Files
IPA/ipa-customer/pages/sign-up.php
diptimhabadi351 1cf6f290de IPA
2024-06-18 13:31:13 +05:30

61 lines
3.0 KiB
PHP

<?php include('../components/header.php') ?>
<seciton class="form_sec">
<div class="container">
<a href="sign-in.php" class="back_btn">
<img loading="lazy" src="../assets/images/back_btn.svg" alt="back_btn">
</a>
<div class="row">
<div class="col-md-6">
<img loading="lazy" src="../assets/images/login_img.webp" alt="login_img">
</div>
<div class="col-md-6">
<form>
<h2 class="h2_head">Create account</h2>
<div class="label_input">
<label for="" class="form-label">Name</label>
<input type="text" class="form-control" id="" placeholder="Enter your name">
</div>
<div class="label_input">
<label for="" class="form-label">Phone number</label>
<input type="tel" class="form-control" id="" placeholder="Enter your phone number">
</div>
<div class="label_input">
<label for="" class="form-label">Date of birth</label>
<input type="date" class="form-control" id="" placeholder="Enter your date of birth">
</div>
<div class="label_input">
<label for="" class="form-label">Are you a real estate agent ?</label>
<div class="inn_check">
<div class="form-check">
<input class="form-check-input" type="radio" name="flexRadioDefault" id="flexRadioDefault1" checked>
<label class="form-check-label" for="flexRadioDefault1">
Yes
</label>
</div>
<div class="form-check">
<input class="form-check-input" type="radio" name="flexRadioDefault" id="flexRadioDefault2">
<label class="form-check-label" for="flexRadioDefault1">
No
</label>
</div>
</div>
</div>
<div class="form-check">
<input class="form-check-input" type="checkbox" value="" id="flexCheckDefault">
<label class="form-check-label" for="flexCheckDefault">
I Accept the terms & conditions
</label>
</div>
<a href="otp.php" class="login_btn">Continue</a>
<p class="regis">Already have an account ? <a href="sign-in.php">Login</a></p>
</form>
</div>
</div>
</div>
</seciton>
<?php include('../components/footer.php') ?>