Mage_Customer_Block_Form_Register

<?php
/**
 * Magento
 *
 * NOTICE OF LICENSE
 *
 * This source file is subject to the Academic Free License (AFL 3.0)
 * that is bundled with this package in the file LICENSE_AFL.txt.
 * It is also available through the world-wide-web at this URL:
 * http://opensource.org/licenses/afl-3.0.php
 * If you did not receive a copy of the license and are unable to
 * obtain it through the world-wide-web, please send an email
 * to license@magentocommerce.com so we can send you a copy immediately.
 *
 * DISCLAIMER
 *
 * Do not edit or add to this file if you wish to upgrade Magento to newer
 * versions in the future. If you wish to customize Magento for your
 * needs please refer to http://www.magentocommerce.com for more information.
 *
 * @category    design
 * @package     base_default
 * @copyright   Copyright (c) 2013 Magento Inc. (http://www.magentocommerce.com)
 * @license     http://opensource.org/licenses/afl-3.0.php  Academic Free License (AFL 3.0)
 */
?>
<?php
/**
 * Create account form template
 *
 * @see app/design/frontend/base/default/template/customer/form/register.phtml
 */
/** @var $this Mage_Customer_Block_Form_Register */
?>
<?php //echo $this->getLayout()->createBlock('cms/block')->setBlockId('identification_top')->toHtml();?>
<div class="middle-bottom-blk account-create">
    <div class="container">
        <div class="row">
            <div class="page-title">
                <h1><?php echo $this->__('Create an Account') ?></h1>
            </div>
            <?php echo $this->getChildHtml('form_fields_before')?>
            <?php echo $this->getMessagesBlock()->getGroupedHtml() ?>
            <form action="<?php echo $this->getPostActionUrl() ?>" method="post" id="form-validate">
            <?php echo $this->getBlockHtml('formkey') ?>
                <div class="dashboard-rt">
                <div class="panel panel-default">
                    <input type="hidden" name="success_url" value="<?php echo $this->getSuccessUrl() ?>" />
                    <input type="hidden" name="error_url" value="<?php echo $this->getErrorUrl() ?>" />
                    <div class="panel-heading">
                        <h2 class="pull-left"><?php echo $this->__('Personal Information') ?></h2>
                        <div class="clearfix"></div>
                    </div>
                    <div class="panel-body">
                        <?php echo $this->getLayout()->createBlock('customer/widget_name')->setObject($this->getFormData())->setForceUseCustomerAttributes(true)->toHtml() ?>
                        <div class="form-group">
                            <label for="email_address" class="required"><?php echo $this->__('Email Address') ?><em>*</em></label>
                                <input placeholder="Email" type="email" name="email" id="email_address" value="<?php echo $this->escapeHtml($this->getFormData()->getEmail()) ?>" title="<?php echo $this->__('Email Address') ?>" class="form-control input-text validate-email required-entry" />
                                </div>

