<%@ include file="newindex1.htm"%>
<html>
  <head>
    <title></title>
    <script language="javascript" src="JS/form_valid.js"></script>
  </head>
<body>
<form action="register1.jsp" method="post" name="ctis" onsubmit="return checkEmpRegform()">
        <div style="position: absolute; width: 511px; height: 191px; z-index: 6; left: 434px; top: 292px" id="layer6">
            <table border="0" width="100%" id="table2" height="191">
                <tr>
                    <td><font face="Trebuchet MS" size="2">User Name</font></td>
                    <td><font color="#2D2E32"><input type="text" name="uname" size="20"></font></td>
                    <td><font face="Trebuchet MS" size="2">Password</font></td>
                    <td><font color="#2D2E32"><input type="password" name="pwd" size="20"></font></td>
                </tr>
                <tr>
                    <td><font face="Trebuchet MS" size="2">First Name</font></td>
                    <td><font color="#2D2E32"><input type="text" name="fn" size="20"></font></td>
                    <td><font face="Trebuchet MS" size="2">Last Name</font></td>
                    <td><font color="#2D2E32"><input type="text" name="ln" size="20"></font></td>
                </tr>
                <tr>
                    <td><font face="Trebuchet MS" size="2">Email </font></td>
                    <td><font color="#2D2E32"><input type="text" name="email" size="20"></font></td>
                    <td><font face="Trebuchet MS" size="2">Mobile</font></td>
                    <td><font color="#2D2E32"><input type="text" name="mobile" size="20"></font></td>
                </tr>
                <tr>
                    <td><font face="Trebuchet MS" size="2">Address</font></td>
                    <td><font color="#2D2E32"><input type="text" name="addr" size="20"></font></td>
                    <td><font face="Trebuchet MS" size="2">City</font></td>
                    <td><font color="#2D2E32"><input type="text" name="city" size="20"></font></td>
                </tr>
                <tr>
                    <td><font face="Trebuchet MS" size="2">State</font></td>
                    <td><font color="#2D2E32"><input type="text" name="state" size="20"></font></td>
                    <td><font face="Trebuchet MS" size="2">Country</font></td>
                    <td><font color="#2D2E32"><input type="text" name="cntry" size="20"></font></td>
                </tr>
                <tr>
                    <td height="57">&nbsp;</td>
                    <td height="57"><p align="center"><input type="submit" value="Register" name="B1" style="float: right"></td>
                    <td height="57"><p align="center"><input type="reset" value="Clear" name="B2"></td>
                    <td height="57">&nbsp;</td>
                </tr>
            </table>
        </div>
        <div style="position: absolute; width: 238px; height: 28px; z-index: 5; left: 357px; top: 257px" id="layer5">
        <font face="Tahoma" size="4">Customer Registration</font></div>
<p>&nbsp;</p>
 
</html>