Files
report_satu_data/public/template/sources/pages/auth-register.html
T
2025-03-21 10:22:45 +07:00

122 lines
4.9 KiB
HTML

{% set title = 'Register' %}
{% set page = 'auth-register.html' %}
{% set body = false %}
{% extends 'layouts/master.html' %}
{% block plugins_css %}
<link rel="stylesheet" href="../node_modules/selectric/public/selectric.css">
{% endblock %}
{% block content_2 %}
<section class="section">
<div class="container mt-5">
<div class="row">
<div class="col-12 col-sm-10 offset-sm-1 col-md-8 offset-md-2 col-lg-8 offset-lg-2 col-xl-8 offset-xl-2">
<div class="login-brand">
<img src="../assets/img/stisla-fill.svg" alt="logo" width="100" class="shadow-light rounded-circle">
</div>
<div class="card card-primary">
<div class="card-header"><h4>Register</h4></div>
<div class="card-body">
<form method="POST">
<div class="row">
<div class="form-group col-6">
<label for="first_name">First Name</label>
<input id="first_name" type="text" class="form-control" name="first_name" autofocus>
</div>
<div class="form-group col-6">
<label for="last_name">Last Name</label>
<input id="last_name" type="text" class="form-control" name="last_name">
</div>
</div>
<div class="form-group">
<label for="email">Email</label>
<input id="email" type="email" class="form-control" name="email">
<div class="invalid-feedback">
</div>
</div>
<div class="row">
<div class="form-group col-6">
<label for="password" class="d-block">Password</label>
<input id="password" type="password" class="form-control pwstrength" data-indicator="pwindicator" name="password">
<div id="pwindicator" class="pwindicator">
<div class="bar"></div>
<div class="label"></div>
</div>
</div>
<div class="form-group col-6">
<label for="password2" class="d-block">Password Confirmation</label>
<input id="password2" type="password" class="form-control" name="password-confirm">
</div>
</div>
<div class="form-divider">
Your Home
</div>
<div class="row">
<div class="form-group col-6">
<label>Country</label>
<select class="form-control selectric">
<option>Indonesia</option>
<option>Palestine</option>
<option>Syria</option>
<option>Malaysia</option>
<option>Thailand</option>
</select>
</div>
<div class="form-group col-6">
<label>Province</label>
<select class="form-control selectric">
<option>West Java</option>
<option>East Java</option>
</select>
</div>
</div>
<div class="row">
<div class="form-group col-6">
<label>City</label>
<input type="text" class="form-control">
</div>
<div class="form-group col-6">
<label>Postal Code</label>
<input type="text" class="form-control">
</div>
</div>
<div class="form-group">
<div class="custom-control custom-checkbox">
<input type="checkbox" name="agree" class="custom-control-input" id="agree">
<label class="custom-control-label" for="agree">I agree with the terms and conditions</label>
</div>
</div>
<div class="form-group">
<button type="submit" class="btn btn-primary btn-lg btn-block">
Register
</button>
</div>
</form>
</div>
</div>
<div class="simple-footer">
Copyright &copy; Stisla 2018
</div>
</div>
</div>
</div>
</section>
{% endblock %}
{% block plugins_js %}
<script src="../node_modules/jquery-pwstrength/jquery.pwstrength.min.js"></script>
<script src="../node_modules/selectric/public/jquery.selectric.min.js"></script>
{% endblock %}
{% block page_js %}
<script src="../assets/js/page/auth-register.js"></script>
{% endblock %}