<!doctype html>
<html lang="en">
    <head>
        <meta charset="utf-8" />
        <meta http-equiv="x-ua-compatible" content="ie=edge" />
        <title>HPDC Onsite Training Request Form | HPDC Pathshala</title>
        <meta name="robots" content="noindex, follow" />
        <meta name="description" content="" />
        <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" />
		<?php $page='become-a-member'; include 'head.php'; ?>
    </head>

    <body class="rbt-header-sticky">
		<?php include 'header.php'; ?>
		
    <!-- Start breadcrumb Area -->
    <div class="rbt-breadcrumb-default ptb--100 ptb_md--50 ptb_sm--30" style="background: url(assets/images/bg/request-form-banner.jpg);background-position: center !important; background-repeat: no-repeat !important;background-size: cover !important;">
        <div class="container">
            <div class="row">
                <div class="col-lg-12">
                    <div class="breadcrumb-inner text-center">
                        <h2 class="title">HPDC Onsite Training Request Form</h2>
                        <ul class="page-list">
                            <li class="rbt-breadcrumb-item"><a href="index">Home</a></li>
                            <li>
                                <div class="icon-right"><i class="feather-chevron-right"></i></div>
                            </li>
                            <li class="rbt-breadcrumb-item active">Onsite Training Request Form</li>
                        </ul>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <!-- End Breadcrumb Area -->

    <!-- Start Form Area -->
    <div class="rbt-banner-area rbt-banner-2 header-transperent-spacer">
        <div class="wrapper">
            <div class="container">
                <div class="row">
                    <div class="col-md-12">
                        <div class="section-title text-left mb--30">
                            <h2 class="title">
                                Onsite Training <span class="theme-gradient">Request Form</span>
                            </h2>
						<p>
							Please fill the required details below. Our team will contact you to discuss schedule, scope and quotation.
						</p>
                        </div>
                    </div>
                </div>
                <div class="row">
                    <div class="col-md-12">
						<div class="rbt-otrf rbt-contact-form contact-form-style-1 max-width-auto">
							<form class="card">
								<div class="card-header">
									<nav class="nav nav-pills nav-fill">
										<a class="nav-link tab-pills" href="javascript:;">(A) Contact and Company</a>
										<a class="nav-link tab-pills" href="javascript:;">(B) Training Need</a>
										<a class="nav-link tab-pills" href="javascript:;">(C) Topics and Schedule</a>
										<a class="nav-link tab-pills" href="javascript:;">Finish</a>
									</nav>
								</div>
								<div class="card-body">
									<div class="tab d-none">
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">1. Contact Person Name</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input type="text" name="name" />
													<label>Please enter contact person name *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">2. Mobile / WhatsApp*</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input type="text" name="name" />
													<label>Please enter mobile / whatsapp *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">3. Email ID</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input
														type="email"
														name="email"
														id="email"
													/>
													<label>Please enter email *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">3. Company Name</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input type="text" name="company name" id="name" />
													<label>Please enter company name *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">5. Plant Location (City, State, Country)</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input type="text" name="name" id="name"/>
													<label>Please enter plant location *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">6. Designation</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input type="text" name="name" id="name"/>
													<label>Please enter designation *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
									</div>

									<div class="tab d-none">
										<div class="row">
											<div class="col-md-4">
												<label class="form-label">7. No. of Participants</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<input type="text" name="name" />
													<label>Please enter no. of participants *</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label line-height">8. Training Audience (select one)*</label>
											</div>
											<div class="col-md-8 pb-30">
												<div class="row">
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="training-audience-01" name="training-audience-01">
															<label for="training-audience-01">Operators</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="training-audience-02" name="training-audience-02">
															<label for="training-audience-02">Supervisors / Setters</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="training-audience-03" name="training-audience-03">
															<label for="training-audience-03">Process Engineers</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="training-audience-04" name="training-audience-04">
															<label for="training-audience-04">Quality Team</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="training-audience-05" name="training-audience-05">
															<label for="training-audience-05">Maintenance / Tool Room</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="training-audience-06" name="training-audience-06">
															<label for="training-audience-06">Mixed Team</label>
														</div>
													</div>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label line-height">9. Primary Training Need (select one)*</label>
											</div>
											<div class="col-md-8">
												<div class="row">
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-01" name="ptn-01">
															<label for="ptn-01">Defect Reduction / Troubleshooting</label>
														</div>
													</div>
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-02" name="ptn-02">
															<label for="ptn-02">Process Setting & Stability (Shot profile, parameters)</label>
														</div>
													</div>
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-03" name="ptn-03">
															<label for="ptn-03">Die Thermal Control (Cooling / Spray / Lube)</label>
														</div>
													</div>
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-04" name="ptn-04">
															<label for="ptn-04">Die Design Basics (Runner / Gate / Vent / Overflow)</label>
														</div>
													</div>
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-05" name="ptn-05">
															<label for="ptn-05">Productivity / Cycle Time Improvement</label>
														</div>
													</div>
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-06" name="ptn-06">
															<label for="ptn-06">New Die / New Line Support</label>
														</div>
													</div>
													<div class="col-md-6">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptn-07" name="ptn-07">
															<label for="ptn-07">Custom / Not sure (we will discuss)</label>
														</div>
													</div>
												</div>
											</div>
										</div>
										
