forms.worldfis.com Open in urlscan Pro
103.103.196.76  Public Scan

Submitted URL: https://india.dccisummit.com/registerd
Effective URL: https://forms.worldfis.com/Tradepass/form/DCCISUMMITINDIAREGISTRATIONFORM/formperma/nqDVnkHoQk3c2AECaj7id3sOGK3R_iNbp2zylwS...
Submission: On November 22 via api from SG — Scanned from DE

Form analysis 1 forms found in the DOM

Name: test

<form name="test" id="test"><input type="hidden" name="formName" value="DCCISUMMITINDIAREGISTRATIONFORM" id="formName"><input type="hidden" name="verifyPerma" value="" id="verifyPerma"><!-- Form Perma will be sent only for PermaUrls -->
  <input type="hidden" name="formPerma" value="nqDVnkHoQk3c2AECaj7id3sOGK3R_iNbp2zylwSEXHQ" id="formPerma"><input type="hidden" name="referrerName" id="referrerName" value="null"><input type="hidden" name="isPaymentForm" value="false"
    id="isPaymentForm"><input type="hidden" name="formType" value="0" id="formType">
  <input type="hidden" id="zf_date_format" datelocale="en-GB" name="date_format" value="dd-MMM-yyyy"><input type="hidden" name="isDocsPublicForm" value="false" id="isDocsPublicForm">
  <input type="hidden" name="formrid" value="" id="formrid">
  <input type="hidden" name="resizeform" value="0" id="resizeform">
  <div id="zf_utmTrack" style="display: none;"></div>
  <div class="templateWrapper" id="formRedirectURL">
    <ul class="tempHeadBdr formRelative">
      <li class="tempHeadContBdr"><span id="logo-formheader" class="formLogo" style="display: none"><img id="logo-formheader-img" src=""></span>
        <h2 class="frmTitle"><em>DCCI SUMMIT | INDIA| REGISTRATION FORM</em></h2>
        <p class="frmDesc"></p>
        <div class="clearBoth"></div>
      </li>
    </ul>
    <!-- 'FieldElement' class is imported in order to get the key for display name of the component of 'Address' field.
'FormField' class is used to get field type of Zoho CRM field.-->
    <div id="formBodyDiv" class="formRelative subContWrap topAlign"><!-- <button elname="openPopUpSubForm" onclick="openPopUp();event.preventDefault()"> Open subform pop up </button> -->
      <!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
      <ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="1" needpagedata="true">
        <!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
        <!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
        <!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
        <!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
        <!-- formMetaData.key=Field link name -->
        <!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
        <li elname="livefield-elem" comptype="1" id="SingleLine3-li" needdata="true" compname="SingleLine3" linkname="SingleLine3" isvisible="false" class="tempFrmWrapper small" style="display:none;" mandatory="false" page_no="1"
          page_link_name="Page">
          <label class="labelName"><span>Source</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine3" value="Form submitted"></span>
            <p class="errorMessage" elname="error" id="error-SingleLine3"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper small" style="display:none;" elname="livefield-elem" comptype="15" id="MultipleChoice-li" needdata="true" compname="MultipleChoice" linkname="MultipleChoice" isvisible="false" mandatory="false" page_no="1"
          page_link_name="Page">
          <label class="labelName"><span>Event</span>
          </label>
          <div class="tempContDiv mSelect">
            <select name="MultipleChoice" id="MultipleChoice-multiple-id" multiple="multiple">
              <option value="DCCI 2021 INDIA" formula_val="">DCCI 2021 INDIA</option>
            </select>
            <p class="errorMessage" elname="error" id="error-MultipleChoice"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine-li" needdata="true" compname="SingleLine" linkname="SingleLine" isvisible="false" class="tempFrmWrapper small" style="display:none;" mandatory="false" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Owner</span>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine" value="Deboshree"></span>
            <p class="errorMessage" elname="error" id="error-SingleLine"></p>
            <p class="instruction instrSpace" elname="hint" id="hint-SingleLine"> Deal Owner </p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper name namelarge" elname="livefield-elem" comptype="7" needdata="true" id="Name-li" compname="Name" linkname="Name" isvisible="true" mandatory="true" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Name</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv twoType">
            <div class="nameWrapper">
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name" complink="Name_First" value="" mandatory="true">
                <label class="formSubInfoText">First</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name" complink="Name_Last" value="" mandatory="true">
                <label class="formSubInfoText">Last</label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Name"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine1-li" needdata="true" compname="SingleLine1" linkname="SingleLine1" isvisible="true" class="tempFrmWrapper small" mandatory="true" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Job title</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine1" value=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine1"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" comptype="1" id="SingleLine2-li" needdata="true" compname="SingleLine2" linkname="SingleLine2" isvisible="true" class="tempFrmWrapper small" mandatory="true" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Company name</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <span><input onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine2" value=""></span>
