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form-validation.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8" />
<meta
name="viewport"
content="width=device-width, initial-scale=1.0, user-scalable=0"
/>
<meta name="description" content="POS - Bootstrap Admin Template" />
<meta
name="keywords"
content="admin, estimates, bootstrap, business, corporate, creative, management, minimal, modern, html5, responsive"
/>
<meta name="author" content="Dreamguys - Bootstrap Admin Template" />
<meta name="robots" content="noindex, nofollow" />
<title>Medical Inventory Management System</title>
<link
rel="shortcut icon"
type="image/x-icon"
href="assets/img/favicon.png"
/>
<link rel="stylesheet" href="assets/css/bootstrap.min.css" />
<link rel="stylesheet" href="assets/css/animate.css" />
<link rel="stylesheet" href="assets/css/dataTables.bootstrap4.min.css" />
<link
rel="stylesheet"
href="assets/plugins/fontawesome/css/fontawesome.min.css"
/>
<link rel="stylesheet" href="assets/plugins/fontawesome/css/all.min.css" />
<link rel="stylesheet" href="assets/css/style.css" />
</head>
<body>
<div id="global-loader">
<div class="whirly-loader"></div>
</div>
<div class="main-wrapper">
<div class="header">
<div class="header-left active">
<a href="index.html" class="logo">
<img src="assets/img/logo.png" alt="" />
</a>
<a href="index.html" class="logo-small">
<img src="assets/img/logo-small.png" alt="" />
</a>
<a id="toggle_btn" href="javascript:void(0);"> </a>
</div>
<a id="mobile_btn" class="mobile_btn" href="#sidebar">
<span class="bar-icon">
<span></span>
<span></span>
<span></span>
</span>
</a>
<ul class="nav user-menu">
<li class="nav-item">
<div class="top-nav-search">
<a href="javascript:void(0);" class="responsive-search">
<i class="fa fa-search"></i>
</a>
<form action="#">
<div class="searchinputs">
<input type="text" placeholder="Search Here ..." />
<div class="search-addon">
<span
><img src="assets/img/icons/closes.svg" alt="img"
/></span>
</div>
</div>
<a class="btn" id="searchdiv"
><img src="assets/img/icons/search.svg" alt="img"
/></a>
</form>
</div>
</li>
<li class="nav-item dropdown has-arrow flag-nav">
<a
class="nav-link dropdown-toggle"
data-bs-toggle="dropdown"
href="javascript:void(0);"
role="button"
>
<img src="assets/img/flags/us1.png" alt="" height="20" />
</a>
<div class="dropdown-menu dropdown-menu-right">
<a href="javascript:void(0);" class="dropdown-item">
<img src="assets/img/flags/us.png" alt="" height="16" /> English
</a>
<a href="javascript:void(0);" class="dropdown-item">
<img src="assets/img/flags/fr.png" alt="" height="16" /> French
</a>
<a href="javascript:void(0);" class="dropdown-item">
<img src="assets/img/flags/es.png" alt="" height="16" /> Spanish
</a>
<a href="javascript:void(0);" class="dropdown-item">
<img src="assets/img/flags/de.png" alt="" height="16" /> German
</a>
</div>
</li>
<li class="nav-item dropdown">
<a
href="javascript:void(0);"
class="dropdown-toggle nav-link"
data-bs-toggle="dropdown"
>
<img src="assets/img/icons/notification-bing.svg" alt="img" />
<span class="badge rounded-pill">4</span>
</a>
<div class="dropdown-menu notifications">
<div class="topnav-dropdown-header">
<span class="notification-title">Notifications</span>
<a href="javascript:void(0)" class="clear-noti"> Clear All </a>
</div>
<div class="noti-content">
<ul class="notification-list">
<li class="notification-message">
<a href="activities.html">
<div class="media d-flex">
<span class="avatar flex-shrink-0">
<img alt="" src="assets/img/profiles/avatar-02.jpg" />
</span>
<div class="media-body flex-grow-1">
<p class="noti-details">
<span class="noti-title">Gabe Dee</span> added new
task
<span class="noti-title"
>Hospital appointment booking</span
>
</p>
<p class="noti-time">
<span class="notification-time">4 mins ago</span>
</p>
</div>
</div>
</a>
</li>
<li class="notification-message">
<a href="activities.html">
<div class="media d-flex">
<span class="avatar flex-shrink-0">
<img alt="" src="assets/img/profiles/avatar-03.jpg" />
</span>
<div class="media-body flex-grow-1">
<p class="noti-details">
<span class="noti-title">Tarah Shropshire</span>
changed the task name
<span class="noti-title"
>Appointment booking with payment gateway</span
