<?php   session_start(); include 'xyz.php';
 
?>

<!DOCTYPE html><html lang="en"><head><meta charset="utf-8"><meta http-equiv="X-UA-Compatible" content="IE=edge"><meta name="viewport" content="width=device-width, initial-scale=1">
<style type="text/css">
	
@media screen and (max-width: 485px) and (min-width: 300px){
	.item{height:250px;}
#largeScreenOnly,#largeScreens{ display:none; }
.col3{
	width:200px;float:left;
}
}
@media screen and (max-width: 1600px) and (min-width: 486px){.item{height:350px;}
.hidBig{ display:none; }
#SmallScreenOnly{ display:none; }
}
@media screen and (max-width: 2600px) and (min-width: 1601px){
	.item{height:430px;}
	#SmallScreenOnly{ display:none; }

}
</style>
		<?php  include 'inc/outl_toplinks.php'; ?>
		<link rel="stylesheet" type="text/css" href="css/outl_ulib.css">
</head>
	<body><?php include 'inc/outl_header.php';  include 'inc/outl_nav.php';  include 'process.php';  ?>
	

<div class="section">
	<div class="container">
		<div class="row">
			<div class="col-md-3"></div>
			<div class="col-md-6">
				<div class="card">
					<div class="card-header bg-danger" ><h3>Registration Panel</h3></div>
					<div class="card-body">
				<form action="" method="POST"><div class="row"><div class="form-group col-md-12"><input type="text" name="eqName" class="form-control" required placeholder="Full Name"></div>

					<div class="form-group col-md-6"><input type="text" name="eqPhone" class="form-control" required placeholder="Phone Number" maxlength="11" minlength="11" autocomplete="off"></div>

					<div class="form-group col-md-6"><select class="form-control" required name="eqSex">
  <option value="">--Sex-</option>  <option value="M">Male</option> <option value="F">Female</option> </select></div>

  <div class="form-group col-md-6"><input type="password" name="myPass" class="form-control"  placeholder="password" required></div>

<div class="form-group col-md-6"><input type="text" name="eqEmail" class="form-control"  placeholder="Email" required></div>



<div class="form-group col-md-12">
						
						<select onchange="toggleLGA(this);" name="state" id="state" class="form-control" required>
							<option value="" selected="selected">- Select State-</option>
							<option value="Abia">Abia</option>
							<option value="Adamawa">Adamawa</option>
							<option value="AkwaIbom">AkwaIbom</option>
							<option value="Anambra">Anambra</option>
							<option value="Bauchi">Bauchi</option>
							<option value="Bayelsa">Bayelsa</option>
							<option value="Benue">Benue</option>
							<option value="Borno">Borno</option>
							<option value="Cross River">Cross River</option>
							<option value="Delta">Delta</option>
							<option value="Ebonyi">Ebonyi</option>
							<option value="Edo">Edo</option>
							<option value="Ekiti">Ekiti</option>
							<option value="Enugu">Enugu</option>
							<option value="FCT">FCT</option>
							<option value="Gombe">Gombe</option>
							<option value="Imo">Imo</option>
							<option value="Jigawa">Jigawa</option>
							<option value="Kaduna">Kaduna</option>
							<option value="Kano">Kano</option>
							<option value="Katsina">Katsina</option>
							<option value="Kebbi">Kebbi</option>
							<option value="Kogi">Kogi</option>
							<option value="Kwara">Kwara</option>
							<option value="Lagos">Lagos</option>
							<option value="Nasarawa">Nasarawa</option>
							<option value="Niger">Niger</option>
							<option value="Ogun">Ogun</option>
							<option value="Ondo">Ondo</option>
							<option value="Osun">Osun</option>
							<option value="Oyo">Oyo</option>
							<option value="Plateau">Plateau</option>
							<option value="Rivers">Rivers</option>
							<option value="Sokoto">Sokoto</option>
							<option value="Taraba">Taraba</option>
							<option value="Yobe">Yobe</option>
							<option value="Zamfara">Zamafara</option>
						</select>
					</div>

					<div class="form-group col-md-12">
						<label class="control-label">LGA of Origin</label>
						<select name="lga" id="lga" class="form-control select-lga" required>
						</select>
					</div>

<div class="form-group col-md-12">
<input type="submit" name="postReg" value="Sign Up" class="form-control btn btn-secondary" style="background: black;color:white">
</div></div></form>

					</div>


				</div>



			</div><div class="col-md-3"></div>
										

		</div>
	</div>

</div>
		
		

		
					
	<?php include 'inc/outl_newsbottom.php'; include 'inc/outl_footer.php';  include 'js/outl_footlinks.php'; ?>

	</body>
</html>
