
    <div class="container text-center marg_top">
    <div class="row">
<div class="col-md-12 ">
    
    
    <p>&nbsp;</p>
<h2>Forgot Password</h2>
<h4>Enter your Email Address here to receive new password</h4>

    
        <form  method="post" action="" name="forgot_form">
        
        <input type="hidden" value="<?=$c_val?>" name="c_val"  />
        
        <table border="0" width="400" align="center" style="margin:0px auto;">
        
        <?php if(validation_errors()): ?>
        <tr><td colspan="2"><div class="fontphp5"><?=validation_errors()?></div></td></tr>
     
        <?php endif; ?>
        
        <?php if($error): ?>
        <tr><td colspan="2"><div class="fontphp5"><?=$error?></div></td></tr>
    
        <?php endif; ?>
        
        <?php if($suc_msg): ?>
        <tr><td colspan="2"><div class="fontphp4"><?=$suc_msg?></div></td></tr>
     
        <?php endif; ?>
        
        
        <tr><td height="20" colspan="2"></td></tr>
        
        <tr>
        <td width="30%"><label>Email * </label></td>
        <td  width="70%"><input name="email" class="input" size="29" maxlength="30" type="text" value="<?php echo set_value('email','') ; ?>"></td>
        </tr>
        
        <tr><td height="10" colspan="2"></td></tr>

        <tr>
        <td ><label>Enter the result * </label></td>
        <td>&nbsp;&nbsp;<?php echo $capimage ; ?>
        <input type="text" name="captext" id="captext"  class="input" style="width:180px; float:right;" size="10" maxlength="10" autocomplete="off" ></td>
        </tr>
        <tr><td height="10" colspan="2"></td></tr>
        
        <tr>
        <td colspan="2"><p align="center">
        <input name="get_password" class="button-primary" value="Get Password" type="submit" onclick="return forgot_val();">
        </p></td>
        </tr>
        
        </table>
        </form>

   <p>&nbsp;</p> <p>&nbsp;</p>

</div>
</div></div>
