-
Notifications
You must be signed in to change notification settings - Fork 2
/
jform.php
165 lines (152 loc) · 8.08 KB
/
jform.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>JSON Submit Form</title>
<link href="assets/css/bootstrap.min.css" rel="stylesheet">
<link href="assets/css/fontawesome.min.css" rel="stylesheet">
<link href="assets/css/animate.css" rel="stylesheet">
<link href="assets/css/styles.css" rel="stylesheet">
<link href="assets/css/manage.css" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Nunito:300,400|Open+Sans:100,300,400,700" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Quicksand:500" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Cedarville+Cursive" rel="stylesheet">
<script type="text/javascript">
function showDiv(select) {
if (select.value == 'Yes') {
document.getElementById('hidden_div').style.display = "block";
} else {
document.getElementById('hidden_div').style.display = "none";
}
}
</script>
</head>
<body>
<header class="header">
<nav class="navbar navbar-default navbar-static-top" role="navigation">
<div class="container">
<div class="navbar-header">
<button type="button" class="navbar-toggle" data-toggle="collapse" data-target=".navbar-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="">COMPANY NAME</a>
</div>
<div class="navbar-collapse collapse">
<ul class="nav navbar-nav navbar-right">
<li><a href="./">Home</a></li>
<li><a href="form2.html">Form 2</a></li>
<li><a href="form3.html">Form 3</a></li>
<li><a href="form4.html">Textarea</a></li>
<li><a href="side.html">SideBar</a></li>
<li><a href="jform.html">JForm</a></li>
</ul>
</div>
<!--/.nav-collapse -->
</div>
</nav>
</header>
<div class="login-container">
<div class="col-md-offset-2 col-lg-4 col-sm-4 col-md-4">
<div class="panel panel-default">
<div class="panel-body">
<form action="thanks.php" method="POST" autocomplete="off" class="manage-wrapper">
<div class="form-group">
<label class="sr-only">FullName</label>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-envelope"></i> </span>
<input type="text" class="form-control" name="fullname" placeholder="Enter your Fullname" value="" required>
</div>
</div>
<div class="form-group">
<label for="email" class="sr-only">Lastname</label>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-envelope"></i> </span>
<input type="text" class="form-control" name="lastname" placeholder="Enter your Last Name" value="" required>
</div>
</div>
<div class="form-group">
<label for="email" class="sr-only">Email address</label>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-envelope"></i> </span>
<input type="email" class="form-control" name="email" placeholder="Enter your Email Address" value="" required>
</div>
</div>
<div class="form-group">
<label for="password" class="sr-only">Password</label>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-key"></i> </span>
<input type="password" class="form-control" id="password" name="pass" placeholder="Enter Your Password" value="" required>
</div>
</div>
<div class="form-group">
<button type="submit" name="submit" class="btn btn-primary">Submit</button> <a class="text-center" href="#" data-toggle="modal" data-target="#myModal">Forget Password</a>
</div>
</form>
</div>
</div>
</div>
<div class="col-md-offset-1 col-lg-4 col-md-4 col-sm-4">
<div class="form-group">
<label>Are you currently Employed?</label>
<select id="test" class="form-control" name="form_select" onchange="showDiv(this)">
<option value="No">No</option>
<option value="Yes">Yes</option>
</select>
</div>
<div class = "form-group" id = "hidden_div" style = "display:none">
<div class="form-group animated fadeIn">
<label>Company Name:</label>
<input type="text" class="form-control" placeholder="Enter Company Name">
</div>
<div class="form-group animated fadeIn" >
<label>Company Activities</label>
<input type="text" class="form-control" placeholder="Enter Company Activities">
</div>
<div class="form-group animated fadeIn">
<label>Company Info</label>
<textarea class="form-control" cols="5" rows="5"></textarea>
</div>
</div>
</div>
<!--Change Password Modal Box-->
<!-- Modal -->
<div class="manage-wrapper">
<div class="modal fade" id="myModal" tabindex="-1" role="dialog" aria-labelledby="exampleModalLabel" aria-hidden="true">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title text-center" id="exampleModalLabel">Password Reset link will be sent to your email address</h5>
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
<span aria-hidden="true">×</span>
</button>
</div>
<div class="modal-body">
<form class="form-horizontal change-pswd-form" action="" method="post">
<div class="form-group" id="spwd">
<label class="control-label sr-only">Email Address</label>
<div class="input-group">
<span class="input-group-addon"><i class="fa fa-envelope"></i> </span>
<input type="email" class="form-control" placeholder="Enter your Registered Email Address" name="useremail">
</div>
</div>
<div class="modal-footer">
<button type="submit" name="changePassword" class="btn btn-success">Submit</button>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<!--end of modal-->
</div>
<footer class="footer">
<div class="container-footer">© 2017. Your Company</div>
</footer>
<script src="assets/js/jquery-1.11.1.min.js"></script>
<script src="assets/js/bootstrap.min.js"></script>
</body>
</html>