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add_user.php
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add_user.php
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<?php include_once 'inc/top.php'; ?>
<table border="0"><tr valign="top"><td width="310"> <!-- start of frame -->
<?php include_once 'inc/aside.php'; ?>
</td><td>
<main class="tmp-base">
<?php $list_nav_key = 'Add Investor'; include_once 'inc/nav.php'; ?>
<form class="tmp-form" <?php echo FORM_ATTRIB; ?>>
<fieldset>
<table class="tmp-grid" border="0">
<tr>
<td colspan="1">
<label><x>*</x> Registration Date:</label>
<input type="date" name="reg_date" value="<?php echo $_POST['reg_date']; ?>" required />
</td>
<td colspan="3"> </td>
</tr>
<tr>
<td colspan="1">
<label>Passport Photo:</label>
<input type="file" name="passport" accept="image/*" />
</td>
<td colspan="1">
<label><x>*</x> Surname:</label>
<input type="text" name="surname" value="<?php echo $_POST['surname']; ?>" required />
</td>
<td colspan="2">
<label><x>*</x> Other Names:</label>
<input type="text" name="names" value="<?php echo $_POST['names']; ?>" required />
</td>
</tr>
<tr>
<td colspan="1">
<label><x>*</x> Select Gender:</label>
<select name="gender" required>
<option></option>
<?php echo $ddl_gender; ?>
</select>
</td>
<td colspan="1">
<label>Nationality:</label>
<select name="country">
<option></option>
<?php echo $ddl_country; ?>
</select>
</td>
<td colspan="1">
<label>Religion:</label>
<select name="religion">
<option></option>
<?php echo $ddl_religion; ?>
</select>
</td>
<td colspan="1">
<label>Occupation:</label>
<input type="search" name="occupation" value="<?php echo $_POST['occupation']; ?>" list="hint_occupation" />
<?php echo $hint_occupation; ?>
</td>
</tr>
<tr>
<td colspan="2">
<label>Email Address:</label>
<input type="email" name="email" value="<?php echo $_POST['email']; ?>" placeholder="Ex. example@domain.com" />
</td>
<td colspan="1">
<label><x>*</x> Mobile Number:</label>
<input type="tel" name="mobile" value="<?php echo $_POST['mobile']; ?>" placeholder="Ex. +234(0)" maxlength="11" required />
</td>
<td colspan="1">
<label>Phone Number:</label>
<input type="tel" name="phone" value="<?php echo $_POST['phone']; ?>" maxlength="11" />
</td>
</tr>
<tr>
<td colspan="3">
<label><x>*</x> Home Address:</label>
<input type="search" name="address" value="<?php echo $_POST['address']; ?>" required />
</td>
<td colspan="1">
<label><x>*</x> Location:</label>
<select name="state" required>
<option></option>
<?php echo $ddl_state; ?>
</select>
</td>
</tr>
<tr>
<td colspan="1">
<label><x>*</x> Bank Name:</label>
<select name="bank" required>
<option></option>
<?php echo $ddl_bank; ?>
</select>
</td>
<td colspan="2">
<label><x>*</x> Account Name:</label>
<input type="text" name="acct_name" value="<?php echo $_POST['acct_name']; ?>" required />
</td>
<td colspan="1">
<label><x>*</x> Account Number:</label>
<input type="number" name="acct_no" value="<?php echo $_POST['acct_no']; ?>" required />
</td>
</tr>
<tr>
<td colspan="1">
<label>Bank Name (alternative):</label>
<select name="bank_alt">
<option></option>
<?php echo $ddl_bank_alt; ?>
</select>
</td>
<td colspan="2">
<label>Account Name (alternative):</label>
<input type="text" name="acct_name_alt" value="<?php echo $_POST['acct_name_alt']; ?>" />
</td>
<td colspan="1">
<label>Account Number (alternative):</label>
<input type="number" name="acct_no_alt" value="<?php echo $_POST['acct_no_alt']; ?>" />
</td>
</tr>
<tr>
<td colspan="1">
<label>Valid Means of ID:</label>
<select name="valid_id">
<option></option>
<?php echo $ddl_valid_id; ?>
</select>
</td>
<td colspan="1">
<label>Valid ID Serial Number:</label>
<input type="text" name="valid_id_no" value="<?php echo $_POST['valid_id_no']; ?>" />
</td>
<td colspan="1">
<label>Upload Valid ID:</label>
<input type="file" name="valid_id_file" />
</td>
<td colspan="1">
<label>Referred by:</label>
<input type="search" name="referral" value="<?php echo $_POST['referral']; ?>" list="hint_referral" />
<?php echo $hint_referral; ?>
</td>
</tr>
</table>
<div class="action">
<button type="reset" class="sec">Clear</button>
<button type="submit" class="pri">Save</button>
</div>
</fieldset>
</form>
</main>
</td></tr></table> <!-- end of frame -->
<?php include_once 'inc/footer.php'; ?>
<?php include_once 'inc/end.php'; ?>