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<title>Elite Hospital Admin Template - Hospital admin dashboard web app kit</title>
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</head>
<body>
<!-- Preloader -->
<div class="preloader">
  <div class="cssload-speeding-wheel"></div>
</div>
<section id="wrapper" class="login-register">
  <div class="login-box login-sidebar">
    <div class="white-box">
      <form class="form-horizontal form-material" id="loginform" action="index.html">
        <a href="javascript:void(0)" class="text-center db"><img src="../plugins/images/eliteadmin-logo-dark.png" alt="Home" /><br/><img src="../plugins/images/eliteadmin-text-dark.png" alt="Home" /></a> 
        <h3 class="box-title m-t-40 m-b-0">Register Now</h3><small>Create your account and enjoy</small> 
        <div class="form-group m-t-20">
          <div class="col-xs-12">
            <input class="form-control" type="text" required="" placeholder="Name">
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        </div>
        <div class="form-group ">
          <div class="col-xs-12">
            <input class="form-control" type="text" required="" placeholder="Email">
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        <div class="form-group ">
          <div class="col-xs-12">
            <input class="form-control" type="password" required="" placeholder="Password">
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        </div>
        <div class="form-group">
          <div class="col-xs-12">
            <input class="form-control" type="password" required="" placeholder="Confirm Password">
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        </div>
        <div class="form-group">
          <div class="col-md-12">
            <div class="checkbox checkbox-primary p-t-0">
              <input id="checkbox-signup" type="checkbox">
              <label for="checkbox-signup"> I agree to all <a href="#">Terms</a></label>
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        </div>
        <div class="form-group text-center m-t-20">
          <div class="col-xs-12">
            <button class="btn btn-info btn-lg btn-block text-uppercase waves-effect waves-light" type="submit">Sign Up</button>
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        </div>
        <div class="form-group m-b-0">
          <div class="col-sm-12 text-center">
            <p>Already have an account? <a href="login2.html" class="text-primary m-l-5"><b>Sign In</b></a></p>
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</section>
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</body>
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