of above): </b> $resident_office<br> <br>
        <h3>Parent company / holding company</h3>
        <b>Name: </b> $holding_compnay<br> 
        <b>Mode of Holding / Association: </b> $mode_of_holding<br> <br>

        <h3>Statement of conduct of Business Practices</h3>

        <b>Our organisation adheres to Minimum Wages Act where applicable: </b> $wages_act<br> 
        <b>Our organisation adheres to ESIC Act where applicable: </b> $esic_act<br> 
        <b>Our organisation adheres to CLR Act where applicable: </b> $clr_act<br> 
        <b>Our organisation adheres to Provident Fund Act where applicable: </b> $fund_act<br> 
        <b>Our organisation adheres to Gratuity Act where applicable: </b> $gratuity_act<br> 
        <b>Our organisation adheres to Payment of Bonus Act where applicable: </b> $bonus_act<br> 
        <b>Our organisation offers all statutary Employee benefits where applicable: </b> $employee_benefits<br> 
        <b>Our organisation follows the law of the land: </b> $law_of_land<br> 

        <b>Declaration of Acceptance of ISF Code of Conduct: </b> $code_of_conduct<br> <br>
        <h3>Statement of conduct of Business Practices</h3>
        <b>Mail the documents: </b> $mail_doc<br> <br>

        <h3>Declaration</h3>
        <table style='border-collapse: collapse;'>
            <thead>
                <tr>
                    <th style='border:1px solid;'><b>Date: </b></th>
                    <th style='border:1px solid;'><b>Place: </b></th>
                    <th style='border:1px solid;'><b>Signature: </b></th>
                </tr>
            </thead>
            <tbody>
                <tr>
                    <td style='border:1px solid;'>$date<br></td>
                    <td style='border:1px solid;'>$place<br></td>
                    <td style='border:1px solid;'>$signature<br></td>
                </tr>
            </tbody>
         
         
         

        ";
        // print_r($message);die;
        $mailsend = mail($to,$subject,$message,$headers); 
        if($mailsend){
             echo "<script>alert('We have received your details.');window.location.href = 'membership-form.php';</script>";
        }else{
             echo "<script>alert('something went wrong please try again');window.location.href = 'membership-form.php';</script>";
        }

        // echo "<script>alert('We have received you detail.');window.location.href = 'membership-form.php';</script>";
    }else{
        echo "<script>alert('something went wrong please try again');window.location.href = 'membership-form.php';</script>";
    }
}
?>

<section>
    <div id="rs-contact" class="rs-contact style1 inner">
        <!-- Breadcrumbs Section Start -->
        <div class="rs-breadcrumbs bg-3">
            <div class="container">
                <div class="text-center pt-60 pb-60">
                    <h1 class="breadcrumbs-title white-color mb-0">Membership Form</h1>
                </div>
            </div>
        </div>
        <!-- Breadcrumbs Section End -->
        <div class="gray-bg pt-80 pb-80 md-pt-0 md-pb-0">
            <div class="container">
                <div class="row">
                    <div class="mx-auto col-lg-10 form-part white-bg">
                        <div class="sec-title mb-45">
                            <!-- <div class="sub-title primary">CONTACT US</div> -->
                            <!-- <h2 class="title mb-30">Membership Form</h2> -->
                            <span>Fields marked with an * are required</span>
                            <h4 class="title mt-20" style="font-Weight:600;">About The Company</h4>
                        </div>
                        <div id="form-messages"></div>
                        <form class="contact-form" method="POST" action="">
                            <div class="row">
                                <div class="col-md-12 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> Name*</label>
                                        <input type="text" name="company_name" placeholder="Name" required="">
                                    </div>
                                </div>
                                <div class="col-md-6 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> Operations*</label>
                                        <select name="operation" id="">
                                            <option value="In India Only">In India Only</option>
                                            <option value="Global Operations">Global Operations</option>

                                        </select>
                                    </div>
                                </div>
                                <div class="col-md-6 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> Select*</label>
                                        <select name="company_type" id="">
                                            <option value="Public">Public</option>
                                            <option value="Institutional members">Private</option>
                                            <option value="proprietorship">proprietorship</option>
                                            <option value="Joint Holding">Joint Holding</option>

                                        </select>
                                    </div>
                                </div>
                                <div class="col-md-12 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> Address*</label>
                                        <input type="text" name="company_address" placeholder="Address"
                                            required="">
                                    </div>
                                </div>
                                <div class="col-md-4 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> City/Town*</label>
                                        <input type="text" name="company_city" placeholder="City" required="">
                                    </div>
                                </div>
                                <div class="col-md-4 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> Zip*</label>
                                        <input type="number" name="company_zip" placeholder="Zip" required="">
                                    </div>
                                </div>
                                <div class="col-md-4 mb-30">
                                    <div class="common-control form-group mb-0">
                                        <label for="" class="form-label"> Country*</label>
                                        <input type="text" name="company_country" placeholder="Country" required="">
                                    </div>
                                </div>
                                <div class="row mb-0">
                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0">
                                            <h4 class="title mt-20" style="font-Weight:600;"> Primary Contact for ISF
                                            </h4>
                                        </div>
                                    </div>

