<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <link href="//maxcdn.bootstrapcdn.com/font-awesome/4.1.0/css/font-awesome.min.css" rel="stylesheet"> <div id="login-overlay" class="modal-dialog"> <div class="modal-content"> <div class="modal-header"> <button type="button" class="close" data-dismiss="modal"><span aria-hidden="true">×</span><span class="sr-only">Close</span></button> <h4 class="modal-title" id="myModalLabel">Login to Retirement India</h4> </div> <div class="modal-body"> <div class="row"> <div class="col-xs-6"> <div class="well"> <form id="loginForm" method="POST" action="/login/" novalidate="novalidate"> <div class="form-group"> <label for="uan" class="control-label">UAN</label> <input type="text" class="form-control" id="uan" name="username" value="" required="" title="Please enter your UAN (Universal Account Number)" placeholder="1234 1234 1234"> <span class="help-block"></span> </div> <div class="form-group"> <label for="password" class="control-label">Password</label> <input type="password" class="form-control" id="password" name="password" value="" required="" title="Please enter your password"> <span class="help-block"></span> </div> <div id="loginErrorMsg" class="alert alert-error hide">Wrong username or password</div> <div class="checkbox"> <label> <input type="checkbox" name="remember" id="remember"> Remember login </label> <p class="help-block">(if this is a private computer)</p> </div> <button type="submit" class="btn btn-success btn-block">Login</button> <a href="/forgot/" class="btn btn-default btn-block">Help to login</a> </form> </div> </div> <div class="col-xs-6"> <p class="lead">Register <span class="text-success">Now !!</span></p> <ul class="list-unstyled" style="line-height: 2"> <li><span class="fa fa-check text-success"></span> <strong>EPFO Member</strong> : We are Your PF Accountant.</li> <li><span class="fa fa-check text-success"></span> <strong>Retiring Employee</strong> : Plan Your upcoming Retirement with us.</li> <li><span class="fa fa-check text-success"></span> <strong>Retired Employee</strong> : Manage Your Retirement Funds & Life with us.</li> <li><span class="fa fa-check text-success"></span> <strong>Pensioner/ Family Pensioner</strong> : Get Our Value-added services ..almost Free.</li> <li><span class="fa fa-check text-success"></span>News & Updates<small> (only registered members)</small></li> <li><a href="/read-more/"><u>Read more</u></a></li> </ul> <p><a href="/new-customer/" class="btn btn-info btn-block">Yes please, register me now!</a></p> </div> </div> </div> </div> </div>