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death.html
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death.html
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<!DOCTYPE html>
<html lang="en">
<head>
<!-- Title -->
<title>Death</title>
<meta content="width=device-width, initial-scale=1" name="viewport" />
<meta charset="UTF-8">
<meta name="description" content="Admin Dashboard Template" />
<meta name="keywords" content="admin,dashboard" />
<meta name="author" content="stacks" />
<!-- Styles -->
<link href="assets/plugins/pace-master/themes/blue/pace-theme-flash.css" rel="stylesheet" />
<link href="assets/plugins/uniform/css/default.css" rel="stylesheet" />
<link href="assets/plugins/bootstrap/css/bootstrap.min.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/fontawesome/css/font-awesome.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/line-icons/simple-line-icons.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/offcanvasmenueffects/css/menu_cornerbox.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/waves/waves.min.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/switchery/switchery.min.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/3d-bold-navigation/css/style.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/slidepushmenus/css/component.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/summernote-master/summernote.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/bootstrap-datepicker/css/datepicker3.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/bootstrap-colorpicker/css/bootstrap-colorpicker.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/bootstrap-tagsinput/bootstrap-tagsinput.css" rel="stylesheet" type="text/css" />
<link href="assets/plugins/bootstrap-timepicker/css/bootstrap-timepicker.min.css" rel="stylesheet" type="text/css" />
<!-- Theme Styles -->
<link href="assets/css/meteor.min.css" rel="stylesheet" type="text/css" />
<link href="assets/css/layers/dark-layer.css" class="theme-color" rel="stylesheet" type="text/css" />
<link href="assets/css/custom.css" rel="stylesheet" type="text/css" />
<script src="assets/plugins/3d-bold-navigation/js/modernizr.js"></script>
<script src="assets/plugins/offcanvasmenueffects/js/snap.svg-min.js"></script>
<!-- HTML5 shim and Respond.js for IE8 support of HTML5 elements and media queries -->
<!-- WARNING: Respond.js doesn't work if you view the page via file:// -->
<!--[if lt IE 9]>
<script src="https://oss.maxcdn.com/html5shiv/3.7.2/html5shiv.min.js"></script>
<script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script>
<![endif]-->
</head>
<body class="compact-menu">
<div class="overlay"></div>
<main class="page-content content-wrap">
<div class="navbar">
<div class="navbar-inner">
<div class="sidebar-pusher">
<a href="javascript:void(0);" class="waves-effect waves-button push-sidebar">
<i class="icon-arrow-right"></i>
</a>
</div>
<div class="logo-box">
<a href="index.html" class="logo-text"><span>Death</span></a>
</div>
<!-- Logo Box -->
<div class="search-button">
<a href="javascript:void(0);" class="show-search"><i class="icon-magnifier"></i></a>
</div>
<div class="topmenu-outer">
<div class="top-menu">
<ul class="nav navbar-nav navbar-left">
<li>
<a href="javascript:void(0);" class="sidebar-toggle"><i class="icon-arrow-left"></i></a>
</li>
</ul>
</div>
<!-- Top Menu -->
</div>
</div>
</div>
<!-- Navbar -->
<div class="page-sidebar sidebar">
<div class="page-sidebar-inner slimscroll">
<ul class="menu accordion-menu">
<li class=""><a href="index.html" class="waves-effect waves-button"><span class="menu-icon icon-home"></span><p>Dashboard</p><span class="active-page"></span></a>
</li>
<li class="droplink"><a href="#" class="waves-effect waves-button"><span class="menu-icon icon-bar-chart"></span><p>Statistics</p><span class="arrow"></span></a>
<ul class="sub-menu">
<li><a href="births.html">Birth Statistics</a></li>
<li><a href="deaths.html">Death Statistics</a></li>
<li><a href="divorces.html">Divorce Statistics</a></li>
<li><a href="marraiges.html">Marraige Statistics</a></li>
</ul>
</li>
<li class="droplink active open"><a href="#" class="waves-effect waves-button"><span class="menu-icon icon-pencil"></span><p>Registration</p><span class="arrow"></span></a>
<ul class="sub-menu">
<li><a href="birth.html">Birth</a></li>
<li><a href="death.html">Death</a></li>
