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DonorRegister1
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DonorRegister1
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<!DOCTYPE html>
<html lang="en">
<head>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.0/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
<style>
body{
font-family: arial;
}
.asButtonText{
background: none;
border: none;
padding: none;
margin: none;
}
.box-blue {
margin:0 0 25px;
overflow:hidden;
padding:20px;
background-color:#6BD5F1;
border:1px solid #afcde3;
-webkit-border-radius: 5px;
border-radius: 5px;
}
input.rounded {
border: 1px solid #ccc;
-moz-border-radius: 10px;
-webkit-border-radius: 10px;
border-radius: 10px;
-moz-box-shadow: 2px 2px 3px #666;
-webkit-box-shadow: 2px 2px 3px #666;
box-shadow: 2px 2px 3px #666;
font-size: 15px;
padding: 4px 7px;
outline: 0;
-webkit-appearance: none;
}
input.rounded:focus {
border-color: #339933;
}
.dropDown{
border: 1px solid #ccc;
-moz-border-radius: 10px;
-webkit-border-radius: 10px;
border-radius: 10px;
-moz-box-shadow: 2px 2px 3px #666;
-webkit-box-shadow: 2px 2px 3px #666;
box-shadow: 2px 2px 3px #666;
font-size: 15px;
padding: 4px 7px;
outline: 0;
-webkit-appearance: none;
border-color: #339933;
}
.field{
border-radius: 5px;
border: 1px solid #ccc;
-webkit-border-radius: 5px;
}
</style>
</head>
<body>
<fieldset class="field" style="background-color: #000000; height:50px;">
<span style="font-size:24px; color:#FFFFFF; position:absolute; left:10%; top:5%; font-weight:bolder;">
BloodBank & Donor Management System
</span>
<button class="asButtonText" style="font-size: 18px; color: #FFFFFF; position: absolute; left: 67%; top: 5%; font-weight: lighter;">
Home
</button>
<button class="asButtonText" style="font-size: 18px; color: #FFFFFF; position: absolute; left: 74%; top: 5%; font-weight: lighter;">
Blood Tips
</button>
<button class="asButtonText" style="font-size: 18px; color: #FFFFFF; position: absolute; left: 83%; top: 5%; font-weight: lighter;">
About
</button>
<button class="asButtonText" style="font-size: 18px; color: #FFFFFF; position: absolute; left: 89%; top: 5%; font-weight: lighter;">
Contact Us
</button>
</fieldset>
<span style="font-size: 30px; font-family: arial; position: absolute; left: 10%; top: 20%; font-weight: bolder;">
Become a Donor
</span>
<fieldset class="box-blue" style="background-color: #ebebe0; height:10px; margin-top: 8%; margin-left: 10%; margin-right: 14% ">
<button class="asButtonText" style="font-size: 16px; position:absolute; left:11%; top:31%; ">
<span style="color: #0052cc">
Home
</span>
</button>
<span style="font-size: 16px; position:absolute; left:15%; top:31%; font-weight: 10">
/ Become a Donor
</span>
</fieldset>
<label for="FullName">
<span style="font-size: 20px; position:absolute; left:10%; top:40%; font-weight: bold; word-spacing: 2px;">
Full Name
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:17%; top:40%;">
*
</span>
</label>
<input class="rounded" type="text" name="FullName" style="position:absolute; left:10%; top:44%; height: 30px; width: 293px;">
<label for="EmailId">
<span style="font-size: 20px; position:absolute; left:37%; top:40%; font-weight: bold; word-spacing: 5px;">
Email Id
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:43%; top:40%;">
*
</span>
</label>
<input class="rounded" type="text" name="EmailId" style="position: absolute; left:37%; top:44%; height: 30px; width: 293px;">
<label for="MobileNumber">
<span style="font-size: 20px; position:absolute; left:64%; top:40%; font-weight: bold;">
Mobile Number
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:75%; top:40%;">
*
</span>
</label>
<input class="rounded" type="text" name="EmailId" style="position: absolute; left:64%; top:44%; height: 30px; width: 293px;">
<label for="Age">
<span style="font-size: 20px; position:absolute; left:10%; top:55%; font-weight: bold; word-spacing: 5px;">
Age
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:13%; top:55%;">
*
</span>
</label>
<input class="rounded" type="number" name="Age" style="position:absolute; left:10%; top:59%; height: 30px; width: 293px;">
<label for="Gender">
<span style="font-size: 20px; position:absolute; left:37%; top:55%; font-weight: bold; word-spacing: 5px;">
Gender
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:42%; top:55%;">
*
</span>
</label>
<select class="dropDown" name="BloodGroup" class="rounded" type="text" name="BloodGroup" style="position: absolute; left:37%; top:59%; height: 30px; width: 293px;">
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Gender" selected="selected">Select</option>
</select>
<label for="BloodGroup">
<span style="font-size: 20px; position:absolute; left:64%; top:55%; font-weight: bold; word-spacing: -1px;">
Blood Group
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:73%; top:55%;">
*
</span>
</label>
<select class="dropDown" name="BloodGroup" class="rounded" type="text" name="BloodGroup" style="position: absolute; left:64%; top:59%; height: 30px; width: 293px;">
<option value="A+">A+</option>
<option value="AB+">AB+</option>
<option value="O+">O+</option>
<option value="A-">A-</option>
<option value="AB-">AB-</option>
<option value="O-">O-</option>
<option value="BloodGroup" selected="selected">Select</option>
</select>
<label for="Address">
<span style="font-size: 20px; position:absolute; left:10%; top:70%; font-weight: bold; word-spacing: 5px;">
Address
</span>
<span style="color: #ff0000; font-size: 18px; position:absolute; left:15%; top:70%;">
*
</span>
</label>
<input class="rounded" type="text" name="Address" style="position:absolute; left:10%; top:74%; height: 80px; width: 293px;">
<label for="Message">
<span style="font-size: 20px; position:absolute; left:37%; top:70%; font-weight: bold; word-spacing: 5px;">
Message
</span>
</label>
<input class="rounded" type="text" name="Message" style="position: absolute; left:37%; top:74%; height: 80px; width: 663px;">
<fieldset class="box-blue" style="background-color: #ebebe0; height:30px; margin-top: 30%; margin-left: 31%; margin-right: 30%; ">
<button class="dropDown" type="button" value="push" style="fontsize: 20px; color: #000000; background-color: #ff4d4d; position: absolute; left:47%; top:98%; height: 40px; width: 100px;">
Register
</button>
</fieldset>
<fieldset class="box-blue" style="background-color: #262626; height:150px; margin-top: 5%;">
<span style="font-size: 20px; color:#FFFFFF; position: absolute; left: 33%; top: 129%">
Copyright © BloodBank Management System 2017
</span>
</fieldset>
</body>
</html>