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BASIC REGISTRATION.html
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BASIC REGISTRATION.html
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<html>
<head>
<title>form</title>
</head>
<body bgcolor="gray">
<h1><center><font face="times new roman" color="blue">Basic Regestration</font></center></h1>
<form>
<fieldset>
<legend>Basic Detials</legend>
<table border="2" bgcolor="red">
<tr>
<td>NAME:</td><td><input type="text" name="txt" placeholder="name" required></td>
</tr>
<tr>
<td>ADDRESS:</td><td><input type="text" name="txt1" placeholder="please enter your address" required></td>
</tr>
</table>
</fieldset>
<fieldset bgcolor="lime">
<legend>Login ID</legend>
<table border="2" bgcolor="yellow">
<tr>
<td>USER ID:</td><td><input type="user id" name="i d" placeholder="user id" required></td>
</tr>
<tr>
<td>PASSWORD:</td><td><input type="password" name="pwd" placeholder="please enter your password" required></td>
</tr>
<tr>
<td><input type="submit" name="subbtn" placeholder="submit" required></td>
</tr>
</table>
</fieldset>
<fieldset>
<legend>Personal Detail</legend>
<table border="2" bgcolor="gold">
<tr>
<td>FIRST NAME:</td><td><input type="first name" name="text2" placeholder="first name" required></td>
</tr>
<tr>
<td>LAST NAME:</td><td><input type="last name" name="text2" placeholder="last name" required></td>
</tr>
<tr>
<td>FATHER NAME:</td><td><input type="father name" name="text2" placeholder="father name" required></td>
</tr>
<tr>
<td>MOTHER NAME:</td><td><input type="mother name" name="text2" placeholder="mother name" required></td>
</tr>
<tr>
<td>CITY:</td><td><input type="city" name="text2" placeholder="city" required></td>
</tr>
<tr>
<td>PLACE:</td><td><input type="place" name="text2" placeholder="place" required></td>
</tr>
<tr>
<td>E-MAIL:</td><td><input type="e-mail" name="text2" placeholder="e-mail" required></td>
</tr>
<tr>
<td>GENDER:</td>
<td><input type="radio" name="gender" value="male">MALE
<input type="radio" name="gender" value="female">FEMALE</td>
</tr>
<tr>
<td>DATE OF BIRTH:</td><td>DD<select date="date">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
MM<select month="month">
<option value="jan">jan</option>
<option value="feb">feb</option>
<option value="march">march</option>
<option value="april">april</option>
<option value="may">may</option>
<option value="june">june</option>
<option value="july">july</option>
<option value="aug">august</option>
<option value="sep">sep</option>
<option value="oct">oct</option>
<option value="nov">nov</option>
<option value="dec">dec</option>
</select>
YYYY<select year="year">
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
</select></td>
</tr>
<tr>
<td>CITY:</td>:<td><select>
<option value="...select...">.....select......</option>
<option value="gkp">gorakhpur</option>
<option value="lko">lucknow</option>
<option value="deos">deoria</option>
<option value="knp">kanpur</option>
<option value="ndls">new delhi</option>
</select></td>
</tr>
<tr>
<td>ENTER YOUR AGE:</td><td><input type="number" min="10" max="25" name="age" value="enter your age"></td>
</tr>
<tr>
<td>QUALIFICATION:</td>
<td><input type="checkbox" name="chk2" value="high school">High school<br/>
<input type="checkbox" name="chk3" value="intermediate">Intermediate<br/>
<input type="checkbox" name="chk1" value="graduate">Graduation<br/>
<input type="checkbox" name="chk2" value="postgraduate">Postgraduation<br/>
<input type="checkbox" name="chk3" value="o level">'O' level certificate</td>
</tr>
<tr>
<td>POSTAL CODE & COUNTRY:</td>
<td><input type="number" name="number" placeholder="postal code" required>
<input type="country" name="txt2" placeholder="country" required></td>
</tr>
<tr>
<td>PHONE/MOBILE NO. :</td><td><input type="number" name="number" placeholder=" " required></td>
</tr>
<tr>
<td>UPLOAD IMAGE:</td><td><input type="file" name="f1" value="cv"></td>
</tr>
<tr>
<td>UPLOAD SIGNATURE:</td><td><input type="file" name="f1" value="cv"></td>
</tr>
<tr>
<td>UPLOAD FINGERPRINT:</td><td><input type="file" name="f1" value="cv"></td>
</tr>
<tr>
<td>UPLOAD FILE:</td><td><input type="file" name="f1" value="cv"></td>
</tr>
<tr>
<td>PLEASE ENTER YOUR FEEDBACK:</td>
<td><textarea required>enter your suggestion here..............</textarea></td>
</tr>
<tr>
<td>UPLOADED:</td><td><input type="button" name="browse" value="browse"></td>
</tr>
<tr>
<td>BUTTON:</td><td><input type="button" name="btn" value="click here"></td>
</tr>
<tr>
<td>SAVE:</td><td><input type="submit" name="sbtn" value="save"></td>
</tr>
<tr>
<td>RESET&SUBMIT:</td>
<td><input type="reset" name="rstbtn" value="reset">
<input type="submit" name="subbtn" placeholder="submit" required></td>
</tr>
</table>
</fieldset>
</form>
</body>
</html>