/home/u775757334/domains/civicwelllife.com/public_html/

/home/u775757334/domains/civicwelllife.com/public_html

Name	Size	Mode	Actions
admin/	-	0755	rm
civiclife/	-	0755	rm
css/	-	0755	rm
fonts/	-	0755	rm
function/	-	0755	rm
images/	-	0755	rm
include/	-	0755	rm
js/	-	0755	rm
management/	-	0755	rm
media/	-	0755	rm
razorpay/	-	0755	rm
seller/	-	0755	rm
vendor/	-	0755	rm
09.php	142	0644	edit dl rm
about-us.php	3025	0644	edit dl rm
account.php	7408	0644	edit dl rm
add-shipping.php	6073	0644	edit dl rm
affiliate-registration.php	4543	0644	edit dl rm
arrow.jpg	1546	0644	edit dl rm
blog-details.php	10838	0644	edit dl rm
blog-list.php	9268	0644	edit dl rm
blog.php	10062	0644	edit dl rm
booking-process.php	2149	0644	edit dl rm
booking-success.php	5541	0644	edit dl rm
category-details.php	7903	0644	edit dl rm
checkout.php	15505	0644	edit dl rm
civiclife (2).zip	151986360	0644	edit dl rm
config.php	9419	0644	edit dl rm
consultation-payment.php	12113	0644	edit dl rm
consultation.php	17921	0644	edit dl rm
contact-us.php	9742	0644	edit dl rm
cpage.css	14115	0644	edit dl rm
create-order.php	443	0644	edit dl rm
create_zoom_link.php	2832	0644	edit dl rm
default.php	16369	0644	edit dl rm
delivery-return.php	2923	0644	edit dl rm
dlogout.php	125	0644	edit dl rm
doctor-account.php	36857	0644	edit dl rm
doctor-appointments.php	10379	0644	edit dl rm
doctor-blog.php	8588	0644	edit dl rm
doctor-consultation.php	5467	0644	edit dl rm
doctor-profile.php	32002	0644	edit dl rm
doctor-registration.php	13189	0644	edit dl rm
doctors.php	10383	0644	edit dl rm
end_meeting.php	230	0644	edit dl rm
faq-list.php	7900	0644	edit dl rm
faq.php	6367	0644	edit dl rm
get_subcategory.php	437	0644	edit dl rm
health-test.php	31910	0644	edit dl rm
index.html	4133	0644	edit dl rm
index.php	3656	0644	edit dl rm
login.php	3842	0644	edit dl rm
media.zip	37481598	0644	edit dl rm
my-account.php	7397	0644	edit dl rm
order-details.php	6172	0644	edit dl rm
patient-login.php	7935	0644	edit dl rm
privacy-policy.php	2430	0644	edit dl rm
product-detail.php	32756	0644	edit dl rm
product-list.php	10761	0644	edit dl rm
return-and-refund.php	2398	0644	edit dl rm
review.php	12362	0644	edit dl rm
seller-registration.php	11374	0644	edit dl rm
send_review.php	765	0644	edit dl rm
start_meeting.php	194	0644	edit dl rm
sub-category.php	7839	0644	edit dl rm
terms-and-conditions.php	2681	0644	edit dl rm
testimonial-list.php	8787	0644	edit dl rm
testimonial.php	8060	0644	edit dl rm
timing-list.php	6068	0644	edit dl rm
timming.php	7571	0644	edit dl rm
vedio-list.php	7877	0644	edit dl rm
vedio.php	8579	0644	edit dl rm
vedios.php	8787	0644	edit dl rm

Edit: /home/u775757334/domains/civicwelllife.com/public_html/seller-registration.php (11374B)

<?php
include 'config.php';
// $meta_title = "Seller Registration";
// $meta_keyword = "seller registration";
// $meta_description = "Seller registration form";
?>
<!DOCTYPE html>
<html xml:lang="en-US" lang="en-US">

.seller-form-card {
            background: #fff;
            border: 1px solid #e6ecf5;
            border-radius: 24px;
            padding: 28px;
            box-shadow: 0 8px 26px rgba(15, 23, 42, 0.05);
        }

.seller-section-card {
            background: #fbfdff;
            border: 1px solid #e8eef7;
            border-radius: 18px;
            padding: 22px;
            margin-bottom: 22px;
        }

.seller-section-title {
            font-size: 22px;
            font-weight: 800;
            color: #0f172a;
            margin-bottom: 18px;
        }

.form-label {
            font-size: 14px;
            font-weight: 700;
            color: #334155;
            margin-bottom: 8px;
        }

.seller-form-card .form-control,
        .seller-form-card .form-select,
        .seller-form-card textarea {
            border: 1px solid #d9e2ef;
            border-radius: 12px;
            min-height: 48px;
            padding: 12px 14px;
            font-size: 14px;
            box-shadow: none;
        }

