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blood_request.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="description" content="">
<meta name="author" content="">
<script src="js/modernizr.js"></script> <!-- Modernizr -->
<title>Request Blood | NSS IIT Patna</title>
<!-- core CSS -->
<link href="css/bootstrap.min.css" rel="stylesheet">
<link href="css/font-awesome.min.css" rel="stylesheet">
<link href="css/animate.min.css" rel="stylesheet">
<link href="css/prettyPhoto.css" rel="stylesheet">
<link href="css/owl.carousel.min.css" rel="stylesheet">
<link href="css/icomoon.css" rel="stylesheet">
<link href="css/main.css" rel="stylesheet">
<link href="css/responsive.css" rel="stylesheet">
<link rel="stylesheet" href="path/to/font-awesome/css/font-awesome.min.css">
<!--[if lt IE 9]>
<script src="js/html5shiv.js"></script>
<script src="js/respond.min.js"></script>
<![endif]-->
<link rel="shortcut icon" href="images/mainNSS/blood.png">
<link rel="stylesheet" href="css/reset.css"> <!-- CSS reset -->
<link rel="stylesheet" href="css/style.css"> <!-- Resource style -->
<!--Imported for the form only -->
<!--===============================================================================================-->
<link rel="icon" type="image/png" href="images/icons/favicon.ico"/>
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="fonts/font-awesome-4.7.0/css/font-awesome.min.css">
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="vendor/animate/animate.css">
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="vendor/css-hamburgers/hamburgers.min.css">
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="vendor/animsition/css/animsition.min.css">
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="vendor/select2/select2.min.css">
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="vendor/daterangepicker/daterangepicker.css">
<!--===============================================================================================-->
<link rel="stylesheet" type="text/css" href="css/util.css">
<link rel="stylesheet" type="text/css" href="css/main_blood.css">
<!--===============================================================================================-->
</head>
<!--/head-->
<body>
<header id="header">
<nav class="navbar navbar-inverse" role="banner">
<div class="container">
<div class="navbar-header">
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-collapse">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand" href="index.html"><img src="images/mainNSS/nssweb.png" alt="logo" style="width: 150px; height: auto"></a>
</div>
<div class="collapse navbar-collapse navbar-right">
<ul class="nav navbar-nav">
<li ><a href="index.html">Home</a></li>
<li class="dropdown">
<a href="#" class="dropdown-toggle" data-toggle="dropdown">About Us <i class="fa fa-angle-down"></i></a>
<ul class="dropdown-menu">
<li><a href="about-us.html">About Us</a></li>
<li><a href="team.html">Our Team</a></li>
<li><a href="faq.html">Faqs</a></li>
</ul>
</li>
<li class="dropdown">
<a href="#" class="dropdown-toggle" data-toggle="dropdown">Cells <i class="fa fa-angle-down"></i></a>
<ul class="dropdown-menu">
<li><a href="bcells/cells.html?cell=technical">Technical Skills</a></li>
<li><a href="cells/cells.html?cell=rural">Rural Development</a></li>
<li><a href="cells/cells.html?cell=chetna">Chetna</a></li>
<li><a href="cells/cells.html?cell=teaching">Teaching</a></li>
<li><a href="cells/cells.html?cell=environment">Environmental</a></li>
</ul>
</li>
<li><a href="prayatna/prayatna.html">Prayatna</a></li>
<li><a href="events.html">Events</a></li>
<li><a href="portfolio.html">Gallery</a></li>
<li><a href="think_thank.html">Think-Thank</a></li>
<li><a href="login.html">Check-Hours</a></li>
</ul>
</div>
</div>
<!--/.container-->
</nav>
<!--/nav-->
</header>
<div class="page-title" style="background-image: url(images/mainNSS/blood_request.jpg); background-repeat: no-repeat; background-size: 100% 100%;height: 200px">
</div>
<!--Form start here-->
<div class="container-contact100">
<div class="wrap-contact100">
<form class="contact100-form validate-form" id="bloodRequestForm">
<span class="contact100-form-title">
Request Blood
</span>
<div class="wrap-input100 validate-input" data-validate="Name is required">
<span class="label-input100">Your Name</span>
<input class="input100" type="text" name="name" placeholder="Enter your name here..." id="BName" required>
<span class="focus-input100"></span>
</div>
<div class="wrap-input100 validate-input" >
