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Simple Registration Form #114

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63 changes: 63 additions & 0 deletions Simple Registration Form
Original file line number Diff line number Diff line change
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<!DOCTYPE html>
<html>
<head>
<title>Registration form</title>
</head>

<body>
<h1>Registration Form</h1>
<div id="reg-form">
<form action="" method="">
<label for="first-name">First Name :</label>
<input type="text" name="first-name" placeholder="Shivam" required>

<label for="last-name">Last Name :</label>
<input type="text" name="last-name" placeholder="Kumar" required>

<div>
<label for="gender-male">Male</label>
<input type="radio" name="gender-choice" value="choice-1">

<label for="gender-female">Female</label>
<input type="radio" name="gender-choice" value="choice-2">

<label for="gender-others">Others</label>
<input type="radio" name="gender-choice" value="choice-3">

</div>

<div>
<label for="email" >Email:</label>
<input type="email" name="email" placeholder="xyz@eamil.com">

<label for="Password" >Password:</label>
<input type="password" name="Password">
</div>

<div>
<label for="Month">Birthday</label>
<select name="Month">
<option value="0" selected disabled>Month</option>
<option value="jan">January</option>
<option value="feb">Febuary</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="august">August</option>
<option value="sep">September</option>
<option value="oct">October</option>
<option value="nov">November</option>
<option value="dec">December</option>
</select>
</div>
<label for="agree">I agree to all the conditions of form</label>
<input type="checkbox" name="agree">
</br>
<button type="submit">Submit</button>
</form>
</div>

</body>
</html>