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140 lines (119 loc) · 4.37 KB
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<!DOCTYPE html>
<html>
<head>
<title>Registartion</title>
<script src="Resgistration.js"></script>
<link rel="stylesheet" href="Res.css">
</head>
<body>
<div class="container">
<form class="well form-horizontal" action=" " method="post" id="contact_form">
<fieldset>
<!-- Form Name -->
<legend><center><h2><b>Registration Form</b></h2></center></legend><br>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">First Name</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="first_name" placeholder="First Name" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" >Last Name</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="last_name" placeholder="Last Name" class="form-control" type="text">
</div>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label">Department / Office</label>
<div class="col-md-4 selectContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-list"></i></span>
<select name="department" class="form-control selectpicker">
<option value="">Select your Clubs</option>
<option>Art Club</option>
<option>Music Club</option>
<option >Sports Comitte</option>
<option >Drama Club</option>
<option >Design Club</option>
<option >Photography Club</option>
<option >Coding Club</option>
<option >Gaming Club</option>
<option >Literture Club</option>
</select>
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Username</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="user_name" placeholder="Username" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" >Password</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="user_password" placeholder="Password" class="form-control" type="password">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" >Confirm Password</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="confirm_password" placeholder="Confirm Password" class="form-control" type="password">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">E-Mail</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
<input name="email" placeholder="E-Mail Address" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Contact No.</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-earphone"></i></span>
<input name="contact_no" placeholder="(639)" class="form-control" type="text">
</div>
</div>
</div>
<!-- Select Basic -->
<!-- Success message -->
<div class="alert alert-success" role="alert" id="success_message">Success <i class="glyphicon glyphicon-thumbs-up"></i> Success!.</div>
<!-- Button -->
<div class="form-group">
<label class="col-md-4 control-label"></label>
<div class="col-md-4"><br>
              <button type="submit" class="btn btn-warning" >        SUBMIT <span class="glyphicon glyphicon-send"></span>        </button>
</div>
</div>
</fieldset>
</form>
</div>
</div><!-- /.container -->
</body>
</html>