>
</p>
<p class="noti-time">
<span class="notification-time">6 mins ago</span>
</p>
</div>
</div>
</a>
</li>
<li class="notification-message">
<a href="activities.html">
<div class="media d-flex">
<span class="avatar flex-shrink-0">
<img alt="" src="assets/img/profiles/avatar-06.jpg" />
</span>
<div class="media-body flex-grow-1">
<p class="noti-details">
<span class="noti-title">Misty Tison</span> added
<span class="noti-title">Domenic Houston</span> and
<span class="noti-title">Claire Mapes</span> to
project
<span class="noti-title"
>Doctor available module</span
>
</p>
<p class="noti-time">
<span class="notification-time">8 mins ago</span>
</p>
</div>
</div>
</a>
</li>
<li class="notification-message">
<a href="activities.html">
<div class="media d-flex">
<span class="avatar flex-shrink-0">
<img alt="" src="assets/img/profiles/avatar-17.jpg" />
</span>
<div class="media-body flex-grow-1">
<p class="noti-details">
<span class="noti-title">Rolland Webber</span>
completed task
<span class="noti-title"
>All Admins video conference</span
>
</p>
<p class="noti-time">
<span class="notification-time">12 mins ago</span>
</p>
</div>
</div>
</a>
</li>
<li class="notification-message">
<a href="activities.html">
<div class="media d-flex">
<span class="avatar flex-shrink-0">
<img alt="" src="assets/img/profiles/avatar-13.jpg" />
</span>
<div class="media-body flex-grow-1">
<p class="noti-details">
<span class="noti-title">Bernardo Galaviz</span>
added new task
<span class="noti-title">Private chat module</span>
</p>
<p class="noti-time">
<span class="notification-time">2 days ago</span>
</p>
</div>
</div>
</a>
</li>
</ul>
</div>
<div class="topnav-dropdown-footer">
<a href="activities.html">View all Notifications</a>
</div>
</div>
</li>
<li class="nav-item dropdown has-arrow main-drop">
<a
href="javascript:void(0);"
class="dropdown-toggle nav-link userset"
data-bs-toggle="dropdown"
>
<span class="user-img"
><img src="assets/img/profiles/avator1.jpg" alt="" />
<span class="status online"></span
></span>
</a>
<div class="dropdown-menu menu-drop-user">
<div class="profilename">
<div class="profileset">
<span class="user-img"
><img src="assets/img/profiles/avator1.jpg" alt="" />
<span class="status online"></span
></span>
<div class="profilesets">
<h6>Gabe Dee</h6>
<h5>Admin</h5>
</div>
</div>
<hr class="m-0" />
<a class="dropdown-item" href="profile.html">
<i class="me-2" data-feather="user"></i> My Profile</a
>
<a class="dropdown-item" href="generalsettings.html"
><i class="me-2" data-feather="settings"></i>Settings</a
>
<hr class="m-0" />
<a class="dropdown-item logout pb-0" href="signin.html"
><img
src="assets/img/icons/log-out.svg"
class="me-2"
alt="img"
/>Logout</a
>
</div>
</div>
</li>
</ul>
<div class="dropdown mobile-user-menu">
<a
href="javascript:void(0);"
class="nav-link dropdown-toggle"
data-bs-toggle="dropdown"
aria-expanded="false"
><i class="fa fa-ellipsis-v"></i
></a>
<div class="dropdown-menu dropdown-menu-right">
<a class="dropdown-item" href="profile.html">My Profile</a>
<a class="dropdown-item" href="generalsettings.html">Settings</a>
<a class="dropdown-item" href="signin.html">Logout</a>
</div>
</div>
</div>
<div class="sidebar" id="sidebar">
<div class="sidebar-inner slimscroll">
<div id="sidebar-menu" class="sidebar-menu">
<ul>
<li>
<a href="index.html"
><img src="assets/img/icons/dashboard.svg" alt="img" /><span>
Dashboard</span
>
</a>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/product.svg" alt="img" /><span>
Product</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="productlist.html">Product List</a></li>
<li><a href="addproduct.html">Add Product</a></li>
<li><a href="categorylist.html">Category List</a></li>
<li><a href="addcategory.html">Add Category</a></li>
<li><a href="subcategorylist.html">Sub Category List</a></li>
<li><a href="subaddcategory.html">Add Sub Category</a></li>
<li><a href="brandlist.html">Brand List</a></li>
<li><a href="addbrand.html">Add Brand</a></li>
<li><a href="importproduct.html">Import Products</a></li>
<li><a href="barcode.html">Print Barcode</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/sales1.svg" alt="img" /><span>
Sales</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="saleslist.html">Sales List</a></li>
