Subversion Repositories SmartDukaan

<h2>Add New User</h2>
<div class="alert alert-info" id="alert-message" style="display:none;">
</div>
<form id="new-user-form">
        <div class="form-group">
                <label>Associate Name</label>
                <input type="text" class="form-control"  name="name" placeholder="Name">
        </div>
        <div class="form-group">
                <label>Email</label>
                <input class="form-control" type="email" name="associateEmail" placeholder="Email">
        </div>
        <div class="form-group">
                <label>Referrer Email</label>
                <input class="form-control" type="email" name="referrerEmail" value="$action.getReferrerEmail()" placeholder="Email" readonly>
        </div>
        <div class="form-group">
                <label>Phone</label>
                <input type="text" class="form-control"  name="phone" placeholder="Phone">
        </div>
        <div class="form-group">
                <label>Address</label>
                <textarea class="form-control" rows="5" name="address" placeholder="Address"></textarea>
        </div>
        <div class="form-group">
                <label>State</label>
                <select class="form-control" name="state">
                        <option value="">------------Select State------------</option>
            <option value="Andaman and Nicobar Islands">Andaman and Nicobar Islands</option>
            <option value="Andhra Pradesh">Andhra Pradesh</option>
            <option value="Arunachal Pradesh">Arunachal Pradesh</option>
            <option value="Assam">Assam</option>
            <option value="Bihar">Bihar</option>
            <option value="Chandigarh">Chandigarh</option>
            <option value="Chhattisgarh">Chhattisgarh</option>
            <option value="Dadra and Nagar Haveli">Dadra and Nagar Haveli</option>
            <option value="Daman and Diu">Daman and Diu</option>
            <option value="Delhi">Delhi</option>
            <option value="Goa">Goa</option>
            <option value="Gujarat">Gujarat</option>
            <option value="Haryana">Haryana</option>
            <option value="Himachal Pradesh">Himachal Pradesh</option>
            <option value="Jammu and Kashmir">Jammu and Kashmir</option>
            <option value="Jharkhand">Jharkhand</option>
            <option value="Karnataka">Karnataka</option>
            <option value="Kerala">Kerala</option>
            <option value="Lakshadweep">Lakshadweep</option>
            <option value="Madhya Pradesh">Madhya Pradesh</option>
            <option value="Maharashtra">Maharashtra</option>
            <option value="Manipur">Manipur</option>
            <option value="Meghalaya">Meghalaya</option>
            <option value="Mizoram">Mizoram</option>
            <option value="Nagaland">Nagaland</option>
            <option value="Orissa">Orissa</option>
            <option value="Pondicherry">Pondicherry</option>
            <option value="Punjab">Punjab</option>
            <option value="Rajasthan">Rajasthan</option>
            <option value="Sikkim">Sikkim</option>
                        <option value="Telangana">Telangana</option>
            <option value="Tamil Nadu">Tamil Nadu</option>
            <option value="Tripura">Tripura</option>
            <option value="Uttaranchal">Uttaranchal</option>
            <option value="Uttar Pradesh">Uttar Pradesh</option>
            <option value="West Bengal">West Bengal</option>
      </select>
        </div>
        <div class="form-group">
                <label>Pincode</label>
                <input type="text" class="form-control"  name="pincode" placeholder="Pincode">
        </div>
        <div class="form-group">
                <label>Activate?</label>
                <select class="form-control" name="activated">
                         <option value="true">Active</option>
                         <option value="false">InActive</option>
                </select>
        </div>
        <div class="form-group">
                <label>Level</label>
                <select class="form-control" name="level">
                        #foreach($level in $action.getLevels())
                                <option value="$level">$level</option>
                        #end
                </select>
        </div>
        <button type="submit" class="btn btn-default">Submit</button>
</form>