            <p class="errorMessage" elname="error" id="error-SingleLine2"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper name namelarge" style="display:none;" elname="livefield-elem" comptype="7" needdata="true" id="Name3-li" compname="Name3" linkname="Name3" isvisible="false" mandatory="true" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Work Information</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv twoType">
            <div class="nameWrapper">
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name3" complink="Name3_First" value="" mandatory="true">
                <label class="formSubInfoText">Job title</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name3" complink="Name3_Last" value="" mandatory="true">
                <label class="formSubInfoText">Company Name</label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Name3"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper email large" elname="livefield-elem" comptype="9" id="Email-li" needdata="true" compname="Email" linkname="Email" isvisible="true" mandatory="true" page_no="1" page_link_name="Page" domain_option="0"
          need_reconf="false">
          <label class="labelName"><span>Email</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <span elname="livefield-email-elem"><input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="Email" value="">
              <p class="errorMessage" elname="error" id="error-Email"></p>
            </span>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper email large" elname="livefield-elem" comptype="9" id="Email1-li" needdata="false" compname="Email1" linkname="Email1" isvisible="true" mandatory="false" page_no="1" page_link_name="Page"
          restricted_domain_name="gmail.com,yahoo.com" domain_option="2" need_reconf="false" style="display: none;">
          <label class="labelName"><span>Official Email</span>
          </label>
          <div class="tempContDiv">
            <span elname="livefield-email-elem"><input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="Email1" value="">
              <p class="errorMessage" elname="error" id="error-Email1"></p>
            </span>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper phone large" elname="livefield-elem" comptype="11" id="PhoneNumber-li" needdata="true" compname="PhoneNumber" linkname="PhoneNumber" isvisible="true" mandatory="true" page_no="1" page_link_name="Page"
          need_reconf="false">
          <label class="labelName"><span>Phone</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv" elname="phoneFormatElem" phoneformat="INTERNATIONAL">
            <div elname="phoneFld" name="phone-elements">
              <div class="intl-tel-input allow-dropdown separate-dial-code iti-sdc-3 phCodeWrapper">
                <div class="flag-container">
                  <div class="selected-flag" tabindex="0" title="Germany (Deutschland): +49">
                    <div class="iti-flag de"></div>
                    <div class="selected-dial-code">+49</div>
                    <div class="iti-arrow"></div>
                  </div>
                </div><input name="PhoneNumber" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" id="PhoneNumber" type="text" elname="countrycode" maxlength="20" value="" iscodeenabled="true" phoneformattype="1" initcountry="de"
                  countrylist="" style="padding-left: 84px;">
              </div>
            </div>
            <p class="errorMessage" elname="error" id="error-PhoneNumber"></p>
            <script type="module">
              if (true == true && (true)) {
                var allowedCountryList = [];
                var ipBasedCurrentCountry = null;
                ipBasedCurrentCountry = "DE"; // check null value				
                ipBasedCurrentCountry = ipBasedCurrentCountry.toLowerCase();
                var defaultCountry = ""; // No I18N
                var keyId = $("#PhoneNumber");
                var keyIdConf = ("#" + "PhoneNumber" + "-reconf"); // No I18N
                var listofcountries = [],
                  hasCode = false;
                var initialCountry = "auto"; // No I18N
                var countryCodeProps = jQuery.extend(true, {}, ZFPhone.countryCodeProps);
                var isRtlEnabled = false;
                var txtDir = "1"; // No I18N
                if (txtDir != null && txtDir != undefined) {
                  if (txtDir == 2) {
                    isRtlEnabled = true;
                  }
                }
                countryCodeProps.isRtl = isRtlEnabled;
                if (defaultCountry != "") {
                  defaultCountry = countryUniqueCode[""]; // No I18N
                }
                if (allowedCountryList.length > 0) {
                  var phoneVal = ""; // No I18N
                  var codeVal = ""; // No I18N
                  for (var itr = 0; itr < allowedCountryList.length; itr++) {
                    if (codeVal != "" && codelist[allowedCountryList[itr]] == codeVal && !hasCode) {
                      phoneVal = codeVal + phoneVal;
                      hasCode = true;
                    }
                    listofcountries[itr] = countryUniqueCode[allowedCountryList[itr]];
                  }
                  countryCodeProps.onlyCountries = listofcountries;
                  if ("live" == 'live') {
                    if (jQuery.inArray(defaultCountry, listofcountries) !== -1) {
                      initialCountry = defaultCountry;
                    } else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-" && jQuery.inArray(ipBasedCurrentCountry, listofcountries) != -1) { // No I18N
                      initialCountry = ipBasedCurrentCountry;
                    }
                  } else {
                    $("#PhoneNumber").val(phoneVal);
                    if ("false" == "true") {
                      $(keyIdConf).val(phoneVal); // No I18N
                    }
                  }
