<div class="panel panel-default">
<div class="panel-heading">
<h3 class="panel-title">Add new user</h3>
</div>
<div class="panel-body">
<div class="row">
<div class="col-lg-12">
<?php echo $alert;?>
<form action="" method="post" enctype="multipart/form-data">
<!-- row -->
<div class="row">
<div class="col-lg-6">
<p>
<strong>Group:</strong>
<select class="form-control" name="send[groupid]">
<?php
$total=count($listGroups);
$li='';
if(isset($listGroups[0]['groupid']))
for ($i=0; $i < $total; $i++) {
$li.='<option value="'.$listGroups[$i]['groupid'].'">'.$listGroups[$i]['group_title'].'</option>';
}
echo $li;
?>
</select>
</p>
<p>
<strong>First name:</strong>
<input type="text" class="form-control" placeholder="First name" name="send[firstname]" />
</p>
<p>
<strong>Last name:</strong>
<input type="text" class="form-control" placeholder="Last name" name="send[lastname]" />
</p>
<p>
<strong>Username:</strong>
<input type="text" class="form-control" placeholder="Username" name="send[username]" required/>
</p>
<p>
<strong>Email:</strong>
<input type="email" class="form-control" placeholder="Email" name="send[email]" required/>
</p>
<p>
<strong>Password:</strong>
<input type="text" class="form-control" placeholder="Password" name="thepass" required />
</p>
</div>
<div class="col-lg-6">
<p>
<strong>Address 1:</strong>
<input type="text" class="form-control" placeholder="Address 1" name="address[address_1]" />
</p>
<p>
<strong>Address 2:</strong>
<input type="text" class="form-control" placeholder="Address 2" name="address[address_2]" />
</p>
<p>
<strong>City:</strong>
<input type="text" class="form-control" placeholder="City" name="address[city]" />
</p>
<p>
<strong>State:</strong>
<input type="text" class="form-control" placeholder="State" name="address[state]" />
</p>
<p>
<strong>Post code:</strong>
<input type="text" class="form-control" placeholder="Post code" name="address[postcode]" />
</p>
<p>
<strong>Country:</strong>
<input type="text" class="form-control" placeholder="Country" name="address[country]" />
</p>
</div>
</div>
<!-- row -->
<div class="row">
<div class="col-lg-12">
<button type="submit" name="btnAdd" class="btn btn-primary">Add new</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
<script>
$(document).ready(function(){
});
</script>
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