<li><a href="pos.html">POS</a></li>
<li><a href="pos.html">New Sales</a></li>
<li><a href="salesreturnlists.html">Sales Return List</a></li>
<li>
<a href="createsalesreturns.html">New Sales Return</a>
</li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/purchase1.svg" alt="img" /><span>
Purchase</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="purchaselist.html">Purchase List</a></li>
<li><a href="addpurchase.html">Add Purchase</a></li>
<li><a href="importpurchase.html">Import Purchase</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/expense1.svg" alt="img" /><span>
Expense</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="expenselist.html">Expense List</a></li>
<li><a href="createexpense.html">Add Expense</a></li>
<li><a href="expensecategory.html">Expense Category</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/quotation1.svg" alt="img" /><span>
Quotation</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="quotationList.html">Quotation List</a></li>
<li><a href="addquotation.html">Add Quotation</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/transfer1.svg" alt="img" /><span>
Transfer</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="transferlist.html">Transfer List</a></li>
<li><a href="addtransfer.html">Add Transfer </a></li>
<li><a href="importtransfer.html">Import Transfer </a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/return1.svg" alt="img" /><span>
Return</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="salesreturnlist.html">Sales Return List</a></li>
<li>
<a href="createsalesreturn.html">Add Sales Return </a>
</li>
<li>
<a href="purchasereturnlist.html">Purchase Return List</a>
</li>
<li>
<a href="createpurchasereturn.html">Add Purchase Return </a>
</li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/users1.svg" alt="img" /><span>
People</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="customerlist.html">Customer List</a></li>
<li><a href="addcustomer.html">Add Customer </a></li>
<li><a href="supplierlist.html">Supplier List</a></li>
<li><a href="addsupplier.html">Add Supplier </a></li>
<li><a href="userlist.html">User List</a></li>
<li><a href="adduser.html">Add User</a></li>
<li><a href="storelist.html">Store List</a></li>
<li><a href="addstore.html">Add Store</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/places.svg" alt="img" /><span>
Places</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="newcountry.html">New Country</a></li>
<li><a href="countrieslist.html">Countries list</a></li>
<li><a href="newstate.html">New State </a></li>
<li><a href="statelist.html">State list</a></li>
</ul>
</li>
<li>
<a href="components.html"
><i data-feather="layers"></i><span> Components</span>
</a>
</li>
<li>
<a href="blankpage.html"
><i data-feather="file"></i><span> Blank Page</span>
</a>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><i data-feather="alert-octagon"></i>
<span> Error Pages </span> <span class="menu-arrow"></span
></a>
<ul>
<li><a href="error-404.html">404 Error </a></li>
<li><a href="error-500.html">500 Error </a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><i data-feather="box"></i> <span>Elements </span>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="sweetalerts.html">Sweet Alerts</a></li>
<li><a href="tooltip.html">Tooltip</a></li>
<li><a href="popover.html">Popover</a></li>
<li><a href="ribbon.html">Ribbon</a></li>
<li><a href="clipboard.html">Clipboard</a></li>
<li><a href="drag-drop.html">Drag & Drop</a></li>
<li><a href="rangeslider.html">Range Slider</a></li>
<li><a href="rating.html">Rating</a></li>
<li><a href="toastr.html">Toastr</a></li>
<li><a href="text-editor.html">Text Editor</a></li>
<li><a href="counter.html">Counter</a></li>
<li><a href="scrollbar.html">Scrollbar</a></li>
<li><a href="spinner.html">Spinner</a></li>
<li><a href="notification.html">Notification</a></li>
<li><a href="lightbox.html">Lightbox</a></li>
<li><a href="stickynote.html">Sticky Note</a></li>
<li><a href="timeline.html">Timeline</a></li>
<li><a href="form-wizard.html">Form Wizard</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><i data-feather="bar-chart-2"></i> <span> Charts </span>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="chart-apex.html">Apex Charts</a></li>
