
<?php printf( $this->errors_output ); ?>


<div class="row" style="margin-top: 1em;">
    <div class="large-9 medium-9 small-centered columns panel">

            <form method="post" action="registration.php">
                <div class="row">
                    <div class="large-12 columns">
                        <div class="large-3 columns">
                            <label><strong><?php printf( $this->langs->translate->getTranslate('role')) ?>:</strong>
                                <select style="margin-bottom: 20px" name="role_selected">
                                    <option value="0"><?php printf( $this->langs->translate->getTranslate('student')) ?></option>
                                    <option value="1"><?php printf( $this->langs->translate->getTranslate('teacher')) ?></option>
                                </select>
                            </label>
                        </div>

                        <div class="large-12 columns">
                            <label><strong><?php printf( $this->langs->translate->getTranslate('name')) ?>:</strong>
                                <input name="name_selected" type="text" placeholder="<?php printf( $this->langs->translate->getTranslate('insert_name_here')) ?>" />
                            </label>
                        </div>

                        <div class="large-12 columns">
                            <label><strong><?php printf( $this->langs->translate->getTranslate('user')) ?>:</strong>
                                <input name="user_selected" type="text" placeholder="<?php printf( $this->langs->translate->getTranslate('insert_login_here')) ?>" />
                            </label>
                        </div>

                        <div class="large-12 columns">
                            <label><strong><?php printf( $this->langs->translate->getTranslate('password')) ?>:</strong>
                                <input name="pass_selected" type="text" placeholder="<?php printf( $this->langs->translate->getTranslate('insert_password_here')) ?>" />
                            </label>
                        </div>

                        <input type="submit"  aria-label="submit form" tabindex="0" value="<?php printf( $this->langs->translate->getTranslate('register')) ?>" class="button small-12 medium-12 large-12">
                    </div>
                </div>
            </form>



    </div>
</div>


