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Viewing / Editing File: registration.php

<?php 
    include("header.php");
?>

<div class="registration-right aos-init aos-animate" data-aos="fade-left" style="transition:all 1500ms ease-in-out;">
        <form method="post" id="form">
            <img src="images/fav.png" alt="" title="" class="logo-log" style="">
            <h4>Sign up</h4>
            <h5>Continue to Register</h5>

<div class="form-left-to-w3l " id="b_name">
					    <label>Full Name</label>
						<input type="text" placeholder="Full Name" name="name" required="">
						 <input type="hidden" name="tablename" value="client">
					</div>
					
					<div class="form-left-to-w3l">
                        <label>Phone No</label>
						<input type="text" placeholder="Phone No" maxlength="10" id="phn" onblur="return check2()" pattern="[0-9]+" name="phone" required="">
                    <span class="label label-danger" id="error" style="display:none">Phone Number already in use.Please Give another Phone Number</span>

</div>	
					
					<div class="form-left-to-w3l">
                        <label>Email</label>
						<input type="email" placeholder="Email" onblur="return check_em()" name="email_c" id="em" required="">
                    <span class="label label-danger" id="error1" style="display:none">Email already in use.Please Give another Email ID</span>
					</div>
					
					<div class="form-left-to-w3l">
                        <label>Pincode</label>
						<input type="text" class="pin" name="pincode" placeholder="Pincode" pattern="[0-9]{6}" title="Please give Correct pincode" required="">
					</div>	
					
					
					<div class="form-left-to-w3l">
                        <label>State</label>
					 <select class="drop" name="st" id="typ" required="" style=""><option value="">Select</option>
	                  <option value="">State</option>

</select>
					</div>					
					
					
					<div class="form-left-to-w3l">
                        <label>City</label>
						<input type="text" class="city" name="city" placeholder="City" required="">
					</div>					
					<div class="form-left-to-w3l" style="width: 95%;  display: block;">
                        <label>Address</label>
						<textarea name="address" placeholder="Full Address" required=""></textarea>
					</div>	
					<div class="form-left-to-w3l">
                        <label>Password</label>
						<input type="password" placeholder="Password" id="pass1" onkeyup="checkPass(); return false;" name="password" required="">
					</div>
					
					<div class="form-left-to-w3l">
                        <label>Confirm Password</label>
						<input type="password" placeholder="Confirm Password" id="pass2" onkeyup="checkPass(); return false;" name="cpassword1" required="">
				        <div id="error-nwl"></div>

</div>
					
					<input type="checkbox" required="" style="text-align: center; margin: 0 !important;">  I accept the <a href="terms.php" style=" margin: 0 0 10px; display: inline-block; ">terms &amp; conditions</a>
					
					<div class="form-sub-acc">
            			<div class="form-sub">
            			    <input type="submit" class="" name="sub" id="btn" value="Submit">
            			</div>
            			<div class="form-acc">
            			    <p class="account1" style="text-align: right;"><a href="login.php" style="color: #324e53; padding: 15px 0 0; display: block;">Sign in instead</a></p>
            			</div>
        			</div>

</form>
					
    </div>     
</div>

<?php 
    include("footer.php");
?>

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Viewing / Editing File: registration.php

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