| Server IP : 14.241.111.210 / Your IP : 3.139.86.227 Web Server : Apache System : Linux localhost.localdomain 3.10.0-1160.66.1.el7.x86_64 #1 SMP Wed May 18 16:02:34 UTC 2022 x86_64 User : www ( 1001) PHP Version : 7.4.33 Disable Function : passthru,exec,system,putenv,chroot,chgrp,chown,shell_exec,popen,proc_open,pcntl_exec,ini_alter,ini_restore,dl,openlog,syslog,readlink,symlink,popepassthru,pcntl_alarm,pcntl_fork,pcntl_waitpid,pcntl_wait,pcntl_wifexited,pcntl_wifstopped,pcntl_wifsignaled,pcntl_wifcontinued,pcntl_wexitstatus,pcntl_wtermsig,pcntl_wstopsig,pcntl_signal,pcntl_signal_dispatch,pcntl_get_last_error,pcntl_strerror,pcntl_sigprocmask,pcntl_sigwaitinfo,pcntl_sigtimedwait,pcntl_exec,pcntl_getpriority,pcntl_setpriority,imap_open,apache_setenv MySQL : OFF | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /www/wwwroot/checkemail.webthanhha.com/ |
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<?php
include('include/header.php');
?>
<h2 style="text-align: center">SIGNUP</h2>
<p style="text-align: center;">Please create an account to verify your email.</p>
<div class="container main py-3">
<div class="row">
<div class="col-md-3"></div>
<div class="col-md-6" style="margin: 0 auto;">
<form action="include/signup-process.php" method="POST">
<p><label>Username (*):</label><input type="text" class="form-control" name="username" id="username" required /></p>
<label>Password (*):</label>
<input type="password" class="form-control" name="password" id="password" required /></p>
<label>Re-enter password (*):</label>
<input type="password" class="form-control" name="re_password" id="re_password" required /></p>
<label>Email (*):</label>
<input type="email" class="form-control" name="email" id="email" required /></p>
<label>Full Name</label>
<input type="text" class="form-control" name="full_name" id="full_name" /></p>
<p class="text-center"><input type="submit" class="btn btn-success" value="SUBMIT" />
<input type="reset" class="btn btn-danger" value="RESET" /></p>
</form>
</div>
<div class="col-md-3"></div>
</div>
</div>
<?php
include('include/footer.php');
?>