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form2.php
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41 lines (38 loc) · 2.21 KB
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<fieldset id=2>
<div class="form-group">
<div class="row">
<div class="col-sm-6">
<label class="" for="state">State</label>
<select class="form-control" name="state" id="state">
<?php $a=0; foreach($state as $key => $value){ ?>
<option value=<?php echo $value['id']; if($a==0)echo ' selected' ;$a++;?> ><?php echo $value['name'] ?></option>
<?php } ?>
</select> </div>
<div class="col-sm-6">
<label class="" for="state">City</label>
<select class="form-control" name="city" id="city">
</select></div></div>
</div>
<div class="form-group">
<label class="sr-only" for="adr">Address</label>
<textarea type="text" name="adr" placeholder="Address" class="f1-twitter form-control" id="adr"></textarea>
</div>
<div class="row">
<div class="col-sm-8">
<div class="form-group">
<label class="sr-only" for="landmark">Landmark</label>
<input type="text" name="landmark" placeholder="Landmark" class="f1-google-plus form-control" id="landmark">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label class="sr-only" for="pincode">Pincode</label>
<input type="Number" name="pincode" placeholder="Pincode" class="f1-google-plus form-control" id="pincode">
</div>
</div>
</div>
<div class="f1-buttons">
<button type="button" class="btn btn-previous" onclick="$('#progress').hide()">Previous</button>
<button type="button" class="btn btn-next" >Next</button>
</div>
</fieldset>