                } else if ("live" == 'live') { // No I18N
                  if (defaultCountry != "") {
                    initialCountry = defaultCountry;
                  } else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-") { // No I18N
                    initialCountry = ipBasedCurrentCountry;
                  }
                }
                if ($(keyId).parents("ul").attr("elname") != "subFormFieldsCloneUl") {
                  countryCodeProps.initialCountry = initialCountry;
                  $(keyId).intlTelInput(countryCodeProps);
                  $(keyIdConf).intlTelInput(countryCodeProps); // No I18N
                  if ("live" == 'live') {
                    $(keyId).intlTelInput("setNumber", ""); // No I18N
                  }
                }
                $(keyId).attr({
                  "initCountry": initialCountry,
                  "countryList": listofcountries
                }); // No I18N
                //$("#PhoneNumber") is used instead of variable keyId, since event get attached only to the last dom element instead of all elements.
                setCountryCodePropsForFlds(("#" + "PhoneNumber"), isRtlEnabled); // No I18N
                if ("false" == "true") {
                  setCountryCodePropsForFlds(("#" + "PhoneNumber" + "-reconf"), isRtlEnabled); // No I18N
                }
              }
            </script>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper dropdown small" elname="livefield-elem" comptype="12" id="Dropdown2-li" needdata="true" compname="Dropdown2" linkname="Dropdown2" isvisible="true" mandatory="true" page_no="1" page_link_name="Page">
          <label class="labelName"><span>State</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <div class="form_sBox">
              <div class="customArrow"></div><select name="Dropdown2" onchange="ZFLive.prefillFieldLabel(this);ZFLive.checkUniqueChoiceFld(this);  
">
                <option selected="true" value="-Select-">-Select-</option>
                <option value="Andaman and Nicobar Islands" formula_val="">Andaman and Nicobar Islands</option>
                <option value="Andhra Pradesh" formula_val="">Andhra Pradesh</option>
                <option value="Arunachal Pradesh" formula_val="">Arunachal Pradesh</option>
                <option value="Assam" formula_val="">Assam</option>
                <option value="Bihar" formula_val="">Bihar</option>
                <option value="Chandigarh" formula_val="">Chandigarh</option>
                <option value="Chhattisgarh" formula_val="">Chhattisgarh</option>
                <option value="Dadra &amp; Nagar Haveli and Daman &amp; Diu" formula_val="">Dadra &amp; Nagar Haveli and Daman &amp; Diu</option>
                <option value="Delhi" formula_val="">Delhi</option>
                <option value="Goa" formula_val="">Goa</option>
                <option value="Gujarat" formula_val="">Gujarat</option>
                <option value="Haryana" formula_val="">Haryana</option>
                <option value="Himachal Pradesh" formula_val="">Himachal Pradesh</option>
                <option value="Jammu and Kashmir" formula_val="">Jammu and Kashmir</option>
                <option value="Jharkhand" formula_val="">Jharkhand</option>
                <option value="Karnataka" formula_val="">Karnataka</option>
                <option value="Kerala" formula_val="">Kerala</option>
                <option value="Ladakh" formula_val="">Ladakh</option>
                <option value="Lakshadweep" formula_val="">Lakshadweep</option>
                <option value="Madhya Pradesh" formula_val="">Madhya Pradesh</option>
                <option value="Maharashtra" formula_val="">Maharashtra</option>
                <option value="Manipur" formula_val="">Manipur</option>
                <option value="Meghalaya" formula_val="">Meghalaya</option>
                <option value="Mizoram" formula_val="">Mizoram</option>
                <option value="Nagaland" formula_val="">Nagaland</option>
                <option value="Odisha" formula_val="">Odisha</option>
                <option value="Puducherry" formula_val="">Puducherry</option>
                <option value="Punjab" formula_val="">Punjab</option>
                <option value="Rajasthan" formula_val="">Rajasthan</option>
                <option value="Sikkim" formula_val="">Sikkim</option>
                <option value="Tamil Nadu" formula_val="">Tamil Nadu</option>
                <option value="Telangana" formula_val="">Telangana</option>
                <option value="Tripura" formula_val="">Tripura</option>
                <option value="Uttar Pradesh" formula_val="">Uttar Pradesh</option>
                <option value="Uttarakhand" formula_val="">Uttarakhand</option>
                <option value="West Bengal" formula_val="">West Bengal</option>
              </select>
            </div>
            <div elname="liveFieldTempChoiceCont" style="display: none;"></div>
            <p class="errorMessage" elname="error" id="error-Dropdown2"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper dropdown small" elname="livefield-elem" comptype="12" id="Dropdown3-li" needdata="true" compname="Dropdown3" linkname="Dropdown3" isvisible="true" mandatory="false" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Industry</span>
          </label>
          <div class="tempContDiv">
            <div class="form_sBox">
              <div class="customArrow"></div><select name="Dropdown3" onchange="ZFLive.prefillFieldLabel(this);ZFLive.checkUniqueChoiceFld(this);  
">
                <option selected="true" value="-Select-">-Select-</option>
                <option value="AGRICULTURE AND ALLIED INDUSTRIES" formula_val="">AGRICULTURE AND ALLIED INDUSTRIES</option>
                <option value="AUTOMOBILES" formula_val="">AUTOMOBILES</option>
                <option value="AUTO COMPONENTS" formula_val="">AUTO COMPONENTS</option>
