mirror of
https://github.com/serialexperiments0815/SerialsEnforcingInterface.git
synced 2026-07-12 15:32:29 +00:00
54 lines
No EOL
2.3 KiB
PHP
54 lines
No EOL
2.3 KiB
PHP
<html>
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<head>
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<title>Profile creation</title>
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<link rel="stylesheet" href="graphics.css">
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</head>
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<body>
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<div class="block_text">
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<h1>Create a profile</h1>
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</div>
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<div class="block_image_text">
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<form action="profile_create_next.php" method="POST" enctype="multipart/form-data" id="theform">
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<br>
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<p>Picture:</p>
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<input name="person_picture" type="file">
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<p>First name:</p>
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<input name="first_name">
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<p>Middle name:</p>
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<input name="middle_name">
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<p>Last name:</p>
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<input name="last_name">
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<p>Date of birth:</p>
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<input name="date_of_birth" type="date">
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<p>State of residence:</p>
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<select name="state_of_residence" form="theform">
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<?php
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$state_of_residence = [
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'ALABAMA', 'ALASKA', 'ARIZONA', 'ARKANSAS', 'CALIFORNIA',
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'COLORADO', 'CONNECTICUT', 'DELAWARE', 'FLORIDA', 'GEORGIA',
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'HAWAII', 'IDAHO', 'ILLINOIS', 'INDIANA', 'IOWA',
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'KANSAS', 'KENTUCKY', 'LOUISIANA', 'MAINE', 'MARYLAND',
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'MASSACHUSETTS', 'MICHIGAN', 'MINNESOTA', 'MISSISSIPPI', 'MISSOURI',
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'MONTANA', 'NEBRASKA', 'NEVADA', 'NEW HAMPSHIRE', 'NEW JERSEY',
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'NEW MEXICO', 'NEW YORK', 'NORTH CAROLINA', 'NORTH DAKOTA', 'OHIO',
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'OKLAHOMA', 'OREGON', 'PENNSYLVANIA', 'RHODE ISLAND', 'SOUTH CAROLINA',
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'SOUTH DAKOTA', 'TENNESSEE', 'TEXAS', 'UTAH', 'VERMONT',
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'VIRGINIA', 'WASHINGTON', 'WEST VIRGINIA', 'WISCONSIN', 'WYOMING'
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];
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foreach ($state_of_residence as $state){
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ECHO "<option value=\"{$state}\">{$state}</option>\n ";
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}
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?>
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</select>
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<br>
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<input type="hidden" name="form_origin" value="profile_create">
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<button type="submit">NEXT</button>
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<br>
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</form>
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</div>
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</body>
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</html>
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