{"id":551,"date":"2021-03-08T04:39:09","date_gmt":"2021-03-08T04:39:09","guid":{"rendered":"http:\/\/www.cibindia.org\/blog\/?page_id=551"},"modified":"2021-12-30T05:23:04","modified_gmt":"2021-12-30T05:23:04","slug":"cib-form","status":"publish","type":"page","link":"https:\/\/www.cibindia.org\/blog\/cib-form\/","title":{"rendered":"CIB FORM"},"content":{"rendered":"<div class=\"forminator-ui forminator-custom-form forminator-custom-form-550 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-550\" data-uid=\"6a1b1e7fee4fc\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-550\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-550 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"550\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a1b1e7fee4fc\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a1b1e7fee4fc\" id=\"forminator-field-name-2_6a1b1e7fee4fc-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"E.g. Raj Kumar\" id=\"forminator-field-name-2_6a1b1e7fee4fc\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-form-550__field--select-3_6a1b1e7fee4fc\" id=\"forminator-form-550__field--select-3_6a1b1e7fee4fc-label\" class=\"forminator-label\">Designation <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-550__field--select-3_6a1b1e7fee4fc\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-placeholder=\"Select\" data-search=\"false\" data-search-placeholder=\"Select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-550__field--select-3_6a1b1e7fee4fc-label\"><option value=\"\"  >Select<\/option><option value=\"district-chief\"  data-calculation=\"0\">DISTRICT CHIEF<\/option><option value=\"district-organisation-chief\"  data-calculation=\"0\">DISTRICT ORGANISATION CHIEF<\/option><option value=\"district-secretary\"  data-calculation=\"0\">DISTRICT SECRETARY<\/option><option value=\"district-joint-secretary\"  data-calculation=\"0\">DISTRICT JOINT SECRETARY<\/option><option value=\"district-cordinator\"  data-calculation=\"0\">DISTRICT CORDINATOR<\/option><option value=\"state-chief\"  data-calculation=\"0\">STATE CHIEF<\/option><option value=\"state-organisation-chief\"  data-calculation=\"0\">STATE ORGANISATION CHIEF<\/option><option value=\"state-secretary\"  data-calculation=\"0\">STATE SECRETARY<\/option><option value=\"state-joint-secretary\"  data-calculation=\"0\">STATE JOINT SECRETARY<\/option><option value=\"state-cordinator\"  data-calculation=\"0\">STATE CORDINATOR<\/option><option value=\"national-secretary\"  data-calculation=\"0\">NATIONAL SECRETARY<\/option><option value=\"national-joint-secretary\"  data-calculation=\"0\">NATIONAL JOINT SECRETARY<\/option><option value=\"national-cordinator\"  data-calculation=\"0\">NATIONAL CORDINATOR<\/option><option value=\"life-time-member\"  data-calculation=\"0\">LIFE TIME MEMBER<\/option><option value=\"member-ps\"  data-calculation=\"0\">MEMBER PS<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-1\" class=\"forminator-field-html forminator-col forminator-col-3 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-1\"><label class=\"forminator-label\">Registration charges \/year<\/label><p>Rs. 2,000<\/p><\/div><\/div><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-3 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">Registration charges \/year<\/label><p>Rs. 4,000<\/p><\/div><\/div><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-3 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><label class=\"forminator-label\">Registration charges \/year<\/label><p>Rs. 8,000<\/p><\/div><\/div><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-3 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><label class=\"forminator-label\">Registration charges (Lifetime)<\/label><p>Rs. 11,000<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">Registration charges<\/label><p>FREE (1 Month)<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a1b1e7fee4fc\" id=\"forminator-field-date-2-picker_6a1b1e7fee4fc-label\" class=\"forminator-label\">Validity <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Select Date\" id=\"forminator-field-date-2-picker_6a1b1e7fee4fc\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"2027\" data-end-year=\"2027\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2027-05-30\" data-end-date=\"2027-05-30\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"date-3\" class=\"forminator-field-date forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-3-picker_6a1b1e7fee4fc\" id=\"forminator-field-date-3-picker_6a1b1e7fee4fc-label\" class=\"forminator-label\">Validity <span class=\"forminator-required\">*<\/span><\/label><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-3\" value=\"\" placeholder=\"Select Date\" id=\"forminator-field-date-3-picker_6a1b1e7fee4fc\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"2026\" data-end-year=\"2026\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"2026-06-30\" data-end-date=\"2026-06-30\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><div id=\"select-6\" class=\"forminator-field-select forminator-col forminator-col-4 \"><div class=\"forminator-field\"><label for=\"forminator-form-550__field--select-6_6a1b1e7fee4fc\" id=\"forminator-form-550__field--select-6_6a1b1e7fee4fc-label\" class=\"forminator-label\">Validity <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-550__field--select-6_6a1b1e7fee4fc\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-6\" data-default-value=\"lifetime\" data-placeholder=\"Select\" data-search=\"false\" data-search-placeholder=\"Select\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-550__field--select-6_6a1b1e7fee4fc-label\"><option value=\"\"  >Select<\/option><option value=\"lifetime\" selected=\"selected\" data-calculation=\"0\">LIFETIME<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a1b1e7fee4fc\" id=\"forminator-field-text-2_6a1b1e7fee4fc-label\" class=\"forminator-label\">Working Area <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"Working Area\" id=\"forminator-field-text-2_6a1b1e7fee4fc\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a1b1e7fee4fc\" id=\"forminator-field-text-7_6a1b1e7fee4fc-label\" class=\"forminator-label\">Division <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"Division\" id=\"forminator-field-text-7_6a1b1e7fee4fc\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a1b1e7fee4fc\" id=\"forminator-field-phone-1_6a1b1e7fee4fc-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"Phone\" id=\"forminator-field-phone-1_6a1b1e7fee4fc\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a1b1e7fee4fc\" id=\"forminator-field-upload-1_6a1b1e7fee4fc-label\" class=\"forminator-label\">Upload your passport size photo <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6a1b1e7fee4fc\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a1b1e7fee4fc\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.psd,.xcf\"><button id=\"forminator-field-upload-1_6a1b1e7fee4fc_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a1b1e7fee4fc\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"stripe-1\" class=\"forminator-field-stripe forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"stripe-1-field\" id=\"stripe-1-field-label\" class=\"forminator-label\">Pay with Credit \/ Debit Card <span class=\"forminator-required\">*<\/span><\/label><div id=\"card-element-6a1b1e7fee4fc\" data-field-id=\"6a1b1e7fee4fc\" data-is-payment=\"true\" data-payment-type=\"stripe\" data-secret=\"\" data-paymentid=\"\" data-key=\"pk_live_51K97oMSEpXqYDxjjqjAa4HobHD19egzHMZlKrbKOHC9cexyrZQNWvgGsByaUSUbeAsDfj1c8whXXEdSe4hYY1JJJ00nLcHV1yl\" data-card-icon=\"1\" data-veify-zip=\"\" data-zip-field=\"\" data-language=\"auto\" data-base-class=\"StripeElement\" data-complete-class=\"StripeElement--complete\" data-empty-class=\"StripeElement--empty\" data-focused-class=\"StripeElement--focus\" data-invalid-class=\"StripeElement--invalid\" data-autofilled-class=\"StripeElement--webkit-autofill\" data-billing=\"1\" data-billing-name=\"name-2\" data-billing-email=\"\" data-billing-address=\"address-1\" data-receipt=\"1\" data-receipt-email=\"email-1\" data-custom-fonts=\"\" data-placeholder=\"#888888\" data-font-color=\"#000000\" data-font-color-focus=\"#000000\" data-font-color-error=\"#000000\" data-font-size=\"16px\" data-font-family=\"inherit\" data-font-weight=\"normal\" data-icon-color=\"#777771\" data-icon-color-hover=\"#17A8E3\" 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value=\"forminator_submit_form_custom-forms\"><\/form>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-551","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/pages\/551"}],"collection":[{"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/comments?post=551"}],"version-history":[{"count":1,"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/pages\/551\/revisions"}],"predecessor-version":[{"id":552,"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/pages\/551\/revisions\/552"}],"wp:attachment":[{"href":"https:\/\/www.cibindia.org\/blog\/wp-json\/wp\/v2\/media?parent=551"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}