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about.html
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<!DOCTYPE html>
<!--=== Coding by CodingLab | www.codinglabweb.com === -->
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<!----======== CSS ======== -->
<link rel="stylesheet" href="style.css">
<!----===== Iconscout CSS ===== -->
<link rel="stylesheet" href="https://unicons.iconscout.com/release/v4.0.0/css/line.css">
<title>Passenger Locator Form </title>
</head>
<body>
<div class="body1">
<!--Body of the form-->
<div class="container">
<header>Registration</header>
<form action="#">
<div class="form first">
<div class="details personal">
<span class="title"><b> GENERAL INFORMATION</b></span>
<div class="fields">
<div class="input-field">
<label>FIRST NAME</label>
<input type="text" placeholder="Enter your first name" class="firstname" required>
</div>
<div class="input-field">
<label>DATE OF ARRIVAL</label>
<input type="date" placeholder="Enter arrival date"class="arrivaldate" required>
</div>
<div class="input-field">
<label>GENDER</label>
<select required>
<option disabled selected>Select Gender</option>
<option>Male</option>
<option>Female</option>
<option>Others</option>
</select>
</div>
<div class="input-field">
<label>LAST NAME</label>
<input type="text" placeholder="Enter last name"class="lastname" required>
</div>
<div class="input-field">
<label>AIRLINE NAME</label>
<select required>
<option disabled selected>Select Airline Name</option>
<option>Africa World Airways</option>
<option>Air Cote d'Ivoire</option>
<option>Air Peace</option>
<option>ASKY Airline</option>
<option>Air Senegal</option>
<option>KLM</option>
<option>Air France</option>
<option>Brussels Airlines</option>
<option>Trans Air</option>
<option>Mauritania Airline</option>
<option>Titan Airways</option>
<option>Global Airline</option>
<option>Kenya Airways</option>
<option>Ethopian Airlines</option>
<option>Emirates Airlines</option>
<option>UN Flight</option>
<option>FlyWestair</option>
<option>Black Eagle Aviation</option>
<option>International</option>
<option>Embraer Phenom 100</option>
</select>
</div>
<div class="input-field">
<label>FLIGHT NUMBER</label>
<input type="number" placeholder="Enter your flight number"class="flightnumber" required>
</div>
</div>
</div>
<div class="details ID">
<div class="fields">
<div class="input-field">
<label>PASSPORT NUMBER</label>
<input type="number" placeholder="Enter passport number" class="passportnumber" required>
</div>
<div class="input-field">
<label>PURPOSE OF TRAVEL</label>
<select required>
<option disabled selected>Select purpose of travel</option>
<option>Studies</option>
<option>Medical</option>
<option>War</option>
<option>Business</option>
<option>Work</option>
<option>Conference</option>
<option>Holidays</option>
<option>Tourism</option>
<option>Legal resident/citizen</option>
<option>Business</option>
<option>Family visit</option>
<option>other</option>
</select>
</div>
<div class="input-field">
<label>SEAT NUMBER</label>
<input type="number" placeholder="Enter seat number" class="seatnumber" required>
</div>
<div class="input-field">
<label>LAST TRANSIT POINT</label>
<input type="text" placeholder="Enter last transit point" class="lasttransitpoint" required>
</div>
<div class="input-field">
<label>COUNTRY VSITED (PASS ONE MONTH)</label>
<select required>
<option disabled selected>Select country visited</option>
<option>Study</option>
<option>USA</option>
<option>Russia</option>
<option>Canada</option>
<option>England</option>
<option>Guinea</option>
<option>Conakry</option>
<option>other</option>
</select>
</div>
<div class="input-field">
<label>PHONE NUMBER</label>
<input type="number" placeholder="Enter phone number" required>
</div>
<div class="input-field">
<label>HAVE YOU BEEN IN CHINA FOR THE PAST 21 DAYS</label>
<select required>
<option disabled selected></option>
<option>Yes</option>
<option>No</option>
</select>
</div>
<div class="input-field">
<label>APPARTMENT NUMBER</label>
<input type="number" placeholder="Enter appartment number" required>
</div>
<div class="input-field">
<label>STATE / PROVINCE</label>
<input type="text" placeholder="Enter state / province" required>
</div>
<div class="input-field">
<label>HOTEL NAME IF ANY</label>
<input type="TEXT" placeholder="Enter hotel name" required>
</div>
</div>
<button class="nextBtn">
<span class="btnText">Next</span>
<i class="uil uil-navigator"></i>
</button>
</div>
</div>
<div class="form second">
<div class="details address">
<span class="title">GENERAL INFORMATION</span>
<div class="fields">
<div class="input-field">
<label>DO YOU HAVE ANY OF THE SIGNS AND SYMPTOMS?</label>
<select required>
<option disabled selected>Select Symptoms</option>
<option>Fever</option>
<option>Cough</option>
<option>Difficult in breathing</option>
<option>Body pain</option>
<option>Others</option>
</select>
</div>
<div class="input-field">
<label>PERMANENT PHONE NUMBER</label>
<input type="number" placeholder="Enter permanent phone number" required>
</div>
<div class="input-field">
<label>CITY</label>
<input type="text" placeholder="Enter city name" required>
</div>
<div class="input-field">
<label>COUNTRY</label>
<input type="text" placeholder="Enter country name" required>
</div>
<div class="input-field">
<label>NUMBER AND STREET NAME</label>
<input type="text" placeholder="Enter number and street name" required>
</div>
<div class="input-field">
<label>LEAVING LOCATION</label>
<input type="number" placeholder="Enter leaving location name" required>
</div>
</div>
</div>
<div class="details family">
<div class="fields">
<div class="input-field">
<label>PERMANENT ADDRESS</label>
<input type="text" placeholder="Enter permanent address" required>
</div>
<div class="input-field">
<label>ZIP/POSTAL CODE</label>
<input type="text" placeholder="Enter zip / postal code name" required>
</div>
<div class="input-field">
<label>ADDRESS IN SIERRA LEONE</label>
<input type="text" placeholder="Enter address in Sierra Leone" required>
</div>
<div class="input-field">
<label>CITY</label>
<input type="text" placeholder="Enter city name" required>
</div>
<div class="emergency">
<h3>EMERGENCY INFORMATION (SOMEONE WHO CAN BE REACHED DURING THE LAST 30 DAYS)</h3>
</div>
<div class="input-field">
<label>FIRST NAME</label>
<input type="text" placeholder="enter first name" required>
</div>
<div class="input-field">
<label>LAST NAME</label>
<input type="text" placeholder="enter last name" required>
</div>
<div class="input-field">
<label>CITY</label>
<input type="text" placeholder="enter last name" required>
</div>
<div class="input-field">
<label>COUNTRY</label>
<input type="text" placeholder="enter country name" required>
</div>
<div class="input-field">
<label>MOBILE NUMBER</label>
<input type="number" placeholder="enter mobile number" required>
</div>
<div class="input-field">
<label>OTHER NUMBER</label>
<input type="number" placeholder="enter other number" required>
</div>
</div>
<div class="buttons">
<div class="backBtn">
<i class="uil uil-navigator"></i>
<span class="btnText">Back</span>
</div>
<button class="sumbit">
<span class="btnText">Submit</span>
<i class="uil uil-navigator"></i>
</button>
</div>
</div>
</div>
</form>
</div>
<script src="script.js"></script>
</div>
</body>
</html>