{var-select_option}

Email :

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

{err-email}

First Name :

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

{err-first_name}

Last Name :

{fld-last_name class="form-control" placeholder="Last Name"}

{err-last_name}

Mobile :

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

{err-mobile}

Password :

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

{err-passw}

Confirm Password :

{fld-confirm_passw class="form-control" placeholder="Confirm Password"}

{err-confirm_passw}

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