/input type="text" name="vname" id="w3lName" placeholder="Your Name (नाम) "
class="contact-input" required="" />
/input type="text" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" name="vphone" id="w3lWebsite" placeholder="Phone (मोबाइल)"
class="contact-input" maxlength="10" required="" />
/input type="text" name="aadhar" oninput="this.value = this.value.replace(/[^0-9.]/g, '').replace(/(\..*?)\..*/g, '$1');" maxlength="16" id="w3lSender" placeholder="Aadhar Number (आधार नंबर)"
class="contact-input" required="" />
/input type="text" name="firm" id="w3lSender" placeholder="Firm (दुकान का नाम )"
class="contact-input" required="" />
/select class="form-control contact-input" name="state" id="state">
/input type="text" name="city" id="w3lSender" placeholder="City (शहर)"
class="contact-input" required="" />
/input type="text" name="pin" id="w3lSender" placeholder="Pincode (पिनकोड)"
class="contact-input" required="" />