<span class="label-input100">Roll No/Employee ID if from IIT Patna</span>
<input class="input100" type="text" name="ID" font-size="12px" placeholder="Enter your Roll No/Employee ID here..." id="BRoll" required>
<span class="focus-input100"></span>
</div>
<div class="wrap-input100 validate-input" data-validate = "Valid email is required: [email protected]">
<span class="label-input100">Email</span>
<input class="input100" type="text" name="email" placeholder="Enter your email id here..." id="BEmail" required>
<span class="focus-input100"></span>
</div>
<div class="wrap-input100 validate-input" pattern="[6-9]{1}[0-9]{9}" data-validate="Valid phone is required: 3456789121">
<span class="label-input100">Phone Number</span>
<input class="input100" type="text" name="phone" placeholder="Enter your phone number here..." id="BPhone" required>
<span class="focus-input100"></span>
</div>
<div class="wrap-input100 validate-input" >
<span class="label-input100">For whom do you want Blood Doner card? </span>
<input class="input100" type="text" name="blood_doner_card" font-size="12px" placeholder="Enter for whom you want to take blood doner card..." id="BForWhom" required>
<span class="focus-input100"></span>
</div>
<div class="wrap-input100 validate-input" data-validate = "Message is required">
<span class="label-input100">Address</span>
<textarea class="input100" name="message" placeholder="Write your address here..." id="BAddress" required></textarea>
<span class="focus-input100"></span>
</div>
<div class="alert">Your request has been sent to NSS IIT Patna Team.</div>
<div class="container-contact100-form-btn">
<div class="wrap-contact100-form-btn">
<div class="contact100-form-bgbtn"></div>
<button class="contact100-form-btn">
<span>
Submit
<i class="fa fa-long-arrow-right m-l-7" aria-hidden="true"></i>
</span>
</button>
</div>
</div>
</form>
</div>
</div>
<iframe src="footer.html" frameborder="0" scrolling="no" style="width: 100%"></iframe>
<!-- Defining function for fixed header -->
<script>
window.onscroll = function() {myFunction()};
var header = document.getElementById("header");
var sticky = header.offsetTop;
function myFunction() {
if (window.pageYOffset > sticky) {
header.classList.add("sticky");
} else {
header.classList.remove("sticky");
}
}
</script>
<!--===============================================================================================-->
<script src="vendor/jquery/jquery-3.2.1.min.js"></script>
<!--===============================================================================================-->
<script src="vendor/animsition/js/animsition.min.js"></script>
<!--===============================================================================================-->
<script src="vendor/bootstrap/js/popper.js"></script>
<script src="vendor/bootstrap/js/bootstrap.min.js"></script>
<!--===============================================================================================-->
<script src="vendor/select2/select2.min.js"></script>
<script>
$(".selection-2").select2({
minimumResultsForSearch: 20,
dropdownParent: $('#dropDownSelect1')
});
</script>
<!--===============================================================================================-->
<script src="vendor/daterangepicker/moment.min.js"></script>
<script src="vendor/daterangepicker/daterangepicker.js"></script>
<!--===============================================================================================-->
<script src="vendor/countdowntime/countdowntime.js"></script>
<!--===============================================================================================-->
<script src="js/main_blood.js"></script>
<!-- Global site tag (gtag.js) - Google Analytics -->
<script async src="https://www.googletagmanager.com/gtag/js?id=UA-23581568-13"></script>
<script>
window.dataLayer = window.dataLayer || [];
function gtag(){dataLayer.push(arguments);}
gtag('js', new Date());
gtag('config', 'UA-23581568-13');
</script>
<!--/#footer-->
<script src="js/jquery-2.1.1.js"></script>
<script src="js/jquery.mobile.custom.min.js"></script>
<!-- Resource jQuery -->
<script src="js/jquery.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/jquery.prettyPhoto.js"></script>
<script src="js/owl.carousel.min.js"></script>
<script src="js/jquery.isotope.min.js"></script>
<script src="js/main.js"></script>
<script src="https://www.gstatic.com/firebasejs/5.9.2/firebase.js"></script>
<script src="js/blood_submit.js"></script>
</body>
</html>