registration-form/reg.html at main · rishithayenumula/registration-form · 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

<html>
<head>

    <title>Registration Form</title>
</head>
<body>

    <div align="center">
        <h1><u> Registration Form</u></h1>
        <form>

            <label for="firstName"><font color="red" size="6">First Name:</font></label>
            <input type="text" id="firstName" name="firstName" size="50"><br><br>

            <label for="lastName"><font color="blue" size="6">Last Name:</font></label>
            <input type="text" id="lastName" name="lastName" size="50"><br><br>

            <label><font color="grey" size="6">Gender:</font></label><br>
            <input type="radio" name="gender" value="male"> Male<br>
            <input type="radio" name="gender" value="female"> Female<br>
            <input type="radio" name="gender" value="other"> Other<br><br>

            <label for="subject"><font color="pink" size="6">Subject of Interest:</font></label>
            <select id="subject" name="subject">
                <option value="">Select Subject</option>
                <option value="math">Mathematics</option>
                <option value="science">Science</option>
                <option value="history">History</option>
                <option value="art">Art</option>
            </select><br><br>

            <label><font color="green" size="6">Language Known:</font></label><br>
            <input type="checkbox" name="language" value="english"> English<br>
            <input type="checkbox" name="language" value="hindi"> Hindi<br>
            <input type="checkbox" name="language" value="other"> Other<br><br>

            <label for="dob"><font color="purple" size="6">Date of Birth (dd-mm-yyyy):</font></label>
            <input type="date" id="dob" name="dob"><br><br>

            <label for="contact"><font color="red" size="6">Contact No.:</font></label>
            <input type="tel" id="contact" name="contact"><br><br>

            <label for="address"><font color="lightgreen" size="6">Address:</font></label>
            <textarea id="address" name="address" rows="4" cols="50"></textarea><br><br>

            <label for="pincode"><font color="orange" size="6">Pin Code:</font></label>
            <input type="text" id="pincode" name="pincode"><br><br>

            <label for="state"><font color="blue" size="6">State:</font></label>
            <input type="text" id="state" name="state"><br><br>
            <input type="text" id="country" name="country"><br>

            <label for="country"><font color="purple" size="6">Country:</font></label>
            <input type="text" id="country" name="country"><br><br>

            <input type="reset" value="Reset">
            <input type="submit" value="Submit">
        </form>
    </div>

</body>
</html>