<script type="text/javascript" src="<?php echo dirname($form_path); ?> /jquery.min.js"></script> <form class="formoid-metro-cyan" style="background-color:#FFFFFF;font-size:14px;font-family:'Open Sans','Helvetica Neue','Helvetica',Arial,Verdana,sans-serif;color:#666666;max-width:480px;min-width:150px" method="post"><div class="title"><h2></h2></div> <div class="element-radio<?php frmd_add_class("radio"); ?> "><label class="title">Delivery Mode</label> <div class="column column1"><label><input type="radio" name="radio" value="Same day delivery (Additional 50 SEK)" /><span>Same day delivery (Additional 50 SEK)</span></label><label><input type="radio" name="radio" value="2-3 Days Delivery" /><span>2-3 Days Delivery</span></label></div><span class="clearfix"></span> </div> <div class="element-radio<?php frmd_add_class("radio1"); ?> "><label class="title">Payment Mode</label> <div class="column column1"><label><input type="radio" name="radio1" value="Cash On Delivery" /><span>Cash On Delivery</span></label><label><input type="radio" name="radio1" value="Card On Delivery" /><span>Card On Delivery</span></label></div><span class="clearfix"></span> </div> <div class="element-textarea<?php frmd_add_class("textarea"); ?> "><label class="title">Shipment Details</label><textarea class="medium" name="textarea" cols="20" rows="5" ></textarea></div> <div class="submit"><input type="submit" value="Submit"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-metro-cyan.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
<option value="Soltero">Soltero</option> <option value="Viudo">Viudo</option> <option value="Divorciado">Divorciado</option></select><span class="icon-place"></span></div></div></div> <div class="element-input<?php frmd_add_class("input5"); ?> " title="Dirección Completa"><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="text" name="input5" required="required" placeholder="Dirección"/><span class="icon-place"></span></div></div> <div class="element-input<?php frmd_add_class("input6"); ?> " title="Teléfono 1 + Cod. Área"><label class="title"></label><div class="item-cont"><input class="large" type="text" name="input6" placeholder="Teléfono 1 + Cód. Área"/><span class="icon-place"></span></div></div> <div class="element-input<?php frmd_add_class("input7"); ?> " title="Teléfono 2 + Cód. Área"><label class="title"></label><div class="item-cont"><input class="large" type="text" name="input7" placeholder="Teléfono 2 + Cód. Área"/><span class="icon-place"></span></div></div> <div class="element-input<?php frmd_add_class("input8"); ?> " title="Número de Celular ( +569 xxxxxxxx )"><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="text" name="input8" required="required" placeholder="Celular"/><span class="icon-place"></span></div></div> <div class="submit"><input type="submit" value="Siguiente"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-solid-blue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
define('FINISH_ACTION', 'redirect'); define('FINISH_MESSAGE', 'Atividade Registrada com Sucesso!'); define('UPLOAD_ALLOWED_FILE_TYPES', 'doc, docx, xls, csv, txt, rtf, html, zip, jpg, jpeg, png, gif'); define('_DIR_', str_replace('\\', '/', dirname(__FILE__)) . '/'); require_once _DIR_ . '/handler.php'; ?> <?php if (frmd_message()): ?> <link rel="stylesheet" href="<?php echo dirname($form_path); ?>/formoid-flat-black.css" type="text/css" /> <span class="alert alert-success"><?php echo FINISH_MESSAGE; ?></span> <?php else: ?> <!-- Start Formoid form--> <link rel="stylesheet" href="<?php echo dirname($form_path); ?>/formoid-flat-black.css" type="text/css" /> <script type="text/javascript" src="<?php echo dirname($form_path); ?>/jquery.min.js"></script> <form class="formoid-flat-black" style="background-color:#FFFFFF;font-size:14px;font-family:'Lato', sans-serif;color:#666666;max-width:800px;min-width:150px" method="post"><div class="title"><h2>Registro de Alterações de Codigo Fonte</h2></div> <div class="element-multiple<?php frmd_add_class("multiple"); ?>"><label class="title">Responsavel<span class="required">*</span></label><div class="large"><select data-no-selected="Nothing selected" name="multiple[]" multiple="multiple" required="required"> <option value="Miqueias">Miqueias</option> <option value="Richard">Richard</option> <option value="Luiz">Luiz</option></select></div></div> <div class="element-input<?php frmd_add_class("input"); ?>"><label class="title">Caminho do arquivo alterado<span class="required">*</span></label><input class="large" type="text" name="input" required="required"/></div> <div class="element-date<?php frmd_add_class("date"); ?>"><label class="title">Data<span class="required">*</span></label><input class="large" data-format="yyyy-mm-dd" type="date" name="date" required="required" placeholder="yyyy-mm-dd"/></div> <div class="element-textarea<?php frmd_add_class("textarea"); ?>"><label class="title">Motivo:</label><textarea class="medium" name="textarea" cols="20" rows="5" ></textarea></div> <div class="submit"><input type="submit" value="Registrar"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?>/formoid-flat-black.js"></script> <!-- Stop Formoid form--> <?php endif; ?> <?php frmd_end_form(); ?>
