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form-wizard-validate.php
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form-wizard-validate.php
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<?php
require_once("header.php");
?>
<!-- Page Content -->
<div id="content-page" class="content-page">
<div class="container-fluid">
<div class="row">
<div class="col-sm-12 col-lg-12">
<div class="iq-card">
<div class="iq-card-header d-flex justify-content-between">
<div class="iq-header-title">
<h4 class="card-title">Validate Wizard</h4>
</div>
</div>
<div class="iq-card-body">
<div class="stepwizard mt-4">
<div class="stepwizard-row setup-panel">
<div id="user" class="wizard-step active">
<a href="#user-detail" class="active btn">
<i class="ri-lock-unlock-line text-primary"></i><span>User Detail</span>
</a>
</div>
<div id="document" class="wizard-step">
<a href="#document-detail" class="btn btn-default disabled" >
<i class="ri-user-fill text-danger"></i><span>Document Detail</span>
</a>
</div>
<div id="bank" class="wizard-step">
<a href="#bank-detail" class="btn btn-default disabled">
<i class="ri-camera-fill text-success"></i><span>Bank Detail</span>
</a>
</div>
<div id="confirm" class="wizard-step">
<a href="#cpnfirm-data" class="btn btn-default disabled">
<i class="ri-check-fill text-warning"></i><span>Confirm</span>
</a>
</div>
</div>
</div>
<form class="form">
<div class="row setup-content" id="user-detail">
<div class="col-sm-12">
<div class="col-md-12 p-0">
<h3 class="mb-4">User Information:</h3>
<div class="row">
<div class="form-group col-md-6">
<label class="control-label">First Name</label>
<input maxlength="100" type="text" required="required" class="form-control" placeholder="Enter First Name" />
</div>
<div class="form-group col-md-6">
<label class="control-label">Last Name</label>
<input maxlength="100" type="text" required="required" class="form-control" placeholder="Enter Last Name" />
</div>
<div class="col-md-6 form-group">
<label for="uname" class="control-label">User Name: *</label>
<input type="text" class="form-control" id="uname" required="required" name="uname" placeholder="Enter User Name">
</div>
<div class="col-md-6 form-group">
<label for="emailid" class="control-label">Email Id: *</label>
<input type="email" id="emailid" class="form-control" required="required" name="emailid" placeholder="Email ID">
</div>
<div class="col-md-6 form-group">
<label for="pwd" class="control-label">Password: *</label>
<input type="password" class="form-control" required="required" id="pwd" name="pwd" placeholder="Password">
</div>
<div class="col-md-6 form-group">
<label for="cpwd" class="control-label">Confirm Password: *</label>
<input type="password" class="form-control" id="cpwd" required="required" name="cpwd" placeholder="Confirm Password">
</div>
<div class="col-md-6 form-group">
<label for="cno" class="control-label">Contact Number: *</label>
<input type="text" class="form-control" required="required" id="cno" name="cno" placeholder="Contact Number">
</div>
<div class="col-md-6 form-group">
<label for="acno" class="control-label">Alternate Contact Number: *</label>
<input type="text" class="form-control" required="required" id="acno" name="acno" placeholder="Alternate Contact Number">
</div>
<div class="col-md-12 mb-3 form-group">
<label for="address" class="control-label">Address: *</label>
<textarea name="address" class="form-control" id="address" rows="5" required="required"></textarea>
</div>
</div>
<button class="btn btn-primary nextBtn btn-lg pull-right" type="button" >Next</button>
</div>
</div>
</div>
<div class="row setup-content" id="document-detail">
<div class="col-sm-12">
<div class="col-md-12 p-0">
<h3 class="mb-4">Document Details:</h3>
<div class="row">
<div class="col-md-6 form-group">
<label for="fname" class="control-label">Company Name: *</label>
<input type="text" class="form-control" required="required" id="fname" name="fname" placeholder="Company Name">
</div>
<div class="col-md-6 form-group">
<div class="form-group">
<label for="ccno" class="control-label">Contact Number: *</label>
<input type="text" class="form-control" required="required" id="ccno" name="ccno" placeholder="Contact Number">
</div>
</div>
<div class="col-md-6 form-group">
<div class="form-group">
<label for="url" class="control-label">Company Url: *</label>
<input type="text" class="form-control" required="required" id="url" name="url" placeholder="Company Url.">
</div>
</div>
<div class="col-md-6 form-group">
<div class="form-group">
<label for="cemail" class="control-label">Company Mail Id: *</label>
<input type="email" class="form-control" required="required" id="cemail" name="cemail" placeholder="Company Mail Id.">
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<label for="cadd" class="control-label">Company Address: *</label>
<textarea name="cadd" required="required" id="cadd" class="form-control" rows="5"></textarea>
</div>
</div>
</div>
<button class="btn btn-primary nextBtn btn-lg pull-right" type="button" >Next</button>
</div>
</div>
</div>
<div class="row setup-content" id="bank-detail">
<div class="col-sm-12">
<div class="col-md-12 p-0">
<h3 class="mb-4">Bank Detail:</h3>
<div class="row">
<div class="col-md-6 form-group">
<label for="panno" class="control-label">Pan No: *</label>
<input type="text" class="form-control" required="required" id="panno" name="panno" placeholder="Pan No.">
</div>
<div class="col-md-6 form-group">
<label for="accno" class="control-label">Account No: *</label>
<input type="text" class="form-control" required="required" id="accno" name="accno" placeholder="Account No.">
</div>
<div class="col-md-6 form-group">
<label for="accname" class="control-label">Account Holder Name: *</label>
<input type="text" class="form-control" required="required" id="accname" name="accname" placeholder="Account Holder Name.">
</div>
<div class="col-md-6 form-group">
<label for="ifsc" class="control-label">IFSC Code: *</label>
<input type="text" class="form-control" required="required" id="ifsc" name="ifsc" placeholder="IFSC Code.">
</div>
<div class="col-md-6 form-group">
<label for="bankname" class="control-label">Bank Name: *</label>
<input type="text" class="form-control" required="required" id="bankname" name="bankname" placeholder="Bank Name.">
</div>
<div class="col-md-6 form-group">
<label for="branch" class="control-label">Bank Branch Name: *</label>
<input type="text" class="form-control" required="required" id="branch" name="branch" placeholder="Bank Branch Name.">
</div>
</div>
<button class="btn btn-primary nextBtn btn-lg pull-right" type="button" >Next</button>
</div>
</div>
</div>
<div class="row setup-content" id="cpnfirm-data">
<div class="col-sm-12">
<div class="col-md-12 p-0">
<h3 class="mb-4 text-left">Finish:</h3>
<div class="row justify-content-center">
<div class="col-3"> <img src="../assets/images/page-img/img-success.png" class="fit-image" alt="img-success"> </div>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- Wrapper END -->
<?php
require_once("footer.php");
?>