Untitled

<html>
<body>
<?
echo "<form action='".$_SERVER['PHP_SELF']."' method='post'>";
?>
Name: <input type="text" name="name" /><br>
ID: <input type="text" name="id" /><br>
<input type="submit" />
</form>
</body>
<br>
<br>
</html>
<?
$name = $_POST["name"];
$id = $_POST["id"];
print "$name";
mysql_query("INSERT INTO APSLOG (Name, UserID) VALUES ('$name', '$id')");
print "Names Added";
?>