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<div class="modal">
<input id="modal" type="checkbox" name="modal" tabindex="1" style="display:none">
<label for="modal" >For Admission Query</label>
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<div class="title3" style="font-size:27px;">Website Design & Developent</div>
<p class="p" style="margin-bottom: 8px;">Contact for - 7398623742</p>
<p class="p"> <a href="http://e-technology.co.in/" target="_new" style="color:#fff">E-Technology</a> </p>
<form action="#" method="post" name="myform" class="form" style="width:70%; margin-left: 70px; ">
<input type="text" name="name" id="name" placeholder="Name" >
<input type="varchar" name="phone" id="phone" placeholder="Mobile No.") {this.placeholder= 'Mobile No.';}" >
<input type="email" name="email" id="email" placeholder="Email" ) {this.placeholder= 'Email';}" >
<select name="course" id="course" style="width:104%;">
<option value="B.Tech" selected >B.Tech</option>
<option value="MBA" selected >MBA</option>
<option value="PGDM" selected >PGDM</option>
<option value="BBA" selected >BBA</option>
<option value="BCA" selected >BCA</option>
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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
<link href="popup.css" rel="stylesheet" type="text/css" />
</head>
<body>
<div class="modal">
<input id="modal" type="checkbox" name="modal" tabindex="1" style="display:none">
<label for="modal" >For Admission Query</label>
<div class="modal__overlay">
<div class="modal__box">
<label for="modal">✖</label>
<div class="form-layout" style="width: 485px;">
<div class="title3" style="font-size:27px;">Website Design & Developent</div>
<p class="p" style="margin-bottom: 8px;">Contact for - 7398623742</p>
<p class="p"> <a href="http://e-technology.co.in/" target="_new" style="color:#fff">E-Technology</a> </p>
<form action="#" method="post" name="myform" class="form" style="width:70%; margin-left: 70px; ">
<input type="text" name="name" id="name" placeholder="Name" >
<input type="varchar" name="phone" id="phone" placeholder="Mobile No.") {this.placeholder= 'Mobile No.';}" >
<input type="email" name="email" id="email" placeholder="Email" ) {this.placeholder= 'Email';}" >
<select name="course" id="course" style="width:104%;">
<option value="B.Tech" selected >B.Tech</option>
<option value="MBA" selected >MBA</option>
<option value="PGDM" selected >PGDM</option>
<option value="BBA" selected >BBA</option>
<option value="BCA" selected >BCA</option>
</select>
<input name="page" value="index" type="hidden">
<input type="submit" name="submit" value="submit" class="submit_btn5" style="bottom: 35px;">
</form>
</div>
</div>
</div>
</div>
</body>
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