Untitled

<body class="hold-transition register-page">
    <div class="register-box">
        <div class="register-logo">
            <a href="<?= base_url('auth/registration'); ?>"><b>Si</b>Klinik</a>
        </div>

        <div class="card">
            <div class="card-body register-card-body">
                <p class="login-box-msg">Register a new membership</p>

                <form action="<?= base_url('auth/registration'); ?>" method="post">
                    <div class="input-group mb-3">
                        <input type="text" name="name" class="form-control" placeholder="Full name" value="<?= set_value('name'); ?>">
                        <?= form_error('name', '<small class="text-danger">', '</small>'); ?>
                        <div class="input-group-append">
                            <div class="input-group-text">
                                <span class="fas fa-user"></span>
                            </div>
                        </div>
                    </div>
                    <div class="input-group mb-3">
                        <input type="email" name="email" class="form-control" placeholder="Email" value="<?= set_value('email'); ?>">
                        <?= form_error('email', '<small class="text-danger">', '</small>'); ?>
                        <div class="input-group-append">
                            <div class="input-group-text">
                                <span class="fas fa-envelope"></span>
                            </div>
                        </div>
                    </div>
                    <div class="input-group mb-3">
                        <input type="password" name="password1" class="form-control" placeholder="Password" name="password1" id="password1">
                        <div class="input-group-append">
                            <div class="input-group-text">
                                <span class="fas fa-lock"></span>
                            </div>
                        </div>
                    </div>
                    <?= form_error('password1', '<small class="text-danger">', '</small>'); ?>
                    <div class="input-group mb-3">
                        <input type="password" name="password2" class="form-control" placeholder="Retype password" name="password2" id="password2">
                        <div class="input-group-append">
                            <div class="input-group-text">
                                <span class="fas fa-lock"></span>
                            </div>
                        </div>
                    </div>
                    <div class="row">
                        <div class="col-8">
                            <div class="icheck-primary">
                                <input type="checkbox" id="agreeTerms" name="terms" value="agree">
                                <label for="agreeTerms">
                                    I agree to the <a href="#">terms</a>
                                </label>
                            </div>
                        </div>
                        <!-- /.col -->
                        <div class="col-4">
                            <button type="submit" class="btn btn-primary btn-block btn-flat">Register</button>
                        </div>
                        <!-- /.col -->
                    </div>
                </form>

                <div class="social-auth-links text-center">
                    <p>- OR -</p>
                    <a href="<?= base_url('auth'); ?>" class="text-center">I already have a membership</a>
                </div>


            </div>
            <!-- /.form-box -->
        </div><!-- /.card -->
    </div>
    <!-- /.register-box -->