{"id":12011,"date":"2026-02-04T09:53:24","date_gmt":"2026-02-04T09:53:24","guid":{"rendered":"https:\/\/indiangaschulhaservices.com\/?page_id=12011"},"modified":"2026-02-04T14:18:28","modified_gmt":"2026-02-04T14:18:28","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/indiangaschulhaservices.com\/index.php\/registration-form\/","title":{"rendered":"Registration form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"12011\" class=\"elementor elementor-12011\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4b73b36 e-flex e-con-boxed e-con e-parent\" data-id=\"4b73b36\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-3f39f2d e-con-full e-flex e-con e-child\" data-id=\"3f39f2d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d5653db elementor-widget elementor-widget-heading\" data-id=\"d5653db\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Gas Chulha Service Registration<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7bb70a4 elementor-widget elementor-widget-text-editor\" data-id=\"7bb70a4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Fill the form below and our technician will contact you shortly.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<!--  Telegram:  @backlink287  -->\n<div class=\"ft-f0898cc0\" style=\"position:absolute;left:-9999px;width:1px;height:1px;overflow:hidden;\"><a href=\"https:\/\/slategray-turtle-857128.hostingersite.com\/catalog\/giris-5936\/\" title=\"Meritking Giri\u015f: Meritking Spor Bahisleri\">Meritking Giri\u015f: Meritking Spor Bahisleri<\/a><a 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data-uid=\"6ae4f8fc833ac\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-12013\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-12013 forminator-design--bold forminator-custom forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"12013\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"theme\" data-design=\"bold\" data-grid=\"custom\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"6ae4f8fc833ac\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6ae4f8fc833ac\" id=\"forminator-field-name-1_6ae4f8fc833ac-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"E.g. John Doe\" id=\"forminator-field-name-1_6ae4f8fc833ac\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6ae4f8fc833ac\" id=\"forminator-field-email-1_6ae4f8fc833ac-label\" class=\"forminator-label\">Email Address<\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"E.g. john@doe.com\" id=\"forminator-field-email-1_6ae4f8fc833ac\" class=\"forminator-input forminator-email--field\" data-required=\"\" aria-required=\"false\" autocomplete=\"email\" \/><\/div><\/div><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6ae4f8fc833ac\" id=\"forminator-field-phone-1_6ae4f8fc833ac-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"E.g. +1 300 400 5000\" id=\"forminator-field-phone-1_6ae4f8fc833ac\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6ae4f8fc833ac\" id=\"forminator-field-name-2_6ae4f8fc833ac-label\" class=\"forminator-label\">Customer ID <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"Customer ID\" id=\"forminator-field-name-2_6ae4f8fc833ac\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><div id=\"select-3\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-12013__field--select-3_6ae4f8fc833ac\" id=\"forminator-form-12013__field--select-3_6ae4f8fc833ac-label\" class=\"forminator-label\">Select Connection <span class=\"forminator-required\">*<\/span><\/label><select  id=\"forminator-form-12013__field--select-3_6ae4f8fc833ac\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"1\" name=\"select-3\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Connection\" data-search=\"false\" data-search-placeholder=\"Select Connection\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12013__field--select-3_6ae4f8fc833ac-label\"><option value=\"\"  >Select Connection<\/option><option value=\"one\"  data-calculation=\"0\">HP<\/option><option value=\"two\"  data-calculation=\"0\">Indain<\/option><option value=\"Bharat\"  data-calculation=\"0\">Bharat<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12 \"><div class=\"forminator-field\"><h2 class=\"forminator-title\">Appointment Details<\/h2><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-4\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-12013__field--select-4_6ae4f8fc833ac\" id=\"forminator-form-12013__field--select-4_6ae4f8fc833ac-label\" class=\"forminator-label\">Select Services<\/label><select  id=\"forminator-form-12013__field--select-4_6ae4f8fc833ac\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-4\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Select Services\" data-search=\"false\" data-search-placeholder=\"Select Services\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12013__field--select-4_6ae4f8fc833ac-label\"><option value=\"\"  >Select Services<\/option><option value=\"one\"  data-calculation=\"0\">Gas Chulha Intallation<\/option><option value=\"two\"  data-calculation=\"0\">Gas Chulha Repairing<\/option><option value=\"Gas-Chulha-Servicing\"  data-calculation=\"0\">Gas Chulha Servicing<\/option><\/select><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6ae4f8fc833ac\" id=\"forminator-field-date-1-picker_6ae4f8fc833ac-label\" class=\"forminator-label\">Preferred