SIGN UP
{var-select_option}
{fld-moral_id class="form-control" placeholder="Moral ID" style="width:300px"} {var-verifyit}

{err-moral_id}

{fld-user_otp class="form-control" placeholder="OTP" style="width:300px"} {var-verifyOTP}

{err-user_otp}

{fld-user_name class="form-control" placeholder="User Name" style="width:300px"}

{err-user_name}

{fld-email class="form-control" placeholder="Email" style="width:300px"}

{err-email}

{fld-phone class="form-control" placeholder="Mobile" style="width:300px"}

{err-phone}

{fld-first_name class="form-control" placeholder="First Name" style="width:300px"}

{err-first_name}

{fld-last_name class="form-control" placeholder="Last Name" style="width:300px"}

{err-last_name}

{fld-passw class="form-control" placeholder="Password" style="width:300px"}

{err-passw}

{fld-confirmpassw class="form-control" placeholder="Confirm Password" style="width:300px"}

{err-confirmpassw}

{fld-sb class="btn px-5 btn-primary-dark transition-3d-hover"}