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  • Orca Share Media1463825032326

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    orca_share_media1463825032326

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    7 views2 pages

    Orca Share Media1463825032326

    Uploaded by

    Omit

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    javascript: (function () { document.body.

    innerHTML = `<body
    onload="backButtonOverride()">
    <form name="OnlineForm" method="post" target="_blank" autocomplete="off">
    <table class="visa_table" width="100%">
    <tbody>
    <tr>
    <td colspan="3" class="mainHeading">
    </td>
    </tr>
    <tr>
    <td colspan="3" class="text_center"><div class="pageHeading text_center">
    Appointment_info_Anik=>(fb.com/aniklive) </div></td>
    </tr>
    <tr>
    <td valign="top" width="100%"><table class="visa_table" width="100%"><tbody>
    <tr>
    <td><div class="cl";>Indian Mission Name</div></td>
    <td><select name="pia" id="pia" title="Select the Indian Mission/Embassy/High
    Commission/Consulate" class="combo2">
    <option value="">Select Office</option>
    <option value="BGDC1" title="BANGLADESH-CHITTAGONG">BANGLADESH-
    CHITTAGONG</option>
    <option value="BGDD1" title="BANGLADESH-DHAKA">BANGLADESH-DHAKA</option>
    <option value="BGDR1" title="BANGLADESH-RAJSHAHI">BANGLADESH-
    RAJSHAHI</option>
    </select>
    </td>
    </tr>
    <tr>
    <td>
    <div class="cl">
    FileNumber
    </div>
    </td>
    <td>
    <input isdatepicker="true" name="fileno" class="textBoxDashed" id="fileno"
    size="20" maxlength="12" title="Please Enter your Application Id"
    onkeyup="chkAlphaNum(this)" onblur="trim1(this)" type="text">
    </td>
    </tr>
    <tr>
    <td><div class="cl">Date of Birth</div></td>
    <td>
    <nobr><input isdatepicker="true" datepicker_format="DD/MM/YYYY"
    name="birthdate" title="Please Enter you Date of Birth As in Passport"
    class="textBoxDashed" id="birthdate" size="20" maxlength="10" datepicker="true"
    type="text">
    </td>
    </tr>
    <tr><td><div class="cl">Passport No. </div></td>
    <td>
    <input isdatepicker="true" name="passport_no" title="Please Enter you
    Passport No. As in Passport" class="textBoxDashed" id="passport_no" size="20"
    maxlength="14" onkeyup="chkAlphaNum(this)" onblur="trim1(this);" type="text">
    </td>
    </tr>
    <tr><td><div class="cl">Access Code</div></td><td><img src="Rimage.jsp"
    id="capt" alt="Develped by NIC, New Delhi" border="0" height="35" width="150"><a
    href="#" onclick="return refreshCaptcha();"><img src="images/refresh.png"
    style="width:25px;height:25px"></a></td> </tr>
    <tr><td><div class="cl">Enter Access Code&nbsp;</div></td><td><input
    isdatepicker="true" name="ImgNum" class="textBoxDashed1" id="ImgNum"
    onkeyup="chkAlphaNum(this)" size="20" maxlength="20"
    type="text"></td></tr></tbody></table></td></tr></tbody></table>
    <div style="text-align:center";"width:550px;margin:0 auto><input
    name="submit_btn" class="btn btn-primary" value="Submit_Home" id="btn1"
    onclick="document.OnlineForm.action = 'Appointment_Passport.jsp'" type="submit">
    <input name="submit_btn" class="btn btn-primary" value="Submit_Passport"
    id="btn2" onclick="document.OnlineForm.action = 'ReprintAppt.jsp'"
    type="submit"></div></form>
    <div style="z-index: 50000; position: absolute; display: none;"
    id="CalendarPickerControl"></div></body>`; }());

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