<?php
require_once("koneksi.php");
include 'header.php';
?>

<!-- breadcrumbs -->
<div class="breadcrumbs">
    <div class="container">
        <ol class="breadcrumb breadcrumb1 animated wow slideInLeft" data-wow-delay=".5s">
            <li><a href="index.php"><span class="glyphicon glyphicon-home" aria-hidden="true"></span>Beranda</a></li>
            <li class="active">Laman Daftar</li>
        </ol>
    </div>
</div>
<!-- //breadcrumbs -->
<!-- register -->
<div class="register">
    <div class="container">
        <h2>Formulir Pendaftaran</h2>
        <div class="login-form-grids">
            <h5>Informasi Data Diri</h5>
            <form  action="registered_process.php" method="POST">
                <input type="text" name="nama_lengkap" placeholder="Nama Lengkap" required=" " >
                <input type="text" name="alamat" placeholder="Alamat" required=" " >
                <input type="text" name="nomor_ponsel" placeholder="Nomor Ponsel" required=" " ><br>
                <input type="email" name="email" placeholder="Email" required=" " >
                <br><h5>Informasi Akun</h5>
                <input type="text" name="username" placeholder="Nama Pengguna" required=" " >
                <input type="password" name="password" placeholder="Kata Sandi" required=" " >
                <input type="password" name="re_password" placeholder="Konfirmasi Kata Sandi" required=" " >
                <div class="register-check-box">
                    <div class="check">
                        <label class="checkbox"><input type="checkbox" name="checkbox" required=" " ><i> </i>Saya telah mengetahui dan setuju</label>
                    </div>
                </div>
                <input type="submit" name="daftar" value="daftar">
            </form>
        </div>
        <div class="register-home">
            <a href="index.php">Beranda</a>
        </div>
    </div>
</div>
<!-- //register -->

<?php
include 'footer.php';
?>