<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<body>
<div class="row">
<div class="col-md-6 col-sm-12 col-lg-6 col-md-offset-3">
<div class="panel panel-primary">
<div class="panel-heading">Enter Your Details Here
</div>
<div class="panel-body">
<form name="myform">
<div class="form-group">
<label for="myName">First Name *</label>
<input id="myName" name="myName" class="form-control" type="text" data-validation="required">
<span id="error_name" class="text-danger"></span>
</div>
<div class="form-group">
<label for="lastname">Last Name *</label>
<input id="lastname" name="lastname" class="form-control" type="text" data-validation="email">
<span id="error_lastname" class="text-danger"></span>
</div>
<div class="form-group">
<label for="age">Age *</label>
<input id="age" name="age" class="form-control" type="number" min="1" >
<span id="error_age" class="text-danger"></span>
</div>
<div class="form-group">
<label for="dob">Date Of Birth *</label>
<input type="date" name="dob" id="dob" class="form-control">
<span id="error_dob" class="text-danger"></span>
</div>
<div class="form-group">
<label for="gender">Gender</label>
<select name="gender" id="gender" class="form-control">
<option selected>Male</option>
<option>Female</option>
<option>Other</option>
</select>
<span id="error_gender" class="text-danger"></span>
</div>
<div class="form-group">
<label for="phone">Phone Number *</label>
<input type="text" id="phone" name="phone" class="form-control" >
<span id="error_phone" class="text-danger"></span>
</div>
<div class="form-group">
<label for="disc">Discription</label>
<textarea class="form-control" rows="3"></textarea>
</div>
<button id="submit" type="submit" value="submit" class="btn btn-primary center">Submit</button>
</form>
</div>
</div>
</div>
</div>
</body>
.palel-primary
{
border-color: #bce8f1;
}
.panel-primary>.panel-heading
{
background:#bce8f1;
}
.panel-primary>.panel-body
{
background-color: #EDEDED;
}
$(document).ready(function(){
$flag=1;
$("#myName").focusout(function(){
if($(this).val()==''){
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_name").text("* You have to enter your first name!");
}
else
{
$(this).css("border-color", "#2eb82e");
$('#submit').attr('disabled',false);
$("#error_name").text("");
}
});
$("#lastname").focusout(function(){
if($(this).val()==''){
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_lastname").text("* You have to enter your Last name!");
}
else
{
$(this).css("border-color", "#2eb82e");
$('#submit').attr('disabled',false);
$("#error_lastname").text("");
}
});
$("#dob").focusout(function(){
if($(this).val()==''){
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_dob").text("* You have to enter your Date of Birth!");
}
else
{
$(this).css("border-color", "#2eb82e");
$('#submit').attr('disabled',false);
$("#error_dob").text("");
}
});
$("#gender").focusout(function(){
$(this).css("border-color", "#2eb82e");
});
$("#age").focusout(function(){
if($(this).val()==''){
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_age").text("* You have to enter your Age!");
}
else
{
$(this).css({"border-color":"#2eb82e"});
$('#submit').attr('disabled',false);
$("#error_age").text("");
}
});
$("#phone").focusout(function(){
$pho =$("#phone").val();
if($(this).val()==''){
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_phone").text("* You have to enter your Phone Number!");
}
else if ($pho.length!=10)
{
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_phone").text("* Lenght of Phone Number Should Be Ten");
}
else if(!$.isNumeric($pho))
{
$(this).css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_phone").text("* Phone Number Should Be Numeric");
}
else{
$(this).css({"border-color":"#2eb82e"});
$('#submit').attr('disabled',false);
$("#error_phone").text("");
}
});
$( "#submit" ).click(function() {
if($("#myName" ).val()=='')
{
$("#myName").css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_name").text("* You have to enter your first name!");
}
if($("#lastname" ).val()=='')
{
$("#lastname").css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_lastname").text("* You have to enter your Last name!");
}
if($("#dob" ).val()=='')
{
$("#dob").css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_dob").text("* You have to enter your Date of Birth!");
}
if($("#age" ).val()=='')
{
$("#age").css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_age").text("* You have to enter your Age!");
}
if($("#phone" ).val()=='')
{
$("#phone").css("border-color", "#FF0000");
$('#submit').attr('disabled',true);
$("#error_phone").text("* You have to enter your Phone Number!");
}
});
});