                                    <div class="col-md-12 mb-30">
                                        <div class="common-control form-group mb-0">
                                            <label for="" class="form-label"> Name*</label>
                                            <input type="text" name="name" placeholder="Name" required>
                                        </div>
                                    </div>
                                    <div class="col-md-6 mb-30">
                                        <div class="common-control form-group mb-0">
                                            <label for="" class="form-label"> Designation*</label>
                                            <input type="text" name="designation" placeholder="Designation" required>
                                        </div>
                                    </div>
                                    <div class="col-md-6 mb-30">
                                        <div class="common-control form-group mb-0">
                                            <label for="" class="form-label"> Email*</label>
                                            <input type="email" name="email" placeholder="Email" required>
                                        </div>
                                    </div>
                                    <div class="col-md-6 mb-30">
                                        <div class="common-control form-group mb-0">
                                            <label for="" class="form-label"> Mobile No.*</label>
                                            <input type="number" name="mobile" placeholder="Mobile No." required>
                                        </div>
                                    </div>
                                    <div class="col-md-6 mb-30">
                                        <div class="common-control form-group mb-0">
                                            <label for="" class="form-label"> Landline*</label>
                                            <input type="number" name="landline" placeholder="Landline" required>
                                        </div>
                                    </div>
                                </div>

                                <h4 class="title" style="font-Weight:600;"> Key Business Leaders (Director/CXO
                                    level)</h4>
                                <div class="row mb-0">
                                    <div class="col-md-4 mb-0">
                                        <span> Key Business Leader 1 </span>
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"> Name*</label>
                                            <input type="text" name="leader1_name" placeholder="Name" required>
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <span> Key Business Leader 2 </span>
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"> Name*</label>
                                            <input type="text" name="leader2_name" placeholder="Name" required>
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <span> Key Business Leader 3 </span>
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"> Name*</label>
                                            <input type="text" name="leader3_name" placeholder="Name" required>
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Designation*</label>
                                            <input type="text" name="leader1_designation" placeholder="Designation" required>
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Designation*</label>
                                            <input type="text" name="leader2_designation" placeholder="Designation" required>
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Designation*</label>
                                            <input type="text" name="leader3_designation" placeholder="Designation" required>
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Mobile NO.</label>
                                            <input type="number" name="leader1_mobile" placeholder="Mobile No." required="">
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Mobile NO.</label>
                                            <input type="number" name="leader2_mobile" placeholder="Mobile No." required="">
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Mobile NO.</label>
                                            <input type="number" name="leader3_mobile" placeholder="Mobile No." required="">
                                        </div>
                                    </div>

                                </div>

                                <div class="row mt-20">
                                    <div class="col-md-3 mb-0">
                                        <span> Business Details </span>
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"> Year(we Follow)</label>
                                            <select name="year_follow" id="">
                                                <option value="Jan-Dec">Jan-Dec</option>
                                                <option value="Apr-Mar">Apr-Mar</option>
                                                <option value="Other">Other</option>

                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <span> <?=$business_details_year->year1?> </span>
                                        
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <span> <?=$business_details_year->year2?> </span>
                                        
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <span><?=$business_details_year->year3?></span>
                                        
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Total India Turnover (in Cr)</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="india_turnover1" placeholder="" required>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="india_turnover2" placeholder="" required>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="india_turnover3" placeholder="" required>
                                        </div>
                                    </div>

                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Internal Staff (Staffing SBU
                                                only)</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="internal_staff1" placeholder="" required>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="internal_staff2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="internal_staff3" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Staffing Business Turnover</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="staffing_turnover1" placeholder="" required>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="staffing_turnover2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="staffing_turnover3" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Staffing Associate Numbers
                                                (India)</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="staffing_asociate1" placeholder="" required>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="staffing_asociate2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="staffing_asociate3" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Employed & payrolled in the
                                                year</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="employed_year1" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="employed_year2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="employed_year3" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Active numbers at closing of
                                                year</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="active_number1" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="active_number2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="active_number3" placeholder="">
                                        </div>
                                    </div>

                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Breakup of Active numbers at closing of
                                                year</label>
                                        </div>
                                    </div>

                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">White collar</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="white_collar1" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="white_collar2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="white_collar3" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Blue Collar</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="blue_collar1" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="blue_collar2" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label"></label>
                                            <input type="number" name="blue_collar3" placeholder="">
                                        </div>
                                    </div>
                                </div>
                                <div class="row mt-30">

                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <h4 class="title mt-20" style="font-weight:600;">Business Operations
                                            </h4>
                                        </div>
                                    </div>

                                    <div class="col-md-12 mb-30">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Number of Locations of presence
                                                (operating
                                                Staffing Business)</label>
                                            <input type="number" name="no_of_location" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-12 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">Leased/owned office premises exclusive
                                                to
                                                the organisation (of above)</label>
                                            <input type="number" name="leased_office" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-12 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">Resident business representatives
                                                without
                                                leased office (of above)</label>
                                            <input type="number" name="resident_office" placeholder="">
                                        </div>
                                    </div>