                <option value="AVIATION" formula_val="">AVIATION</option>
                <option value="BANKING" formula_val="">BANKING</option>
                <option value="BIOTECHNOLOGY" formula_val="">BIOTECHNOLOGY</option>
                <option value="CEMENT" formula_val="">CEMENT</option>
                <option value="CHEMICALS" formula_val="">CHEMICALS</option>
                <option value="CONSUMER DURABLES" formula_val="">CONSUMER DURABLES</option>
                <option value="DEFENCE MANUFACTURING" formula_val="">DEFENCE MANUFACTURING</option>
                <option value="E-COMMERCE" formula_val="">E-COMMERCE</option>
                <option value="EDUCATION AND TRAINING" formula_val="">EDUCATION AND TRAINING</option>
                <option value="ELECTRONICS SYSTEM DESIGN &amp; MANUFACTURING" formula_val="">ELECTRONICS SYSTEM DESIGN &amp; MANUFACTURING</option>
                <option value="ENGINEERING AND CAPITAL GOODS" formula_val="">ENGINEERING AND CAPITAL GOODS</option>
                <option value="FINANCIAL SERVICES" formula_val="">FINANCIAL SERVICES</option>
                <option value="FMCG" formula_val="">FMCG</option>
                <option value="GEMS AND JEWELLERY" formula_val="">GEMS AND JEWELLERY</option>
                <option value="GOVERNMENT" formula_val="">GOVERNMENT</option>
                <option value="HEALTHCARE" formula_val="">HEALTHCARE</option>
                <option value="INFRASTRUCTURE" formula_val="">INFRASTRUCTURE</option>
                <option value="INSURANCE" formula_val="">INSURANCE</option>
                <option value="IT &amp; BPM" formula_val="">IT &amp; BPM</option>
                <option value="LAW ENFORCEMENT" formula_val="">LAW ENFORCEMENT</option>
                <option value="MANUFACTURING" formula_val="">MANUFACTURING</option>
                <option value="MEDIA AND ENTERTAINMENT" formula_val="">MEDIA AND ENTERTAINMENT</option>
                <option value="MEDICAL DEVICES" formula_val="">MEDICAL DEVICES</option>
                <option value="METALS AND MINING" formula_val="">METALS AND MINING</option>
                <option value="MSME" formula_val="">MSME</option>
                <option value="OIL AND GAS" formula_val="">OIL AND GAS</option>
                <option value="PHARMACEUTICALS" formula_val="">PHARMACEUTICALS</option>
                <option value="PORTS" formula_val="">PORTS</option>
                <option value="POWER" formula_val="">POWER</option>
                <option value="RAILWAYS" formula_val="">RAILWAYS</option>
                <option value="REAL ESTATE" formula_val="">REAL ESTATE</option>
                <option value="RENEWABLE ENERGY" formula_val="">RENEWABLE ENERGY</option>
                <option value="RETAIL" formula_val="">RETAIL</option>
                <option value="ROADS" formula_val="">ROADS</option>
                <option value="SCIENCE AND TECHNOLOGY" formula_val="">SCIENCE AND TECHNOLOGY</option>
                <option value="SERVICES" formula_val="">SERVICES</option>
                <option value="STEEL" formula_val="">STEEL</option>
                <option value="TELECOMMUNICATIONS" formula_val="">TELECOMMUNICATIONS</option>
                <option value="TEXTILES" formula_val="">TEXTILES</option>
                <option value="TOURISM AND HOSPITALITY" formula_val="">TOURISM AND HOSPITALITY</option>
                <option value="OTHER" formula_val="">OTHER</option>
              </select>
            </div>
            <div elname="liveFieldTempChoiceCont" style="display: none;"></div>
            <p class="errorMessage" elname="error" id="error-Dropdown3"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper dropdown large" elname="livefield-elem" comptype="12" id="Dropdown-li" needdata="true" compname="Dropdown" linkname="Dropdown" isvisible="true" mandatory="false" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Role / Authority</span>
          </label>
          <div class="tempContDiv">
            <div class="form_sBox">
              <div class="customArrow"></div><select name="Dropdown" onchange="ZFLive.prefillFieldLabel(this);ZFLive.checkUniqueChoiceFld(this);  
">
                <option selected="true" value="-Select-">-Select-</option>
                <option value="Final Decision" formula_val="">Final Decision</option>
                <option value="Evaluator" formula_val="">Evaluator</option>
                <option value="Influencer" formula_val="">Influencer</option>
                <option value="Others" formula_val="">Others</option>
              </select>
            </div>
            <div elname="liveFieldTempChoiceCont" style="display: none;"></div>
            <p class="errorMessage" elname="error" id="error-Dropdown"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper name namelarge" elname="livefield-elem" comptype="7" needdata="true" id="Name2-li" compname="Name2" linkname="Name2" isvisible="true" mandatory="false" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Who do you report to?</span>
          </label>
          <div class="tempContDiv threeType">
            <div class="nameWrapper">
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name2" complink="Name2_First" value="" mandatory="false">
                <label class="formSubInfoText">Name</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name2" complink="Name2_Last" value="" mandatory="false">
                <label class="formSubInfoText">Job Title</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Middle" name="Name2" complink="Name2_Middle" value="" mandatory="false">
                <label class="formSubInfoText">Mobile/Email</label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Name2"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="zfcheckbox tempFrmWrapper threeColumns " elname="livefield-elem" comptype="14" needdata="true" id="Checkbox1-li" compname="Checkbox1" linkname="Checkbox1" isvisible="true" mandatory="true" page_no="1" page_link_name="Page"