?> <!-- Start Formoid form--> <link rel="stylesheet" href="<?php echo dirname($form_path); ?> /formoid-solid-blue.css" type="text/css" /> <script type="text/javascript" src="<?php echo dirname($form_path); ?> /jquery.min.js"></script> <form class="formoid-solid-blue" style="background-color:#FFFFFF;font-size:14px;font-family:'Roboto',Arial,Helvetica,sans-serif;color:#34495E;max-width:480px;min-width:150px" method="post"><div class="title"><h2>Login</h2></div> <div class="element-email<?php frmd_add_class("email"); ?> " title="login details"><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="email" name="email" value="" required="required" placeholder="Practo Email"/><span class="icon-place"></span></div></div> <div class="element-password<?php frmd_add_class("password"); ?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="password" name="password" value="" required="required" placeholder="Password"/><span class="icon-place"></span></div></div> <div class="submit"><input type="submit" value="Submit"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-solid-blue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
frmd_add_class("input"); ?> "><label class="title"></label><div class="item-cont"><input class="large" type="text" name="input" placeholder="Entrer le titre"/><span class="icon-place"></span></div></div> <div class="element-textarea<?php frmd_add_class("textarea"); ?> "><label class="title"></label><div class="item-cont"><textarea class="medium" name="textarea" cols="20" rows="5" placeholder="Entrer la description"></textarea><span class="icon-place"></span></div></div> <div class="element-input<?php frmd_add_class("input1"); ?> "><label class="title"></label><div class="item-cont"><input class="large" type="text" name="input1" placeholder="Entrer le nom du directeur"/><span class="icon-place"></span></div></div> <div class="element-date<?php frmd_add_class("date"); ?> "><label class="title"></label><div class="item-cont"><input class="large" data-format="yyyy-mm-dd" type="date" name="date" placeholder="Entrer l'année de sortie"/><span class="icon-place"></span></div></div> <div class="element-file<?php frmd_add_class("file"); ?> "><label class="title"></label><div class="item-cont"><label class="large" ><div class="button">Ajouter une image</div><input type="file" class="file_input" name="file" /><div class="file_text">Aucun fichier sélectionné</div><span class="icon-place"></span></label></div></div> <div class="submit"><input type="submit" value="Ajouter le film"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-solid-blue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
?> /jquery.min.js"></script> <form class="formoid-solid-dark" style="background-color:#1A2223;font-size:14px;font-family:'Roboto',Arial,Helvetica,sans-serif;color:#34495E;max-width:480px;min-width:150px" method="post"><div class="title"><h2>Register New Student</h2></div> <div class="element-input<?php frmd_add_class("input"); ?> " title="Enter unique new id"><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="text" name="input" required="required" placeholder="Student ID"/><span class="icon-place"></span></div></div> <div class="element-name<?php frmd_add_class("name"); ?> "><label class="title"><span class="required">*</span></label><span class="nameFirst"><input placeholder="Name First" type="text" size="8" name="name[first]" required="required"/><span class="icon-place"></span></span><span class="nameLast"><input placeholder="Name Last" type="text" size="14" name="name[last]" required="required"/><span class="icon-place"></span></span></div> <div class="element-number<?php frmd_add_class("number"); ?> " title="Age should be within 4 to 20 years"><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="medium" type="text" min="4" max="20" name="number" required="required" placeholder="Age" value=""/><span class="icon-place"></span></div></div> <div class="element-number<?php frmd_add_class("number1"); ?> " title="Standard 1 to 12 class"><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="medium" type="text" min="1" max="12" name="number1" required="required" placeholder="Class" value=""/><span class="icon-place"></span></div></div> <div class="submit"><input type="submit" value="Submit"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-solid-dark.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
