Advertisement
Not a member of Pastebin yet?
Sign Up,
it unlocks many cool features!
- <div class="container">
- <div class="form_container_register">
- <h1 class="form_container_connexion">S'inscrire en tant que stagiaire</h1>
- <form method="post">
- <div class="form-row">
- <div class="form-group col-md-12">
- <!-- TODO cookies pour le form -->
- <input name="firstname" type="text" aria-label="firstname" class="form-control" placeholder="<?= isset($_POST["firstname"]) ? $_POST["firstname"]: "Nom"; ?>">
- </div>
- <div class="form-group col-md-12">
- <input name="lastname" type="text" aria-label="lastname" class="form-control" placeholder="<?= isset($_POST["lastname"]) ? $_POST["lastname"] : "Prénom";?>">
- </div>
- </div>
- <div class="form-row">
- <div class="form-group col-md-12">
- <input name="email" type="email" class="form-control" id="email" placeholder="<?= isset($_POST["email"]) ? $_POST["email"] : "Email";?>">
- </div>
- </div>
- <div class="form-row">
- <div class="form-group col-md-12">
- <div class="form-check form-check-inline">
- <label class="form-check-label">
- <input class="form-check-input" checked type="radio" name="gender" id="genderMale" value="h"> Homme
- </label>
- </div>
- <div class="form-check form-check-inline">
- <label class="form-check-label">
- <input class="form-check-input" type="radio" name="gender" id="genderFemale" value="f"> Femme
- </label>
- </div>
- </div>
- </div>
- <div class="form-row">
- <div class="form-group col-md-12">
- <input name="password" aria-label="password" type="password" class="form-control" id="password" placeholder="Mot de passe">
- </div>
- <div class="form-group col-md-12">
- <input name="password_confirm" aria-label="password_confirm" type="password" class="form-control" id="password_confirm" placeholder="Confirmation du mot de passe">
- <small class="col-md-12 form-text text-muted pw_help">
- Votre mot de passe doit contenir au moins 8 caractères, une majuscule, une minuscule et un chiffre !
- </small>
- </div>
- </div>
- <div class="form-group row">
- <div class="col-sm-10">
- <button name="submit" type="submit" class="btn btn-lg form_btn">M'inscrire</button>
- </div>
- </div>
- </form>
- </div>
- </div>
Advertisement
Add Comment
Please, Sign In to add comment
Advertisement