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- <html>
- <head>
- <title>TO DO supply a title</title>
- <meta charset="UTF-8">
- <meta name="viewport" content="width=device-width, initial-scale=1.0">
- </head>
- <body>
- <div>Register Form</div>
- <form action="reg" method="GET">
- <fieldset>
- <legend>Personal Information</legend>
- First Name : <input type="text" name="txt1"><br><br>
- Second Name : <input type="text" name="txt2"><br><br>
- Email ID: <input type="text" name="txt3"><br><br>
- Gender:
- <select name="gender">
- <option value="Male" name="male">Male</option>
- <option value="Female" name="female">Female</option>
- </select>
- </fieldset>
- <fieldset>
- <legend>Login Information</legend>
- UserName : <input type="text" name="txt"><br><br>
- Password : <input type="password" name="pass"><br><br>
- </fieldset>
- <fieldset>
- <legend>Academic Information</legend>
- Branch:
- <input type="radio" name="branch" value="br">CSE
- <input type="radio" name="branch" value="br">IT
- <input type="radio" name="branch" value="br">Mech
- <br><br>
- Class:
- <select name="class">
- <option value="Se">SE</option>
- <option value="TE">TE</option>
- <option value="BE">BE</option>
- </select>
- <br><br>
- Choose Subject:
- <br><input type="checkbox" name="sub" value="Maths">Maths
- <br><input type="checkbox" name="sub" value="PIJ">PIJ
- <br><input type="checkbox" name="sub" value="AJ">AJ
- <br><br> Marks: <input type="number" name="marks"><br>
- </fieldset>
- <br><input type="submit" name="Submit" value="Submit">
- </form>
- </body>
- </html>
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