<li><a href="chart-js.html">Chart Js</a></li>
<li><a href="chart-morris.html">Morris Charts</a></li>
<li><a href="chart-flot.html">Flot Charts</a></li>
<li><a href="chart-peity.html">Peity Charts</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><i data-feather="award"></i><span> Icons </span>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="icon-fontawesome.html">Fontawesome Icons</a></li>
<li><a href="icon-feather.html">Feather Icons</a></li>
<li><a href="icon-ionic.html">Ionic Icons</a></li>
<li><a href="icon-material.html">Material Icons</a></li>
<li><a href="icon-pe7.html">Pe7 Icons</a></li>
<li><a href="icon-simpleline.html">Simpleline Icons</a></li>
<li><a href="icon-themify.html">Themify Icons</a></li>
<li><a href="icon-weather.html">Weather Icons</a></li>
<li><a href="icon-typicon.html">Typicon Icons</a></li>
<li><a href="icon-flag.html">Flag Icons</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><i data-feather="columns"></i> <span> Forms </span>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="form-basic-inputs.html">Basic Inputs </a></li>
<li><a href="form-input-groups.html">Input Groups </a></li>
<li><a href="form-horizontal.html">Horizontal Form </a></li>
<li><a href="form-vertical.html"> Vertical Form </a></li>
<li><a href="form-mask.html">Form Mask </a></li>
<li>
<a href="form-validation.html" class="active"
>Form Validation
</a>
</li>
<li><a href="form-select2.html">Form Select2 </a></li>
<li><a href="form-fileupload.html">File Upload </a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><i data-feather="layout"></i> <span> Table </span>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="tables-basic.html">Basic Tables </a></li>
<li><a href="data-tables.html">Data Table </a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/product.svg" alt="img" /><span>
Application</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="chat.html">Chat</a></li>
<li><a href="calendar.html">Calendar</a></li>
<li><a href="email.html">Email</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/time.svg" alt="img" /><span>
Report</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li>
<a href="purchaseorderreport.html">Purchase order report</a>
</li>
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<li><a href="salesreport.html">Sales Report</a></li>
<li><a href="invoicereport.html">Invoice Report</a></li>
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<li><a href="supplierreport.html">Supplier Report</a></li>
<li><a href="customerreport.html">Customer Report</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/users1.svg" alt="img" /><span>
Users</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="newuser.html">New User </a></li>
<li><a href="userlists.html">Users List</a></li>
</ul>
</li>
<li class="submenu">
<a href="javascript:void(0);"
><img src="assets/img/icons/settings.svg" alt="img" /><span>
Settings</span
>
<span class="menu-arrow"></span
></a>
<ul>
<li><a href="generalsettings.html">General Settings</a></li>
<li><a href="emailsettings.html">Email Settings</a></li>
<li><a href="paymentsettings.html">Payment Settings</a></li>
<li><a href="currencysettings.html">Currency Settings</a></li>
<li><a href="grouppermissions.html">Group Permissions</a></li>
<li><a href="taxrates.html">Tax Rates</a></li>
</ul>
</li>
</ul>
</div>
</div>
</div>
<div class="page-wrapper cardhead">
<div class="content container-fluid">
<div class="page-header">
<div class="row">
<div class="col-sm-12">
<h3 class="page-title">Form Validation</h3>
<ul class="breadcrumb">
<li class="breadcrumb-item">
<a href="index.html">Dashboard</a>
</li>
<li class="breadcrumb-item active">Form Validation</li>
</ul>
</div>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<div class="card">
<div class="card-header">
<h5 class="card-title">Custom Bootstrap Form Validation</h5>
<p class="card-text">
For custom Bootstrap form validation messages, you’ll need
to add the <code>novalidate</code> boolean attribute to your
form. For server side validation
<a
href="https://getbootstrap.com/docs/4.1/components/forms/#server-side"
target="_blank"
>read full documentation</a
>.
