<div class="footer-modal modal fade " id="contact-form-modal" tabindex="-1" role="dialog" aria-labelledby="contactModalLabel"
        aria-hidden="true"> 
	
	
	<div class="contact-form-modal modal-dialog modal-dialog-centered">
    	<div class="form-content">
			<div class="form-heading d-flex justify-content-between align-items-center">
				<h3 id="contactModalLabel">Please Enter Your Details Below for Sign Up</h3>
				<a href="javascript:void(0)" class="ff-close-btn" data-dismiss="modal">Close</a>
		   </div>  
			
			<section class="search-box"> 
				<div class="radio-button"> 
					<div class="button">					
						<div class="search-last">	
							<form id="regForm" class="form-horizontal">
								
								<div class="form-group">
									<label class=" control-label">Email Address </label>
									<input type="email" class="form-control errorCheck" name="uEmail" id="uEmail" placeholder="Enter Email">
								</div>
								<div class="form-group">
									<div class="row">
										<div class="col-sm-6">
											<label class=" control-label">First Name </label>
											<input type="text" class="form-control errorCheck" name="uFname" id="uFname" placeholder="Enter First Name">
										</div>
										<div class="col-sm-6">
											<label class=" control-label">Last Name </label>
											<input type="text" class="form-control errorCheck" name="uLname" id="uLname" placeholder="Enter Last Name">
										</div>
									</div>
								</div>
								<div class="form-group">
									<div class="row">
										<div class="col-sm-6">
											<label class=" control-label">Password </label>
											<input type="password" class="form-control errorCheck" name="uPassword" id="uPassword" placeholder="Enter Password">
										</div>
										<div class="col-sm-6">
											<label class=" control-label"> Confirm Password </label>
											<input type="password" class="form-control errorCheck" name="uCpassword" id="uCpassword" placeholder="Enter Confirm Password">
										</div>
									</div>
								</div>
								<br>
								<div class="form-group">
									<div class="row">
										<div class="col-sm-12">
											 <p style="font-size:14px;"><input name="uDSTScheme" id="uDSTScheme" type="checkbox"> I wish to receive information related to AWSAR-DST Scheme.</p>
										</div>
										<div class="col-sm-12">
											<p style="font-size:14px;"><input name="uTerms" id="uTerms" type="checkbox"> I have read the <b>Guidelines</b> and understood the <b>Terms &amp; Conditions</b>*</p>
										</div>
									</div>
								</div>	
	 
								<div style="overflow:auto;" class="roll-button">
									<div >
									  <button type="button" id="prevBtnReset" class="primary-btn-reset" >Reset</button>
									  <button type="button" id="nextBtnSubmit" class="primary-btn" style="float:right;"><a href="form.html"> Register </a></button>
									</div>
								</div>
								
							</form>	
						</div>
					</div>
				</div>
			</section>
			<div class="search-last" style="background-color: #eee;text-align: center;">
				<h2> If you are already registered, Please <a href="#"> Login here</a></h2>
			</div>
        </div>
    </div>
</div>