                    <?php $_dob = $this->getLayout()->createBlock('customer/widget_dob') ?>
                    <?php if ($_dob->isEnabled()): ?>
                        <li><?php echo $_dob->setDate($this->getFormData()->getDob())->toHtml() ?></li>
                    <?php endif ?>
                    <?php $_taxvat = $this->getLayout()->createBlock('customer/widget_taxvat') ?>
                    <?php if ($_taxvat->isEnabled()): ?>
                        <li><?php echo $_taxvat->setTaxvat($this->getFormData()->getTaxvat())->toHtml() ?></li>
                    <?php endif ?>
                    <?php $_gender = $this->getLayout()->createBlock('customer/widget_gender') ?>
                    <?php if ($_gender->isEnabled()): ?>
                        <li><?php echo $_gender->setGender($this->getFormData()->getGender())->toHtml() ?></li>
                    <?php endif ?>
                    </div>
                </div>
            <?php if($this->getShowAddressFields()): ?>
                <div class="fieldset">
                    <input type="hidden" name="create_address" value="1" />
                    <h2 class="legend"><?php echo $this->__('Address Information') ?></h2>
                    <ul class="form-list">
                        <li class="fields">
                            <div class="field">
                                <label for="company"><?php echo $this->__('Company') ?></label>
                                <div class="input-box">
                                    <input type="text" name="company" id="company" value="<?php echo $this->escapeHtml($this->getFormData()->getCompany()) ?>" title="<?php echo $this->__('Company') ?>" class="input-text <?php echo $this->helper('customer/address')->getAttributeValidationClass('company') ?>" />
                                </div>
                            </div>
                            <div class="field">
                                <label for="telephone" class="required"><em>*</em><?php echo $this->__('Telephone') ?></label>
                                <div class="input-box">
                                    <input type="text" name="telephone" id="telephone" value="<?php echo $this->escapeHtml($this->getFormData()->getTelephone()) ?>" title="<?php echo $this->__('Telephone') ?>" class="input-text <?php echo $this->helper('customer/address')->getAttributeValidationClass('telephone') ?>" />
                                </div>
                            </div>
                        </li>
                    <?php $_streetValidationClass = $this->helper('customer/address')->getAttributeValidationClass('street'); ?>
                        <li class="wide">
                            <label for="street_1" class="required"><em>*</em><?php echo $this->__('Street Address') ?></label>
                            <div class="input-box">
                                <input type="text" name="street[]" value="<?php echo $this->escapeHtml($this->getFormData()->getStreet(1)) ?>" title="<?php echo $this->__('Street Address') ?>" id="street_1" class="input-text <?php echo $_streetValidationClass ?>" />
                            </div>
                        </li>
                    <?php $_streetValidationClass = trim(str_replace('required-entry', '', $_streetValidationClass)); ?>
                    <?php for ($_i = 2, $_n = $this->helper('customer/address')->getStreetLines(); $_i <= $_n; $_i++): ?>
                        <li class="wide">
                            <div class="input-box">
                                <input type="text" name="street[]" value="<?php echo $this->escapeHtml($this->getFormData()->getStreet($_i)) ?>" title="<?php echo $this->__('Street Address %s', $_i) ?>" id="street_<?php echo $_i ?>" class="input-text <?php echo $_streetValidationClass ?>" />
                            </div>
                        </li>
                    <?php endfor; ?>
                        <li class="fields">
                            <div class="field">
                                <label for="city" class="required"><em>*</em><?php echo $this->__('City') ?></label>
                                <div class="input-box">
                                    <input type="text" name="city" value="<?php echo $this->escapeHtml($this->getFormData()->getCity()) ?>" title="<?php echo $this->__('City') ?>" class="input-text <?php echo $this->helper('customer/address')->getAttributeValidationClass('city') ?>" id="city" />
                                </div>
                            </div>
                            <div class="field">
                                <label for="region_id" class="required"><em>*</em><?php echo $this->__('State/Province') ?></label>
                                <div class="input-box">
                                    <select id="region_id" name="region_id" title="<?php echo $this->__('State/Province') ?>" class="validate-select" style="display:none;">
                                        <option value=""><?php echo $this->__('Please select region, state or province') ?></option>
                                    </select>
                                    <script type="text/javascript">
                                    //<![CDATA[
                                        $('region_id').setAttribute('defaultValue', "<?php echo $this->getFormData()->getRegionId() ?>");
                                    //]]>
                                    </script>
                                    <input type="text" id="region" name="region" value="<?php echo $this->escapeHtml($this->getRegion()) ?>" title="<?php echo $this->__('State/Province') ?>" class="input-text <?php echo $this->helper('customer/address')->getAttributeValidationClass('region') ?>" style="display:none;" />
                                </div>
                            </div>
                        </li>
                        <li class="fields">
                            <div class="field">
                                <label for="zip" class="required"><em>*</em><?php echo $this->__('Zip/Postal Code') ?></label>
                                <div class="input-box">
                                    <input type="text" name="postcode" value="<?php echo $this->escapeHtml($this->getFormData()->getPostcode()) ?>" title="<?php echo $this->__('Zip/Postal Code') ?>" id="zip" class="input-text validate-zip-international <?php echo $this->helper('customer/address')->getAttributeValidationClass('postcode') ?>" />
                                </div>
                            </div>
                            <div class="field">
                                <label for="country" class="required"><em>*</em><?php echo $this->__('Country') ?></label>
                                <div class="input-box">
                                    <?php echo $this->getCountryHtmlSelect() ?>
                                </div>
                            </div>
                        </li>
                    </ul>
                    <input type="hidden" name="default_billing" value="1" />
                    <input type="hidden" name="default_shipping" value="1" />
                </div>
            <?php endif; ?>
                <div class="panel panel-default">
                    <div class="panel-heading">
                    <h2 class="pull-left"><?php echo $this->__('Login Information') ?></h2>
                    <div class="clearfix"></div>
                    </div>
                    <div class="panel-body">
                            <div class="form-group">
                                <label for="password" class="required"><?php echo $this->__('Password') ?><em>*</em></label>
                                    <input placeholder="Enter Password" type="password" name="password" id="password" title="<?php echo $this->__('Password') ?>" class="form-control input-text required-entry validate-password" />
                            </div>
                            <div class="form-group">
                                <label for="confirmation" class="required"><?php echo $this->__('Confirm Password') ?><em>*</em></label>
                                    <input placeholder="Confirm Password" type="password" name="confirmation" title="<?php echo $this->__('Confirm Password') ?>" id="confirmation" class="form-control input-text required-entry validate-cpassword" />
                            </div>
                        <?php echo $this->getChildHtml('form.additional.info'); ?>
                        <?php echo $this->getChildHtml('persistent.remember.me'); ?>
                    </div>
                    <?php echo $this->getChildHtml('persistent.remember.me.tooltip'); ?>
                </div>
                <div class="clearfix sve">
                    <em>* Required Fields</em>
                </div>
                    <a href="<?php echo $this->escapeUrl($this->getBackUrl()) ?>" class="btn btn-hdr btn-info reg"><?php echo $this->__('Back') ?></a>
                    <button class=" btn btn-hdr btn-acard pull-right" type="submit" title="<?php echo $this->__('Submit') ?>"><?php echo $this->__('Submit') ?></button>
                <?php if (Mage::helper('checkout')->isContextCheckout()): ?>
                    <input name="context" type="hidden" value="checkout" />
                <?php endif; ?>
                </div>
            </form>
            <script type="text/javascript">
            //<![CDATA[
                var dataForm = new VarienForm('form-validate', true);
                <?php if($this->getShowAddressFields()): ?>
                new RegionUpdater('country', 'region', 'region_id', <?php echo $this->helper('directory')->getRegionJson() ?>, undefined, 'zip');
                <?php endif; ?>
            //]]>
            </script>
        </div>
    </div>
</div>

class Comp_Seller_Block_Account_Register extends Mage_Customer_Block_Form_Register
{


}