{"id":180,"date":"2022-05-27T04:05:11","date_gmt":"2022-05-27T04:05:11","guid":{"rendered":"https:\/\/coalgasifiers.in\/?page_id=180"},"modified":"2022-08-01T14:29:30","modified_gmt":"2022-08-01T14:29:30","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/coalgasifiers.in\/index.php\/membership-form\/","title":{"rendered":"Membership Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"180\" class=\"elementor elementor-180\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-acaf6c8 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"acaf6c8\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b3536af\" data-id=\"b3536af\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-74ff8ed elementor-widget elementor-widget-heading\" data-id=\"74ff8ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">MEMBERSHIP FORM<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22a8d5c elementor-widget elementor-widget-heading\" data-id=\"22a8d5c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">BECOME OUR MEMBER<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c15f3d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c15f3d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b469517\" data-id=\"b469517\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-791dc49 elementor-widget elementor-widget-shortcode\" data-id=\"791dc49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-268\"><form id=\"wpforms-form-268\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"268\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/180\" data-token=\"27750d51d371552f82a30bc780eefe53\" data-token-time=\"1780172298\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-268-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_1\">Name of the Member - Company\/ Institution\/ Individual\/ Student <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-268-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-268-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_2\">Address<\/label><textarea id=\"wpforms-268-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><div class=\"wpforms-field-description\">Address of the Member - Company\/Institution\/Individual\/Student<\/div><\/div><div id=\"wpforms-268-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><label class=\"wpforms-field-label\">Name &amp; details of the contact person\/nominated person for correspondence   <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-268-field_5\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][5][first]\" required><label for=\"wpforms-268-field_5\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-268-field_5-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][5][last]\" required><label for=\"wpforms-268-field_5-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-268-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_6\">Designation<\/label><input type=\"text\" id=\"wpforms-268-field_6\" class=\"wpforms-field-large\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-268-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_7\">Address<\/label><input type=\"text\" id=\"wpforms-268-field_7\" class=\"wpforms-field-large\" name=\"wpforms[fields][7]\" ><div class=\"wpforms-field-description\">Address details of the contact person\/nominated person for correspondence  <\/div><\/div><div id=\"wpforms-268-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_8\">Telephone\/Mobile <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-268-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-268-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_9\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-268-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-268-field_12-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_12\">Submit a brief about the company activities including sector, location, no. of employees, turnover in last financial year etc. (Attach a sheet separately if required)<\/label><textarea id=\"wpforms-268-field_12\" class=\"wpforms-field-large\" name=\"wpforms[fields][12]\" ><\/textarea><\/div><div id=\"wpforms-268-field_13-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"13\"><label class=\"wpforms-field-label\">Category: Please tick the applicable category &amp; see attached Annexure-1 for Membership fee and payment process.<\/label><ul id=\"wpforms-268-field_13\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_1\" name=\"wpforms[fields][13][]\" value=\"Small size company with up to 8 gasifiers\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_1\">Small size company with up to 8 gasifiers<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_2\" name=\"wpforms[fields][13][]\" value=\"Medium size company with 9-15 gasifiers\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_2\">Medium size company with 9-15 gasifiers<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_3\" name=\"wpforms[fields][13][]\" value=\"Large size company with 16 or more gasifiers\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_3\">Large size company with 16 or more gasifiers<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_4\" name=\"wpforms[fields][13][]\" value=\"Technology, EPC, Consulting company\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_4\">Technology, EPC, Consulting company<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_5\" name=\"wpforms[fields][13][]\" value=\"Academic\/ Research Institution\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_5\">Academic\/ Research Institution<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_6\" name=\"wpforms[fields][13][]\" value=\"Foreign company\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_6\">Foreign company<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_7\" name=\"wpforms[fields][13][]\" value=\"Individual\/Professional \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_7\">Individual\/Professional<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-268-field_13_8\" name=\"wpforms[fields][13][]\" value=\"Student\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-268-field_13_8\">Student<\/label><\/li><\/ul><\/div><div id=\"wpforms-268-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-268-field_14\">Submitted By :<\/label><input type=\"text\" id=\"wpforms-268-field_14\" class=\"wpforms-field-large\" name=\"wpforms[fields][14]\" ><div class=\"wpforms-field-description\">Name<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"268\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/pages\/180\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-268\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/coalgasifiers.in\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container --><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>MEMBERSHIP FORM BECOME OUR MEMBER<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-180","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/pages\/180","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/comments?post=180"}],"version-history":[{"count":0,"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/pages\/180\/revisions"}],"wp:attachment":[{"href":"https:\/\/coalgasifiers.in\/index.php\/wp-json\/wp\/v2\/media?parent=180"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}