                                </div>

                                <div class="row">

                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0">
                                            <h4 class="title mt-20" style="font-Weight:600;">Parent company / holding
                                                company
                                            </h4>
                                        </div>
                                    </div>

                                    <div class="col-md-6 mb-30">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">Name</label>
                                            <input type="text" name="holding_compnay" placeholder="Parent / Holding Company Name">
                                        </div>
                                    </div>
                                    <div class="col-md-6 mb-30">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">
                                                Mode of Holding / Association</label>
                                            <input type="text" name="mode_of_holding" placeholder="Mode of Holding / Association">
                                        </div>
                                    </div>
                                </div>

                                <div class="row">

                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0">
                                            <h4 class="title" style="font-Weight:600;">Statement of conduct of
                                                Business
                                                Practices</h4>
                                        </div>
                                    </div>
                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0">
                                            <p>Please select "Yes" indicating your acceptance of your organisation's
                                                business practices. Please note that ISF may during the approval
                                                process
                                                or at any time during the membership tenure, audit your
                                                organisation's
                                                business practices.</p>
                                        </div>
                                    </div>

                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <select name="wages_act" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-3">
                                            <label for="" class="form-label">
                                                Our organisation adheres to Minimum Wages Act where
                                                applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="esic_act" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">
                                                Our organisation adheres to ESIC Act where applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="clr_act" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">
                                                Our organisation adheres to CLR Act where applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="fund_act" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">
                                                Our organisation adheres to Provident Fund Act where
                                                applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="gratuity_act" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">
                                                Our organisation adheres to Gratuity Act where applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="bonus_act" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">
                                                Our organisation adheres to Payment of Bonus Act where
                                                applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="employee_benefits" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">
                                                Our organisation offers all statutary Employee benefits where
                                                applicable</label>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="law_of_land" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">

                                                Our organisation follows the law of the land</label>
                                        </div>
                                    </div>
                                </div>

                                <div class="row">
                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <h4 class="title mt-20" style="font-weight:600;">
                                                ISF Code of Conduct</h4>
                                        </div>
                                    </div>

                                    <div class="col-md-12 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <ul style="list-style-type: disc;">
                                                <li>To comply with the Laws of the Land</li>
                                                <li>To respect candidate privacy, and provide fair treatment</li>
                                                <li>To not charge any service fee from candidates for recruitment
                                                    services</li>
                                                <li>To respect healthy competition</li>
                                                <li>To not use the membership of ISF for commercial advantage
                                                </li>
                                                <li> To treat information shared and exchanged with utmost
                                                    confidentiality</li>
                                                <li>To provide a true and correct representation of our services to
                                                    the
                                                    clients as well as candidates.</li>
                                            </ul>
                                        </div>
                                    </div>

                                    <div class="col-md-3 mb-0">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="code_of_conduct" id="" required>
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <h6 class="title mt-20" style="font-Weight:600;">

                                                Declaration of Acceptance of ISF Code of Conduct</h6>
                                        </div>
                                    </div>
                                </div>


                                <div class="row">
                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <h4 class="title mt-20" style="font-weight:600;">
                                                Documents for Verification </h4>
                                        </div>
                                    </div>
                                    <div class="col-md-3 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <select name="mail_doc" id="">
                                                <option value="Yes">Yes</option>
                                                <option value="No">No</option>
                                            </select>
                                        </div>
                                    </div>
                                    <div class="col-md-9 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <h4 class="title mt-20" style="font-Weight:600;">

                                                Mail the documents on (info@indianstaffingfederation.org)</h4>
                                        </div>
                                    </div>
                                </div>
                                <div class="row mb-30">
                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <h4 class="title mt-20" style="font-weight:600;">
                                                Declaration</h4>
                                        </div>
                                    </div>

                                    <div class="col-md-12 mb-0">
                                        <div class="common-control form-group mb-0 mt-0">
                                            <p> I declare that all the information provided in the application form
                                                is
                                                correct as per company records and to my knowledge. The information
                                                provided will be subject to an assessment or audit that may be
                                                conducted
                                                by ISF if need be. I also understand that the decision for Approval
                                                /
                                                Non-approval of my membership to ISF will be the decision of the
                                                Board
                                                of ISF and I shall abide by the same.</p>
                                        </div>
                                    </div>

                                    <div class="col-md-4 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label"> Date</label>
                                            <input type="date" name="date" placeholder="">
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">Place</label>
                                            <input type="text" name="place" placeholder="Place">
                                        </div>
                                    </div>
                                    <div class="col-md-4 mb-30">
                                        <div class="common-control form-group mb-0 mt-1">
                                            <label for="" class="form-label">Signature</label>
                                            <input type="text" name="signature" placeholder="Signature">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-12">
                                    <div class="submit-btn form-group mb-0">
                                        <button type="submit" name="submit" class="readon-outline-dark modify submit_btn">Submit Now</button>
                                    </div>
                                </div>
                            </div>
                        </form>
                    </div>

                </div>

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

</section>


<?php include'footer.php' ?>
<script>
	function submit_btn(){
		$('#submit_btn').html('Processing..');
	}
</script>