mirror of
https://gitlab.com/CIEFWorldwideSdnBhd/IZYIM-mobile-client.git
synced 2026-08-19 04:14:06 +00:00
Zain Fauzan Rofie Azizi
100 lines
4.6 KiB
HTML
100 lines
4.6 KiB
HTML
<!DOCTYPE html>
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<html>
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<head>
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<title>AzureUI - SIGNUP</title>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<title>AzureUI - SIGN-IN</title>
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<link href="https://fonts.googleapis.com/css?family=Nunito:300,400,600,700,900" rel="stylesheet">
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<link rel="stylesheet" type="text/css" href="css/font-awesome.min.css">
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<link rel="stylesheet" type="text/css" href="css/global.style.css">
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</head>
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<body>
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<div class="wrapper">
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<div class="wrapper-inline">
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<!-- Header area start -->
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<header style="background-color: #FFF">
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<a class="go-back-link-index" href="javascript:history.back();"><i class="fa fa-arrow-left"></i></a>
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<h1 id="HT" class="page-title" style="color: #000">Sign-up</h1>
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</header>
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<!-- Header area end -->
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<div class="form-divider"></div>
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<div class="form-row txt-center">
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<img src="images/CIEF.png" style="width:200px; height:100px">
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</div>
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<!-- Page content start -->
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<main>
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<section class="container">
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<form>
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<div class="form-row-group with-icons">
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<div class="form-row no-padding">
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<div style="position:absolute; top: 10px;">
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<i class="fa fa-user" style="color: #667F97"></i>
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</div>
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<select class="form-element">
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<option value="">Role</option>
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<option value="1" selected>Importer</option>
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<option value="2">Forwarder</option>
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</select>
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</div>
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<div class="form-row no-padding">
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<div style="position:absolute; top: 10px;">
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<i class="fa fa-lock" style="color: #667F97"></i>
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</div>
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<input type="password" name="aaa" class="form-element" placeholder="Password" required>
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</div>
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<div class="form-row no-padding">
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<div style="position:absolute; top: 10px;">
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<i class="fa fa-lock" style="color: #667F97"></i>
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</div>
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<input type="password" name="aaa" class="form-element" placeholder="Confirm Password" required>
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</div>
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<div class="form-row no-padding">
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<div style="position:absolute; top: 10px;">
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<i class="fa fa-check" style="color: #667F97"></i>
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</div>
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<input type="text" name="aaa" class="form-element" placeholder="Verification No" required>
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</div>
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</div>
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<div class="form-divider"></div>
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<div class="form-row txt-center" style="color:white">
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Request verification number
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</div>
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<div class="form-row-group with-icons">
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<div class="form-row no-padding">
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<div style="position:absolute; top: 10px;">
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<i class="fa fa-phone" style="color: #667F97"></i>
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</div>
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<input type="text" name="aaa" class="form-element" placeholder="Mobile No">
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</div>
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</div>
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<div class="form-divider"></div>
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<a href="#" class="button blue" style="right: 50px">Send</a>
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<div class="form-divider"></div>
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<div class="form-label-divider"></div>
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<div class="form-divider"></div>
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<div >
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<a href="verify-terms-conditions.html" class="button block green">Sign Up</a>
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</div>
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<div class="form-row txt-center">
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Already have an account? <a href="index.html" data-loader="show">Sign-in</a>
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</div>
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</form>
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</section>
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</main>
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<!-- Page content end -->
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</div>
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</div>
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</body>
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</html> |