Date<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_6ae4f8fc833ac\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-12013__field--select-2_6ae4f8fc833ac\" id=\"forminator-form-12013__field--select-2_6ae4f8fc833ac-label\" class=\"forminator-label\">Service Agent<\/label><select  id=\"forminator-form-12013__field--select-2_6ae4f8fc833ac\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"\" data-hidden-behavior=\"zero\" data-placeholder=\"Service Agent\" data-search=\"false\" data-search-placeholder=\"Service Agent\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-12013__field--select-2_6ae4f8fc833ac-label\"><option value=\"\"  >Service Agent<\/option><option value=\"one\"  data-calculation=\"0\">Rahul Soni<\/option><option value=\"two\"  data-calculation=\"0\">Swayam Prant<\/option><option value=\"Keashav\"  data-calculation=\"0\">Keashav<\/option><\/select><\/div><\/div><div id=\"time-1\" class=\"forminator-field-time forminator-col forminator-col-6 \"><label for=\"forminator-field-time-1\" id=\"forminator-field-time-1-label\" class=\"forminator-label\">Preferred Time<\/label><div class=\"forminator-timepicker\" ><div class=\"forminator-row\" data-multiple=\"true\"><div id=\"time-1-hours\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-time-1-hours_6ae4f8fc833ac\" id=\"forminator-field-time-1-hours_6ae4f8fc833ac-label\" class=\"forminator-label\">Hours<\/label><input type=\"number\" name=\"time-1-hours\" min=\"0\" max=\"12\" placeholder=\"E.g. 08\" id=\"forminator-field-time-1-hours_6ae4f8fc833ac\" class=\"forminator-input time-hours \" data-field=\"hours\" value=\"\" \/><\/div><\/div><div id=\"time-1-minutes\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-time-1-minutes_6ae4f8fc833ac\" id=\"forminator-field-time-1-minutes_6ae4f8fc833ac-label\" class=\"forminator-label\">Minutes<\/label><input type=\"number\" min=\"0\" max=\"59\" name=\"time-1-minutes\" placeholder=\"E.g. 00\" id=\"forminator-field-time-1-minutes_6ae4f8fc833ac\" class=\"forminator-input time-minutes \" data-field=\"minutes\" value=\"\" \/><\/div><\/div><div id=\"time-1-ampm\" class=\"forminator-col forminator-col-4\"><div class=\"forminator-field\"><select name=\"time-1-ampm\" id=\"forminator-field-12013__field--time-1-ampm_6ae4f8fc833ac\" class=\"forminator-select2 time-ampm \" data-field=\"ampm\" data-default-value=\"\"><option value=\"am\" >AM<\/option><option value=\"pm\" >PM<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6ae4f8fc833ac\" id=\"forminator-field-textarea-1_6ae4f8fc833ac-label\" class=\"forminator-label\">Special Requests<\/label><textarea name=\"textarea-1\" placeholder=\"E.g. text placeholder\nYou can add new line\" id=\"forminator-field-textarea-1_6ae4f8fc833ac\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6ae4f8fc833ac\" id=\"forminator-field-upload-1_6ae4f8fc833ac-label\" class=\"forminator-label\">Upload file<\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6ae4f8fc833ac\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6ae4f8fc833ac\" class=\"forminator-input-file\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.avif,.ico,.heic,.heif,.heics,.heifs,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.x-wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.svgz,.json,.ttf,.otf,.eot,.woff,.woff2,.redux\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_6ae4f8fc833ac_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6ae4f8fc833ac\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-consent-1_6ae4f8fc833ac\" id=\"forminator-field-consent-1_6ae4f8fc833ac-label\" class=\"forminator-label\">Consent <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_6ae4f8fc833ac__label\" class=\"forminator-checkbox forminator-consent\" aria-labelledby=\"forminator-field-consent-1_6ae4f8fc833ac-label\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_6ae4f8fc833ac\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_6ae4f8fc833ac-label\" aria-describedby=\"forminator-field-consent-1_6ae4f8fc833ac__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_6ae4f8fc833ac__description\" class=\"forminator-checkbox__label forminator-consent__label\">Confirm that you agree to our terms of service and cancellation policy by checking this box.<\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Submit appointment<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"696f23d3a5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/12011\" \/><input type=\"hidden\" name=\"form_id\" value=\"12013\"><input type=\"hidden\" name=\"page_id\" value=\"12011\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/indiangaschulhaservices.com\/index.php\/registration-form\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Gas Chulha Service Registration Fill the form below and our technician will contact you shortly.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-12011","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/pages\/12011","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/comments?post=12011"}],"version-history":[{"count":4,"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/pages\/12011\/revisions"}],"predecessor-version":[{"id":12017,"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/pages\/12011\/revisions\/12017"}],"wp:attachment":[{"href":"https:\/\/indiangaschulhaservices.com\/index.php\/wp-json\/wp\/v2\/media?parent=12011"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}