} ?> <?php if (!empty($Successful)) { ?> <p><?php echo $Successful; ?> </p><?php } ?> </div> <form action="" class="form-horizontal" role="form" method="POST"> <?php if ($ver->insert()) { echo "<span class='insert'> Insertion Successful</span>"; } ?> <div class="form-group has-feedback has-feedback-right"> <label class="control-label col-md-3" for="fname">First Name:</label> <div class="col-md-5"> <input type="text" class="form-control" name="fname" placeholder="Enter Your First Name" required="1"> <i class="form-control-feedback glyphicon glyphicon-user"></i> </div> </div> <div class="form-group has-feedback has-feedback-right"> <label class="control-label col-md-3" for="lname">Last Name:</label> <div class="col-md-5"> <input type="lname" class="form-control" name="lname" placeholder="Enter Your Last Name" required="1">