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Linux ip-172-26-7-228 5.4.0-1103-aws #111~18.04.1-Ubuntu SMP Tue May 23 20:04:10 UTC 2023 x86_64

Your IP : 13.58.32.115

Current Path : /var/www/html/kswu/popup/
Upload File :
Current File : /var/www/html/kswu/popup/resetPasswordUserInfo.html

<!DOCTYPE html>
<html lang="en">
<head>
	<meta charset="utf-8">
	<title>Subscription Signup | Marketo</title>
	<script src="lib/jquery.js"></script>
	<script src="../js/index.js"></script>
	<script src="lib/jquery.mockjax.js"></script>
	<script src="dist/jquery.validate.js"></script>
	<script src="jquery.maskedinput.js"></script>
	<script src="resetPasswordUserInfo.js"></script>
	<link rel="stylesheet" href="stylesheet.css">
	<link rel="stylesheet" href="collinfo_popup.css">
</head>
<body>
<div class="remodal-bg">
<div class="remodal" data-remodal-id="modal">
<div id="letterbox">
	<!-- start header container -->
	
	<!-- end header container -->

	<!-- start page container 2 div-->
	<div id="page-container" class="resize">
		<div id="page-content-inner" class="resize" style="padding:20px 0px;">
			<!-- start col-main -->
			<div id="col-main" class="resize" >
				<!-- start main content -->
				<div class="main-content resize">
				
					<h1>Reset Password</h1>
					<h2>User Information</h2>
					<br clear="all">
					<div>
						<form id="billingForm" action="resetPasswordValidationTosendOTP()" method="post">
							<div class="error" style="display:none;">
								<img src="images/warning.gif" alt="Warning!" width="24" height="24" style="float:left; margin: -5px 10px 0px 0px; ">
								<span></span>.
								<br clear="all">
							</div>
							<table cellpadding="0" cellspacing="0" border="0">
						
								
							
								<tr>
									<td class="label">
										<label for="bill_first_name">User Name :</label>
									</td>
									<td class="field">
										<input maxlength="40" class="billingRequired" id="fusername" name="bill_first_name" size="20" type="text" tabindex="1" value="">
									</td>
								</tr>
							 	<tr>
									<td class="label">
										<label for="bill_phone">Registered Mobile No :</label>
									</td>
									<td class="field">
										<input maxlength="10" class="billingRequired" id="fmabileno" name="bill_phone"  style="width: 100px" type="digits"  tabindex="2" value="">
									</td>
								</tr> 
								<tr>
									<td class="label">
										<label for="bill_email">Registered Email Id :</label>
									</td>
									<td class="field">
										<input maxlength="40" class="billingRequired email" remote="emails.action" id="femailid" name="email" size="40" type="text" tabindex="3" value="">
										<div class="formError"></div>
									</td>
								</tr>
								<tr>
									<td></td>
									<td>
										<div class="buttonSubmit">
											<span></span>
											<input class="formButton" type="submit" value="Submit" style="width: 180px">
										</div>
										<br clear="all">
									</td>
								</tr>
							</table>
						</form>
						<br clear="all">
					</div>
				</div>
				<!-- end main content -->
				<br>
			</div>
			<!-- end col-main -->
		
		</div>
	</div>
	<!-- end page container 2 divs-->
	<div id="footer-container" align="center">
		<div class="footer">
			<ul>
				<li><a href="../index.html">Back</a>
				</li>
				
			</ul>
		</div>
	</div>
	<!-- end page wrapper -->
</div>
</div>
</div>

<script>window.jQuery || document.write('<script src="jquery.min.js"><\/script>')</script>
<script src="collinfo_popup.js"></script>
</body>
</html>