<li><a href="divorce.html">Divorce</a></li>
<li><a href="marraige.html">Marraige</a></li>
</ul>
</li>
<li class="droplink"><a href="#" class="waves-effect waves-button"><span class="menu-icon icon-printer"></span><p>Certifate</p><span class="arrow"></span></a>
<ul class="sub-menu">
<li><a href="birthc.html">Birth Certificate</a></li>
<li><a href="deathc.html">Death certificate</a></li>
<li><a href="marraigec.html">Marraige Certificate</a></li>
<li><a href="divorcec.html">Divorce certificate</a></li>
</ul>
</li>
<li class="droplink"><a href="#" class="waves-effect waves-button"><span class="menu-icon icon-power"></span><p>Manage Account</p><span class="active-page"></span></a>
<ul class="sub-menu">
<li><a href="login.html">Login Form</a></li>
<li><a href="register.html">Register Form</a></li>
<li><a href="lock-screen.html">Lock Screen</a></li>
</ul>
</li>
</ul>
</div>
<!-- Page Sidebar Inner -->
</div>
<!-- Page Sidebar -->
<div class="page-inner">
<div class="page-title">
<div class="col-md-6 center">
<h2 class="breadcrumb-header" style="margin-bottom: 0px;">Federa Democratic Republic of Ethiopia</h2>
<h2 style="margin-left: 80px;margin-top: 0px;">Vital Event Registation <br> Death Registation</h2>
</div>
</div>
<div id="main-wrapper">
<div class="row">
<div class="col-md-12 center">
<div class="panel panel-white">
<div class="panel-heading clearfix">
<!-- <h4 class="panel-title">Formi-Dhaloota</h4> -->
</div>
<div class="panel-body">
<form>
<div class="form-group">
<div class="single-form">
<div class="item fullname">
<label for="">Full Name</label>
<input type="text">
</div>
<div class="item title">
<label for="">Title</label>
<input type="text">
</div>
<div class="item gender">
<label for="">Gender</label>
<input type="radio" name="gender" id=""> Male
<input type="radio" name="gender" id=""> Female
<input type="radio" name="gender" id=""> Other
</div>
<div class="item occupation">
<label for="">Occupation</label>
<input type="text">
</div>
<div class="item residence">
<label for="">Principal Residence</label>
<input type="text">
</div>
<div class="item citizenship">
<label for="">Citizenship</label>
<input type="text">
</div>
</div>
<div class="single-form">
<div class="item child-parent-religion">
<label for="">Religion</label>
<input type="text">
</div>
<div class="item child-parent-ethnic">
<label for="">Ethnic origin</label>
<input type="text">
</div>
<div class="item death-date">
<label for="">Date of death</label>
<input type="date" name="" id="">
</div>
<div class="item death-place">
<label for="">Place of death</label>
<input type="text">
</div>
<div class="item evidence">
<label for="">Evidence(if any)</label>
<input type="text">
</div>
<button class="btn btn-primary">Submit</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
<!-- Row -->
</div>
<!-- Main Wrapper -->
<div class="page-footer">
<p class="no-s">Made with <i class="fa fa-heart"></i> by SRVS</p>
</div>
</div>
<!-- Page Inner -->
</main>
<!-- Page Content -->
<div class="cd-overlay"></div>
<!-- Javascripts -->
<script src="assets/plugins/jquery/jquery-3.1.0.min.js"></script>
<script src="assets/plugins/jquery-ui/jquery-ui.min.js"></script>
<script src="assets/plugins/pace-master/pace.min.js"></script>
<script src="assets/plugins/jquery-blockui/jquery.blockui.js"></script>
<script src="assets/plugins/bootstrap/js/bootstrap.min.js"></script>
<script src="assets/plugins/jquery-slimscroll/jquery.slimscroll.min.js"></script>
<script src="assets/plugins/switchery/switchery.min.js"></script>
<script src="assets/plugins/uniform/js/jquery.uniform.standalone.js"></script>
<script src="assets/plugins/offcanvasmenueffects/js/classie.js"></script>
<script src="assets/plugins/waves/waves.min.js"></script>
<script src="assets/plugins/3d-bold-navigation/js/main.js"></script>
<script src="assets/plugins/summernote-master/summernote.min.js"></script>
<script src="assets/plugins/bootstrap-datepicker/js/bootstrap-datepicker.js"></script>
<script src="assets/plugins/bootstrap-colorpicker/js/bootstrap-colorpicker.js"></script>
<script src="assets/plugins/bootstrap-tagsinput/bootstrap-tagsinput.min.js"></script>
<script src="assets/plugins/bootstrap-timepicker/js/bootstrap-timepicker.min.js"></script>
<script src="assets/js/meteor.min.js"></script>
<script src="assets/js/pages/form-elements.js"></script>
</body>
</html>