          choice_type="checkbox">
          <label class="labelName"><span>What solutions are you looking to source for 2021 - 2022?</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <div class="overflow customCheckBox">
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_1" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Routers" formula_val="">
                <label for="Checkbox1_1" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Routers</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_2" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Switches" formula_val="">
                <label for="Checkbox1_2" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Switches</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_3" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Cooling Solution" formula_val="">
                <label for="Checkbox1_3" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Cooling Solution</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_4" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Firewalls" formula_val="">
                <label for="Checkbox1_4" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Firewalls</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_5" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Storage Systems" formula_val="">
                <label for="Checkbox1_5" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Storage Systems</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_6" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Servers" formula_val="">
                <label for="Checkbox1_6" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Servers</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_7" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Racks" formula_val="">
                <label for="Checkbox1_7" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Racks</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_8" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Network Infrastructure" formula_val="">
                <label for="Checkbox1_8" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Network Infrastructure</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_9" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Storage Infrastructure" formula_val="">
                <label for="Checkbox1_9" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Storage Infrastructure</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_10" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Security Devices" formula_val="">
                <label for="Checkbox1_10" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Security Devices</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_11" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Connectivity" formula_val="">
                <label for="Checkbox1_11" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Connectivity</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_12" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Facility/Site Consulting" formula_val="">
                <label for="Checkbox1_12" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Facility/Site Consulting</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_13" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Power Systems" formula_val="">
                <label for="Checkbox1_13" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Power Systems</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_14" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Cabling Systems" formula_val="">
                <label for="Checkbox1_14" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Cabling Systems</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_15" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="UPS" formula_val="">
                <label for="Checkbox1_15" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">UPS</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_16" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Energy Production Systems" formula_val="">
                <label for="Checkbox1_16" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Energy Production Systems</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_17" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="HVAC" formula_val="">
                <label for="Checkbox1_17" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">HVAC</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_18" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Fire Protection" formula_val="">
                <label for="Checkbox1_18" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Fire Protection</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_19" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Physical Security" formula_val="">
                <label for="Checkbox1_19" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Physical Security</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_20" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Network Operations Center" formula_val="">
                <label for="Checkbox1_20" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Network Operations Center</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_21" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Data Center Infrastructure Management"
                  formula_val="">
                <label for="Checkbox1_21" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Data Center Infrastructure Management</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_22" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Software Systems" formula_val="">
