{% extends "layout.html" %}

{% block styleFiles %}
{% endblock %}
{% block content %}
<!-- page content -->
<div class="right_col" role="main">
    <div class="">
        <div class="page-title">
            <div class="title_left">
                <h3>اعتبارسنجی فرم</h3>
            </div>

            <div class="title_right">
                <div class="col-md-5 col-sm-5 col-xs-12 form-group pull-right top_search">
                    <div class="input-group">
                        <input type="text" class="form-control" placeholder="جست و جو برای...">
                        <span class="input-group-btn">
                              <button class="btn btn-default" type="button">برو!</button>
                          </span>
                    </div>
                </div>
            </div>
        </div>
        <div class="clearfix"></div>

        <div class="row">
            <div class="col-md-12 col-sm-12 col-xs-12">
                <div class="x_panel">
                    <div class="x_title">
                        <h2>اعتبار سنجی فرم
                            <small>زیر عنوان</small>
                        </h2>
                        <ul class="nav navbar-right panel_toolbox">
                            <li><a class="collapse-link"><i class="fa fa-chevron-up"></i></a>
                            </li>
                            <li class="dropdown">
                                <a href="#" class="dropdown-toggle" data-toggle="dropdown" role="button"
                                   aria-expanded="false"><i class="fa fa-wrench"></i></a>
                                <ul class="dropdown-menu" role="menu">
                                    <li><a href="#">تنظیمات 1</a>
                                    </li>
                                    <li><a href="#">تنظیمات 2</a>
                                    </li>
                                </ul>
                            </li>
                            <li><a class="close-link"><i class="fa fa-close"></i></a>
                            </li>
                        </ul>
                        <div class="clearfix"></div>
                    </div>
                    <div class="x_content">

                        <form class="form-horizontal form-label-left" novalidate>

                            <p>برای کتابخانه جایگزین برای اعتبار سنجی در صفحه فرم عمومی <code>parsleyJS</code> را نگاه کنید <a
                                    href="form.html">فرم عمومی</a>
                            </p>
                            <span class="section">اطلاعات شخصی</span>

                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="name">نام <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input id="name" class="form-control col-md-7 col-xs-12"
                                           data-validate-length-range="6" data-validate-words="2" name="name"
                                           placeholder="both name(s) e.g Jon Doe" required="required" type="text">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="email">ایمیل <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input type="email" id="email" name="email" required="required"
                                           class="form-control col-md-7 col-xs-12">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="email">تایید ایمیل <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input type="email" id="email2" name="confirm_email" data-validate-linked="email"
                                           required="required" class="form-control col-md-7 col-xs-12">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="number">شماره <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input type="number" id="number" name="number" required="required"
                                           data-validate-minmax="10,100" class="form-control col-md-7 col-xs-12">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="website">آدرس سایت <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input type="url" id="website" name="website" required="required"
                                           placeholder="www.website.com" class="form-control col-md-7 col-xs-12">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="occupation">شغل
                                    <span class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input id="occupation" type="text" name="occupation"
                                           data-validate-length-range="5,20"
                                           class="optional form-control col-md-7 col-xs-12">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label for="password" class="control-label col-md-3">رمز عبور</label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input id="password" type="password" name="password" data-validate-length="6,8"
                                           class="form-control col-md-7 col-xs-12" required="required">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label for="password2" class="control-label col-md-3 col-sm-3 col-xs-12">تکرار رمز عبور</label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input id="password2" type="password" name="password2"
                                           data-validate-linked="password" class="form-control col-md-7 col-xs-12"
                                           required="required">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="telephone">تلفن <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <input type="tel" id="telephone" name="phone" required="required"
                                           data-validate-length-range="8,20" class="form-control col-md-7 col-xs-12">
                                </div>
                            </div>
                            <div class="item form-group">
                                <label class="control-label col-md-3 col-sm-3 col-xs-12" for="textarea">محل نوشتن <span
                                        class="required">*</span>
                                </label>
                                <div class="col-md-6 col-sm-6 col-xs-12">
                                    <textarea id="textarea" required="required" name="textarea"
                                              class="form-control col-md-7 col-xs-12"></textarea>
                                </div>
                            </div>
                            <div class="ln_solid"></div>
                            <div class="form-group">
                                <div class="col-md-6 col-md-offset-3">
                                    <button type="submit" class="btn btn-primary">انصراف</button>
                                    <button id="send" type="submit" class="btn btn-success">ارسال</button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>
<!-- /page content -->
<!-- /page content -->
{% endblock %}
{% block scriptsFiles %}
<!-- validator -->
<script src="../vendors/validator/validator.js"></script>
{% endblock %}
{% block scripts %}

{% endblock %}