| Server IP : 195.130.67.5 / Your IP : 216.73.217.127 Web Server : Microsoft-IIS/10.0 System : Windows NT WEBSERVER1 10.0 build 17763 (Windows Server 2016) i586 User : IUSR ( 0) PHP Version : 7.4.19 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : OFF | Perl : OFF | Python : OFF | Sudo : OFF | Pkexec : OFF Directory : C:/Old Sites/ees_request/components/com_user/views/register/tmpl/ |
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<?php // no direct access
defined('_JEXEC') or die('Restricted access'); ?>
<script type="text/javascript">
<!--
Window.onDomReady(function(){
document.formvalidator.setHandler('passverify', function (value) { return ($('password').value == value); } );
});
// -->
</script>
<?php
if(isset($this->message)){
$this->display('message');
}
?>
<form action="<?php echo JRoute::_( 'index.php?option=com_user' ); ?>" method="post" id="josForm" name="josForm" class="form-validate">
<?php if ( $this->params->def( 'show_page_title', 1 ) ) : ?>
<div class="componentheading<?php echo $this->escape($this->params->get('pageclass_sfx')); ?>"><?php echo $this->escape($this->params->get('page_title')); ?></div>
<?php endif; ?>
<table cellpadding="0" cellspacing="0" border="0" width="100%" class="contentpane">
<tr>
<td width="30%" height="40">
<label id="namemsg" for="name">
<?php echo JText::_( 'Name' ); ?>:
</label>
</td>
<td>
<input type="text" name="name" id="name" size="40" value="<?php echo $this->escape($this->user->get( 'name' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td width="30%" height="40">
<label id="surnamemsg" for="surname">
<?php echo JText::_( 'Surname' ); ?>:
</label>
</td>
<td>
<input type="text" name="surname" id="surname" size="40" value="<?php echo $this->escape($this->user->get( 'surname' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="usernamemsg" for="username">
<?php echo JText::_( 'User name' ); ?>:
</label>
</td>
<td>
<input type="text" id="username" name="username" size="40" value="<?php echo $this->escape($this->user->get( 'username' ));?>" class="inputbox required validate-username" maxlength="25" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="pwmsg" for="password">
<?php echo JText::_( 'Password' ); ?>:
</label>
</td>
<td>
<input class="inputbox required validate-password" type="password" id="password" name="password" size="40" value="" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="pw2msg" for="password2">
<?php echo JText::_( 'Verify Password' ); ?>:
</label>
</td>
<td>
<input class="inputbox required validate-passverify" type="password" id="password2" name="password2" size="40" value="" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="emailmsg" for="email">
<?php echo JText::_( 'Email' ); ?>:
</label>
</td>
<td>
<input type="text" id="email" name="email" size="40" value="<?php echo $this->escape($this->user->get( 'email' ));?>" class="inputbox required validate-email" maxlength="100" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="statusrmsg" for="status">
<?php echo JText::_( 'Status' ); ?>:
</label>
</td>
<td>
<select name="status" id="status">
<option id="Δημόσιος Υπάλληλος">Δημόσιος Υπάλληλος</option>
<option id="Ιδιωτικός Υπάλληλος">Ιδιωτικός Υπάλληλος</option>
<option id="Επαγγελματίας">Επαγγελματίας</option>
<option id="Άνεργος">Άνεργος</option>
<option id="Άλλο">Άλλο</option>
</select>
</td>
</tr>
<tr>
<td width="120">
<label for="afm">
<?php echo JText::_( 'afm' ); ?>:
</label>
</td>
<td>
<input class="inputbox required" type="text" id="afm" name="afm" value="<?php echo $this->escape($this->user->get('afm'));?>" size="10" />
</td>
</tr>
<tr>
<td height="40">
<label id="idNumbermsg" for="idNumber">
<?php echo JText::_( 'ID Number' ); ?>:
</label>
</td>
<td>
<input type="text" id="idNumber" name="idNumber" size="40" value="<?php echo $this->escape($this->user->get( 'idNumber' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="fathersNamemsg" for="fathersName">
<?php echo JText::_( 'Father\'s Name' ); ?>:
</label>
</td>
<td>
<input type="text" id="fathersName" name="fathersName" size="40" value="<?php echo $this->escape($this->user->get( 'fathersName' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="birthdaymsg" for="birthday">
<?php echo JText::_( 'Date of Birth' ); ?>:
</label>
</td>
<td>
<?php echo JHTML::calendar('ΕΕΕΕ-ΜΜ-ΗΗ','birthday','birthday','%Y-%m-%d',"size='40'")."*"; ?>
<!-- <input type="text" id="birthday" name="birthday" size="40" value="<?php echo $this->escape($this->user->get( 'birthday' ));?>" class="inputbox required" maxlength="50" /> * -->
</td>
</tr>
<tr>
<td height="40">
<label id="phoneNumbermsg" for="phoneNumber">
<?php echo JText::_( 'Phone Number' ); ?>:
</label>
</td>
<td>
<input type="text" id="phoneNumber" name="phoneNumber" size="40" value="<?php echo $this->escape($this->user->get( 'phoneNumber' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="mobileNumbermsg" for="mobileNumber">
<?php echo JText::_( 'Mobile Number' ); ?>:
</label>
</td>
<td>
<input type="text" id="mobileNumber" name="mobileNumber" size="40" value="<?php echo $this->escape($this->user->get( 'mobileNumber' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="addressmsg" for="address">
<?php echo JText::_( 'Address' ); ?>:
</label>
</td>
<td>
<input type="text" id="address" name="address" size="40" value="<?php echo $this->escape($this->user->get( 'address' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="postCodemsg" for="postCode">
<?php echo JText::_( 'Post Code' ); ?>:
</label>
</td>
<td>
<input type="text" id="postCode" name="postCode" size="40" value="<?php echo $this->escape($this->user->get( 'postCode' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td height="40">
<label id="citymsg" for="city">
<?php echo JText::_( 'City' ); ?>:
</label>
</td>
<td>
<input type="text" id="city" name="city" size="40" value="<?php echo $this->escape($this->user->get( 'city' ));?>" class="inputbox required" maxlength="50" /> *
</td>
</tr>
<tr>
<td colspan="2" height="40">
<?php echo JText::_( 'REGISTER_REQUIRED' ); ?>
</td>
</tr>
</table>
<button class="button validate" type="submit"><?php echo JText::_('Register'); ?></button>
<input type="hidden" name="task" value="register_save" />
<input type="hidden" name="id" value="0" />
<input type="hidden" name="gid" value="0" />
<?php echo JHTML::_( 'form.token' ); ?>
</form>