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<div class="container pt-5" data-aos="fade-up" data-aos-delay="100"> <div class="row align-items-center mb-5"> <div class="container pt-5"> <h1>ลงทะเบียน</h1> <p>This is some text.</p> <form action="?page=regis" method="post" > <div class="mb-3 mt-3"> <label class="form-label">คำนำหน้าชื่อ:</label> <select class="form-select" id="sel1" name="sellist1" required> <option value="">--เลือก--</option> <option value="นาย">นาย</option> <option value="นาง">นาง</option> <option value="นางสาว">นางสาว</option> </select> </div> <div class="mb-3 mt-3"> <label for="name" class="form-label">Uername:</label> <input type="text" class="form-control" id="usname" placeholder="uername" name="usname"> </div> <div class="mb-3 mt-3"> <label for="name" class="form-label">Password:</label> <input type="text" class="form-control" id="pwd" placeholder="password" name="pwd"> </div> <div class="mb-3 mt-3"> <label for="name" class="form-label">ชื่อ:</label> <input type="text" class="form-control" id="name" placeholder="ชื่อ" name="name"> </div> <div class="mb-3"> <label for="surname" class="form-label">นามสกุล:</label> <input type="text" class="form-control" id="lasname" placeholder="นามสกุล" name="lasname"> </div> <div class="mb-3"> <label for="surname" class="form-label">อีเมล์:</label> <input type="text" class="form-control" id="email" placeholder="อีเมล์" name="email"> </div> <div class="mb-3"> <label for="surname" class="form-label">เบอร์โทร:</label> <input type="text" class="form-control" id="telphon" placeholder="เบอร์โทร" name="telphon"> </div> <div class="mb-3"> <label for="surname" class="form-label">ที่อยู่:</label> <input type="text" class="form-control" id="ipadrses" placeholder="" name="ipadrses"> </div> <div class="form-check mb-3"> <label class="form-check-label"> <input class="form-check-input" type="checkbox" name="remember"> Remember me </label> </div> <button type="submit" class="btn btn-primary">Submit</button> </form> </div> </div> </div>
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