-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathreg.html
66 lines (61 loc) · 3.05 KB
/
reg.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
<!--
Author: W3layouts
Author URL: http://w3layouts.com
License: Creative Commons Attribution 3.0 Unported
License URL: http://creativecommons.org/licenses/by/3.0/
-->
<!DOCTYPE html>
<html>
<head>
<title>registration</title>
<!-- Meta tag Keywords -->
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta name="keywords" content="Flat Sign Up Form Responsive Widget Template, Bootstrap Web Templates, Flat Web Templates, Android Compatible web template,
Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyEricsson, Motorola web design" />
<script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false);
function hideURLbar(){ window.scrollTo(0,1); } </script>
<!-- Meta tag Keywords -->
<!-- css files -->
<link href="css/style.css" rel="stylesheet" type="text/css" media="all">
<link href="css/font-awesome.min.css" rel="stylesheet" type="text/css" media="all">
<!-- //css files -->
<!-- online-fonts -->
<link href='//fonts.googleapis.com/css?family=Lato:400,100,100italic,300,300italic,400italic,700,700italic,900,900italic' rel='stylesheet' type='text/css'><link href='//fonts.googleapis.com/css?family=Raleway+Dots' rel='stylesheet' type='text/css'>
</head>
<body>
<!--header-->
<div class="header-w3l">
<h1>Farmer Registration</h1>
</div>
<!--//header-->
<!--main-->
<div class="main-agileits">
<h2 class="sub-head">Sign Up</h2>
<div class="sub-main">
<form action="insert.php" method="post">
NAME <input placeholder="" name="frm_Name" class="name" type="text" required=""><br>
AADHAAR NUMBER<input placeholder="" name="frm_Aadhaar" class="number" maxlength="12" required=""><br>
ADDRESS<input placeholder="" name="frm_Address" class="name2" type="text" required=""><br>
DATE OF BIRTH <input placeholder="" name="frm_DOB" class="frm_DOB" type="text" required=""><br>
PHONE NUMBER<input placeholder="" name="frm_Number" class="number" type="text" maxlength="10" required=""><br>
LAND ACRES<input placeholder="" name="frm_Landacres" class="number" type="text" required=""><br>
LAND STATUS <!--<input placeholder="" name="frm_Landstatus" class="name" type="text" required="">-->
<input type="radio" name="frm_Landstatus" value="male"> owned
<input type="radio" name="frm_Landstatus" value="female"> leased<br><br>
<!--STATUS <input placeholder="" name="status" class="mail" type="text" required=""><br>-->
USERNAME<input placeholder="" name="frm_Username" class="pass" type="text" required=""><br>
PASSWORD<input placeholder="" name="frm_Password" class="pass" type="password" required=""><br>
<input type="submit" value="sign up">
</form>
</div>
<div class="clear"></div>
</div>
<!--//main-->
<!--footer-->
<!--<div class="footer-w3">
<p>© 2016 Flat Sign Up Form . All rights reserved | Design by <a href="http://w3layouts.com">W3layouts</a></p>
</div>-->
<!--//footer-->
</body>
</html>