<!-- start: REGISTRATION -->
<div class="row">
	<div class="main-login col-xs-10 col-xs-offset-1 col-sm-8 col-sm-offset-2 col-md-4 col-md-offset-4">
		<div class="logo">
			<img ng-src="{{app.layout.logo}}" alt="{{app.name}}"/>
		</div>
		<!-- start: REGISTER BOX -->
		<div class="box-register">
			<form class="form-register">
				<fieldset>
					<legend>
						Sign Up
					</legend>
					<p>
						Enter your personal details below:
					</p>
					<div class="form-group">
						<input type="text" class="form-control" name="full_name" placeholder="Full Name">
					</div>
					<div class="form-group">
						<input type="text" class="form-control" name="address" placeholder="Address">
					</div>
					<div class="form-group">
						<input type="text" class="form-control" name="city" placeholder="City">
					</div>
					<div class="form-group">
						<label class="block">
							Gender
						</label>
						<div class="clip-radio radio-primary">
							<input type="radio" id="rg-female" name="gender" value="female">
							<label for="rg-female">
								Female
							</label>
							<input type="radio" id="rg-male" name="gender" value="male">
							<label for="rg-male">
								Male
							</label>
						</div>
					</div>
					<p>
						Enter your account details below:
					</p>
					<div class="form-group">
						<span class="input-icon">
							<input type="email" class="form-control" name="email" placeholder="Email">
							<i class="fa fa-envelope"></i> </span>
					</div>
					<div class="form-group">
						<span class="input-icon">
							<input type="password" class="form-control" id="password" name="password" placeholder="Password">
							<i class="fa fa-lock"></i> </span>
					</div>
					<div class="form-group">
						<span class="input-icon">
							<input type="password" class="form-control" name="password_again" placeholder="Password Again">
							<i class="fa fa-lock"></i> </span>
					</div>
					<div class="form-group">
						<div class="checkbox clip-check check-primary">
							<input type="checkbox" id="agree" value="agree">
							<label for="agree">
								I agree
							</label>
						</div>
					</div>
					<div class="form-actions">
						<p>
							Already have an account?
							<a ui-sref="login.signin">
								Log-in
							</a>
						</p>
						<button type="submit" class="btn btn-primary pull-left">
							Submit <i class="fa fa-arrow-circle-left"></i>
						</button>
					</div>
				</fieldset>
			</form>
			<!-- start: COPYRIGHT -->
			<div class="copyright">
				{{app.year}} &copy; {{ app.name }} by {{ app.author }}.
			</div>
			<!-- end: COPYRIGHT -->
		</div>
		<!-- end: REGISTER BOX -->
	</div>
</div>
<!-- end: REGISTRATION -->
