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<!doctype html>
<html>
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="author" content="<?=META_AUTHOR?>">
<title><?=$Content[0]['meta_title']?></title>
<meta name="description" content="<?=$Content[0]['meta_description']?>">
<meta name="keyword" content="<?=$Content[0]['meta_keywords']?>">
<?php $this->load->view("Element/front/header_common.php");?>
</head>
<body>
<?php $this->load->view("Element/front/header.php");?>
<div class="clearfix"></div>
<!--container-->
<div class="container">
<div class="col-md-12 small-logo-margin">
<div class="panel-heading">
<div class="panel-title text-center"></div>
</div>
</div>
<? if($this->session->userdata('bh_front_username')==""){ ?>
<div id="" style="margin-top:7%; margin-bottom:5%; padding-top:15px;" class="mainbox registraion-prity col-md-8 col-md-offset-2 col-sm-8 col-sm-offset-2">
<div class="panel panel-info" >
<div class="panel-heading space_manage">
<div class="panel-title text-center">Create an Account</div>
</div>
<div style="padding-top:30px" class="panel-body" >
<div style="display:none" id="login-alert" class="alert alert-danger col-sm-12"></div>
<?php
if(validation_errors())
echo'<div class="error" id="FLASH" name="FLASH">'.validation_errors().'</div>';
if($this->session->flashdata("error")) echo '<div class="normal" id="FLASH" name="FLASH">'.$this->session->flashdata("error").'</div>';
?>
<form method="post" action="<?=BASE_URL.'register'?>" id="" onsubmit="return checkF();" class="form-horizontal" role="form">
<input id="SaveStatus" name="submitF" type="hidden" value="1" />
<input name="user_type" type="hidden" value="1" />
<div class="form-group">
<label for="firstname" class="col-md-3 control-label">First Name</label>
<div class="col-md-9">
<input type="text" class="form-control input_field1" name="first_name" required value="<?=(isset($_POST['first_name'])!='')?$_POST['first_name']:''?>" placeholder="First Name">
</div>
</div>
<div class="form-group">
<label for="lastname" class="col-md-3 control-label">Last Name</label>
<div class="col-md-9">
<input type="text" class="form-control input_field1" required name="last_name" value="<?=(isset($_POST['last_name'])!='')?$_POST['last_name']:''?>" placeholder="Last Name">
</div>
</div>
<div class="form-group">
<label for="email" class="col-md-3 control-label">Email Id</label>
<div class="col-md-9">
<input type="text" class="form-control input_field1" required name="email_id" value="<?=(isset($_POST['email_id'])!='')?$_POST['email_id']:''?>" placeholder="Email Address">
</div>
</div>
<div class="form-group">
<label for="icode" class="col-md-3 control-label">Mobile No.</label>
<div class="col-md-9">
<input type="number" maxlength="12" class="form-control input_field1" id="tel" required name="mobile" value="<?=(isset($_POST['mobile'])!='')?$_POST['mobile']:''?>" placeholder="Mobile No">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label">Phone No</label>
<div class="col-sm-9">
<input type="tel" name="phone" id="tel" value="<?=(isset($_POST['phone'])!='')?$_POST['phone']:''?>" class="form-control input_field1" placeholder="Phone No">
</div>
</div>
<div class="form-group">
<label for="sel5" class="col-md-3 control-label">Country</label>
<div class="col-md-9">
<select name="country_id" required id="country" onchange="return show_state(this.value);" class="form-control" >
<?php
$allcountry = $this->commonmod_model->GetAllCountry();
//print_r($allcountry);
foreach($allcountry as $singleData){
//$url = $this->create_url($singleData['Title']);
if(@$Country_id==$singleData['id'] || $singleData['id']=='101'){ $class= 'selected'; } else{ $class= ''; } ?>
<option value="<?=$singleData['id'];?>" <?=$class;?>><?=$singleData['name'];?></option>
<? } ?>
</select>
</div>
</div>
<div class="form-group">
<label for="sel4" class="col-md-3 control-label">State</label>
<div class="col-md-9">
<select name="state_id" id="state" required class="form-control">
</select>
</div>
</div>
<div class="form-group">
<label for="sel3" class="col-md-3 control-label">City</label>
<div class="col-md-9">
<input type="text" required class="form-control input_field1" name="city" value="<?=(isset($_POST['city'])!='')?$_POST['city']:''?>" placeholder="City">
</div>
</div>
<div class="form-group">
<label for="comment" class="col-md-3 control-label">Address1</label>
<div class="col-md-9">
<textarea name="address_1" class="form-control" rows="5" id="comment"><?=(isset($_POST['address_1'])!='')?$_POST['address_1']:''?></textarea>
</div>
</div>
<div class="form-group">
<label for="comment" class="col-md-3 control-label">Address2</label>
<div class="col-md-9">
<textarea name="address_2" class="form-control" rows="5" id="comment"><?=(isset($_POST['address_2'])!='')?$_POST['address_2']:''?></textarea>
</div>
</div>
<div class="form-group">
<label for="icode" class="col-md-3 control-label">Postcode</label>
<div class="col-md-9">
<input class="form-control" name="postcode" required value="<?=(isset($_POST['postcode'])!='')?$_POST['postcode']:''?>" placeholder="Pincode" type="text">
</div>
</div>
<div class="form-group">
<label for="password" class="col-md-3 control-label">Password</label>
<div class="col-md-9">
<input type="password" required class="form-control input_field1" name="password" id="password" placeholder="Password">
</div>
</div>
<div class="form-group">
<label for="password" class="col-md-3 control-label">Confirm Password</label>
<div class="col-md-9">
<input type="password" required class="form-control input_field1" name="password2" id="password2" placeholder="Confirm Password">
<span id="pass_error"></span>
</div>
</div>
<div class="form-group">
<div class="checkbox" style="border-top: 1px solid #e1e4e6; padding-top:15px; font-size:85%">
<label><input type="checkbox" required name="agree"> I agree to <a href="<?=BASE_URL?>privacy-term-conditions" target="_blank">privacy and terms </a> of <?=AGGRE_BASE_URL?></label>
</div>
</div>
<div style="margin-top:10px" class="form-group">
<!-- Button -->
<div class="col-sm-12 text-center controls">
<input class="btn btn-primary" name="submitForm" value="Submit" type="submit">
</div>
</div>
</form>
</div>
</div>
</div>
<? } else{ header('Location: '.BASE_URL.'myaccount'); ?>
<? } ?>
</div>
<div class="clearfix"></div>
<?php $this->load->view("Element/front/footer.php");?>
<script>
$(window).load(function (){
show_state('101');
});
function show_state(country){
if(country==""){ $("#state").prop("disabled",true); }else{ $("#state").prop("disabled",false); }
$.ajax({
url : "<?php echo base_url('user/show_state'); ?>",
type: "POST",
data: {'countryval': country},
dataType: 'json',
success: function(data2){
$("#state").html(data2);
},
error: function(){
alert("there is error");
}
});
}
</script>
<?php $this->load->view("Element/front/footer_common.php");?>