<link href=”https://cdn.jsdelivr.net/npm/bootstrap@5.3.3/dist/css/bootstrap.min.css” rel=”stylesheet” integrity=”sha384-QWTKZyjpPEjISv5WaRU9OFeRpok6YctnYmDr5pNlyT2bRjXh0JMhjY6hW+ALEwIH” crossorigin=”anonymous”>
<div class=”container”>
<form method=”post” enctype=”multipart/form-data” action=”https://dashboard.ekalacademy.com/paytm/confirm_order.php”>
<div class=”row”>
<label for=”name” class=”col-sm-3″>Name</label>
<div class=”col-sm-9″>
<input type=”text” name=”name” required>
</div>
</div>
<div class=”row”>
<label for=”email” class=”col-sm-3″>Email</label>
<div class=”col-sm-9″>
<input type=”text” name=”email” required>
</div>
</div>
<div class=”row”>
<label for=”phone” class=”col-sm-3″>Phone</label>
<div class=”col-sm-9″>
<input type=”text” name=”phone” required>
</div>
</div>
<div class=”row”>
<div class=”col-sm-8 offset-sm-3″>
<div class=”media align-items-center”>
<div class=”media-left”>
<input type=”submit” class=”btn btn-primary btn-block” name=”submit” value=”Place Order”>
</div>
</div>
</div>
</div>
</form>
</div>
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