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col-sm-12"><div class="form-group"><input class="form-control style_2" id="course_name" name="course_name" placeholder="Course name" value="" type="text" readonly="readonly" disabled="disabled"><span class="input-icon"><i class="icon-book"></i></span><span class="help-block"></span></div></div></div><div class="row"><div class="col-md-6 col-sm-6 "><div class="form-group"><input class="form-control style_2" id="name_enquiry" name="name_enquiry" placeholder="Enter First Name" value="" type="text"><span class="input-icon"><i class="icon-user"></i></span><span class="help-block"></span></div></div><div class="col-md-6 col-sm-6 "><div class="form-group"><input class="form-control style_2" id="lastname_enquiry" name="lastname_enquiry" placeholder="Enter Last Name" value="" type="text"><span class="input-icon"><i class="icon-user"></i></span><span class="help-block"></span></div></div></div><div class="row"><div class="col-md-6 col-sm-6 "><div class="form-group"><input id="email_enquiry" name="email_enquiry" class="form-control style_2" placeholder="Enter Email" value="" type="email"><span class="input-icon"><i class="icon-email"></i></span><span class="help-block"></span></div></div><div class="col-md-6 col-sm-6 "><div class="form-group"><input id="phone_enquiry" name="phone_enquiry" class="form-control style_2" placeholder="Enter Phone number" value="" type="text" maxlength="12"><span class="input-icon"><i class="icon-phone"></i></span><span class="help-block"></span></div></div></div><div class="row"><div class="col-md-6 col-sm-6 "><div class="form-group"><input id="city_enquiry" name="city_enquiry" class="form-control style_2" placeholder="Enter City" value="" type="text"><span class="help-block"></span></div></div><div class="col-md-6 col-sm-6 "><div class="form-group"><input id="pincode_enquiry" name="pincode_enquiry" class="form-control style_2" placeholder="Enter Pincode" value="" type="text" maxlength="6" /><span class="help-block"></span></div></div></div><div class="row"><div class="col-md-12 "><div class="form-group"><textarea rows="3" id="message_enquiry" name="message_enquiry" class="form-control" placeholder="Write your message" style="height:80px;"></textarea><span class="help-block"></span></div><span style="font-size:11px"><input type="checkbox" checked="checked" name="accept" value="1" required /> I agree to recieve Call/SMS/Email/Postal Communication/Etc from NIRMAN or concerned authority.</span></div></div><div class="row"><div class="col-md-6 "><div class="form-group"><input name="verify_enquiry" id="verify_enquiry" class="form-control" placeholder="Enter the code here " type="text" maxlength="4"><span class="help-block"></span></div></div><div class="col-md-6"><div class="form-group"><img src="include/classes/captcha.png" class="img img-responsive" style="height: 40px;"></div></div><div class="col-md-12"><input value="Submit" name="submit_enquiry" class="button_medium" id="submit_enquiry" type="button"><button type="button" class=" button_medium_outline" data-dismiss="modal">Close</button></div></div></form></div></div></div></div><div class="modal fade" id="quickEnquiry" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"><div class="modal-dialog"><div class="modal-content"><div class="modal-header"><button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button><h4 class="modal-title" id="myModalLabel">Quick Enquiry</h4></div><div class="modal-body"><h4>Please fill the details below</h4><div id="message-enquiry" style="color:#f00"></div><div class="enquiry-loader"><img src="theme/resources/img/loader.gif" class="img img-responsive" /></div><form method="post" action="#" id="courseenquiry"><div class="row"><div class="col-md-6 col-sm-6 "><div class="form-group"><input id="email_enquiry" name="email_enquiry" class="form-control style_2" placeholder="Enter Email" value="" type="email"><span class="input-icon"><i class="icon-email"></i></span><span class="help-block"></span></div></div><div class="col-md-6 col-sm-6 "><div class="form-group"><input id="phone_enquiry" name="phone_enquiry" class="form-control style_2" placeholder="Enter Phone number" value="" type="text" maxlength="10"><span class="input-icon"><i class="icon-phone"></i></span><span class="help-block"></span></div></div></div><div class="row"><div class="col-md-12 "><div class="form-group"><select class="form-control"><option>Franchise</option><option>Course</option><option>Others</option></select><span class="help-block"></span></div><span style="font-size:11px;"><input type="checkbox" checked name="accept" id="#accept" /> I agree to recieve Call/SMS/Email/Postal Communication/Etc from NIRMAN or concerned authority.</span><br></div></div><div class="row"><div class="col-md-6 "><div class="form-group"><input name="verify_enquiry" id="verify_enquiry" class="form-control" placeholder="Enter the code here " type="text" maxlength="4"><span class="help-block"></span></div></div><div class="col-md-6"><div class="form-group"><img src="include/classes/captcha.png" class="img img-responsive" style="height: 40px;"></div></div><div class="col-md-12"><input value="Submit" name="submit_quick_enquiry" class="button_medium" id="submit_quick_enquiry" type="button"><button type="button" class=" button_medium_outline" data-dismiss="modal">Close</button></div></div></form></div></div></div></div><div class="modal fade" id="myModal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true"><div class="modal-dialog"><div class="modal-content"><div class="modal-header"><button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button><h4 class="modal-title" id="myModalLabel">Bank Details</h4></div><div class="modal-body"><h4>Bank Details</h4><table class="table"><tr><th>Account Name</th><td>:</td><td>NIRMAN EDUCATIONAL SERVICES PVT. LTD.</td></tr><tr><th>Account No.</th><td>:</td><td>50200031129652</td></tr><tr><th>Bank Name </th><td>:</td><td>HDFC Bank</td></tr><tr><th>Branch </th><td>:</td><td>Shankar Nagar, Nagpur</td></tr><tr><th>IFSC Code </th><td>:</td><td>HDFC0000102</td></tr></table><p class="alert alert-warning"><strong>Note :</strong> Please <strong>DO NOT Deposit</strong> amount in CASH or <strong>Rs. 100</strong> will be charged Extra as Cash Deposit Charges by Bank </p><button type="button" class=" button_medium_outline" data-dismiss="modal">Close</button></div></div></div></div><div class="modal fade" id="searchInstitute" tabindex="-1" role="dialog" aria-labelledby="myModalLabel"><div class="modal-dialog"><div class="modal-content"><div class="modal-header"><button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button><h4 class="modal-title" id="myModalLabel">Search Authorised Institute</h4></div><div class="modal-body"><div id="message-enquiry" style="color:#f00"></div><div class="enquiry-loader"><img src="theme/resources/img/loader.gif" class="img img-responsive" /></div><form method="post" action="#" id="searchInstituteForm"><div class="row"><div class="col-md-8"><div class="form-group"><input name="institute_code" id="institute_code" class="form-control" placeholder="Enter the Institute Code here " type="text" maxlength="6" style="text-transform: uppercase"><span class="help-block"></span></div></div><div class="col-md-4"><div class="form-group"><input value="Search" name="search_institute_btn" class="button_medium" id="search_institute_btn" type="button"><button type="button" class=" button_medium_outline" data-dismiss="modal">Close</button></div></div><div class="col-sm-12 text-center" id="searchResult"></div></div></form></div></div></div></div><div style="background:#005b7f;"><div> </div><div class="container" style="margin-top:10px;"><div class="row"><div class="col-sm-4" style="margin-bottom:5px;"><div style="border:1px solid #999999; 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