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<body onload="backButtonOverride()">

<form name="OnlineForm" action="allotmentsave.jsp" method="post"


onsubmit="return checkalert();">
<p>
<input value="BGDDY5E67515" name="fileno" type="hidden">
<input value="MOHAMMAD" abdur="" rahman="" name="APPLNAME"
type="hidden">
<input value="BGDD" name="PIA" type="hidden">
<input value="Visa_print_Form2.jsp" name="next_page" type="hidden">
</p>
<table class="visa_table" style="width:85%;margin:0 auto;">
<tbody><tr>
<td colspan="5" class="mainHeading">
</td>
</tr>
<tr>
<td colspan="5" class="text_center">
<div class="pageHeading text_center">
Date And Time Allotment To Applicant
</div>
</td>
</tr>
<tr>
<td colspan="5" height="21">&nbsp;</td>
</tr>
<tr>
<td colspan="4" class="red_heading text_bold text_right">
Applicant Name :
</td>
<td> <b class="style13">&nbsp;MOHAMMAD ABDUR RAHMAN</b></td>
</tr>
<tr>
<td colspan="4" class="red_heading text_bold text_right">
Application Id :</td>
<td>BGDDY5E67515</td>
</tr>
<tr>
<td colspan="5" height="21">&nbsp;</td>
</tr>
<tr>
<td colspan="5" class="text_left" height="200">

<p class="style14" align="center"> Please follow the


instructions carefully before proceeding further </p>
<ul class="style8">
<li class="style1"> Available date(s) of appointment
are indicated below. Please select the date and click on <strong></strong>
<strong>Confirm the Appointment</strong></li>
</ul>
<ul class="style8">
<li class="style1"> The system will automatically
generate online application in PDF format. Applicant must take a print out of the
online application and submit the application along with all the required documents
at the Mission/ Visa Office <strong> on the Date and Time</strong> indicated in the
online application.</li>
</ul>
<ul class="style8">
<li class="style1"> Applicant can also save the PDF and
take print out later.</li>
</ul>
<ul class="style8">
<li class="style1"> In case the Applicant could not
take a print out of the application or save the PDF after confirming appointment,
please use<strong> </strong> <strong>Reprint </strong>option at the first page
of the online form and click on <strong> Reprint</strong> using
<strong>Application Id</strong> and<strong> Date of birth</strong>. </li>
</ul>
<ul class="style8">
<li class="style1">If no date of appointment is
available after registration , please try on next day by using <strong></strong>
<strong>Reprint </strong> option at the first page of the online form and click on
to <strong></strong> <strong>Get Appointment</strong> <strong></strong> by using
<strong>Application Id</strong> and <strong>Date of birth</strong>. </li>
</ul>
<p>&nbsp;</p>
</td>
</tr>

<tr>
<td align="left" valign="middle">
<div align="right">
<font size="3" face="Arial, Helvetica, sans-
serif"><font color="#990000"><strong>Select &nbsp;Date</strong></font></font>
</div>
</td>
<td align="right" valign="middle">
<div align="left">
<font size="3" face="Arial, Helvetica, sans-serif">
<font color="#990000">
<select name="DATE" size="1">
<option value="">Select</option>
null<option value="30/11/2015" title="30/11/2015">
30/11/2015</option>
</select>
</font>
</font>
</div>
</td>
<td>

</td>
<td colspan="2"></td>
</tr>
<tr>
<td><div class="cl">Access Code</div></td>
<td colspan="2">
<img style="" src="http://indianvisa-
bangladesh.nic.in/visa/QuestionCaptcha.jsp?
rand=1448215047306&amp;ssitoken_1448215128853_" id="capt" alt="Develped by NIC, New
Delhi" border="0" height="30" width="250">
<a href="#" onclick="return refreshCaptcha();"><img
src="http://indianvisa-bangladesh.nic.in/visa/images/refresh.png?
ssitoken_1448215049458_" style="width: 25px; height: 25px;"></a>
</td>
</tr>
<tr>
<td><div class="cl">Enter Access Code&nbsp;</div></td>
<td>
<input name="ImgNum" class="textBoxDashed1" id="ImgNum"
onkeyup="chkAlphaNum(this)" size="20" maxlength="6" type="text">
</td>
<td>
<div class="style53 text_center" id="CAP"> </div>
</td>
</tr>
<tr>
<td colspan="3" style="text-align: center">
<input onclick="chkCapAppt()" name="SAVE" class="btn btn-
primary" value="Confirm The Appointment" type="submit">
</td>
</tr>

<tr class="table_heading_bg">
<td colspan="5" align="center" height="24">
<div align="center"></div>
<div align="center"></div>
</td>
</tr>

</tbody></table>
</form>
<script language="JavaScript">
function checkalert()
{
if (document.OnlineForm.DATE.value == "") {
alert("Please select Appointment date");
return false;
}
else if (document.OnlineForm.ImgNum.value == "") {
alert("Please enter access code");
return false;
}

else
return true;
}

function refreshCaptcha()
{
try
{
var d = new Date();
var n = d.getTime();
//document.getElementById("capt").src="images/1.jpg";
//alert("hi");
document.getElementById("capt").src = "QuestionCaptcha.jsp?
rand=" + n;

}
catch (e)
{
alert(e);
}
return false;
}

</script>

</body>

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