.seller-form-card textarea {
            min-height: 110px;
            resize: vertical;
        }

.seller-submit-btn {
            background: linear-gradient(135deg, #2446c6 0%, #4f74ff 100%);
            color: #fff;
            border: none;
            border-radius: 14px;
            padding: 14px 28px;
            font-weight: 700;
        }

.seller-submit-btn:hover {
            color: #fff;
        }

.seller-top-box {
            text-align: center;
            max-width: 760px;
            margin: 0 auto 28px;
        }

.seller-mini-badge {
            display: inline-block;
            padding: 8px 16px;
            border-radius: 999px;
            background: #e9f0ff;
            color: #2446c6;
            font-size: 13px;
            font-weight: 700;
            margin-bottom: 12px;
        }

.seller-main-title {
            font-size: 36px;
            font-weight: 800;
            color: #0f172a;
            margin-bottom: 10px;
        }

.seller-main-subtitle {
            font-size: 15px;
            line-height: 1.8;
            color: #64748b;
            margin-bottom: 0;
        }
    </style>
</head>

<main class="seller-reg-page">
            <div class="container">
                <div class="seller-top-box">
                    <span class="seller-mini-badge">Become a Seller</span>
                    <h1 class="seller-main-title">Seller Registration</h1>
                    <p class="seller-main-subtitle">
                        AYUSH company registration for selling products on platform.
                    </p>
                </div>

<div class="seller-form-card">
                    <form id="sellerRegistrationForm">
                        <div class="seller-section-card">
                            <h3 class="seller-section-title">Company Information</h3>
                            <div class="row">
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Company Name</label>
                                    <input type="text" name="company_name" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Brand Name</label>
                                    <input type="text" name="brand_name" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">GST Number</label>
                                    <input type="text" name="gst_number" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">FSSAI / AYUSH License Number</label>
                                    <input type="text" name="license_number" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">PAN Number</label>
                                    <input type="text" name="pan_number" class="form-control">
                                </div>
                                <div class="col-md-12 mb-3">
                                    <label class="form-label">Company Address</label>
                                    <textarea name="company_address" class="form-control"></textarea>
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Contact Person Name</label>
                                    <input type="text" name="contact_person_name" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Phone Number</label>
                                    <input type="text" name="phone_number" class="form-control">
                                </div>
                                <div class="col-md-12 mb-3">
                                    <label class="form-label">Email ID</label>
                                    <input type="email" name="email_id" class="form-control">
                                </div>
                            </div>
                        </div>

<div class="seller-section-card">
                            <h3 class="seller-section-title">Bank Details</h3>
                            <div class="row">
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Bank Name</label>
                                    <input type="text" name="bank_name" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Account Holder Name</label>
                                    <input type="text" name="account_holder_name" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Account Number</label>
                                    <input type="text" name="account_number" class="form-control">
                                </div>
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">IFSC Code</label>
                                    <input type="text" name="ifsc_code" class="form-control">
                                </div>
                            </div>
                        </div>

<div class="seller-section-card">
                            <h3 class="seller-section-title">Logistics Details</h3>
                            <div class="row">
                                <div class="col-md-6 mb-3">
                                    <label class="form-label">Shipping Type</label>
                                    <select name="logistics_type" class="form-select">
                                        <option value="self_shipping">Self Shipping</option>
                                        <option value="platform_shipping">Platform Shipping (Future)</option>
                                    </select>
                                </div>
                            </div>
                        </div>

<button type="submit" class="seller-submit-btn" id="sellerSubmitBtn">Submit Registration</button>
                    </form>
                </div>
            </div>
        </main>

<?php include 'include/footer.php'; ?>
    </div>

<?php include 'include/footer-tab.php'; ?>
    <?php include 'include/model.php'; ?>

let formData = new FormData(this);
            formData.append("action", "saveSellerRegistration");

$("#sellerSubmitBtn").text("Submitting...").prop("disabled", true);

$.ajax({
                url: "function/ajax_function.php",
                type: "POST",
                data: formData,
                contentType: false,
                processData: false,
                success: function(res) {
                    let r = typeof res === "string" ? JSON.parse(res) : res;

if (r.status == 1) {
                        alert(r.msg);
                        $("#sellerRegistrationForm")[0].reset();
                    } else {
                        alert(r.msg);
                    }

$("#sellerSubmitBtn").text("Submit Registration").prop("disabled", false);
                },
                error: function() {
                    alert("Something went wrong. Please try again.");
                    $("#sellerSubmitBtn").text("Submit Registration").prop("disabled", false);
                }
            });
        });
    </script>
</body>

</html>

<?= $meta_title ?>

Become a Seller

Seller Registration

AYUSH company registration for selling products on platform.

Bank Details

Bank Name

Account Holder Name

Account Number

IFSC Code

Logistics Details

Shipping Type