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signup.php
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<!DOCTYPE html>
<html lang="en">
<head>
<title>GSIX BANK</title>
<meta charset="utf-8">
<meta name = "format-detection" content = "telephone=no" />
<link rel="icon" href="images/favicon.ico" type="image/x-icon">
<link rel="stylesheet" href="css/grid.css">
<link rel="stylesheet" href="css/style.css">
<link rel="stylesheet" href="css/touchTouch.css">
<script src="js/jquery.js"></script>
<script src="js/jquery-migrate-1.2.1.js"></script>
<script src="js/touchTouch.jquery.js"></script>
<script src="js/script.js"></script>
<!--[if (gt IE 9)|!(IE)]><!-->
<script src="js/wow.js"></script>
<script>
$(document).ready(function () {
if ($('html').hasClass('desktop')) {
new WOW().init();
}
});
</script>
<!--<![endif]-->
<!--[if lt IE 8]>
<div style=' clear: both; text-align:center; position: relative;'>
<a href="http://windows.microsoft.com/en-US/internet-explorer/products/ie/home?ocid=ie6_countdown_bannercode">
<img src="images/ie8-panel/warning_bar_0000_us.jpg" border="0" height="42" width="820" alt="You are using an outdated browser. For a faster, safer browsing experience, upgrade for free today." />
</a>
</div>
<![endif]-->
<!--[if lt IE 9]>
<script src="js/html5shiv.js"></script>
<link rel="stylesheet" type="text/css" media="screen" href="css/ie.css">
<![endif]-->
<style>/*
input[type=text],
input[type=email],
input[type=password],
input[type=date],
input[type=radio]
{
border: 2px solid red;
border-radius: 4px;
}
textarea
{
border: 2px solid red;
border-radius: 4px;
}
select
{
border: 2px solid red;
border-radius: 4px;
}*/
</style>
</head>
<body class="index-2">
<!--==============================header=================================-->
<header id="header">
<div id="stuck_container">
<div class="container">
<div class="row">
<div class="grid_12">
<h1><a href="index.html">GSIX BANK</a><span>Your New Banking Partner</span></h1>
<nav>
<ul class="sf-menu">
<li><a href="index.html">Home</a></li>
<li><a href="index-1.html">Services</a></li>
<li><a href="index-2.html">Branches</a></li>
<li><a href="index-3.html">About Us</a></li>
<li class="current"><a href="loginpage.php">Login</a></li>
</ul>
</nav>
</div>
</div>
</div>
</div>
</header>
<!--=======content================================-->
<section id="content">
<div class="full-width-container block-1">
<div style="width:100%; font-size:"">
<div style="float:left; width:20%;" > </div>
<form id="signup" name="form1" method="post" action="signup_process.php" >
<table width="80%" height="527" border="0" align="center">
<tr>
<td colspan="2" align="center"><strong>REGISTRATION</strong></td>
</tr>
<tr>
<td> 1.Name</td>
<td><label for="Name"></label>
<input type="text" name="name" id="textfield1" required /></td>
</tr>
<tr>
<td> 2.Son/Wife/Daughter of</td>
<td><label for="relation"></label>
<input type="text" name="guardian" id="guardian" required /></td>
</tr>
<tr>
<td> 3.Gender</td>
<td><input type="radio" name="gender" id="radio" value="male" />
<label for="gender"></label>
Male
<input type="radio" name="gender" id="radio2" value="female" />
Female</td>
</tr>
<tr>
<td> 4.Permanant adress</td>
<td><label for="present address"></label>
<textarea name="paddress" id="textfield" cols="35" rows="5" required></textarea></td>
</tr>
<tr>
<td> 5.Date Of Birth </td>
<td><label for="dob"></label>
<input type="date" name="dob" id="textfield" required/></td>
</tr>
<tr>
<td> 6.Ph no</td>
<td><label for="phno"></label>
<input type="text" name="phno" id="textfield" required /></td>
</tr>
<tr>
<td> 7.Account type</td>
<td><label for="acctype"></label>
<select name="acctype" id="acctype">
<option value="current">Current Account</option>
<option value="savings">Savings Account</option>
</select></td>
</tr>
<tr>
<td> 8.Select Branch</td>
<td><label for="branch"></label>
<select name="branch" id="branch">
<?php
error_reporting(E_ALL ^ E_DEPRECATED);
include('db.php');
$sql="select * from branches";
$res=mysql_query($sql,$con);
while($r=mysql_fetch_array($res))
{
echo "<option value=".$r[1]." >".$r[1]."</option>";
}
?>
</select></td>
</tr>
<tr>
<td> 8.e-mail id</td>
<td><label for="emailid"></label>
<input type="email" name="emailid" id="textfield" required/></td>
</tr>
<tr>
<td> 9.Password</td>
<td><label for="password"></label>
<input type="password" name="password" id="textfield" required /></td>
</tr>
<tr>
<td> 10.Confirm password</td>
<td><label for="confirmpassword"></label>
<input type="password" name="confirmpassword" id="textfield" required /></td>
</tr>
<tr>
<td colspan="2" align="center"><input name="checkbox" type="checkbox" required id="checkbox" />I Agree The Terms and Conditions
<label for="checkbox"></label></td>
</tr>
<tr>
<td colspan="2" align="center"><input type="submit" name="submit" id="submit" value="Submit" />
<input type="reset" name="reset" id="reset" value="reset" /></td>
</tr>
</table>
</form>
</div>
</section>
<!--=======footer=================================-->
<footer id="footer">
<div class="container">
<div class="row">
<div class="grid_12 copyright">
<h2><span>Follow Us</span></h2>
<a href="#" class="btn bd-ra"><span class="fa fa-facebook"></span></a>
<a href="#" class="btn bd-ra"><span class="fa fa-tumblr"></span></a>
<a href="#" class="btn bd-ra"><span class="fa fa-google-plus"></span></a>
<pre>© <span id="copyright-year"></span> | Privacy Policy</pre>
</div>
</div>
</div>
<div class="footer_bottom"><a href="#" rel="nofollow"><img src="images/footer-logo.png" alt="logo"></a></div>
</footer>
<script>
$(function(){
$('#touch_gallery a').touchTouch();
});
</script>
</body>
</html>