{fld-sponsor_id class="form-control textfield_reg" placeholder="Referral Code"}
{var-msg} {var-referal_name}

{fld-panno class="form-control textfield_reg" placeholder="PAN No"}

{err-panno}

{fld-email class="form-control textfield_reg" placeholder="Email"}

{err-email}

{fld-mobile class="form-control textfield_reg" placeholder="Mobile"}

{err-mobile}

{fld-nomineename class="form-control textfield_reg" placeholder="Nominee"}

{err-nomineename}

{fld-relation class="form-control textfield_reg" placeholder="Relation"}

{err-relation}

{fld-first_name class="form-control textfield_reg" placeholder="Name"}

{err-first_name}

{fld-email_a class="form-control textfield_reg" placeholder="Email"}

{err-email_a}

{fld-mobile_a class="form-control textfield_reg" placeholder="Mobile"}

{err-mobile_a}

{fld-passw class="form-control textfield_reg" placeholder="Password"}

{err-passw}