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MarriageReg.html
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MarriageReg.html
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<html>
<head>
<title>Marriage Registration</title>
<link rel="stylesheet" href="./style.css" />
<script src="https://kit.fontawesome.com/a076d05399.js"></script>
<style type = "text/css">
body {
font-family:Arial, Helvetica, sans-serif;
font-size:14px;
}
label {
font-weight:bold;
width:100px;
font-size:14px;
}
.box {
border:#666666 solid 1px;
width:100%;
}
</style>
</head>
<body bgcolor = "#FFFFFF">
<nav>
<div class="menu">
<div class="logo">
<a href="#">Civil Registry</a>
</div>
<ul>
<label hidden style="color: aliceblue;">(Admin)</label>
<li><a href="#">Logout</a></li>
</ul>
</div>
</nav><br><br><br><br><br>
<div align = "center">
<div style = "width:800px; height: 1060px; border: solid 1px #333333; " align = "left">
<div style = "background-color:#333333; color:#FFFFFF; padding:3px;"><b>Marriage Registration</b></div>
<div style = "width:80%; margin:5%">
<form action = "Marriagereg.php" method = "post">
<div style="display: flex;">
<div style="margin-right:20px ;">
<label>User ID :</label><input disabled type = "text" name = "user_id" class = "box"/><br /><br/>
<label>Date of Marriage :</label><input type = "date" name = "date_of_marriage" class = "box" /><br/><br/><br>
<div style="border: solid 1px; width:80%; margin: 10px; color:#333333; width:300px;">
<div style = "background-color:#333333; color:#FFFFFF; padding:3px;"><b>Bride detail</b></div>
<div style="width:80%;margin:10%">
<label>Name :</label><input type = "text" name = "bride_name" class = "box" /><br/><br/>
<label>Date of Birth :</label><input type = "date" name = "bride_dob" class = "box" /><br/><br/>
<label>Housename :</label><input type = "text" name = "bride_housename" class = "box" /><br/><br/>
<label>City :</label><input type = "text" name = "bride_city" class = "box" /><br/><br/>
<label>District :</label><input type = "text" name = "bride_district" class = "box" /><br/><br/>
<label>State :</label><input type = "text" name = "bride_state" class = "box" /><br/><br/>
<label>Contry :</label><input type = "text" name = "bride_contry" class = "box" /><br/><br/>
<label>Phone number :</label><input type = "text"pattern="[6-9]{1}[0-9]{9} name = "bride_phno" class = "box" /><br/><br/>
<label>Email :</label><input type = "email" name = "bride_email" class = "box" /><br/><br/>
<label>Signature :</label><input type="file" id="myFile" name="filename"><br/><br/>
<label>Photo :</label><input type="file" id="myFile" name="filename">
</div>
</div>
<div align = "center"><input type = "submit" value = " Submit " /></div><br><br>
</div>
<div style="margin-left: 20px;">
<label>Proof of marriage :</label><input type="file"/><br /><br/>
<label>Place of Marriage :</label><input type = "text" name = "place_of_marriage" class = "box" /><br/><br><br>
<div style="border: solid 1px; width:80%; margin: 10px; color:#333333; width:300px;">
<div style = "background-color:#333333; color:#FFFFFF; padding:3px;"><b>Bride/Groom detail</b></div>
<div style="width:80%;margin:10%">
<label>Name :</label><input type = "text" name = "bride_groom_name" class = "box" /><br/><br/>
<label>Date of Birth :</label><input type = "date" name = "bride_groom_dob" class = "box" /><br/><br/>
<label>Housename :</label><input type = "text" name = "bride_groom_housename" class = "box" /><br/><br/>
<label>City :</label><input type = "text" name = "bride_groom_city" class = "box" /><br/><br/>
<label>District :</label><input type = "text" name = "bride_groom_district" class = "box" /><br/><br/>
<label>State :</label><input type = "text" name = "bride_groom_state" class = "box" /><br/><br/>
<label>Contry :</label><input type = "text" name = "bride_groom_contry" class = "box" /><br/><br/>
<label>Phone number:</label><input type = "text"pattern="[6-9]{1}[0-9]{9} name = "bride_groom_phno" class = "box" /><br/><br/>
<label>Email:</label><input type = "email" name = "bride_groom_email" class = "box" /><br/><br/>
<label>Signature :</label><input type="file" id="myFile" name="filename"><br/><br/>
<label>Photo :</label><input type="file" id="myFile" name="filename">
</div>
</div>
<div align = "center"> <button type="reset">Reset</button></div><br><br>
</div>
</div>
</form>
<div style = "font-size:11px; color:#cc0000; margin-top:10px">
</div>
</div>
</div>
</div>
</body>
</html>