oe4skw

Untitled

Mar 25th, 2016
26
0
Never
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
PHP 5.23 KB | None | 0 0
  1. <!DOCTYPE html>
  2. <html lang="de">
  3. <head>
  4.     <title>Urlaubs- und Zeitausgleichsverwaltung |urlaub.kladler.at</title>
  5.     <meta name="description" content="Hier wird eine Verwaltung für Urlaub und Zeitausgleichsstunden geboten - und sogar gratis und ohne viel Zeitaufwand. ">
  6.     <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">
  7.     <meta charset="utf-8" />
  8.     <link rel="stylesheet" type="text/css" href="css/bootstrap.css">
  9.     <link rel="stylesheet" type="text/css" href="css/bootstrap-theme.css">
  10.     <link rel="stylesheet" type="text/css" href="css/validate.style.css">
  11.     <script type="text/javascript" src="js/jquery-1.12.2.js"></script>
  12.     <script type="text/javascript" src="js/bootstrap.min.js"></script>
  13.     <script type="text/javascript" src="js/bootstrap.validate.min.js"></script>
  14.     <script type="text/javascript" src="js/validate.js"></script>
  15.     <script type="text/javascript" src="js/localization/messages_de.js"></script>
  16. </head>
  17. <body>
  18.     <div class="container">
  19.         <div class="row">
  20.             <div class="col-md-6 col-md-offset-3">
  21.                 <h1 class="text-center center">Registrierung</h1>
  22.                 <form id="registration" action="" method="post" class="form-horizontal" data-toggle="validator">
  23.                     <div class='form-group input-group'>
  24.                         <select class="form-control" id="anrede" name="anrede" required="required">
  25.               <option selected value="">- Anrede -</option>-
  26.               <option value=1>Herr</option>
  27.               <option value=2>Frau</option>
  28.             </select>
  29.             </div>  
  30.                   <div class='form-group input-group'>
  31.                         <span class="input-group-addon"><i class="glyphicon glyphicon-tags"></i></span>
  32.                         <input id="famname" class="form-control" name="famname" placeholder="Familienname" type="text"></input>
  33.                     </div>
  34.                     <div class='form-group input-group'>
  35.                         <span class="input-group-addon"><i class="glyphicon glyphicon-tags"></i></span>
  36.                         <input id="vorname" class="form-control" name="vorname" placeholder="Vorname" type="text"></input>
  37.                     </div>
  38.                     <div class='form-group input-group'>
  39.                         <span class="input-group-addon"><i class="glyphicon glyphicon-road"></i></span>
  40.                         <input id="street" class="form-control" name="street" placeholder="Straße" type="text"></input>
  41.                     </div>
  42.                     <div class='form-group input-group'>
  43.                         <span class="input-group-addon"><i class="glyphicon glyphicon-home"></i></span>
  44.                         <input id="housnumber" class="form-control" name="housnumber" placeholder="Hausnummer" type="text"></input>
  45.                     </div>
  46.                     <div class='form-group input-group'>
  47.                         <span class="input-group-addon"><i class="glyphicon glyphicon-flag"></i></span>
  48.                         <input id="plz" class="form-control" name="plz" placeholder="PLZ" type="text"></input>
  49.                     </div>
  50.                     <div class='form-group input-group'>
  51.                         <span class="input-group-addon"><i class="glyphicon glyphicon-flag"></i></span>
  52.                         <input id="city" class="form-control" name="city" placeholder="Ort" type="text"></input>
  53.                     </div>
  54.                     <div class='form-group input-group'>
  55.                         <span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
  56.                         <input id="username" class="form-control" name="username" placeholder="Benutzername" type="text"></input>
  57.                     </div>
  58.                     <div class='form-group input-group'>
  59.                         <span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
  60.                         <input id="email" class="form-control" name="email" placeholder="E-Mail" type="text"></input>
  61.                     </div>
  62.                     <div class='form-group input-group'>
  63.                         <span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
  64.                         <input id="emailconfirm" class="form-control" name="emailconfirm" placeholder="E-Mail Bestätigung" type="text"></input>
  65.                     </div>
  66.            <div class='form-group input-group'>
  67.                         <span class="input-group-addon"><i class="glyphicon glyphicon-lock"></i></span>
  68.                         <input id="password" class="form-control" name="password" placeholder="Passwort" type="password"></input>
  69.                     </div>
  70.                     <div class='form-group input-group'>
  71.                         <span class="input-group-addon"><i class="glyphicon glyphicon-lock"></i></span>
  72.                         <input id="passwordconfirm" class="form-control" name="passwordconfirm" placeholder="Passwort Bestätigung" type="password"></input>
  73.                     </div>
  74. <input type="submit" name="registrieren" id="registrieren" value="registrieren">
  75.                 </form>
  76.                 </form>
  77.             </div>
  78.         </div>
  79.     </div>
  80.     </div>
  81. </body>
  82. </html>
Add Comment
Please, Sign In to add comment