<option value="B+">B+</option><br/> <option value="B-">B-</option><br/> <option value="O+">O+</option><br/> <option value="O-">O-</option><br/> <option value="AB+">AB+</option><br/> <option value="AB-">AB-</option><br/></select><i></i></span></div></div> <div class="element-select" <?frmd_add_class("select2")?>><label class="title">Division<span class="required">*</span></label><div class="large"><span><select name="select2" required="required"> <option value="BARISAL">BARISAL</option><br/> <option value="CHITTAGONG">CHITTAGONG</option><br/> <option value="DHAKA">DHAKA</option><br/> <option value="KHULNA">KHULNA</option><br/> <option value="RAJSHAHI">RAJSHAHI</option><br/> <option value="RANGPUR">RANGPUR</option><br/> <option value="SYLHET">SYLHET</option><br/></select><i></i></span></div></div> <div class="element-select" <?frmd_add_class("select1")?>><label class="title">District<span class="required">*</span></label><div class="large"><span><select name="select1" required="required"> undefined</select><i></i></span></div></div> <div class="submit"><input type="submit" value="Submit"/></div></form> <script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-default-skyblue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
?> /jquery.min.js"></script> <form class="formoid-solid-blue" style="background-color:#FFFFFF;font-size:14px;font-family:'Roboto',Arial,Helvetica,sans-serif;color:#34495E;max-width:480px;min-width:150px" method="post"><div class="title"><h2>SignUp</h2></div> <div class="element-input<?php frmd_add_class("input"); ?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="text" name="input" required="required" placeholder="Name"/><span class="icon-place"></span></div></div> <div class="element-email<?php frmd_add_class("email"); ?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="email" name="email" value="" required="required" placeholder="Email"/><span class="icon-place"></span></div></div> <div class="element-password<?php frmd_add_class("password"); ?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="password" name="password" value="" required="required" placeholder="Password"/><span class="icon-place"></span></div></div> <div class="element-phone<?php frmd_add_class("phone"); ?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="tel" pattern="[+]?[\.\s\-\(\)\*\#0-9]{3,}" maxlength="24" name="phone" required="required" placeholder="Phone" value=""/><span class="icon-place"></span></div></div> <div class="submit"><input type="submit" value="Submit"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-solid-blue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><input class="large" type="text" name="input" required="required" placeholder="Nombre Universidad"/><span class="icon-place"></span></div></div> <div class="element-input<?php frmd_add_class("input3"); ?> "><label class="title"></label><div class="item-cont"><input class="large" type="text" name="input3" placeholder="Facultad"/><span class="icon-place"></span></div></div> <div class="element-multiple<?php frmd_add_class("multiple"); ?> "><label class="title"><span class="required">*</span></label><div class="item-cont"><div class="large"><select data-no-selected="Nothing selected" name="multiple[]" multiple="multiple" required="required"> <option value="cosa1">cosa1</option> <option value="cosa2">cosa2</option> <option value="cosa3">cosa3</option></select><span class="icon-place"></span></div></div></div> <div class="element-input<?php frmd_add_class("input2"); ?> "><label class="title"></label><div class="item-cont"><input class="large" type="text" name="input2" placeholder="Enlace"/><span class="icon-place"></span></div></div> <div class="element-separator"><hr><h3 class="section-break-title"></h3></div> <div class="submit"><input type="submit" value="Enviar"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-solid-blue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
frmd_add_class("input"); ?> ><label class="title">Input Text</label><input class="large" type="text" name="input" /></div> <div class="element-select" <?php frmd_add_class("select"); ?> ><label class="title">Select</label><div class="large"><span><select name="select" > <option value="option 1">option 1</option> <option value="option 2">option 2</option> <option value="option 3">option 3</option></select><i></i></span></div></div> <div class="element-textarea" <?php frmd_add_class("textarea"); ?> ><label class="title">Text Area</label><textarea class="medium" name="textarea" cols="20" rows="5" ></textarea></div> <div class="element-name" <?php frmd_add_class("name"); ?> ><label class="title">Name</label><span class="nameFirst"><input type="text" size="8" name="name[first]" /><label class="subtitle">First</label></span><span class="nameLast"><input type="text" size="14" name="name[last]" /><label class="subtitle">Last</label></span></div> <div class="submit"><input type="submit" value="Submit"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-flat-black.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