                <label for="Checkbox1_22" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Software Systems</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_23" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Cloud Storage" formula_val="">
                <label for="Checkbox1_23" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Cloud Storage</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_24" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Cloud Security" formula_val="">
                <label for="Checkbox1_24" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Cloud Security</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_25" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="SaaS / PaaS / IaaS" formula_val="">
                <label for="Checkbox1_25" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">SaaS / PaaS / IaaS</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_26" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Public Cloud Services" formula_val="">
                <label for="Checkbox1_26" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Public Cloud Services</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_27" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Private Cloud Services" formula_val="">
                <label for="Checkbox1_27" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Private Cloud Services</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_28" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Hybrid Cloud" formula_val="">
                <label for="Checkbox1_28" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Hybrid Cloud</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_29" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Cloud Management Platforms" formula_val="">
                <label for="Checkbox1_29" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">Cloud Management Platforms</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_30" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="SD-WAN" formula_val="">
                <label for="Checkbox1_30" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">SD-WAN</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_31" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="SASE" formula_val="">
                <label for="Checkbox1_31" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">SASE</em>
                </label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Checkbox1"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
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          <label class="labelName"><span>What is the budget allocated to implement the above tech solutions?</span>
          </label>
          <div class="tempContDiv">
            <div class="form_sBox">
              <div class="customArrow"></div><select name="Dropdown1" onchange="ZFLive.prefillFieldLabel(this);ZFLive.checkUniqueChoiceFld(this);  
">
                <option selected="true" value="-Select-">-Select-</option>
                <option value="Less than 100,000 USD" formula_val="">Less than 100,000 USD</option>
                <option value="100,000 - 500,000 USD" formula_val="">100,000 - 500,000 USD</option>
                <option value="500,000 - 1 Million USD" formula_val="">500,000 - 1 Million USD</option>
                <option value="Above 1 Million USD" formula_val="">Above 1 Million USD</option>
              </select>
            </div>
            <div elname="liveFieldTempChoiceCont" style="display: none;"></div>
            <p class="errorMessage" elname="error" id="error-Dropdown1"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="zfradio tempFrmWrapper sideBySide " elname="livefield-elem" comptype="13" id="Radio-li" needdata="true" compname="Radio" linkname="Radio" isvisible="true" mandatory="false" page_no="1" page_link_name="Page" choice_type="radio">
          <label class="labelName"><span>How quickly are you planning to procure or implement these solutions?</span>
          </label>
          <div class="tempContDiv">
            <div class="overflow customRadioBtn">
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                <label for="Radio_1" class="radioChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">0-3 months</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="radio" id="Radio_2" name="Radio" elname="Radio" class="radioBtnType" value="3-6 months" formula_val=""
                  onchange="ZFLive.prefillFieldLabel(this);">
                <label for="Radio_2" class="radioChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">3-6 months</em>
                </label> </span>
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="radio" id="Radio_3" name="Radio" elname="Radio" class="radioBtnType" value="6-9 months" formula_val=""
                  onchange="ZFLive.prefillFieldLabel(this);">
                <label for="Radio_3" class="radioChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">6-9 months</em>
                </label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Radio"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper name namelarge" elname="livefield-elem" comptype="7" needdata="true" id="Name4-li" compname="Name4" linkname="Name4" isvisible="true" mandatory="false" page_no="1" page_link_name="Page">
          <label class="labelName advLabelName"><span><b>Would you like to recommend a colleague or peer to attend the event? if yes, please provide his/her details</b><b><br></b><b><br><br><br></b>
              <div><b>Recommendation 1</b><br></div>
            </span>
          </label>
          <div class="tempContDiv threeType">
            <div class="nameWrapper">
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name4" complink="Name4_First" value="" mandatory="false">
                <label class="formSubInfoText">Name</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name4" complink="Name4_Last" value="" mandatory="false">