</p>
</div>
<div class="card-body">
<div class="row">
<div class="col-sm">
<form class="needs-validation" novalidate>
<div class="form-row row">
<div class="col-md-4 mb-3">
<label for="validationCustom01">First name</label>
<input
type="text"
class="form-control"
id="validationCustom01"
placeholder="First name"
value="Mark"
required
/>
<div class="valid-feedback">Looks good!</div>
</div>
<div class="col-md-4 mb-3">
<label for="validationCustom02">Last name</label>
<input
type="text"
class="form-control"
id="validationCustom02"
placeholder="Last name"
value="Otto"
required
/>
<div class="valid-feedback">Looks good!</div>
</div>
<div class="col-md-4 mb-3">
<label for="validationCustomUsername"
>Username</label
>
<div class="input-group">
<span
class="input-group-text"
id="inputGroupPrepend"
>@</span
>
<input
type="text"
class="form-control"
id="validationCustomUsername"
placeholder="Username"
aria-describedby="inputGroupPrepend"
required
/>
<div class="invalid-feedback">
Please choose a username.
</div>
</div>
</div>
</div>
<div class="form-row row">
<div class="col-md-6 mb-3">
<label for="validationCustom03">City</label>
<input
type="text"
class="form-control"
id="validationCustom03"
placeholder="City"
required
/>
<div class="invalid-feedback">
Please provide a valid city.
</div>
</div>
<div class="col-md-3 mb-3">
<label for="validationCustom04">State</label>
<input
type="text"
class="form-control"
id="validationCustom04"
placeholder="State"
required
/>
<div class="invalid-feedback">
Please provide a valid state.
</div>
</div>
<div class="col-md-3 mb-3">
<label for="validationCustom05">Zip</label>
<input
type="text"
class="form-control"
id="validationCustom05"
placeholder="Zip"
required
/>
<div class="invalid-feedback">
Please provide a valid zip.
</div>
</div>
</div>
<div class="form-group">
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
value=""
id="invalidCheck"
required
/>
<label class="form-check-label" for="invalidCheck">
Agree to terms and conditions
</label>
<div class="invalid-feedback">
You must agree before submitting.
</div>
</div>
</div>
<button class="btn btn-primary" type="submit">
Submit form
</button>
</form>
</div>
</div>
</div>
</div>
<div class="card">
<div class="card-header">
<h5 class="card-title">Browser defaults</h5>
<p class="card-text">
Not interested in custom validation feedback messages or
writing JavaScript to change form behaviors? All good, you
can use the browser defaults. Try submitting the form below.