<option value="AB-">AB-</option><br/></select><i></i></span></div></div> <div class="element-input" <?frmd_add_class("input2")?>><label class="title">Contact No(+88xxxxxxxxxxx)<span class="required">*</span></label><input class="large" type="text" name="input2" required="required"/></div> <div class="element-input" <?frmd_add_class("input3")?>><label class="title">Contact : email/phone (seen by all)</label><input class="large" type="text" name="input3" /></div> <div class="element-email" <?frmd_add_class("email")?>><label class="title">Email<span class="required">*</span></label><input class="large" type="email" name="email" value="" required="required"/></div> <div class="element-select" <?frmd_add_class("select1")?>><label class="title">Division</label><div class="large"><span><select name="select1" > <option value="BARISAL">BARISAL</option><br/> <option value="CHITTAGONG">CHITTAGONG</option><br/> <option value="DHAKA">DHAKA</option><br/> <option value="KHULNA">KHULNA</option><br/> <option value="RAJSHAHI">RAJSHAHI</option><br/> <option value="RANGPUR">RANGPUR</option><br/> <option value="SYLHET">SYLHET</option><br/></select><i></i></span></div></div> <div class="element-select" <?frmd_add_class("select2")?>><label class="title">Districrt</label><div class="large"><span><select name="select2" > undefined</select><i></i></span></div></div> <div class="element-select" <?frmd_add_class("select3")?>><label class="title">Thana</label><div class="large"><span><select name="select3" > undefined</select><i></i></span></div></div> <div class="submit"><input type="submit" value="Submit"/></div></form> <script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-default-red.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();
<option value="FPGA">FPGA</option> <option value="Linux Embebido ">Linux Embebido </option></select><i></i></span></div></div> <div class="element-select<?php frmd_add_class("select4"); ?> "><label class="title">Curso Opcional<span class="required">*</span></label><div class="null"><span><select name="select4" required="required"> <option value="Micros 32 bit nivel básico">Micros 32 bit nivel básico</option> <option value="Micros 32 bits nivel Avanzado">Micros 32 bits nivel Avanzado</option> <option value="RTOS sobre la EDU-CIAA nivel I">RTOS sobre la EDU-CIAA nivel I</option> <option value="RTOS sobre la EDU-CIAA nivel II">RTOS sobre la EDU-CIAA nivel II</option> <option value="FPGA">FPGA</option> <option value="Linux Embebido ">Linux Embebido </option></select><i></i></span></div></div> <div class="element-separator"><hr><h3 class="section-break-title">Aceptación de condiciones</h3></div> <div class="element-recaptcha<?php frmd_add_class("captcha"); ?> "><label class="title">reCAPTCHA</label><script type="text/javascript">var RecaptchaOptions = {theme : "clean"};</script> <script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6Ld0UQYTAAAAAP3DeSpPscQUSumUzJWYXALxgLdD&theme=clean"></script> <noscript><iframe src="http://www.google.com/recaptcha/api/noscript?k=6Ld0UQYTAAAAAP3DeSpPscQUSumUzJWYXALxgLdD&hl=en" height="300" width="500" frameborder="0"></iframe></br> <textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea><input type="hidden" name="recaptcha_response_field" value="manual_challenge"></noscript> <script type="text/javascript">if (/#invalidcaptcha$/.test(window.location)) (document.getElementById("recaptcha_widget_div")).className += " error"</script></div> <div class="submit"><input type="submit" value="Inscribirse"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-default-blue.js"></script> <!-- Stop Formoid form--> <?php } ?>
frmd_add_class("select"); ?> "><label class="title">role</label><div class="large"><span><select name="select" > <option value="admin">admin</option> <option value="student">student</option> <option value="teacher">teacher</option></select><i></i></span></div></div> <div class="element-input<?php frmd_add_class("input3"); ?> "><label class="title">first_name</label><input class="large" type="text" name="input3" /></div> <div class="element-input<?php frmd_add_class("input4"); ?> "><label class="title">last_name</label><input class="large" type="text" name="input4" /></div> <div class="element-date<?php frmd_add_class("date"); ?> "><label class="title">date_of_birth</label><input class="large" data-format="yyyy-mm-dd" type="date" name="date" placeholder="yyyy-mm-dd"/></div> <div class="submit"><input type="submit" value="Register"/></div></form><script type="text/javascript" src="<?php echo dirname($form_path); ?> /formoid-default-skyblue.js"></script> <!-- Stop Formoid form--> <?php } ?> <?php frmd_end_form();