                <label class="formSubInfoText">Job Title</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Middle" name="Name4" complink="Name4_Middle" value="" mandatory="false">
                <label class="formSubInfoText">Mobile&amp;Email</label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Name4"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="tempFrmWrapper name namelarge" elname="livefield-elem" comptype="7" needdata="true" id="Name5-li" compname="Name5" linkname="Name5" isvisible="true" mandatory="false" page_no="1" page_link_name="Page">
          <label class="labelName"><span>Recommendation 2</span>
          </label>
          <div class="tempContDiv threeType">
            <div class="nameWrapper">
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="First" name="Name5" complink="Name5_First" value="" mandatory="false">
                <label class="formSubInfoText">Name</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Last" name="Name5" complink="Name5_Last" value="" mandatory="false">
                <label class="formSubInfoText">Job Title</label> </span>
              <span> <input onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="auto-off" type="text" maxlength="255" elname="Middle" name="Name5" complink="Name5_Middle" value="" mandatory="false">
                <label class="formSubInfoText">Mobile&amp;Email</label> </span>
              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Name5"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li elname="livefield-elem" linkname="TermsConditions" comptype="34" id="TermsConditions-li" needdata="true" compname="TermsConditions" statustext="Agreed" class="tempFrmWrapper termsWrapper" mandatory="true" page_no="1" page_link_name="Page"
          choice_type="checkbox" tabindex="1">
          <label class="labelName"><span>Terms and Conditions</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <div class="termsContainer">
              <div class="termsAccept customCheckBox">
                <input onmousedown="event.preventDefault();" elname="statusCB" id="TermsConditions-input" class="checkBoxType flLeft" name="TermsConditions" type="checkbox">
                <!-- declaration content moved to div from label to make custom choices work -->
                <label class="cusChoiceLabel" for="TermsConditions-input">
                  <div class="checker"></div>
                </label>
                <div class="descFld">I agree to the general&nbsp;<a target="_blank" rel="noopener noreferrer" href="https://tradepassglobal.com/terms%26condition.html">Terms and Conditions</a>&nbsp;of Tradepass.<div><br></div>
                </div>
              </div>
            </div>
            <p class="errorMessage" elname="error" id="error-TermsConditions"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
        <li class="zfcheckbox tempFrmWrapper oneColumns " elname="livefield-elem" comptype="14" needdata="true" id="Checkbox-li" compname="Checkbox" linkname="Checkbox" isvisible="true" mandatory="true" page_no="1" page_link_name="Page"
          choice_type="checkbox">
          <label class="labelName"><span>Consent</span>
            <em class="important">*</em>
          </label>
          <div class="tempContDiv">
            <div class="overflow customCheckBox">
              <span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox_1" class="checkBoxType" name="Checkbox" elname="Checkbox"
                  value="I give my consent to Tradepass to send me latest updates via email, telegram and/or WhatsApp with information related to their events and activities." formula_val="">
                <label for="Checkbox_1" class="checkChoice cusChoiceLabel">
                  <div class="checker"></div><em class="cusChoiceEm">I give my consent to Tradepass to send me latest updates via email, telegram and/or WhatsApp with information related to their events and activities.</em>
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              <div class="clearBoth"></div>
            </div>
            <p class="errorMessage" elname="error" id="error-Checkbox"></p>
          </div>
          <div class="clearBoth"></div>
        </li>
      </ul>
    </div>
    <ul elname="footer" class="footerWrapper formRelative" page_no="1" page_count="1" page_link_name="Page">
      <li style="overflow:visible; position: relative;" class="btnAllign fmFooter" id="formAccess" elname="0">
        <div class="pageFotDef">
          <div class="alignSubmit">
            <div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
                <em>Register now</em>
              </button></div>
          </div>
        </div>
        <div class="clearBoth"></div>
      </li>
    </ul>
    <!-- Uncomment the following Code to enable automation location based value filling for GeoLocation Fields -->
    <!-- Set the mapquestURL from zohoforms.properties -->
    <!--   -->
    <!--Div to show error for unconfirmed users -->
    <div id="errorDiv" style="display:none" class="errorMsgWrapper">
      <div class="flLeft errorIcon"></div>
      <div class="errorMsgCont">
        <h2>Error Occurred!</h2>
        <span id="errorMsgSpan">You haven't verified your email yet, click<a href="javascript:;" onclick="ZFUtil.resendMail('0');"> here </a> to receive a verification email.</span>
      </div>
      <div class="clearBoth"></div>
    </div>
  </div><!-- 'formRedirectURL' ends -->
  <div id="popupdiv" class="dim-div2" style="display:none;">
    <div id="imageChoiceDiv-cont" class="popUpOuter imageTypeZoom">
      <div class="popUpInnerWrapper">
        <div class="popupHeader removeBdr"><a class="flRight ppDeleteIcon" onclick="ZFLive.hideZoomedImage();" href="javascript:;"></a>
          <div class="clearBoth"></div>
        </div>
        <div class="popupMainCont"><img src=""></div>
      </div>
    </div>
  </div>
</form>

