173 lines
7.5 KiB
PHP
Executable File
173 lines
7.5 KiB
PHP
Executable File
<head>
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<meta charset="utf-8">
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<title>Visa | Log in</title>
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<!-- Tell the browser to be responsive to screen width -->
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<meta content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no" name="viewport">
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<!-- Bootstrap 3.3.7 -->
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<link rel="stylesheet" href="assets/bower_components/bootstrap/dist/css/bootstrap.min.css">
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<!-- Font Awesome -->
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<link rel="stylesheet" href="assets/bower_components/font-awesome/css/font-awesome.min.css">
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<!-- Ionicons -->
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<link rel="stylesheet" href="assets/bower_components/Ionicons/css/ionicons.min.css">
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<!-- Theme style -->
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<link rel="stylesheet" href="assets/dist/css/AdminLTE.min.css">
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<!-- iCheck -->
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<link rel="stylesheet" href="assets/plugins/iCheck/square/blue.css">
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<style>
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.input-group .input-group-addon {
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border:0;
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}
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.input-group .form-control, .input-group-addon, .input-group-btn{
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border-right: 0;
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border-left: 0;
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border-top: 0;
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}
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.input-group {
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margin-bottom:15px;
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}
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.box-title-box{
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color: #fff;
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margin-left: 18px;
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background: linear-gradient(60deg,#ec407a,#d81b60);
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box-shadow: 0 4px 20px 0 rgba(0,0,0,.14), 0 7px 10px -5px rgba(233,30,99,.4);
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display: inline-block;
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border-radius: 3px;
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padding: 13px;
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margin-top: -50px;
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margin-right: 15px;
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float: left;
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}
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.nav-tabs-custom>.nav-tabs>li.active{
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border-top-color:#dc2265 !important;
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}
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.btn-success.focus, .btn-success:focus{
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background-color: #dd2366;
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border-color: #dd2366;
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box-shadow:0 4px 20px 0 rgba(0,0,0,.14), 0 7px 10px -5px rgba(233,30,99,.4);
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}
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.btn-success:hover, .btn-success:active, .btn-success.hover {
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background-color: rgba(219, 34, 101, 0.64);
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border-color: #dd2366;
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box-shadow:0 4px 20px 0 rgba(0,0,0,.14), 0 7px 10px -5px rgba(233,30,99,.4);
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}
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.btn-success {
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background-color: #dd2366;
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border-color: #dd2366;
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box-shadow:0 4px 20px 0 rgba(0,0,0,.14), 0 7px 10px -5px rgba(233,30,99,.4);
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}
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</style>
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</head>
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<body class="hold-transition login-page" style="background-image: url(assets/dist/img/loginbg.jpg);
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background-size: cover;
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background-position: top center;margin-top:150px;">
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<div class="row">
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<div class="col-md-offset-3 col-md-6">
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<div class="box box-solid" style="box-shadow:0 1px 4px 0 rgba(0,0,0,.14);padding: 20px;">
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<div class="box-body">
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<div class="row">
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<h3 class="box-title-box"><i class="fa fa-users" style="padding-right:5px;"></i>Register</h3>
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</div>
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<form action="<?php echo base_url() ?>Add_Register" method="post">
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<div class="row">
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-user"></i></span>
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<input type="text" class="form-control" placeholder="Name" name="Name" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-mobile"></i></span>
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<input type="number" class="form-control" placeholder="Phone No" name="PhoneNo" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-envelope"></i></span>
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<input type="mail" class="form-control" placeholder="Email ID" name="Email" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-envelope"></i></span>
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<input type="mail" class="form-control" placeholder="Alternate Email ID" name="AlternateEmail" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-lock"></i></span>
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<input type="password" class="form-control" placeholder="Password" name="Password" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-lock"></i></span>
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<input type="password" class="form-control" placeholder="Re-password" name="Re-password" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-building"></i></span>
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<input type="text" class="form-control" placeholder="Company Name" name="CompanyName" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-briefcase "></i></span>
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<input type="text" class="form-control" placeholder="Designation" name="Designation" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-map-signs"></i></span>
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<input type="text" class="form-control" placeholder="City" name="CityName" required />
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</div>
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</div>
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<div class="col-md-6">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-globe"></i></span>
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<input type="text" class="form-control" placeholder="Country" name="CountryName" required />
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</div>
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</div>
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<div class="col-md-12">
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<div class="input-group">
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<span class="input-group-addon"><i class="fa fa-address-card"></i></span>
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<input type="text" class="form-control" placeholder="Full Address" name="Address" required />
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-xs-offset-4 col-xs-4">
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<input type="Submit" class="btn btn-block btn-success btn-sm" value="Lets Go">
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</div>
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</div>
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</form>
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</div>
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<!--//////////////////-->
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<!-- /.box-body -->
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</div>
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<!-- /.box -->
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</div>
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<!-- ./col -->
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</div>
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<!-- /.row -->
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<!-- jQuery 3 -->
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<script src="assets/bower_components/jquery/dist/jquery.min.js"></script>
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<!-- Bootstrap 3.3.7 -->
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<script src="assets/bower_components/bootstrap/dist/js/bootstrap.min.js"></script>
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<!-- iCheck -->
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<script src="assets/plugins/iCheck/icheck.min.js"></script>
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</body |