forms.worldfis.com
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103.103.196.76
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Submitted URL: https://india.dccisummit.com/registerd
Effective URL: https://forms.worldfis.com/Tradepass/form/DCCISUMMITINDIAREGISTRATIONFORM/formperma/nqDVnkHoQk3c2AECaj7id3sOGK3R_iNbp2zylwS...
Submission: On October 29 via api from SG — Scanned from DE
Effective URL: https://forms.worldfis.com/Tradepass/form/DCCISUMMITINDIAREGISTRATIONFORM/formperma/nqDVnkHoQk3c2AECaj7id3sOGK3R_iNbp2zylwS...
Submission: On October 29 via api from SG — Scanned from DE
Form analysis
1 forms found in the DOMName: 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 & Nagar Haveli and Daman & Diu" formula_val="">Dadra & Nagar Haveli and Daman & 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 & MANUFACTURING" formula_val="">ELECTRONICS SYSTEM DESIGN & 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 & BPM" formula_val="">IT & 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>
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<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>
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<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_6" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Servers" formula_val="">
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<div class="checker"></div><em class="cusChoiceEm">Servers</em>
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<div class="checker"></div><em class="cusChoiceEm">Racks</em>
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<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>
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<div class="checker"></div><em class="cusChoiceEm">HVAC</em>
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<div class="checker"></div><em class="cusChoiceEm">Fire Protection</em>
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<div class="checker"></div><em class="cusChoiceEm">Physical Security</em>
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<div class="checker"></div><em class="cusChoiceEm">Network Operations Center</em>
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<div class="checker"></div><em class="cusChoiceEm">Data Center Infrastructure Management</em>
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<div class="checker"></div><em class="cusChoiceEm">Software Systems</em>
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<div class="checker"></div><em class="cusChoiceEm">Cloud Storage</em>
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<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" type="checkbox" id="Checkbox1_24" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Cloud Security" formula_val="">
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<div class="checker"></div><em class="cusChoiceEm">Cloud Security</em>
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<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="">
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<div class="checker"></div><em class="cusChoiceEm">Public Cloud Services</em>
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<div class="checker"></div><em class="cusChoiceEm">Private Cloud Services</em>
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<div class="checker"></div><em class="cusChoiceEm">Hybrid Cloud</em>
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<div class="alignSubmit">
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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 * 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 * Terms and Conditions * I agree to the general Terms and Conditions of Tradepass. * Consent * 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. * Register now ERROR OCCURRED! You haven't verified your email yet, click here to receive a verification email. OK OK Retry Cancel That CAPTCHA was incorrect. Your form has been deactivated. Contact support@zohoforms.com for further information. Submitting... Please Wait... Saving... Redirecting to Merchant Website.. Verifying Credit Card Details... Please wait... Verification Code Enter the text in the box below Continue Verification mail sent. LINK TO RESUME THIS FORM LATER: Email Link to Send Please enter a valid email address to configure Zoho Sign settings. Copy Link Copied to clipboard. * * * Done