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bank_registration.html
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bank_registration.html
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<html>
<head>
<script src="https://ajax.aspnetcdn.com/ajax/jQuery/jquery-3.1.1.min.js">
</script>
<style>
button {
color: white;
height:40px;
width:118px;
background-color: #87CEEB;
font-family: verdana;
font-weight:bold;
font-size: 100%;
border: 0;
}
body {
background-image:url("http://bdamauritius.com/linkcontent/userfiles/image/Blood-Donation.jpg");
#background-image:url("http://www.qfree.in/media/images/listings/images/shharc-blood-bank.jpg");
background-attachment:fixed;
background-repeat:no-repeat;
background-position:right;
background-color:white;
font-family: 'Open Sans', sans-serif;
}
form {
width:450;
background-color:white;
opacity:0.8;
}
a {
text-decoration:none;
font-family: 'Open Sans', sans-serif;
font-size: 16px;
}
h11
{
color:rgb(0, 0, 102);
font-size: 250%;
}
h12
{
color:rgb(255, 102, 102);
font-size: 250%;
}
h13
{
color:rgb(51, 51, 204);
font-size: 250%;
}
a:link {
color: white;
}
a:visited {
color: white;
}
ul {
list-style-type: none;
margin: 0;
padding: 0;
overflow: hidden;
background-color: #333;
}
li {
float: left;
}
li a {
display: block;
color: white;
text-align: center;
padding: 12px 16px;
text-decoration: none;
}
li a:hover:not(.active) {
background-color: #111;
}
.active {
background-color: #4CAF50;
}
</style>
</head>
<body class="">
<div>
<div>
<center>
<center><h11>ONLINE</h11><h12> BLOOD </h12><h13>BANK</h13></center>
<br>
<ul>
<li><a href='index.html'>Home</a></li>
<li><a href='recipient_registration.html'>Donor Registration</a></li>
<li><a href='recipient_registration.html'>Recipient Registration</a></li>
<li><a class="active" href="#home">Blood Bank Registration</a></li>
<li><a href='result.php'>Registered Donors</a></li>
<li><a href='eligibility.html'>Eligibility</a></li>
<li><a href='login.html'>Login</a></li>
<li><a href='contactus.html'>About Us</a></li>
</ul>
<br>
<p></p>
<u><h1>Enter your details</h1></u>
<p></p>
<form>
<table border="0">
<tbody><tr>
<td style="FONT-SIZE:18px;LINE-HEIGHT:40px; font-family:verdana;"><label><center><b>Name:</b></center></label></td>
</tr>
<tr>
<td style="LINE-HEIGHT:40px"><center><input style="font-size:15px" type="text" name="name"></center></td>
</tr>
<tr>
<td style="FONT-SIZE:18px;LINE-HEIGHT:40px; font-family:verdana;"><label><center><b>Address:</b></center></label></td>
</tr>
<tr>
<td><center><textarea style="font-size:18px; font-family:verdana;" rows="5" cols="30" name="address"></textarea></center></td>
</tr>
<tr>
<td style="FONT-SIZE:18px;LINE-HEIGHT:40px; font-family:verdana;"><label><center><b>Phone No:</b></center></label></td>
</tr>
<tr>
<td><center><input style="font-size:18px; font-family:verdana;" type="tel" name="phno"></center></td>
</tr>
<tr>
<td style="FONT-SIZE:18px;LINE-HEIGHT:40px; font-family:verdana;"><label><center><b>Blood Group and Quantity:</b></center></label></td>
</tr>
<tr>
<td><center>
<select style="font-size:15px; font-family:verdana;" name="bgrp">
<option value="A">A</option>
<option value="B">B</option>
<option value="AB">AB</option>
<option value="O">O</option>
</select>
<select style="font-size:15px; font-family:verdana;" name="rh">
<option value="+">+</option>
<option value="-">-</option>
</select>
<input style="font-size:14px; font-family:verdana; width:60;" type="number" name="qty"></center></td>
<br>
</tr>
<tr class="input_fields_wrap"></tr>
<tr>
<td><center><button class="hihi">add more</button></center></td></tr>
<script>
$(document).ready(function(){
var max_fields = 10;
var x = 1;
$(".hihi").click(function(e){
e.preventDefault();
if(x < max_fields){
x++;
$(".input_fields_wrap").append('<tr><td><center><select style="font-size:15px; font-family:verdana;" name="bgrp"><option value="A">A</option><option value="B">B</option><option value="AB">AB</option><option value="O">O</option></select><select style="font-size:15px; font-family:verdana;" name="rh"><option value="+">+</option><option value="-">-</option></select><input style="font-size:14px; font-family:verdana; width:60;" type="number" name="qty"></center></td></tr>');
}
});
});
</script>
</tbody></table>
<br>
<br>
<button type="submit" value="submit" name="submit">Submit</button>
<br><br>
<font color="red">All fields are mandatory</font>
<br>
</center>
</form>
</div>
<div id="wpsn-container" class="wpsn-container" style="position: absolute; top: 0px; left: 0px;"><span class="wpsn-preloadfont" style="visibility:hidden">a</span></div><div id="wpsn-popup-container" class="wpsn-popup-container" style="position: fixed; top: 0px; left: 0px; display: none;"></div>
</body>
</html>