UNESCO category II regional center for capacity development and research in water harvestingdata
Registration Form
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margin: 5px 20px 10px 0;
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Training Application Form
Applicant Details
Name
Phone
Fax
Email
Company name
Address
Country
Sudan
</select>
</div>
</div>
<h2>Course Details</h2>
<div class=”item”>
<p>Course Code</p>
<input type=”text” name=”name”/>
</div>
<div class=”item”>
<p>Location</p>
<input type=”text” name=”name”/>
</div>
<div class=”item”>
<p>Start Date</p>
<input type=”date” name=”bdate”/>
<i class=”fas fa-calendar-alt”></i>
</div>
<h2>Distributor Details</h2>
<div class=”item”>
<p>Contact Name</p>
<input type=”text” name=”name”/>
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<div class=”item”>
<p>Distributor Name</p>
<input type=”text” name=”name”/>
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<div class=”item”>
<p>Distributor Address</p>
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<input type=”text” name=”name” placeholder=”Street address line 2″ />
<div class=”city-item”>
<input type=”text” name=”name” placeholder=”City” />
<input type=”text” name=”name” placeholder=”Region” />
<input type=”text” name=”name” placeholder=”Postal / Zip code” />
<select>
<option value=””>Country</option>
<option value=”1″>Russia</option>
<option value=”2″>Germany</option>
<option value=”3″>France</option>
<option value=”4″>Armenia</option>
<option value=”5″>USA</option>
</select>
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<div class=”item”>
<p>Phone</p>
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<div class=”item”>
<p>Fax</p>
<input type=”text” name=”name”/>
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<div class=”question”>
<p>Privacy Policy<span class=”required”>*</span></p>
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<div>
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<label for=”check_1″ class=”check”><span>I agree to the <a href=”https://www.w3docs.com/privacy-policy”>privacy policy.</a></span></label>
</div>
</div>
</div>
<div class=”btn-block”>
<button type=”submit” href=”/”>Send</button>
</div>
</form>
</div>
