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<?php $this->load->view('site/header'); ?> <div class="banner"> <div class="banner_top"></div><!--banner_top end--> <div class="banner_mid_inner"><img src="<?=base_url()?>/assets/images/training-registration.jpg" alt="Unova coaching"/></div><!--banner_mid end--> <div class="banner_bot"></div><!--banner_bot end--> </div><!--banner end--> <div class="content"> <div class="content_left"> <h1>Workshop Registration</h1> <h5> Please fill the form below. You shall hear from us soon for Workshop on <br/> <strong> <?php echo $workshop->workshop_title;?> </strong> </h5> <script src="<?=base_url()?>/assets/js/formscript.js" type="text/javascript"></script> <script type="text/javascript"> JotForm.init(function(){ $('input_4').hint('ex: myname@example.com'); }); </script> <link href="<?=base_url()?>/assets/css/formstyle.css" rel="stylesheet" type="text/css" /> <form class="jotform-form" action="<?=site_url();?>/site/insert_workshop_registration" method="post" name="form_12312249228" id="12312249228" accept-charset="utf-8"> <input type="hidden" name="formID" value="12312249228" /> <div class="form-all"> <ul class="form-section"> <li class="form-line" id="id_3"> <label class="form-label-left" id="label_3" for="input_3"> Name<span class="form-required">*</span> </label> <div id="cid_3" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_name[first]" id="first_3" /> <label class="form-sub-label" for="first_3" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_name[last]" id="last_3" /> <label class="form-sub-label" for="last_3" id="sublabel_last"> Last Name </label></span> </div> </li> <li class="form-line" id="id_6"> <label class="form-label-left" id="label_6" for="input_6"> Organization </label> <div id="cid_6" class="form-input"> <input type="text" class="form-textbox" id="input_6" name="q6_organization" size="20" /> </div> </li> <li class="form-line" id="id_5"> <label class="form-label-left" id="label_5" for="input_5"> Contact Number<span class="form-required">*</span> </label> <div id="cid_5" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="tel" name="q5_contactNumber[area]" id="input_5_area" size="3"> - <label class="form-sub-label" for="input_5_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="tel" name="q5_contactNumber[phone]" id="input_5_phone" size="8"> <label class="form-sub-label" for="input_5_phone" id="sublabel_phone"> Phone Number </label></span> </div> </li> <li class="form-line" id="id_4"> <label class="form-label-left" id="label_4" for="input_4"> E-mail<span class="form-required">*</span> </label> <div id="cid_4" class="form-input"> <input type="email" class="form-textbox validate[required, Email]" id="input_4" name="q4_email4" size="30" /> </div> </li> <li class="form-line" id="id_17"> <label class="form-label-left" id="label_17" for="input_17"> Your location / city </label> <div id="cid_17" class="form-input"> <input type="text" class="form-textbox" id="input_17" name="q17_location" size="20" /> </div> </li> <li class="form-line" id="id_7"> <label class="form-label-left" id="label_7" for="input_7"> Website </label> <div id="cid_7" class="form-input"> <input type="text" class="form-textbox" id="input_7" name="q7_website" size="20" /> </div> </li> <li class="form-line" id="id_8"> <label class="form-label-left" id="label_8" for="input_8"> In What capacity are you filling this up </label> <div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio" id="input_8_0" name="q8_inWhat" value="Organization" checked /> <label for="input_8_0"> Organization </label></span><span class="clearfix"></span><span class="form-radio-item" style="clear:left;"><input type="radio" class="form-radio" id="input_8_1" name="q8_inWhat" value="Individual" /> <label for="input_8_1"> Individual </label></span><span class="clearfix"></span> </div> </div> </li> <li class="form-line" id="id_9"> <label class="form-label-left" id="label_9" for="input_9"> How did you hear about us? </label> <div id="cid_9" class="form-input"> <input type="text" class="form-textbox" id="input_9" name="q9_howDid" size="20" /> </div> </li> <li class="form-line" id="id_2"> <div id="cid_2" class="form-input-wide"> <div style="margin-left:156px" class="form-buttons-wrapper"> <button id="input_2" type="submit" class="form-submit-button"> Submit Form </button> </div> </div> </li> <li style="display:none"> Should be Empty: <input type="text" name="website" value="" /> </li> </ul> </div> <input type="hidden" id="simple_spc" name="simple_spc" value="12312249228" /> <script type="text/javascript"> document.getElementById("si" + "mple" + "_spc").value = "12312249228-12312249228"; </script> <input type="hidden" class="form-hidden" value="<?php echo $workshop->workshop_title;?>" id="input_11" name="q11_workshopService" /> <input type="hidden" class="form-hidden" value="<?php echo $workshop->workshop_id;?>" id="input_12" name="q12_workshopService_id" /> </form> <?php if($workshop->workshop_id==6) { ?> <h2 class="testi">Testimonials on recent Mastermind Workshop</h2> <div class="test"> <img class="test_image" src="<?=base_url()?>/assets/images/photo.jpg" alt="Testimonial"> <span class="test_head">Rammohan M. Rai</span> <span class="test_designation">-Learning & Development Coordinator; Qatar Petrochemical Company</span> <p> The Irrefutable Laws of Leadership gave me a new insight into the magic that leadership is. The magic is that we need to work for it. Some of the great leaders who we perceive as gifted leaders, have all worked on the laws that we discussed to let that leadership manifest on them. This course gave me an opportunity to recognize some of the leadership qualities I already possess, but more importantly, it gave me the tools in the form of six laws which should help me become a better, more effective leader. </p> <p>Jessica Sajan has her own stamp as a presenter. Suave and humble, she epitomizes the laws that she teaches. Her very kind, polite and humble, disposition manifests as some of her strong qualities that you tend to respect and accept her instantly as a leader. A good ambassador for John C. Maxwell and his brand of leadership.</br> My special thanks to you</p> </div> <?php } ?> </div><!--content_left end--> <?php $this->load->view('site/right.php'); ?> </div><!--content end--> <?php $this->load->view('site/footer.php'); ?>