									</div>

									<div class="tab d-none">
										<div class="row">
											<div class="col-md-4">
												<label class="form-label line-height">10. Topics you want to cover (multi-select)*</label>
											</div>
											<div class="col-md-8 pb-30">
												<div class="row">
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-1" name="tyw-1">
															<label for="tyw-1">HPDC Fundamentals (A-Z)</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-2" name="tyw-2">
															<label for="tyw-2">Shot Profile & Switch-over Setting</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-3" name="tyw-3">
															<label for="tyw-3">Fill Time + Gate Velocity Basics</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-4" name="tyw-4">
															<label for="tyw-4">Defect Troubleshooting (Porosity, cold shut, soldering etc.)</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-5" name="tyw-5">
															<label for="tyw-5">Die Temperature & Cooling Balance</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-6" name="tyw-6">
															<label for="tyw-6">Die Maintenance & PM</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-7" name="tyw-7">
															<label for="tyw-7">Quality basics (CTQ, inspection, SPC)</label>
														</div>
													</div>
													<div class="col-md-4">
														<div class="rbt-checkbox">
															<input type="checkbox" id="tyw-8" name="tyw-8">
															<label for="tyw-8">Custom topic (write in Notes)</label>
														</div>
													</div>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label line-height">11. Preferred Training Timeline*</label>
											</div>
											<div class="col-md-8 pb-30">
												<div class="row">
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptt-1" name="ptt-1">
															<label for="ptt-1">Within 7 days</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptt-2" name="ptt-2">
															<label for="ptt-2">2-4 weeks</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptt-3" name="ptt-3">
															<label for="ptt-3">1-2 months</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="ptt-4" name="ptt-4">
															<label for="ptt-4">Flexible</label>
														</div>
													</div>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label line-height">12. Preferred Duration*</label>
											</div>
											<div class="col-md-8 pb-30">
												<div class="row">
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="pd-01" name="pd-01">
															<label for="pd-01">1 Day</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="pd-02" name="pd-02">
															<label for="pd-02">2 Day</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="pd-03" name="pd-03">
															<label for="pd-03">3 Day</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="pd-04" name="pd-04">
															<label for="pd-04">4-5 Day</label>
														</div>
													</div>
													<div class="col-md-3">
														<div class="rbt-checkbox">
															<input type="checkbox" id="pd-05" name="pd-05">
															<label for="pd-05">1 Week</label>
														</div>
													</div>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
												<label class="form-label line-height">13. Brief Notes / Current Problem (1-2 lines)*</label>
											</div>
											<div class="col-md-8">
												<div class="form-group">
													<textarea name="contact-message" id="contact-message"></textarea>
													<label>Please enter brief notes / current problem</label>
													<span class="focus-border"></span>
												</div>
											</div>
										</div>
										
										<div class="row">
											<div class="col-md-4">
											</div>
											<div class="col-md-8">
												<div class="row">
													<div class="col-md-12">
														<div class="rbt-checkbox">
															<input type="checkbox" id="pd-01" name="pd-01">
															<label for="pd-01"> Consent*: I agree to be contacted for discussion and scheduling. </label>
														</div>
													</div>
												</div>
											</div>
										</div>
									</div>

									<div class="tab d-none">
										<p>All Set! Please submit to continue. Thank you</p>
									</div>
								</div>
								<div class="card-footer text-end">
									<div class="d-flex">
										<button type="button" id="back_button" class="btn btn-link" onclick="back()">Back</button>
										<button type="button" id="next_button" class="btn btn-primary ms-auto" onclick="next()">
											Next
										</button>
									</div>
								</div>
							</form>
						</div>
					</div>
                </div>
			
			</div>
        </div>
    </div>
    <!-- End Form Area -->

	<!-- Start Footer aera -->
		<?php include 'footer.php'; ?>
    </body>
</html>
