forms-assignment/Forms.html at master · SmiyoDev/forms-assignment · GitHub

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
<!DOCTYPE html>
<html lang="en">
    <html>
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Form</title>
</head>
<body>
    <h1>Student Registration Form</h1>
    <form action="/submit-form" method="post">
        <label for="name"><strong>First Name:</strong></label>
        <input type="text" id="first_name" name="first_name" placeholder="Enter your name">
        <br>
        <label for="name"><strong>Second Name:</strong></label>
        <input type="text" id="second_name" name="second_name" placeholder="Enter your name">
        <br>
        <label for="DOB"> <strong>Date of Birth:</strong></label>
        <input type="date" id="DOB" name="DOB">
        <br>
        <br>
        <label><strong>Select your gender</strong></label> <br>

        <input type="radio" id="male" name="gender" value="male">
        <label for="male">Male</label>

        <input type="radio" id="female" name="gender" value="female">
        <label for="female">Female</label> <br>
        <br>
        <label for="address"><strong>Address:</strong></label><br>

        <input type="text" id="address1" name="address1" placeholder="Address Line 1"><br>
        <input type="text" id="address2" name="address2" placeholder="Address Line 2"><br>
        <input type="text" id="city" name="city" placeholder="City"><br>
        <input type="text" id="state" name="state" placeholder="State"><br>
        <input type="text" id="zipcode" name="zipcode" placeholder="Zip Code"><br>
        <input type="text" id="country" name="country" placeholder="Country"><br>
        <br>

        <label for="tel"><strong> Number:</strong></label>
        <input type="tel" id="Telephone" name="Telephone" placeholder="0795501941">
        <br>
        <br>
        <label for="email"><strong>Email:</strong></label>
        <input type="email" id="email" name="email" placeholder="Enter your email">
        <br>
        <br>
        <label for="password"><strong>Password:</strong></label>
        <input type="password" id="password" name="password" placeholder="Password goes here" aria-describedby="Password-hint">

        <br>
        <br>
        <label for="tel"><strong>Phone Number:</strong></label>
        <input type="tel" id="Telephone" name="Telephone" placeholder="eg.0795501941">
        <br>
        <br>
        <label for="name"><strong>Course:</strong></label>
        <input type="text" id="course" name="course" placeholder="Enter your course"><br>

        <button type="submit">Register</button>
        <button type="submit">Cancel</button>

        </form>
        </html>