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SignUp.html
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68 lines (62 loc) · 2.45 KB
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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Sign Up Form</title>
<link rel="stylesheet" href="css/signuptest_2.css">
<link href="https://fonts.googleapis.com/css?family=Righteous&display=swap" rel="stylesheet">
</head>
<body>
<div class="sign-up-box">
<br><br><br><br>
<h1>Sign Up</h1>
<form class="signupform"method="POST" action="SignUp.html">
<div class="textbox">
<input type ="text" name ="First Name" placeholder="First Name" required>
</div>
<div class="textbox">
<input type ="text" name ="Last Name" placeholder="Last Name" required>
</div>
<div class="textbox">
<input type ="email" name ="email" placeholder ="Your Email" required>
</div>
<div class="textbox">
<input type ="number" name ="mobilenumber" placeholder ="Mobile Number" required>
</div>
<div class="textbox">
<input type ="text" name ="username" placeholder="User Name" required>
</div>
<div class="textbox">
<input type ="password" name ="password" placeholder ="Password" required>
</div>
<div class="textbox">
<input type ="password" name ="confirmpassword" placeholder ="Confirm Password" required>
</div>
<div class="textbox">
<input type ="address" name ="address" placeholder ="Address" required>
</div>
<div class="textbox">
<input type ="number" name ="drivinglicensenumber" placeholder ="DL Number" required>
</div>
<br>
<span style ="font-size:28px;"> Date of Birth</span>
<br>
<div class="option-input">
<div class="textbox">
<input name="datefield" type='date'>
</div>
<br>
<input type ="radio" name ="gender" value ="male"> Male
<input type ="radio" name ="gender" value ="female"> Female
<input type ="radio" name ="gender" value ="others"> Others
<br>
<input type ="checkbox"> I agree to the terms of use
<br>
<input class="btn" type ="submit" value ="Submit">
</div>
</form>
</div>
</body>
</html>