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<div class="container dashboard form-page">
<!-- <div class="row">
<div class="col-sm-24">
<?php if(isset($message)) { ?>
<div class="alert alert-danger fade in">
<a href="#" class="close" data-dismiss="alert">×</a>
<div id="infoMessage"><?php echo $message;?></div>
</div>
<?php } ?>
<div class="zed-tabs">
<ul class="nav nav-tabs">
<li class="active"><a href="javascript:void(0);" data-toggle="tab" data-target="#tab1">Basic</a></li>
</ul>
<div class="tab-content">
<div class="tab-pane active fade in" id="tab1">
<?php echo form_open("auth/create_user");?>
<div class="form-group">
<?php echo lang('create_user_fname_label', 'first_name');?> <br />
<?php echo form_input($first_name);?>
</div>
<div class="form-group">
<?php echo lang('create_user_lname_label', 'last_name');?> <br />
<?php echo form_input($last_name);?>
</div>
<?php
if($identity_column!=='email') {
echo '<p>';
echo lang('create_user_identity_label', 'identity');
echo '<br />';
echo form_error('identity');
echo form_input($identity);
echo '</p>';
}
?>
<div class="form-group">
<?php echo lang('create_user_company_label', 'company');?> <br />
<?php echo form_input($company);?>
</div>
<div class="form-group">
<?php echo lang('create_user_email_label', 'email');?> <br />
<?php echo form_input($email);?>
</div>
<div class="form-group">
<?php echo lang('create_user_phone_label', 'phone');?> <br />
<?php echo form_input($phone);?>
</div>
<div class="form-group">
<?php echo lang('create_user_password_label', 'password');?> <br />
<?php echo form_input($password);?>
</div>
<div class="form-group">
<?php echo lang('create_user_password_confirm_label', 'password_confirm');?> <br />
<?php echo form_input($password_confirm);?>
</div>
<div class="form-group">
<?php echo form_submit('submit', lang('create_user_submit_btn'),'class="btn btn-primary"');?>
<a href="<?php echo base_url();?>auth" class="btn btn-default">Cancel</a>
</div>
<?php echo form_close();?>
</div>
</div>
</div>
</div>
</div> -->
<div class="row">
<div class="col-sm-12"><br/>
<h3 class="contact-title">User Registration</h3>
</div>
<?php echo form_open("auth/register",array(
'class' => 'register-form'));?>
<div class="col-sm-12">
<?php if(!empty( $this->session->flashdata('message') ) ){ ?>
<div class="alert alert-success" role="alert">
<?php echo $this->session->flashdata('message'); ?>
</div>
<?php }else if(!empty($message)){ ?>
<div class="alert alert-danger" role="alert">
<?php echo $message; ?>
</div>
<?php }?>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Name of the company</label>
<input type="text" placeholder="Company Name" class="form-control" name="company" value="<?php echo $this->data['input_data']['company'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Type of Industry</label>
<select name="" id="" class="form-control">
<option value="">Select</option>
<option value="">Sector A</option>
<option value="">Sector B</option>
<option value="">Sector C</option>
</select>
<!-- <input type="text" placeholder="Type of Industry" class="form-control" name="type_industry" value="<?php echo $this->data['input_data']['type_industry'] ?? ''; ?>"> -->
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Name of Authorized Representative </label>
<input type="text" placeholder="Authorized Representative Name" class="form-control" name="name" value="<?php echo $this->data['input_data']['name'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Designation</label>
<input type="text" placeholder="Designation" class="form-control" name="designation" value="<?php echo $this->data['input_data']['designation'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Mobile Number of Authorized Representative</label>
<input type="number" placeholder="Representative Mobile Number" class="form-control" name="company_phone" value="<?php echo $this->data['input_data']['company_phone'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Email ID of Authorized Representative</label>
<input type="email" placeholder="Email" class="form-control" name="email" value="<?php echo $this->data['email']['value'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="">Nature of Project</label>
<select name="" id="" class="form-control">
<option value="">Select</option>
<option value="">Procurement of Energy Efficiency appliances/equipments/technologies</option>
<option value="">Replacement of old energy intensive appliances with EE appliances</option>
<option value="">Other</option>
</select>
</div>
</div>
<!-- TODO : if other option selected from above dropdown (Nature of Project) then other input below block should display -->
<div class="col-sm-6" style="display:none">
<div class="form-group">
<label for="">Other please specify</label>
<input type="text" placeholder="others" class="form-control" name="others" value="">
</div>
</div>
<div class="col-sm-6">
<div class="form-group">
<label for="">Address</label>
<textarea class="form-control" id="" cols="30" rows="2" name="company_address"><?php echo $this->data['input_data']['company_address'] ?? ''; ?></textarea>
</div>
</div>
<!-- <div class="col-sm-6">
<div class="form-group">
<label for="">User Phone Number</label>
<input type="number" placeholder="User Phone Number" class="form-control" name="phone" value="<?php echo $this->data['input_data']['phone'] ?? ''; ?>">
</div>
</div> -->
<!-- <div class="col-sm-12">
<div class="form-group">
<label for="">Brief information of project activity </label>
<textarea class="form-control" id="" cols="30" rows="3" name="brief_info"><?php echo $this->data['input_data']['brief_info'] ?? ''; ?></textarea>
</div>
</div> -->
<div class="col-sm-12">
<div class="form-group">
<br/>
<h4>Contact Details of Nodal Officer authorized by company / industry for this willingness form</h4>
<br/>
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Name </label>
<input type="text" placeholder="Name" class="form-control" name="name" value="<?php echo $this->data['input_data']['name'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Designation</label>
<input type="text" placeholder="Designation" class="form-control" name="designation" value="<?php echo $this->data['input_data']['designation'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Mobile Number</label>
<input type="number" placeholder="Mobile Number" class="form-control" name="company_phone" value="<?php echo $this->data['input_data']['company_phone'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-4">
<div class="form-group">
<label for="">Email ID </label>
<input type="email" placeholder="Email" class="form-control" name="email" value="<?php echo $this->data['email']['value'] ?? ''; ?>">
</div>
</div>
<div class="col-sm-12">
<div class="form-group">
<button class="btn btn-default" type="submit">Register</button>
</div>
</div>
<?php echo form_close();?>
</div>
</div>