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p-individual.php
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<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- Latest compiled and minified CSS -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<!-- Optional theme -->
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap-theme.min.css">
<!-- Latest compiled and minified JavaScript -->
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<link rel="stylesheet" type="text/css" href="styles_stuff.css">
<link href="https://fonts.googleapis.com/css?family=Courgette" rel="stylesheet">
<script src="789.js"></script>
<script src="7891.js"></script>
<script src="7892.js"></script>
<script src="https://code.jquery.com/jquery-2.2.4.js"></script>
<script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
<link href="https://code.jquery.com/ui/1.11.3/themes/smoothness/jquery-ui.css" rel="stylesheet">
<link href="https://ajax.aspnetcdn.com/ajax/jquery.ui/1.10.4/themes/swanky-purse/jquery-ui.css" rel="stylesheet">
</head>
<body class="dnte_form">
<!--FORM FOR INDIVIDUAL-->
<div class="container contn" id="phase1">
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"></div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
<form class="form-container" id="form1" method="post" action="p-indi.php">
<div class="form-group">
<label for="name">NAME</label>
<input type="text" class="form-control" id="name" name="uname" placeholder="ENTER YOUR NAME">
<span id="a"></span>
</div>
<div class="form-group">
<label for="email">EMAIL ID</label>
<input type="email" class="form-control" id="email" name="rpass" placeholder="ENTER EMAIL ADDRESS">
<span id="b"></span>
</div>
<div class="form-group">
<label for="phno1">PHONE NUMBER</label>
<input type="text" class="form-control" id="phno" name="phno" placeholder="ENTER PHONE NUMBER">
<span id="p"></span>
</div>
<div class="form-group">
<label for="dob">DATE OF BIRTH</label>
<input type="text" class="form-control" id="date" name="dob" placeholder="CHOOSE BIRTH DATE">
<span id="c"></span>
</div>
<div class="form-group">
<label for="gender">GENDER:
<input type="radio" id="gender" name="gender" value="Female" onClick="my(this.value)"> Female
<input type="radio" id="gender" name="gender" value="Male" onClick="my(this.value)"> Male
<input type="radio" id="gender" name="gender" value="Others" onClick="my(this.value)"> Others
</label>
<span id="d"></span></div>
<div class="form-group">
<label for="status">MARTIAL STATUS: <br><select id="status" name="status" style="width:250px;padding:5px 20px;">
<option value="">--Select--</option>
<option value="single">Single</option>
<option value="married">Married</option>
<option value="divorced">Divorced</option>
<option value="widow">Widow</option>
</select></label> <br>
<span id="e"></span>
</div>
<div class="form-group">
<label for="address">ADDRESS:</label><br>
<label for="area">Area</label>
<input type="text" class="form-control" id="area" name="loc" placeholder="ENTER LOCALITY/AREA">
<span id="f"></span><br>
<label for="city">City / Town</label>
<input type="text" class="form-control" id="city" name="city" placeholder="ENTER CITY/TOWN">
<span id="g"></span><br>
<label for="district">District</label>
<input type="text" class="form-control" id="district" name="dis" placeholder="ENTER DISTRICT">
<span id="h"></span><br><br>
<label for="state">STATE / U.T. <br>
<select id="state" name="state" style="width:250px;padding:5px 20px;">
<option value="">--Select--</option>
<option value="Andaman-Nicobar">Andaman and Nicobar Islands</option>
<option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chandigarh">Chandigarh</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Dadra-Nagar">Dadra and Nagar Haveli</option>
<option value="Daman-Diu">Daman and Diu</option>
<option value="Delhi">Delhi</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal-Pradesh">Himachal Pradesh</option>
<option value="j&k">Jammu and Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="Karnataka">Karnataka</option>
<option value="Kerala">Kerala</option>
<option value="Lakshadweep">Lakshadweep</option>
<option value="Madhya-Pradesh">Madhya Pradesh</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Punjab">Punjab</option>
<option value="Pondicherry">PondiRajasthancherry</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Telangana">Telangana</option>
<option value="Tripura">Tripura</option>
<option value="Uttar-Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West-Bengal">West Bengal</option>
</select></label><br><span id="j"></span><br><br>
<label for="country">Country</label>
<input type="text" class="form-control" id="country" name="cntry" value="India" readonly>
</div>
<div class="form-group">
<p> PAYMENT DETAILS </p><hr>
<div class="card_number" id="card-container">
<div CLASS="form-group">
<label for="card">ENTER AMOUNT</label>
<input type="text" class="form-control" id="pay" name="pay" placeholder="ENTER AMOUNT">
<span id="what"></span><br>
<label for="card">ENTER CARD NUMBER</label>
<input type="text" class="input" id="cc" name="cc" placeholder="0000 0000 0000 0000">
<span id="type"></span>
</div>
<div class="card_grp">
<div class="expiry_date">
<input type="text" class="expiry_input" id="d1" name="d1" data-mask="00" placeholder="MM">
<input type="text" class="expiry_input" id="d2" name="d2" data-mask="0000" placeholder="YYYY">
<span id="z"></span>
</div>
<div class="cvc">
<br><span id="x"></span>
<input type="text" class="cvc_input" id="cvv" name="cvv" data-mask="000" placeholder="000">
<div class="cvc_img">
?