</p>
</div>
<div class="card-body">
<div class="row">
<div class="col-sm">
<form>
<div class="form-row row">
<div class="col-md-4 mb-3">
<label for="validationDefault01">First name</label>
<input
type="text"
class="form-control"
id="validationDefault01"
placeholder="First name"
value="Mark"
required
/>
</div>
<div class="col-md-4 mb-3">
<label for="validationDefault02">Last name</label>
<input
type="text"
class="form-control"
id="validationDefault02"
placeholder="Last name"
value="Otto"
required
/>
</div>
<div class="col-md-4 mb-3">
<label for="validationDefaultUsername"
>Username</label
>
<div class="input-group">
<span
class="input-group-text"
id="inputGroupPrepend2"
>@</span
>
<input
type="text"
class="form-control"
id="validationDefaultUsername"
placeholder="Username"
aria-describedby="inputGroupPrepend2"
required
/>
</div>
</div>
</div>
<div class="form-row row">
<div class="col-md-6 mb-3">
<label for="validationDefault03">City</label>
<input
type="text"
class="form-control"
id="validationDefault03"
placeholder="City"
required
/>
</div>
<div class="col-md-3 mb-3">
<label for="validationDefault04">State</label>
<input
type="text"
class="form-control"
id="validationDefault04"
placeholder="State"
required
/>
</div>
<div class="col-md-3 mb-3">
<label for="validationDefault05">Zip</label>
<input
type="text"
class="form-control"
id="validationDefault05"
placeholder="Zip"
required
/>
</div>
</div>
<div class="form-group">
<div class="form-check">
<input
class="form-check-input"
type="checkbox"
value=""
id="invalidCheck2"
required
/>
<label class="form-check-label" for="invalidCheck2">
Agree to terms and conditions
</label>
</div>
</div>
<button class="btn btn-primary" type="submit">
Submit form
</button>
</form>
</div>
</div>
</div>
</div>
<div class="card">
<div class="card-header">
<h5 class="card-title">Server side</h5>
<p class="card-text">
We recommend using client side validation, but in case you
require server side, you can indicate invalid and valid form
fields with <code>.is-invalid</code> and
<code>.is-valid</code>. Note that
<code>.invalid-feedback</code> is also supported with these
classes.
</p>
</div>
<div class="card-body">
<form>
<div class="form-row row">
<div class="col-md-4 mb-3">
<label for="validationServer01">First name</label>
<input
type="text"
class="form-control is-valid"
id="validationServer01"
placeholder="First name"
value="Mark"
required
/>
<div class="valid-feedback">Looks good!</div>
</div>
<div class="col-md-4 mb-3">
<label for="validationServer02">Last name</label>
<input
type="text"
class="form-control is-valid"
id="validationServer02"
placeholder="Last name"
value="Otto"
required
/>
<div class="valid-feedback">Looks good!</div>
</div>
<div class="col-md-4 mb-3">
<label for="validationServerUsername">Username</label>
<div class="input-group">
<span class="input-group-text" id="inputGroupPrepend3"
>@</span
>
<input
type="text"
class="form-control is-invalid"
id="validationServerUsername"
placeholder="Username"
aria-describedby="inputGroupPrepend3"
required
/>
<div class="invalid-feedback">
Please choose a username.
</div>
</div>
</div>
</div>
<div class="form-row row">
<div class="col-md-6 mb-3">
<label for="validationServer03">City</label>
<input
type="text"
class="form-control is-invalid"
id="validationServer03"
placeholder="City"
required
/>
<div class="invalid-feedback">
Please provide a valid city.
</div>
</div>
<div class="col-md-3 mb-3">
<label for="validationServer04">State</label>
<input
type="text"
class="form-control is-invalid"
id="validationServer04"
placeholder="State"
required
/>
<div class="invalid-feedback">
Please provide a valid state.
</div>
</div>
<div class="col-md-3 mb-3">
<label for="validationServer05">Zip</label>
<input
type="text"
class="form-control is-invalid"
id="validationServer05"
placeholder="Zip"
required
/>
<div class="invalid-feedback">
Please provide a valid zip.
</div>
</div>
</div>
<div class="form-group">
<div class="form-check">
<input
class="form-check-input is-invalid"
type="checkbox"
value=""
id="invalidCheck3"
required
/>
<label class="form-check-label" for="invalidCheck3">
Agree to terms and conditions
</label>
<div class="invalid-feedback">
You must agree before submitting.
</div>
</div>