Server : Apache/2.4.6 (CentOS) OpenSSL/1.0.2k-fips PHP/7.4.20 System : Linux st2.domain.com 3.10.0-1127.10.1.el7.x86_64 #1 SMP Wed Jun 3 14:28:03 UTC 2020 x86_64 User : apache ( 48) PHP Version : 7.4.20 Disable Function : NONE Directory : /var/www/html/admin.adimi/layout/bootstrap4/global_assets/demo_data/wizard/ |
<!-- "Personal data" form for Stepy wizard --> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label>Select location:</label> <select name="location" data-placeholder="Select position" class="form-control form-control-select2"> <option></option> <optgroup label="North America"> <option value="1">United States</option> <option value="2">Canada</option> </optgroup> <optgroup label="Latin America"> <option value="3">Chile</option> <option value="4">Argentina</option> <option value="5">Colombia</option> <option value="6">Peru</option> <option value="7">Brazil</option> </optgroup> <optgroup label="Europe"> <option value="8">Croatia</option> <option value="9">Hungary</option> <option value="10">Ukraine</option> <option value="11">Greece</option> <option value="12">Norway</option> <option value="13">Germany</option> <option value="14">United Kingdom</option> <option value="15">Denmark</option> <option value="16">France</option> <option value="17">Austria</option> <option value="18">Italy</option> <option value="19">Spain</option> <option value="20">Poland</option> </optgroup> </select> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Select position:</label> <select name="position" data-placeholder="Select position" class="form-control form-control-select2"> <option></option> <optgroup label="Developer Relations"> <option value="1">Sales Engineer</option> <option value="2">Ads Solutions Consultant</option> <option value="3">Technical Solutions Consultant</option> <option value="4">Business Intern</option> </optgroup> <optgroup label="Engineering & Design"> <option value="5">Interaction Designer</option> <option value="6">Technical Program Manager</option> <option value="7">Software Engineer</option> <option value="8">Information Security Engineer</option> <option value="9">Security Engineer</option> <option value="10">Usability Expert</option> <option value="11">UI Designer</option> <option value="12">Illustrator</option> </optgroup> <optgroup label="Marketing & Communications"> <option value="13">Media Outreach Manager</option> <option value="14">Research Manager</option> <option value="15">Marketing Intern</option> <option value="16">Business Intern</option> </optgroup> </select> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label>Applicant name:</label> <input type="text" name="name" class="form-control" placeholder="John Doe"> </div> </div> <div class="col-md-6"> <div class="form-group"> <label>Email address:</label> <input type="email" name="email" class="form-control" placeholder="your@email.com"> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label>Phone #:</label> <input type="text" name="tel" class="form-control" placeholder="+99-99-9999-9999" data-mask="+99-99-9999-9999"> </div> </div> <div class="col-md-6"> <label>Date of birth:</label> <div class="row"> <div class="col-md-4"> <div class="form-group"> <select name="birth-month" data-placeholder="Month" class="form-control form-control-select2"> <option></option> <option value="1">January</option> <option value="2">February</option> <option value="3">March</option> <option value="4">April</option> <option value="5">May</option> <option value="6">June</option> <option value="7">July</option> <option value="8">August</option> <option value="9">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <select name="birth-day" data-placeholder="Day" class="form-control form-control-select2"> <option></option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select> </div> </div> <div class="col-md-4"> <div class="form-group"> <select name="birth-year" data-placeholder="Year" class="form-control form-control-select2"> <option></option> <option value="1">1980</option> <option value="2">1981</option> <option value="3">1982</option> <option value="4">1983</option> <option value="5">1984</option> <option value="6">1985</option> <option value="7">1986</option> <option value="8">1987</option> <option value="9">1988</option> <option value="10">1989</option> <option value="11">1990</option> </select> </div> </div> </div> </div> </div> <!-- /"personal data" form for Stepy wizard -->