/home/hdwebsolution/public_html/try/sareensurgicals/app/Views/front/additionalpersonal.php
<div class="ttm-page-title-row text-center">
            <div class="section-overlay"></div>
            <div class="title-box text-center">
                <div class="container">
                    <div class="page-title-heading">
                        <h1 class="title">Additional personal details</h1>
                    </div>
                    <div class="breadcrumb-wrapper">
                        <div class="container">
                            <span><a title="Homepage" href="<?=base_url();?>"><i class="fa fa-home"></i>&nbsp;&nbsp;Home</a></span>
                            <span class="ttm-bread-sep ttm-textcolor-white"> &nbsp; ⁄ &nbsp;</span>
                            <span class="ttm-textcolor-white">Additional personal details</span>
                        </div>
                    </div>
                </div> 
            </div>
        </div>
<div class="site-main">

<!-- checkout-section -->
<section class="ttm-row checkout-section ttm-bgcolor-grey break-991-colum clearfix">
<div class="container">
    <!-- row -->
    <div class="row">
        <div class="col-lg-12">
            <div class="coupon_toggle">
                <div class="coupon_code">
                  Additional personal details
                </div>
				            </div>
				          <h3>Additional personal details</h3>
            <form name="checkout" method="post" class="checkout row box-shadow1" action="<?=base_url('additionalpersonal');?>">
<div class="row">
                            <div class="col-sm-6">
                                <p class="checkout-form">
                                    <label>HOME DISTRICT&nbsp;<abbr class="required" title="required">*</abbr></label>
                                    <input required type="text" class="input-text" name="add_home_district" placeholder="HOME DISTRICT" value="">
                                </p>
                            </div>
                            <div class="col-sm-6">
                                <p class="checkout-form">
                                    <label>FAMILY RESIDENCE&nbsp;<abbr class="required" title="required">*</abbr></label>
                                    <input required type="text" class="input-text" name="add_family_residency" placeholder="FAMILY RESIDENCE" value="">
                                </p>
                            </div>
                            <div class="col-sm-6">
                                <p class="checkout-form">
                                    <label>FATHER'S OCCUPATION&nbsp;<abbr class="required" title="required">*</abbr></label>
                                    <input required type="text" class="input-text" name="add_father_occupation" placeholder="FATHER'S OCCUPATION" value="">
                                </p>
                            </div>
                            <div class="col-sm-6">
                                <p class="checkout-form">
                                    <label>SPECIAL CIRCUMSTANCES&nbsp;<abbr class="required" title="required">*</abbr></label>
                                    <input required type="text" class="input-text" name="add_special" placeholder="SPECIAL CIRCUMSTANCES" value="">
                                </p>
                            </div>
                        </div>
						<button class="ttm-btn ttm-btn-size-md ttm-btn-shape-round ttm-btn-style-fill ttm-btn-color-black mt-50" type="submit">Next</button>
                </form>
            <div class="col-md-12 text-center">
                            </div>
        </div>
    </div>
</section></div>