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Current File : /home/users/unlimited/www/admin.ondemand.codeskitter.site/app/Views/frontend/retro/pages/text.php

<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>