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form.php
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form.php
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<?php
require('connection.php');
require('functions.php');
?>
<html>
<head>
<meta charset="utf-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title>Sign Up Form</title>
<link rel="stylesheet" href="https://codepen.io/gymratpacks/pen/VKzBEp#0" />
<link href="https://fonts.googleapis.com/css?family=Nunito:400,300" rel="stylesheet" type="text/css" />
<style>
*,
*:before,
*:after {
-moz-box-sizing: border-box;
-webkit-box-sizing: border-box;
box-sizing: border-box;
}
body {
font-family: "Nunito", sans-serif;
color: #384047;
}
form {
max-width: 300px;
margin: 10px auto;
padding: 10px 20px;
background: #f4f7f8;
border-radius: 8px;
}
h1 {
margin: 0 0 30px 0;
text-align: center;
}
input[type="text"],
input[type="password"],
input[type="date"],
input[type="datetime"],
input[type="email"],
input[type="number"],
input[type="search"],
input[type="tel"],
input[type="time"],
input[type="url"],
textarea,
select {
background: rgba(255, 255, 255, 0.1);
border: none;
font-size: 16px;
height: auto;
margin: 0;
outline: 0;
padding: 15px;
width: 100%;
background-color: #e8eeef;
color: #8a97a0;
box-shadow: 0 1px 0 rgba(0, 0, 0, 0.03) inset;
margin-bottom: 30px;
}
input[type="radio"],
input[type="checkbox"] {
margin: 0 4px 8px 0;
}
select {
padding: 6px;
height: 32px;
border-radius: 2px;
}
button {
padding: 19px 39px 18px 39px;
color: #fff;
background-color: #4bc970;
font-size: 18px;
text-align: center;
font-style: normal;
border-radius: 5px;
width: 100%;
border: 1px solid #3ac162;
border-width: 1px 1px 3px;
box-shadow: 0 -1px 0 rgba(255, 255, 255, 0.1) inset;
margin-bottom: 10px;
}
fieldset {
margin-bottom: 30px;
border: none;
}
legend {
font-size: 1.4em;
margin-bottom: 10px;
}
label {
display: block;
margin-bottom: 8px;
}
label.light {
font-weight: 300;
display: inline;
}
.number {
background-color: #5fcf80;
color: #fff;
height: 30px;
width: 30px;
display: inline-block;
font-size: 0.8em;
margin-right: 4px;
line-height: 30px;
text-align: center;
text-shadow: 0 1px 0 rgba(255, 255, 255, 0.2);
border-radius: 100%;
}
@media screen and (min-width: 480px) {
form {
max-width: 480px;
}
}
</style>
</head>
<body>
<div class="row">
<div class="col-md-12">
<form action="regora" method="post">
<h1>Sign Up</h1>
<p>This is only for us, for manual registrations.</p>
<fieldset>
<legend><span class="number">1</span> Your Basic Info</legend>
<label for="name">Name:</label>
<input type="text" id="name" name="name" />
<label for="email">Email:</label>
<input type="email" id="mail" name="email" />
<label for="name">mobile:</label>
<input type="text" id="name" name="mobile" />
</fieldset>
<fieldset>
<legend><span class="number">2</span> Volunteer Profile</legend>
<label for="job">designation :</label>
<select id="job" name="designation">
<optgroup label="heros">
<?php
$res=mysqli_query($con,"SELECT * FROM `designation`");
while($row=mysqli_fetch_assoc($res)){
?>
<option value="<?php echo $row['id'] ?>"><?php echo $row['designation'] ?></option>
<? } ?>
</optgroup>
<!-- <optgroup label="Mobile">
<option value="android_developer">Android Developer</option>
<option value="ios_developer">IOS Developer</option>
<option value="mobile_designer">Mobile Designer</option>
</optgroup>
<optgroup label="Business">
<option value="business_owner">Business Owner</option>
<option value="freelancer">Freelancer</option>
</optgroup> -->
</select>
<label for="name">clg id:</label>
<input type="text" id="clgid" name="clgid" />
<label for="name">Branch :</label>
<input type="text" id="clgid" name="branch" />
<label for="name">clg name:</label>
<input type="text" id="clgid" name="clgname" />
</fieldset>
<button type="submit">Sign Up</button>
</form>
</div>
</div>
</body>
</html>