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Signup.html
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Signup.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!----======== CSS ======== -->
<link rel="stylesheet" href="registration.css">
<!----===== Iconscout CSS ===== -->
<link rel="stylesheet" href="https://unicons.iconscout.com/release/v4.0.0/css/line.css">
</head>
<body>
<div class="container">
<header>Create new account :-</header>
<form action="#">
<div class="form first">
<div class="details personal">
<span class="title">Personal Details</span>
<div class="fields">
<div class="input-field">
<label>Full Name</label>
<input type="text" placeholder="Enter your name" required>
</div>
<div class="input-field">
<label>Date of Birth</label>
<input type="date" placeholder="Enter birth date" required>
</div>
<div class="input-field">
<label>Email</label>
<input type="text" placeholder="Enter your email" required>
</div>
<div class="input-field">
<label>Mobile Number</label>
<input type="number" placeholder="Enter mobile number" required>
</div>
<div class="input-field">
<label>Gender</label>
<select required>
<option disabled selected>Select gender</option>
<option>Male</option>
<option>Female</option>
<option>Others</option>
</select>
</div>
<div class="input-field">
<label>Blood Group</label>
<input type="text" placeholder="Enter blood group" required>
</div>
</div>
</div>
<div class="details ID">
<span class="title">Other Details</span>
<div class="fields">
<div class="input-field">
<label>ID Proof</label>
<!--<input type="text" placeholder="Enter ID type" required>-->
<select required>
<option disabled selected>Select ID proof</option>
<option>Aadhar Card</option>
<option>PAN Card</option>
<option>Other ID Proof</option>
</select>
</div>
<div class="input-field">
<label>ID Number</label>
<input type="number" placeholder="Enter ID Proof number" required>
</div>
<!-- <div class="input-field">
<label>Issued Authority</label>
<input type="text" placeholder="Enter issued authority" required>
</div> -->
<div class="input-field">
<label>Address</label>
<input type="text" placeholder="Enter address" required>
</div>
<div class="input-field">
<label> City </label>
<input type="text" placeholder="Enter city" required>
</div>
<div class="input-field">
<label> State </label>
<input type="text" placeholder="Enter state" required>
</div>
<div class="input-field">
<label>PIN Code</label>
<input type="number" placeholder="XXXXXX" required>
</div>
<!--
<div class="input-field">
<label>Expiry Date</label>
<input type="date" placeholder="Enter expiry date" required>
</div> -->
</div>
<button class="nextBtn">
<span class="btnText">Next</span>
<i class="uil uil-navigator"></i>
</button>
</div>
</div>
<div class="form second">
<div class="details address">
<span class="title">Address Details</span>
<div class="fields">
<div class="input-field">
<label>Address Type</label>
<input type="text" placeholder="Permanent or Temporary" required>
</div>
<div class="input-field">
<label>Nationality</label>
<input type="text" placeholder="Enter nationality" required>
</div>
<div class="input-field">
<label>State</label>
<input type="text" placeholder="Enter your state" required>
</div>
<div class="input-field">
<label>District</label>
<input type="text" placeholder="Enter your district" required>
</div>
<div class="input-field">
<label>Block Number</label>
<input type="number" placeholder="Enter block number" required>
</div>
<div class="input-field">
<label>Ward Number</label>
<input type="number" placeholder="Enter ward number" required>
</div>
</div>
</div>
<div class="details family">
<span class="title">Family Details</span>
<div class="fields">
<div class="input-field">
<label>Father Name</label>
<input type="text" placeholder="Enter father name" required>
</div>
<div class="input-field">
<label>Mother Name</label>
<input type="text" placeholder="Enter mother name" required>
</div>
<div class="input-field">
<label>Grandfather</label>
<input type="text" placeholder="Enter grandfther name" required>
</div>
<div class="input-field">
<label>Spouse Name</label>
<input type="text" placeholder="Enter spouse name" required>
</div>
<div class="input-field">
<label>Father in Law</label>
<input type="text" placeholder="Father in law name" required>
</div>
<div class="input-field">
<label>Mother in Law</label>
<input type="text" placeholder="Mother in law name" required>
</div>
</div>
<div class="buttons">
<div class="backBtn">
<i class="uil uil-navigator"></i>
<span class="btnText">Back</span>
</div>
<button class="sumbit">
<span class="btnText">Submit</span>
<i class="uil uil-navigator"></i>
</button>
</div>
</div>
</div>
</form>
</div>
<script src="registration.js"></script>
</body>
</html>