<input type="text" class="form-control" placeholder="Username" name="username" required>
<input type="password" class="form-control" name="password" placeholder="Password" required>
<input type="password" class="form-control" name="confirm_password" placeholder="Password" required>
<input type="text" class="form-control" placeholder="Username" name="username" required>
<input type="password" class="form-control" name="password" placeholder="Password" required>
<input type="password" class="form-control" name="confirm_password" placeholder="Password" required>