<form method="post"  class="hotel-search-form">
<div align="center" class="tm-form-inner">

<div id="login_errorss" style="color:#F00"></div>
<label>Company Name</label><br>
<input type = "text" id = "name" class = "box" placeholder="Name"/><br><br>
<label>Company Username</label><br>
<input type="text" id = "sallam" class = "box" placeholder="username"/><br>
<label>Telephone</label><br>
<input type = "text" id = "tete" class = "box" placeholder="telephone"/><br>
<label>email</label><p id="p1" style="color:#F00"></p><br>
<input type = "text" id = "emem" class = "box" placeholder="telephone"/><br>
<label>Password</label><br>
<input type = "password" id = "passpass" class = "box">
<label>Company Description</label><br>
<textarea style="width:175px" id="description"></textarea>

$(document).ready(function() {
$("#submitAddPatient").click(function(){
var user = $("#username").val();
var pass = $("#password").val();
var first = $("#firstname").val();
var last = $("#lastname").val();
var se = $("#sex").val();
var birth = $("#birthdate").val();
var phone = $("#phonenumber").val();
var m1 = $("#m1").val();
var data = "user=" + user + "&pass=" + pass+ "&first=" + first+ "&last=" +
            last+ "&se=" + se+ "&birth=" + birth+ "&phone=" +
            phone + "&m1=" + m1 ;
$.ajax({method: "post",
 url:"seccc.php?",
data: data,
success: function(data){
$("#login_errors").html(data); } }); });

if(!$user || !$pass|| !$first|| !$last || !$se || !$birth || !$phone ||
!$m1){echo "Please fill all the fields!";}
else if (!filter_var($m1, FILTER_VALIDATE_EMAIL)){  echo"invalid email";}
else  if (!is_numeric($phone) ){echo "invalid phone number";}
else  if(strlen($phone) <> 8){echo "Phone number must be 8 digits!";}
else if(strlen($pass) < 5){echo "password at lesat 5 char";}

else{

$conc = mysqli_connect("localhost", "root" , "0598985166sallam", "project");