File size: 8.31Kb
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Register - Deep Blue Admin</title>
<link rel="stylesheet" type="text/css" href="bootstrap/css/bootstrap.min.css" />
<link rel="stylesheet" type="text/css" href="font-awesome/css/font-awesome.min.css" />
<link rel="stylesheet" type="text/css" href="css/local.css" />
<script type="text/javascript" src="js/jquery-1.10.2.min.js"></script>
<script type="text/javascript" src="bootstrap/js/bootstrap.min.js"></script>
<style>
div {
padding-bottom:20px;
}
</style>
</head>
<body>
<div id="wrapper">
<nav class="navbar navbar-inverse navbar-fixed-top" role="navigation">
<div class="navbar-header">
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-ex1-collapse">
<span class="sr-only">Toggle navigation</span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
<span class="icon-bar"></span>
</button>
<a class="navbar-brand" href="index.html">Back to Admin</a>
</div>
<div class="collapse navbar-collapse navbar-ex1-collapse">
<ul class="nav navbar-nav side-nav">
<li><a href="index.html"><i class="fa fa-bullseye"></i> Dashboard</a></li>
<li><a href="portfolio.html"><i class="fa fa-tasks"></i> Portfolio</a></li>
<li><a href="blog.html"><i class="fa fa-globe"></i> Blog</a></li>
<li><a href="signup.html"><i class="fa fa-list-ol"></i> SignUp</a></li>
<li class="active"><a href="register.html"><i class="fa fa-font"></i> Register</a></li>
<li><a href="timeline.html"><i class="fa fa-font"></i> Timeline</a></li>
<li><a href="forms.html"><i class="fa fa-list-ol"></i> Forms</a></li>
<li><a href="typography.html"><i class="fa fa-font"></i> Typography</a></li>
<li><a href="bootstrap-elements.html"><i class="fa fa-list-ul"></i> Bootstrap Elements</a></li>
<li><a href="bootstrap-grid.html"><i class="fa fa-table"></i > Bootstrap Grid</a></li>
</ul>
<ul class="nav navbar-nav navbar-right navbar-user">
<li class="dropdown messages-dropdown">
<a href="#" class="dropdown-toggle" data-toggle="dropdown"><i class="fa fa-envelope"></i> Messages <span class="badge">2</span> <b class="caret"></b></a>
<ul class="dropdown-menu">
<li class="dropdown-header">2 New Messages</li>
<li class="message-preview">
<a href="#">
<span class="avatar"><i class="fa fa-bell"></i></span>
<span class="message">Security alert</span>
</a>
</li>
<li class="divider"></li>
<li class="message-preview">
<a href="#">
<span class="avatar"><i class="fa fa-bell"></i></span>
<span class="message">Security alert</span>
</a>
</li>
<li class="divider"></li>
<li><a href="#">Go to Inbox <span class="badge">2</span></a></li>
</ul>
</li>
<li class="dropdown user-dropdown">
<a href="#" class="dropdown-toggle" data-toggle="dropdown"><i class="fa fa-user"></i> Steve Miller<b class="caret"></b></a>
<ul class="dropdown-menu">
<li><a href="#"><i class="fa fa-user"></i> Profile</a></li>
<li><a href="#"><i class="fa fa-gear"></i> Settings</a></li>
<li class="divider"></li>
<li><a href="#"><i class="fa fa-power-off"></i> Log Out</a></li>
</ul>
</li>
</ul>
</div>
</nav>
<div>
<div class="row text-center">
<h2>New Registration</h2>
</div>
<div>
<label for="firstname" class="col-md-2">
First Name:
</label>
<div class="col-md-9">
<input type="text" class="form-control" id="firstname" placeholder="Enter First Name">
</div>
<div class="col-md-1">
<i class="fa fa-lock fa-2x"></i>
</div>
</div>
<div>
<label for="lastname" class="col-md-2">
Last Name:
</label>
<div class="col-md-9">
<input type="text" class="form-control" id="lastname" placeholder="Enter Last Name">
</div>
<div class="col-md-1">
<i class="fa fa-lock fa-2x"></i>
</div>
</div>
<div>
<label for="emailaddress" class="col-md-2">
Email address:
</label>
<div class="col-md-9">
<input type="email" class="form-control" id="emailaddress" placeholder="Enter email address">
<p class="help-block">
Example: yourname@domain.com
</p>
</div>
<div class="col-md-1">
<i class="fa fa-lock fa-2x"></i>
</div>
</div>
<div>
<label for="password" class="col-md-2">
Password:
</label>
<div class="col-md-9">
<input type="password" class="form-control" id="password" placeholder="Enter Password">
<p class="help-block">
Min: 6 characters (Alphanumeric only)
</p>
</div>
<div class="col-md-1">
<i class="fa fa-lock fa-2x"></i>
</div>
</div>
<div>
<label for="sex" class="col-md-2">
Gender:
</label>
<div class="col-md-10">
<label class="radio">
<input type="radio" name="sex" id="sex" value="male" checked>
Male
</label>
<label class="radio">
<input type="radio" name="sex" id="Radio1" value="female">
Female
</label>
</div>
</div>
<div>
<label for="country" class="col-md-2">
Country:
</label>
<div class="col-md-9">
<select name="country" id="country" class="form-control">
<option>--Please Select--</option>
<option>India</option>
<option>United States</option>
<option>Canada</option>
<option>United Kingdom</option>
<option>Others</option>
</select>
</div>
</div>
<div>
<label for="uploadimage" class="col-md-2">
Upload Image:
</label>
<div class="col-md-10">
<input type="file" name="uploadimage" id="uploadimage">
<p class="help-block">
Allowed formats: jpeg, jpg, gif, png
</p>
</div>
</div>
<div>
<div class="col-md-2">
</div>
<div class="col-md-10">
<label>
<input type="checkbox">I hereby accept the terms and conditions for using this site</label>
</div>
</div>
<div class="row">
<div class="col-md-2">
</div>
<div class="col-md-10">
<button type="submit" class="btn btn-info">
Register
</button>
</div>
</div>
</div>
</div>
</body>
</html>