Text Content

 * DCCI SUMMIT | INDIA| REGISTRATION FORM
   
   
   
   

   
   
   
   
   
   
 * Source
   
   
   
   
 * Event
   DCCI 2021 INDIA
   
   
   
   
 * Owner
   
   Deal Owner
   
   
 * Name *
   First Last
   
   
   
   
   
 * Job title *
   
   
   
   
 * Company name *
   
   
   
   
 * Work Information *
   Job title Company Name
   
   
   
   
   
 * Email *
   
   
   
   
 * Official Email
   
   
   
   
 * Phone *
   +49
   
   
   
   
   
 * State *
   
   -Select- Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam
   Bihar Chandigarh Chhattisgarh Dadra & Nagar Haveli and Daman & Diu Delhi Goa
   Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala
   Ladakh Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram
   Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telangana
   Tripura Uttar Pradesh Uttarakhand West Bengal
   
   
   
   
   
 * Industry
   
   -Select- AGRICULTURE AND ALLIED INDUSTRIES AUTOMOBILES AUTO COMPONENTS
   AVIATION BANKING BIOTECHNOLOGY CEMENT CHEMICALS CONSUMER DURABLES DEFENCE
   MANUFACTURING E-COMMERCE EDUCATION AND TRAINING ELECTRONICS SYSTEM DESIGN &
   MANUFACTURING ENGINEERING AND CAPITAL GOODS FINANCIAL SERVICES FMCG GEMS AND
   JEWELLERY GOVERNMENT HEALTHCARE INFRASTRUCTURE INSURANCE IT & BPM LAW
   ENFORCEMENT MANUFACTURING MEDIA AND ENTERTAINMENT MEDICAL DEVICES METALS AND
   MINING MSME OIL AND GAS PHARMACEUTICALS PORTS POWER RAILWAYS REAL ESTATE
   RENEWABLE ENERGY RETAIL ROADS SCIENCE AND TECHNOLOGY SERVICES STEEL
   TELECOMMUNICATIONS TEXTILES TOURISM AND HOSPITALITY OTHER
   
   
   
   
   
 * Role / Authority
   
   -Select- Final Decision Evaluator Influencer Others
   
   
   
   
   
 * Who do you report to?
   Name Job Title Mobile/Email
   
   
   
   
   
 * What solutions are you looking to source for 2021 - 2022? *
   
   Routers
   
   Switches
   
   Cooling Solution
   
   Firewalls
   
   Storage Systems
   
   Servers
   
   Racks
   
   Network Infrastructure
   
   Storage Infrastructure
   
   Security Devices
   
   Connectivity
   
   Facility/Site Consulting
   
   Power Systems
   
   Cabling Systems
   
   UPS
   
   Energy Production Systems
   
   HVAC
   
   Fire Protection
   
   Physical Security
   
   Network Operations Center
   
   Data Center Infrastructure Management
   
   Software Systems
   
   Cloud Storage
   
   Cloud Security
   
   SaaS / PaaS / IaaS
   
   Public Cloud Services
   
   Private Cloud Services
   
   Hybrid Cloud
   
   Cloud Management Platforms
   
   SD-WAN
   
   SASE
   
   
   
   
   
 * What is the budget allocated to implement the above tech solutions?
   
   -Select- Less than 100,000 USD 100,000 - 500,000 USD 500,000 - 1 Million USD
   Above 1 Million USD
   
   
   
   
   
 * How quickly are you planning to procure or implement these solutions?
   
   0-3 months
   
   3-6 months
   
   6-9 months
   
   
   
   
   
 * Would you like to recommend a colleague or peer to attend the event? if yes,
   please provide his/her details
   
   
   
   
   Recommendation 1
   
   Name Job Title Mobile&Email
   
   
   
   
   
 * Recommendation 2
   Name Job Title Mobile&Email
   
   
   
   
   
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