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Feb 27th, 2018
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  1.  
  2. <html>
  3. <head>
  4. <title>TO DO supply a title</title>
  5. <meta charset="UTF-8">
  6. <meta name="viewport" content="width=device-width, initial-scale=1.0">
  7. </head>
  8. <body>
  9. <div>Register Form</div>
  10. <form action="reg" method="GET">
  11.  
  12. <fieldset>
  13. <legend>Personal Information</legend>
  14. First Name : <input type="text" name="txt1"><br><br>
  15. Second Name : <input type="text" name="txt2"><br><br>
  16. Email ID: <input type="text" name="txt3"><br><br>
  17. Gender:
  18. <select name="gender">
  19.  
  20. <option value="Male" name="male">Male</option>
  21. <option value="Female" name="female">Female</option>
  22. </select>
  23. </fieldset>
  24.  
  25.  
  26. <fieldset>
  27. <legend>Login Information</legend>
  28. UserName : <input type="text" name="txt"><br><br>
  29. Password : <input type="password" name="pass"><br><br>
  30.  
  31. </fieldset>
  32.  
  33. <fieldset>
  34. <legend>Academic Information</legend>
  35. Branch:
  36. <input type="radio" name="branch" value="br">CSE
  37. <input type="radio" name="branch" value="br">IT
  38. <input type="radio" name="branch" value="br">Mech
  39. <br><br>
  40. Class:
  41. <select name="class">
  42. <option value="Se">SE</option>
  43. <option value="TE">TE</option>
  44. <option value="BE">BE</option>
  45.  
  46.  
  47. </select>
  48. <br><br>
  49. Choose Subject:
  50. <br><input type="checkbox" name="sub" value="Maths">Maths
  51. <br><input type="checkbox" name="sub" value="PIJ">PIJ
  52. <br><input type="checkbox" name="sub" value="AJ">AJ
  53.  
  54. <br><br> Marks: <input type="number" name="marks"><br>
  55.  
  56. </fieldset>
  57.  
  58. <br><input type="submit" name="Submit" value="Submit">
  59.  
  60.  
  61.  
  62.  
  63.  
  64.  
  65.  
  66.  
  67.  
  68.  
  69.  
  70. </form>
  71.  
  72.  
  73. </body>
  74. </html>
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