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Html Sample Registration Form

Jan 16th, 2017
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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4.  <title>Registration Form</title>
  5. <meta charset="UTF-8">
  6. <meta name="viewport" content="width=device-width, initial-scale=1.0">
  7. <meta name="author" content="Janric Malate">
  8. <style>
  9. span {color:blue;}
  10. span.xy {color:green;}
  11. input.zx {background-color: black; border: 1px solid red; color: lime; font-family: courier;}
  12. </style>
  13. </head>
  14. <body style="background-color:black;">
  15. <form>
  16. <fieldset style="border: 2px solid red; margin: 5px">
  17. <legend style="color:lime;"><b>Log in Credentials</b></legend>
  18. <span>Username:</span><br><input class="zx" type="text" name="username" autofocus><br>
  19. <span>Password:</span><br><input class="zx" type="password" name="password"><br>
  20. <span>Email address:</span><br><input class="zx" type="text" name="emailaddress"><br><br>
  21. </fieldset>
  22. <fieldset style="border: 2px solid red; margin: 5px">
  23. <legend style="color:lime;"><b>Personal Information</b></legend>
  24. <span>First Name:</span><br><input class="zx" type="text" name="firstname"><br>
  25. <span>Last Name:</span><br><input class="zx" type="text" name="lastname"><br>
  26. <span>Birthdate:</span><br><span class="xy">MM</span>
  27. <input class="zx" type="number" name="quantity" min="01" max="12" size="2" maxlength="2"><span class="xy">DD</span><input type="number" class="zx" name="quantity" min="01" max="31" size="2" maxlength="2"><span class="xy">YYYY</span><input class="zx" type="number" name="quantity" min="1950" max="2098" size="4" maxlength="4"><br>
  28. <span>Gender:</span><br><input class="zx" type="radio" name="gender" checked="checked"><span class="xy">Male</span><br>
  29. <input type="radio" name="gender"><span class="xy">Female</span><br><input type="radio" name="gender"><span class="xy">Others</span><br><span>If others please specify in the textbox below:</span><br><input class="zx" type="text" name="gender"><br><br><b><input style="color:black;" type="submit" value="Submit" onclick="alert('Your registration was successful! thank you for joining')"></b></fieldset>
  30. </form>
  31. </body>
  32. </html>
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