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jform.php
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<!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>