<%@ Page Language="C#" AutoEventWireup="true" CodeBehind="reg_hcp.aspx.cs" Inherits="Comfora.hcp.reg_hcp" %> <%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="cc1" %> Doctor Registration <%----%>
Comfora
<%--
--%>
Registration

Registration

Personal Details
First Name: * <%-- --%>
Last Name: <%-- --%>
Gender: *
Specialty: <%-- --%>
Email address: * <%-- --%>
Telephone: * <%-- --%>
Mobile: <%----%>

Contact Details
Address 1: * <%-- --%>
Address 2: <%-- --%>
Suburb/Town: <%-- --%>
City: * <%-- --%>
Postcode: * <%-- --%>
State: * <%-- --%>
Country: * <%-- --%>

Login Details
Password: * <%-- --%>
Confirm Password: * <%-- --%>
 
  <%-- --%>