<% dim var1, var2, var3, var4, var5, var6, var7, var8, var9, var10, var11, var12, var13, var14, var15, var16, var17, var18, var19, var20, var21,var22,var23,var24,var25,var26,var27,var28,var29,var30,var31,var32,var33,var34,var35, var36, var37, var38, var39, var40, var41, var42, var43, var44, var45, var46, var47, var48, var49, var50, var51, var52, var53, var54, var55, var56,var57,var58,var59,var60,var61,var62,var63,var64,var65,var66,var67,var68,var69,var70, var71, var72, var73, var74, var75, var76, var77, var78, var79, var80, var81, var82, var83, var84 var1=request.form("fcategory") var2=request.form("fname") var3=request.form("dd") var4=request.form("mm") var5=request.form("yy") var6=request.form("fnameoforg") var7=request.form("fdesignation") var8=request.form("fweb") var9=request.form("forgadd") var10=request.form("fcity") var11=request.form("fstate") var12=request.form("fpin") var13=request.form("fphone") var14=request.form("f_fax") var15=request.form("femail") var16=request.form("fsrno1") var17=request.form("fsrno2") var18=request.form("fsrno3") var19=request.form("fsrno4") var20=request.form("fsrno5") var21=request.form("fnameofinstt1") var22=request.form("fnameofinstt2") var23=request.form("fnameofinstt3") var24=request.form("fnameofinstt4") var25=request.form("fnameofinstt5") var26=request.form("fdeg1") var27=request.form("fdeg2") var28=request.form("fdeg3") var29=request.form("fdeg4") var30=request.form("fdeg5") var31=request.form("fspeclization1") var32=request.form("fspeclization2") var33=request.form("fspeclization3") var34=request.form("fspeclization4") var35=request.form("fspeclization5") var36=request.form("fyrofpass1") var37=request.form("fyrofpass2") var38=request.form("fyrofpass3") var39=request.form("fyrofpass4") var40=request.form("fyrofpass5") var41=request.form("fhouseno") var42=request.form("fstreet2") var43=request.form("flocality2") var44=request.form("fcity2") var45=request.form("fstate2") var46=request.form("fpin2") var47=request.form("fphone2") var48=request.form("f_fax2") var49=request.form("femail2") var50=request.form("fprofexp") var51=request.form("fsrno6") var52=request.form("fsrno7") var53=request.form("fsrno8") var54=request.form("fsrno9") var55=request.form("fsrno10") var56=request.form("fnameoforg1") var57=request.form("fnameoforg2") var58=request.form("fnameoforg3") var59=request.form("fnameoforg4") var60=request.form("fnameoforg5") var61=request.form("fperiodofyr1") var62=request.form("fperiodofyr2") var63=request.form("fperiodofyr3") var64=request.form("fperiodofyr4") var65=request.form("fperiodofyr5") var66=request.form("fdesignation1") var67=request.form("fdesignation2") var68=request.form("fdesignation3") var69=request.form("fdesignation4") var70=request.form("fdesignation5") var71=request.form("fareaofspc1") var72=request.form("fareaofspc2") var73=request.form("fareaofspc3") var74=request.form("fareaofspc4") var75=request.form("fareaofspc5") var76=request.form("fsignifpoff") var77=request.form("fmembofinstt") var78=request.form("dd2") var79=request.form("mm2") var80=request.form("yy2") var81=request.form("fcqno") var82=request.form("fdatecq") var83=request.form("fdrawn") var84=request.form("fruppe") %> <% maname=request.form("name") 'macomp=request.form("company_name") 'matitle=request.form("person_title") maadd=request.form("address") 'macity=request.form("post_code2") 'mastate=request.form("post_code") macoun=request.form("country") 'mapin=request.form("pin_no") maph=request.form("phone") mafax=request.form("fax") maemail=request.form("email") maremark=request.form("enquiry") Set myMail=CreateObject("CDO.Message") myMail.Subject="Feedback received on www.shreebalajirefractories.com" myMail.From=maemail myMail.To="info@shreebalaji.net" myMail.BCC="genicsol@gmail.com" myMail.HTMLBody = "

NAFEN INDVIDUAL MEMBERSHIP ONLINE REGISTARTION FORM
Membership Category:
  "& var1&"
Applicant Name:
   "& var2&"
Date of Birth:
   "& var3&" / "& var4&" / "& var5&"  
Name of Organisation:
  "& var6&"
Designation:
     "& var7&"

Website:

   "& var8&"

Organisation Address:

 
"& var9&"
City:
   "& var10&"
State:
   "& var11&"
Pin:
   "& var12&"
Phone:
   "& var13&"
Fax:
   "& var14&"
E-Mail:
   "& var15&"
Education(Starting From Bachelor Degree Onwards)
S.No.:
   "& var16&" / "& var17&" / "& var18&" / "& var19&" / "& var20&"
Name Of The Institute/University & Place :
   "& var21&" / "& var22&" /"& var23&" /"& var24&" / "& var25&"
Degree/Branch:
   "& var26&" / "& var27&" / "& var28&" / "& var29&" / "& var30&"
Specialisation:
   "& var31&" / "& var32&" / "& var33&" / "& var34&" / "& var35&"
Year Of Passing:
   "& var36&" / "& var37&" / "& var38&" / "& var39 &" / "& var40&"
Residential Address
House No. :
   "& var41&"
Street:
   "& var42&"
Locality:
   "& var43&"
City :
   "& var44&"
State:
   "& var45&"
Pin:
   "& var46&"
Phone:
   "& var47&"
Fax:
   "& var48&"
E-Mail:
   "& var49&"
Professional Experience:
   "& var50&"
S.No.:
   "& var51&" / "& var51&"/ "& var53&" / "& var54&" / "& var55&"
Name Of Organisation & Place:
   "& var56&" / "& var57&" / "& var58&" / "& var59&" / "& var60&"
Period In Years:
   "& var61&" / "& var62&" / "& var63&" / "& var64&" "& var65&"
Desigination/Position:
   "& var66&" / "& var67&" / "& var68&" / "& var69&" "& var70&"
Area of Specialisation:
   "& var71&" / "& var72&" / "& var73&" / "& var74&" / "& var75&"
Significant Professional Contributions:
   "& var76&"
Member Of Other Institutions/Societie:
   "& var77&"
Date:
   "& var78&" / "& var79&" / "& var80&"
Cheque / Bank DD No:
   "& var81&"
Dated:
   "& var82&"
Drawn on:
   "& var83&"
Rupees:
   "& var84&"
E-Mail:
   "& var43&"
" myMail.Send set myMail=nothing %>