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Mini Shell

Mini Shell

Direktori : /home/jalalj2hb/www/
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Current File : /home/jalalj2hb/www/new_account_school.php

<html>
<head>
	<meta charset="UTF-8">
	<title>Créer un compte pour auto école - free test mobile </title>
	    <meta name="viewport" content="width=device-width,
	     initial-scale=1, shrink-to-fit=no">

</head>
<body>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="https://bootswatch.com/4/cerulean/bootstrap.min.css" crossorigin="anonymous">
<div class="container">			
		<div class="row">	
				<div class="col-md-4 col-lg-4"></div>
				<div class="col-md-4 col-lg-4 col-xs-12">
						<h1 class="text-center">Créer un compte</h1>
				</div>
				<div class="col-md-4 col-lg-4"></div>

		</div>
		<div class="row">	
				<div class="col-md-4 col-lg-3"></div>

					<div class="col-md-4 col-lg-6">
						<form action="./save_school.php" method="POST">
						  <div class="form-group">
						    <label for="nom">nom de L'auto école</label>
						    <input  name="nom"  type="text" class="form-control" id="nom" aria-describedby="emailHelp" placeholder="nom">
						  </div>
						  <div class="form-group">
						    <label for="nom">nom de propriétaire</label>
						    <input  name="propriétaire"  type="text" class="form-control" id="nom" aria-describedby="emailHelp" placeholder="nom">
						  </div>
						  <div class="form-group">
						    <label for="numero d'agrement">numero d'agrement</label>
						    <input name="nom_famille" type="text" class="form-control" id="numero d'agrement" aria-describedby="emailHelp" placeholder="numero d'agrement">
						  </div>
						  <div class="form-group">
						  	<label for="adresse">adresse:</label>
						  	<textarea name="adresse" id="" cols="30" rows="3" class="form-control"></textarea>
						  </div>
						  <div class="form-group">
						    <label for="telphone">telphone</label>
						    <input type="text" class="form-control" id="telphone" name="telphone" placeholder="telphone">
						  </div>
						  <div class="form-group">
						    <label for="email">Email address</label>
						    <input type="email" class="form-control" name="email" id="email" aria-describedby="emailHelp" placeholder="Email address">
						  </div>
						  <div class="form-group">
						    <label for="password">choisir mot de passe</label>
						    <input type="password" class="form-control" name="password" id="password" aria-describedby="passwordHelp" placeholder="choisir mot de passe 	">
						  </div>
						  <button type="submit" class="btn btn-outline-info " name="submit" value="submit"  btn-block">Submit</button>
						</form>
					</div>
				<div class="col-md-4 col-lg-3"></div>
		</div>
</div>
</body>
</html>

Zerion Mini Shell 1.0