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179 lines (150 loc) · 4.67 KB
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<html>
<head>
<title>HTML FORM</title>
</head>
<body>
<center>
<h1>Student Registration Form</h1>
</center>
<form>
<table>
<tr>
<td>
First Name:
</td>
<td>
<input type="text" name="FirstName" placeholder="Enter your first name" id="firstname">
</td>
</tr>
<tr>
<td>
Last Name:
</td>
<td>
<input type="text" name="LaseName" placeholder="Enter your last name" id="lastname" rows="10">
</td>
</tr>
<tr>
<td>
Email:
</td>
<td>
<input type="email" name="email" placeholder="it should contain @, " id="email">
</td>
</tr>
<tr>
<td>
Mobile:
</td>
<td>
<input type="text" name="Mobile" placeholder="only 10 digits are allowed" id="Mobile">
</td>
</tr>
<tr>
<td>
Gender:
</td>
<td>
<input type="radio" name="gender">Male
<input type="radio" name="gender">Female
</td>
</tr>
<tr>
<td>
Date of Birth:
</td>
<td>
<input type="date" name="Date" id="date" >
</td>
</tr>
<tr>
<td>
Address:
</td>
<td>
<textarea name="Address" value="address" rows="6" cols="30" id="address"></textarea>
</td>
</tr>
<tr>
<td>
City:
</td>
<td>
<textarea name="City" id="City" value="city" cols="30" rows="2"></textarea>
</td>
</tr>
<tr>
<td>
Area PIN:
</td>
<td>
<textarea name="areapin" id="areapin" value="areapin" cols="30" rows="2"></textarea>
</td>
</tr>
<tr>
<td>
State:
</td>
<td>
<textarea name="state" id="state" cols="30" rows="2"></textarea>
</td>
</tr>
<tr>
<td>
Qualification:
</td>
<td>
<select name="Qualification" id="Qualification">
<option value="">Select Qualification</option>
<option value="">SSLC</option>
<option value="">PUC</option>
<option value="">DIPLOMA</option>
<option value="">DEGREE</option>
<option value="">M PHIL</option>
<option value=""> MASTER DEGREE </option>
<optgroup>
<option value="">BSc PMCS</option>
<option value="">BSc CSMST</option>
<option value="">BSc PCM </option>
<option value="">BSc EMST</option>
<option value="">BSc EMCS</option>
<option value="">BSc CBZ</option>
</optgroup>
<optgroup>
<option value="">MSc PMCS</option>
<option value="">MSc CSMST</option>
<option value="">MSc PCM </option>
<option value="">MSc EMST</option>
<option value="">MSc EMCS</option>
<option value="">MSc CBZ</option>
</optgroup>
</select>
</td>
</tr>
<tr>
<td>
Specialization:
</td>
<td>
<input type="checkbox" name="ComputerScience" id="computersecince">Computer Science
<br>
<input type="checkbox" name="InformationTechnology" id="informationtechnology">Information Technology
<br>
<input type="checkbox" name="ComputerArchitecture" id="computerarchitecture">Computer Architecture
<br>
<input type="checkbox" name="Telecommunication" id="Telecommunication">Tele Communication
</td>
</tr>
<tr>
<td>
Password:
</td>
<td>
<textarea name="PossWord" id="possword" value="possword" rows="2" cols="30"></textarea>
</td>
</tr>
</table>
<button type="Regulated">Regulated</button>
</form>
</body>
</html>