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registration.php
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registration.php
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<!doctype html>
<html lang="en">
<head>
<!-- Required meta tags -->
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<!-- Bootstrap CSS -->
<title>Registerr Account</title>
<link rel="stylesheet" href="./assets/css/bootstrap.min.css">
<link rel="stylesheet" href="./assets/css/style.css">
</head>
<body>
<div class="main-wrapper row align-items-center">
<div class="wrapper col-6 mx-auto ">
<h4 class="fw-bold py-4">Register Here</h4>
<form action="api/process.php" method="POST" class="login-form row mb-3">
<div class="form-group col-6 mb-3">
<input type="text" class="form-control" id="firstName" name="firstName" placeholder="First name" required>
</div>
<div class="form-group col-6 mb-3">
<input type="text" class="form-control" id="lastName" name="lastName" placeholder="Last name" required>
</div>
<div class="form-group col-12 mb-3">
<input type="email" class="form-control Email" id="email" name="email"placeholder="Email address" required>
</div>
<div class="form-group col-12 mb-3">
<input type="number" class="form-control password" id="PhoneNumber" name="phoneNumber"placeholder="Phone number" required>
</div>
<div class="form-group col-6 mb-3">
<input type="password" class="form-control" id="newpassword" name="password" placeholder="New password" required>
</div>
<div class="form-group col-6 mb-3">
<input type="password" class="form-control" id="confirmpassword" name="cPassword" placeholder="confirm password" required>
</div>
<div class="form-group col-4 mb-3">
<select name="day" class="form-control" required>
<option selected>Date</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
</select>
</div>
<div class="form-group col-4 mb-3">
<select name="month" class="form-control" required>
<option selected>Month</option>
<option value="1">jan</option>
<option value="2">feb</option>
<option value="3">march</option>
</select>
</div>
<div class="form-group col-4 mb-3">
<select name="year" class="form-control" required>
<option selected>Year</option>
<option value="1999">1999</option>
<option value="1999">1999</option>
<option value="1999">1999</option>
</select>
</div>
<div class="col-12 mt-1 mb-2 d-flex registration_checkbox">
<div class="form-check">
<input class="form-check-input" value="1" type="radio" name="gender">
<label class="form-check-label" for="male">
Male
</label>
</div>
<div class="form-check ms-3">
<input class="form-check-input" value="2" type="radio" name="gender">
<label class="form-check-label" for="female">
Female
</label>
</div>
<div class="form-check ms-3">
<input class="form-check-input" value="3" type="radio" name="gender">
<label class="form-check-label" for="other">
Other
</label>
</div>
</div>
<div class="d-flex">
<input type="submit" name ="register" class=" form control btn ms-auto" value="Register">
</div>
</form>
</div>
</div>
<script src="./assets/js/bootstrap.min.js"></script>
</body>
</html>