title = 'Sign up'; // $this->params ['breadcrumbs'] [] = $this->title; ?>
Select a username and password
= $form->field($model, 'username')?> = $form->field($model, 'password')->passwordInput()?> = $form->field($model, 'passwordSecond')->passwordInput()?>Contact information
= $form->field($model, 'form_of_address')->dropDownList( ['Mr'=>'Mr', 'Mrs'=>'Mrs'], ['prompt'=>'-----'])?> = $form->field($model, 'title')?> = $form->field($model, 'name')?> = $form->field($model, 'firstName')?> = $form->field($model, 'email')?> = $form->field($model, 'emailSecond')?>Billing address
= $form->field($model, 'institution')?> = $form->field($model, 'division')?> = $form->field($model, 'streetPOBox')?> = $form->field($model, 'postalCode')?> = $form->field($model, 'locationCity')?> = $form->field($model, 'stateProvince')?> = $form->field($model, 'country')->dropDownList($countryList)?>Delivery address
= $form->field($model, 'deliveryInstitution')?> = $form->field($model, 'deliveryDivision')?> = $form->field($model, 'deliveryStreet')?> = $form->field($model, 'deliveryPostalCode')?> = $form->field($model, 'deliveryLocation')?> = $form->field($model, 'deliveryState')?> = $form->field($model, 'deliveryCountry')->dropDownList($countryList)?>CITES code of your institution
= $form->field($model, 'citesCode')?>* mandatory field