jara.html

<app-header></app-header>
<div id="page-content" class="header-static">
  <div id="flexslider" class="fullpage-wrap small">
    <ul class="slides">
      <li style="background-image:url(assets/img/dollar.jpg)">
        <div class="text">
          <h3 class="">Welcome to Jaranaira.com</h3>
          <h3 class="grey-light">Create an account <br>below</h3>
          <div class="row">
            <div class="col-md-3 col-xs-0"></div>
            <div class="col-md-6 col-offset-md-3 col-xs-12">
              <form method="POST" action="" #registrationForm="ngForm" (ngSubmit)="onSubmit($event)">
                <div class="form-group">
                  <input type="text" class="form-control" name="fullname" placeholder="Enter your full name" [(ngModel)]="regInfo.fullname"
                    required>
                </div>
                <div class="form-group">
                  <input type="text" class="form-control" name="phoneno" placeholder="Enter your phone number" [(ngModel)]="regInfo.phoneno"
                    required>
                </div>
                <div class="form-group">
                  <select class="form-control" id="" name="state" name="state" [(ngModel)]="regInfo.state">
                      <option value="Abia State">Abia State</option>
                      <option value="Adamawa State">Adamawa State</option>
                      <option value="Anambra State">Anambra State</option>
                      <option value="Akwa Ibom State">Akwa Ibom State</option>
                      <option value="Bauchi State">Bauchi State</option>
                      <option value="Bayelsa State">Bayelsa State</option>
                      <option value="Benue State">Benue State</option>
                      <option value="Borno State">Borno State</option>
                      <option value="Cross River State">Cross River State</option>
                      <option value="Delta State">Delta State</option>
                      <option value="Ebonyi State">Ebonyi State</option>
                      <option value="Enugu State">Enugu State</option>
                      <option value="Edo State">Edo State</option>
                      <option value="Ekiti State">Ekiti State</option>
                      <option value="Gombe State">Gombe State</option>
                      <option value="Imo State">Imo State</option>
                      <option value="Jigawa State">Jigawa State</option>
                      <option value="Kaduna State">Kaduna State</option>
                      <option value="Kano State">Kano State</option>
                      <option value="Katsina State">Katsina State</option>
                      <option value="Kebbi State">Kebbi State</option>
                      <option value="Kogi State">Kogi State</option>
                      <option value="Kwara State">Kwara State</option>
                      <option value="Lagos State">Lagos State</option>
                      <option value="Nasarawa State">Nasarawa State</option>
                      <option value="Niger State">Niger State</option>
                      <option value="Ogun State">Ogun State</option>
                      <option value="Ondo State">Ondo State</option>
                      <option value="Osun State">Osun State</option>
                      <option value="Oyo State">Oyo State</option>
                      <option value="Plateau State">Plateau State</option>
                      <option value="Rivers State">Rivers State</option>
                      <option value="Sokoto State">Sokoto State</option>
                      <option value="Taraba State">Taraba State</option>
                      <option value="Yobe State">Yobe State</option>
                      <option value="Zamfara State">Zamfara State</option>
                  </select>
                </div>
                <div class="form-group">
                  <input type="text" class="form-control" placeholder="Enter your bank's name" name="bank" [(ngModel)]="regInfo.bank" required>
                </div>
                <div class="form-group">
                  <input type="text" class="form-control" placeholder="Enter your account no eg 0113434449" name="accountNo" [(ngModel)]="regInfo.accountNo">
                </div>
                <div class="form-group">
                  <select class="form-control" id="" name="level" [(ngModel)]="regInfo.level">
                    <option value="bronze">Bronze ( ₦10,000 )</option>
                    <option value="silver">Silver ( ₦20,000 )</option>
                    <option value="gold">Gold ( ₦50,000 )</option>
                    <option value="diamond">Diamond ( ₦100,000 )</option>
                </select>
                </div>
                <div class="form-group">
                  <input type="email" class="form-control" placeholder="Email" name="email" [(ngModel)]="regInfo.email">
                </div>
                <div class="form-group">
                  <input type="password" class="form-control" placeholder="Password" name="password" [(ngModel)]="regInfo.password">
                </div>
                <div class="form-group">
                  <input type="password" class="form-control" placeholder="Retype password" name="retype_password" [(ngModel)]="regInfo.retype_password">
                </div>
                <button type="submit" class="btn btn-default btn-block">Submit</button>
              </form>
            </div>
          </div>
        </div>
        <div class="gradient dark"></div>
      </li>
    </ul>
  </div>
</div>