HTML work

<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1">
<html>
    <head>
        <title>Registration Page</title>
    </head>
    <body>
        <form name="Reg Page">
        Usersname: <Input type="text" name="Username"maxlength="10"/><span>*</span><br/>
        Password: <Input type="password" name="Password"maxlength="12"/><span>*</span><br/>
        Confirm Password: <Input type="password" name="Confirm Password"maxlength="12"/><span>*</span><br/>
        Email Address: <Input type="text" name="email address"/><span>*</span><br/>
        Confirm Email Address: <Input type="text" name="confirm email address"/><span>*</span><br/>
        Date Of Birth(D.O.B) in form DD/MM/YYYY: <Input type="text" name="D.O.B"maxlength="10"/><span>*</span><br/>
         <li class="form-line"                              id="id_17">
        <label class="form-label form-label-top form-label-auto" id="label_17" for="input_17"> Gender </label>
        <div id="cid_17" class="form-input-wide">
          <select class="form-dropdown" style="width:150px" id="input_17" name="q17_gender">
          <option value=""></option>
            <option value="Male"> Male </option>
            <option value="Female"> Female </option>
            <option value="Other"> Other </option>
          </select>
        </div>
        <li class="form-line"                             id="id_14">
                <label class="form-label form-label-top form-label-auto" id="label_14" for="input_14">
                Enter the letters/word that is being shown below
                <span class="form-required">
                    *
                </span>
                </label>
                <div id="cid_14" class="form-input-wide">
          <div class="form-captcha">
            <label for="input_14"> <img alt="Captcha - Reload if it's not displayed" id="input_14_captcha" class="form-captcha-image" style="background:url(http://max.jotfor.ms/images/loader-big.gif) no-repeat center;" src="http://max.jotfor.ms/images/blank.gif" width="150" height="41" /> </label>
            <div style="white-space:nowrap;">
              <input type="text" id="input_14" class="form-textbox validate[required]" name="captcha" style="width:130px;" />
              <img src="http://max.jotfor.ms/images/reload.png" alt="Reload" align="absmiddle" style="cursor:pointer" onclick="JotForm.reloadCaptcha('input_14');" />
              <input type="hidden" name="captcha_id" id="input_14_captcha_id" value="0" />
            </div>
          </div>
        </div>
            </li>

        <input type="reset"/> <input type="Submit"/>
        </form>
        </body>
</html>