source: src/main/resources/templates/register.html@ 5e4f0d7

Last change on this file since 5e4f0d7 was e5fefbd, checked in by Anita Terziska <63020646+Nit4e@…>, 2 years ago

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[e5fefbd]1<!DOCTYPE html>
2<html lang="en" xmlns="http://www.w3.org/1999/xhtml" xmlns:th="http://www.thymeleaf.org">
3<head>
4 <meta charset="UTF-8">
5 <link rel="shortcut icon" th:href="@{assets/images/favicon.ico}">
6 <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.0/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-KyZXEAg3QhqLMpG8r+8fhAXLRk2vvoC2f3B09zVXn8CA5QIVfZOJ3BCsw2P0p/We" crossorigin="anonymous">
7 <script src="https://cdn.jsdelivr.net/npm/@popperjs/core@2.9.3/dist/umd/popper.min.js" integrity="sha384-eMNCOe7tC1doHpGoWe/6oMVemdAVTMs2xqW4mwXrXsW0L84Iytr2wi5v2QjrP/xp" crossorigin="anonymous"></script>
8 <script src="https://cdn.jsdelivr.net/npm/bootstrap@5.1.0/dist/js/bootstrap.min.js" integrity="sha384-cn7l7gDp0eyniUwwAZgrzD06kc/tftFf19TOAs2zVinnD/C7E91j9yyk5//jjpt/" crossorigin="anonymous"></script>
9 <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
10 <title> Регистрирај се </title>
11</head>
12<body>
13<div class="container mt-5">
14 <h3 align="justify"> </h3>
15 <div class="card" style="width: 55rem; ">
16 <div class="card-header text-center bg-info ">
17 <h3> Регистрирај се </h3>
18 </div>
19 <div class="card-body">
20 <form th:action="@{/save}" method="post" th:object="${pacient}">
21 <div class="form-group">
22 <label for="ime"> Име </label>
23 <input type="text" class="form-control" id="ime" name="ime" aria-describedby="emailHelp" required th:field="*{ime}">
24 </div>
25 <div class="form-group">
26 <label for="prezime"> Презиме </label>
27 <input type="text" class="form-control" id="prezime" name="prezime" aria-describedby="emailHelp" required th:field="*{prezime}">
28 </div>
29 <div class="form-group">
30 <label for="embg"> ЕМБГ </label>
31 <input type="text" class="form-control" id="embg" name="embg" aria-describedby="emailHelp" required th:field="*{embg}">
32 </div>
33 <div class="form-group">
34 <label for="email"> Емаил </label>
35 <input type="email" class="form-control" id="email" name="email" aria-describedby="emailHelp" required th:field="*{email}">
36 </div>
37 <div class="form-group">
38 <label for="pass"> Лозинка </label>
39 <input type="password" class="form-control" id="pass" name="pass" required th:field="*{pass}">
40 </div>
41 <button type="submit" class="btn btn-primary"> Потврди </button>
42 </form>
43 <a href="/home" class="btn btn-block btn-light"> Назад кон почетна страна </a>
44 </div>
45 </div>
46</div>
47</body>
48</html>
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