{"id":201,"date":"2016-02-26T07:21:19","date_gmt":"2016-02-26T07:21:19","guid":{"rendered":"http:\/\/www.akkaonline.org\/2016\/?page_id=201"},"modified":"2016-05-26T01:03:51","modified_gmt":"2016-05-26T01:03:51","slug":"akka-shriman-shrimathi","status":"publish","type":"page","link":"https:\/\/akkaonline.org\/2016\/akka-shriman-shrimathi\/","title":{"rendered":"Shriman Shrimathi AKKA 2016 Pageant"},"content":{"rendered":"<p style=\"text-align: left;\"><div class=\"cf7cs_form1552\"><div id=\"form_header\"><center>Shriman Shrimathi Application Form<\/center><\/div><div class=\"cf7cs_form_wpcf7\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1551-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1551\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/2016\/wp-json\/wp\/v2\/pages\/201#wpcf7-f1551-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1551\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1551-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<font color=\"red\"><b>*<\/b><\/font> Indicates mandatory fields\n\n<hr \/>\n<center><b>APPLICANT INFORMATION<\/b><\/center>\n\n<p><b>AKKA Registration No. :<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group registration-no\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"registration-no\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Shriman:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group shriman-name\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"shriman-name\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Shrimathi:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group shrimathi-name\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"shrimathi-name\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>His Phone:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group his-phone\"><input class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" name=\"his-phone\" type=\"tel\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Her Phone:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group her-phone\"><input class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-control\" name=\"her-phone\" type=\"tel\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>His Email:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group his-email\"><input class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" name=\"his-email\" type=\"email\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Her Email:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group her-email\"><input class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" name=\"her-email\" type=\"email\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Address:<\/b> <font color=\"red\"><b>*<\/b><\/font><br \/>\n    <div class=\"form-group address-details\"><textarea class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required form-control\" name=\"address-details\" rows=\"4\" aria-invalid=\"false\" aria-required=\"true\" required><\/textarea><\/div>\n\n<p><b>City:<\/b> <font color=\"red\"><b>*<\/b><\/font> <br \/>\n    <div class=\"form-group city\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"city\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>State \/ Province:<\/b> <font color=\"red\"><b>*<\/b><\/font> <br \/>\n    <div class=\"form-group state-province\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"state-province\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Postal \/ Zip Code:<\/b> <font color=\"red\"><b>*<\/b><\/font> <br \/>\n    <div class=\"form-group postal\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"postal\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<p><b>Country:<\/b> <font color=\"red\"><b>*<\/b><\/font> <br \/>\n    <div class=\"form-group country\"><input class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" name=\"country\" type=\"text\" value=\"\" aria-invalid=\"false\" aria-required=\"true\" required><\/div>\n\n<hr \/>\n<center><b>RULES AND REGULATIONS\/DISCLAIMER<\/b><\/center><br \/>\n\n<p><b>Please read all the rules and regulations. Check the box before signing and submitting:<\/b> <br \/>\n\n<p><b>Rules and Regulations:<\/b> <br \/> \n  \u2022   Application deadline \u2013 July 31st 2016<br \/>\n  \u2022   Maximum 25 couples is the application limit- first come first served<br \/>\n  \u2022   The couple must have registered for AKKA WORLD CONFERENCE 2016.<br \/>\n  \u2022   An Entry Fee of $25 must be paid with the submission of the application, which is non-refundable<br \/>\n  \u2022   Applicants must be married. Age no bar<br \/>\n  \u2022   All applicants must uphold a pleasant, professional and friendly demeanor at all times during the contest.  <br \/>\n  \u2022   JUDGE\u2019S decision and scoring are final and will not be changed.<br \/>\n  \u2022   AKKA PAGEANT COMMITTEE reserves the right to add, change, or delete any rules and regulations at any time, without prior notice.<br \/>\n  \u2022   Please send in your completed application to <a href=\"mailto:akkapageant2016@akkaonline.com\">akkapageant2016@akkaonline.com<\/a>\n\n<p><b>Disclaimer:<\/b> <br \/>\n<p style=\"text-align: justify;\">Applicants should strictly adhere to the rules and regulations at all times.  If any of these rules are broken by the applicants, the AKKA PAGEANT COMMITTEE will reserve the right to disqualify the participant or revoke the title at any time without giving any notice. Contestants agree that AKKA PAGEANT COMMITTEE shall determine the eligibility criteria to compete in this SRIMAN SRIMATHI AKKA contest.  Contestants must be in good health, mentally and physically. Applicants agree that neither AKKA PAGEANT COMMITTEE nor AKKA COMMITTEE will be responsible for any form of loss\/damage\/injuries\/liabilities.  Applicants must be responsible for their belongings.  Applicants are solely responsible for their actions that impact Judges\u2019 decisions.  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