<div class="img">
<img src="https://i.imgur.com/2ameC0C.png" alt="">
</div>
</div>
</div>
</div>
</div>
</div>
</form>
</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"></div>
</div>
</div>
<br>
<div class="container contn" id="phase5" style="display:none;">
<div class="row" class="form-container">
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"></div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
PLEASE CHECK THE DETAILS BEFORE SUBMIT.
<table class="table table-striped table-bordered">
<tr>
<th> Full Name </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_name"></span></font> </td>
</tr>
<tr>
<th> Email Address </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_email"></span></font> </td>
</tr>
<tr>
<th> Phone Number </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_phno"></span></font> </td>
</tr>
<tr>
<th> Date Of Birth </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_date"></span></font> </td>
</tr>
<tr>
<th> Gender </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_gender"></span></font> </td>
</tr>
<tr>
<th> Martial Status </th>
<th> <font color='#33ccff' face="Comic Sans MS"><span id="d_status"></span></font> </th>
</tr>
<tr>
<th colspan="2"> ADDRESS</th>
</tr>
<tr>
<th> Locality </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_area"></span></font> </td>
</tr>
<tr>
<th> City/Town </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_city"></span></font> </td>
</tr>
<tr>
<th> District </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_district"></span></font> </td>
</tr>
<tr>
<th> State </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_state"></span></font> </td>
</tr>
<tr>
<th> Country </th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_country"></span></font> </td>
</tr>
<tr>
<th> Payment</th>
<td> <font color='#33ccff' face="Comic Sans MS"><span id="d_payment"></span></font> </td>
</tr>
</table>
</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"></div>
</div>
</div>
<div class="row">
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"></div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12">
<div class="form_stp_btn">
<button type="button" class="btn btn-success" id="prevBtn" onclick="nextPrev(-1)">Previous</button>
<button type="button" class="btn btn-success btn-md" id="nextBtn" onclick="nextPrev(1)">Next</button>
</div>
</div>
<div class="col-lg-4 col-md-4 col-sm-4 col-xs-12"></div>
</div>
<script>
//for dates
$(document).ready(function() {
$("#date").datepicker({
showAnim: 'drop',
numberOfMonth: 1,
dateFormat:'dd/mm/yy',
maxDate: 0,
});
});
//for animation...
var currentTab = 0; // Current tab is set to be the first tab (0)
showTab(currentTab); // Display the current tab
function showTab(n) {
// This function will display the specified tab of the form ...
var x = document.getElementsByClassName("container");
x[n].style.display = "block";
// ... and fix the Previous/Next buttons:
if (n == 0) {
document.getElementById("prevBtn").style.display = "none";
} else {
document.getElementById("prevBtn").style.display = "inline";
}
if (n == (x.length - 1)) {
document.getElementById("nextBtn").innerHTML = "Submit";
} else {
document.getElementById("nextBtn").innerHTML = "Next";
}
}
function nextPrev(n) {
// This function will figure out which tab to display
var x = document.getElementsByClassName("container");
if(!processphase1())
{
if(!adrs()){
if(!pay()){
return false;}
return false;}
return false;
}
else if(!adrs()){
if(!pay()){
return false;}
return false;}
else if(!pay()){
return false;}
if(n==1){
getid("phase1").style.display="none";
getid("phase5").style.display="block";}
else if(n==-1){
getid("phase1").style.display="block";
getid("phase5").style.display="none";}
// Exit the function if any field in the current tab is invalid:
currentTab = currentTab + n;
// if you have reached the end of the form... :
if (currentTab >= x.length) {
//...the form gets submitted:
document.getElementById("form1").submit();
return false;
}
// Otherwise, display the correct tab:
showTab(currentTab);
}
function getid(x)
{
return document.getElementById(x);
}
function getaddress() //to get address of all forms
{
getid("d_area").innerHTML = getid("area").value;
getid("d_city").innerHTML= getid("city").value;
getid("d_district").innerHTML= getid("district").value;
getid("d_state").innerHTML= getid("state").value;
getid("d_country").innerHTML= getid("country").value;
getid("d_payment").innerHTML= getid("pay").value;
}
function my(val)
{
document.getElementById("d_gender").innerHTML = val;
}
</script>
</body>
</html>