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signup.php
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signup.php
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<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta charset="utf-8" />
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1" />
<title>AGRO KRISHI</title>
<link href="css/bootstrap.css" rel="stylesheet" />
<link href="css/font-awesome.css" rel="stylesheet" />
<link href="css/style.css" rel="stylesheet" />
<link href='http://fonts.googleapis.com/css?family=Open+Sans' rel='stylesheet' type='text/css' />
<script type="text/javascript" src='farmer_validation.js'></script>
</head>
<body>
<?php include('includes/header.php');?>
<div class="container">
<h4 class="header-line"><h3>FARMER'S SIGNUP FORM</h3></h4>
</div>
<div class="form-area1">
<div class="row">
<div class="col-md-9 col-md-offset-1">
<h3 align="center">SIGNUP FORM</h3>
</div>
<div class="panel-body">
<form name="signup" method="post" action="farmer_entry.php" onsubmit ='return valid()'>
<div class="form-group">
<br/>
<br/>
<label><p>Name</p></label>
<input class="form-control" type="text" name="name" id="name" required/>
</div>
<div class="form-group">
<label><p>KCC</p></label>
<input class="form-control" type="int" name="kcc" id="kcc" required/>
</div>
<div class="form-group">
<label><p>City</p></label>
<input class="form-control" type="text" name="city" id="city" required/>
</div>
<div class="form-group">
<label><p>Pincode</p></label>
<input class="form-control" type="text" name="pincode" id="pin" required/>
</div>
<div class="form-group">
<label><p>State</p></label>
<input class="form-control" type="text" name="state" id="state" required/>
</div>
<div class="form-group">
<label><p>Password</p></label>
<input class="form-control" type="password" name="password" id="pp" required/>
</div>
<div class="form-group">
<label><p>Confirm Password</p> </label>
<input class="form-control" type="password" name="confirmpassword" autocomplete="off" id="pp1" required />
</div>
<div class="form-group">
<label><p> Security question </p> </label>
<br>
<select name='ques' class="form-control">
<option default>Select Your security questions</option>
<option value="ques1">your favorite crop</option>
<option value="ques2">your favorite dinner </option>
<option value="ques3">your childhood name</option>
<option value="ques4">your best friend</option>
</select>
</div>
<div class="form-group">
<label><p>Answers</p></label>
<input class="form-control" type="text" name="ans"/>
</div>
<input type="submit" name="submit" value="SIGNUP" class="btn btn-danger"/>
</form>
</div>
</div>
</div>
<script src="assets/js/jquery-1.10.2.js"></script>
<script src="assets/js/bootstrap.js"></script>
<script src="assets/js/custom.js"></script>
</body>
</html>