Expand|Select|Wrap|Line Numbers
- <tr>
- <td width="426" height="264" valign="top" bgcolor="#FFCC99">
- <!--LOGIN FORM START -->
- <form name="loginform" action="login_exec.php" method="post">
- <table width="309" height="144" border="0" align="center" cellpadding="2" cellspacing="5">
- <tr>
- <td colspan="2"><!--the code bellow is used to display the message of the input validation-->
- <?php
- if( isset($_SESSION['ERRMSG_ARR']) && is_array($_SESSION['ERRMSG_ARR']) &&
- count($_SESSION['ERRMSG_ARR']) >0 ) {
- echo '<ul class="err">';
- foreach($_SESSION['ERRMSG_ARR'] as $msg) {
- echo '<li>',$msg,'</li>';
- }
- echo '</ul>';
- unset($_SESSION['ERRMSG_ARR']);
- }
- ?>
- <span class="style48">Staff / Students Login</span></td>
- </tr>
- <tr>
- <td width="116"><div align="right">Username</div></td>
- <td width="177"><input name="username" type="text" /></td>
- </tr>
- <tr>
- <td><div align="right">Password</div></td>
- <td><input name="password" type="password" /></td>
- </tr>
- <tr>
- <td><div align="right"></div></td>
- <td><input name="input" type="submit" value="login" /></td>
- </tr>
- </table>
- </form></td> <!--LOGIN FORM END -->
- <td width="510" align="center" valign="top">
- <!--REGISTRATION FORM START -->
- <form action="code_exec.php" method="post" enctype="multipart/form-data" name="reg" id="reg" onsubmit="return validateForm()">
- <table width="520" border="0" align="center" cellpadding="2" cellspacing="0" bgcolor="#FFFFCC">
- <tr>
- <td colspan="2"><div align="center" class="style50">
- <?php
- $remarks=$_GET['remarks'];
- if ($remarks==null and $remarks=="")
- {
- echo 'Register Here';
- }
- if ($remarks=='success')
- {
- echo 'Your Registration Was Successful. Please Login To View/Print Your Profile';
- }
- ?>
- </div></td>
- </tr>
- <tr>
- <td width="206"><div align="right"><strong>First Name:</strong></div></td>
- <td width="306"><input type="text" name="fname" required /></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Last Name:</strong></div></td>
- <td><input type="text" name="lname" required /></td>
- </tr>
- <tr>
- <td width="206"><div align="right"><strong>Date of Birth:</strong></div></td>
- <td width="306">
- <script type="text/javascript" src="Calendar.aspx?dateFormat=dd/mm/yy"></script>
- <link type="text/css" href="jquery-ui-1.css" rel="stylesheet"> </td>
- </tr>
- <tr>
- <td><div align="right"><strong>Gender:</strong></div></td>
- <td><label> male
- <input type="radio" name="gender" id="male" value="male" />
- female
- <input type="radio" name="gender" id="female" value="female" />
- </label></td>
- </tr>
- <tr>
- <td width="206"><div align="right"><strong>Religion:</strong></div></td>
- <td width="306"><input name="religion" type="text" id="religion" required /></td>
- </tr>
- <tr>
- <td width="206"><div align="right"><strong>State of Origin:</strong></div></td>
- <td width="306"><select name="state" id="state">
- <option value="" selected="selected">- Select -</option>
- <option value="Abuja FCT">Abuja FCT</option>
- <option value="Abia">Abia</option>
- <option value="Adamawa">Adamawa</option>
- <option value="Akwa Ibom">Akwa Ibom</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="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="Nassarawa">Nassarawa</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">Zamfara</option>
- <option value="Outside Nigeria">Outside Nigeria</option>
- </select></td>
- </tr>
- <tr>
- <td width="206"><div align="right"><strong>Local Govt Area:</strong></div></td>
- <td width="306"><input type="text" name="lgovt" required id="lgovt" /></td>
- </tr>
- <tr>
- <td width="206" height="29"><div align="right"><strong>Parents' Name:</strong></div></td>
- <td width="306"><input type="text" name="pname" required id="pname" /></td>
- </tr>
- <tr>
- <td width="206" height="26"><div align="right"><strong>Parents' Address:</strong></div></td>
- <td width="306"><textarea name="paddress" required="required" id="paddress"></textarea></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Contact Phone No.:</strong></div></td>
- <td><input type="text" name="contact" required /></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Picture:</strong></div></td>
- <td><label>
- <input type="file" name="image" id="image" />
- </label></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Extra Corricular Activities/Hubbies:</strong></div></td>
- <td><textarea name="hubby" rows="6" required="required" id="hubby"></textarea></td>
- </tr>
- <tr>
- <td width="206"><div align="right"><strong>Class of Intended Admission:</strong></div></td>
- <td width="306"><select name="class" id="class">
- <option value="" selected="selected">- Select -</option>
- <option value="js1">JS1</option>
- <option value="js2">JS2</option>
- <option value="ss1">SS1</option>
- <option value="ss2">SS2</option>
- </select></td>
- </tr>
- <tr bgcolor="#000000">
- <td colspan="2" align="center" valign="middle"><span class="style49">
- <label><span class="style3">MEDICAL HISTORY</span></label>
- </span></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Sickle Cell Anaemia:</strong></div></td>
- <td><label>Yes
- <input type="radio" name="ss" id="yes" value="yes" />
- No
- <input type="radio" name="ss" id="no" value="no" />
- </label></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Asthma:</strong></div></td>
- <td><label>Yes
- <input type="radio" name="asthma" id="yes2" value="yes" />
- No
- <input type="radio" name="asthma" id="no" value="no" />
- </label></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Epilepsy:</strong></div></td>
- <td><label>Yes
- <input type="radio" name="epilepsy" id="yes" value="yes" />
- No
- <input type="radio" name="epilepsy" id="no" value="no" />
- </label></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Blood Group:</strong></div></td>
- <td><input type="text" name="bgroup" required id="bgroup" /></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Any Allergy?:</strong></div></td>
- <td><input type="text" name="allergy" required id="allergy" /></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Any Other Important Information?:</strong></div></td>
- <td><textarea name="info" rows="6" required="required" id="info"></textarea></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Username:</strong></div></td>
- <td><input type="text" name="username" required /></td>
- </tr>
- <tr>
- <td><div align="right"><strong>Password:</strong></div></td>
- <td><input type="password" name="password" required /></td>
- </tr>
- <tr>
- <td><div align="right"></div></td>
- <td><input name="submit" type="submit" value="Submit" /></td>
- </tr>
- </table>
- </form></td> <!--REGISTRATION FORM END -->
- </tr>