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  1. <html>
  2.  
  3. <head><title>Online Form</title></head>
  4.  
  5. <body >
  6. <div id="header">
  7. <center>
  8.  
  9. <p style="font-size:28px; color:red; background-color:;"><em><ins>DecSys</ins></em></>
  10. <p style="font-size:68px; color:purple;"><ins>Welcome to our Bank</ins></>
  11. </div>
  12.  
  13.  
  14. <marquee><h1 style ="text-align:center;font-size:40px; color:Dodger blue"><em>Online Bank Form<sub style="font-size:18px; color :purple">SBI.</sub></em></h1></marquee>
  15. <hr>
  16.  
  17.  
  18. <center>
  19.  
  20.  
  21. <form>
  22.  
  23. <fieldset style="background-color:hsl(0, 0%, 94%);;">
  24. <legend><h2 style="color:aroon;font-size:25px"><ins>Personal Info</ins></h2></legend>
  25.  
  26. <table>
  27. <h3 style="font-size:20px; color :Maroon"><ins>Please Fill All Details Properly.</ins></h3>
  28.  
  29. <tr></tr>
  30. <tr></tr>
  31. <tr></tr>
  32. <tr></tr>
  33.  
  34. <tr>
  35. <td><label for="name">Name :</td>
  36. <td><Input type="text" name="Username" value=" "></td>
  37. </tr>
  38.  
  39. <tr>
  40. <td><label for="name">Father Name :</td>
  41. <td><Input type="text" name="Username" value=""></td>
  42. </tr>
  43.  
  44. <tr>
  45. <td><label for="name">Age :</td>
  46. <td><input type="number" name=""></td>
  47. </tr>
  48.  
  49. <tr>
  50. <td>Gender:</td>
  51. <td>
  52. <input type="radio" name="Gender" value="Male" >Male
  53. <input type="radio" name="Gender" value="Female" >Female
  54. <input type="radio" name="Gender" value="other" >Other
  55. </td>
  56. </tr>
  57.  
  58. <tr>
  59. <td><label for="name">Mobile no :</td>
  60. <td><input type="tel" name=""></td>
  61. </tr>
  62.  
  63. <tr>
  64. <td><label for="name">Address :</td>
  65. <td><textarea rows="3" col="35"></textArea></td>
  66. </tr>
  67.  
  68. <tr>
  69. <td><label for="name">Permanent Address :</td>
  70. <td><textarea rows="3" col="35"></textArea></td>
  71. </tr>
  72.  
  73. <tr>
  74. <td><label for ="name">Gmail id : </td>
  75. <td><input type="text" name=""></td>
  76. </tr>
  77.  
  78.  
  79.  
  80. </table>
  81.  
  82. </fieldset>
  83.  
  84. </form>
  85.  
  86.  
  87.  
  88.  
  89.  
  90. <form>
  91.  
  92. <fieldset style="background-color:hsl(0, 0%, 94%);">
  93. <legend><h2 style="color:black; font-size:25px"><ins>Account Info</ins></h2></legend>
  94.  
  95.  
  96. <table>
  97.  
  98.  
  99. <h3 style="font-size:20px; color:Maroon;"><ins>Please Fill All Details as Per the Instructor.</ins></h3>
  100.  
  101. <tr>
  102. <td><label for ="name">Branch : </td>
  103. <td><input type="text" name=""></td>
  104. </tr>
  105.  
  106. <tr>
  107. <td>Account Type :</td>
  108. <td>
  109. <input type="radio" name="Account type" value="Current">Current
  110. <input type="radio" name="Account type" value="Saving">Saving
  111. </td>
  112. </tr>
  113.  
  114. <tr>
  115. <td><label for="name">Adhar no :</td>
  116. <td><input type="tel" name=""></td>
  117. </tr>
  118.  
  119. <tr>
  120. <td><label for="name">Pan no :</td>
  121. <td><input type="tel" name=""></td>
  122. </tr>
  123.  
  124.  
  125.  
  126. <tr> <td><h4>Facility Required :</h4></td> <br><br></tr>
  127.  
  128.  
  129.  
  130. <tr><td>1. PassBook</td><td><input type="checkbox" name="" value="Checked"></td></tr>
  131. <tr><td>2. ATM</td><td><input type="checkbox" name="" value=""><td></tr>
  132. <tr><td>3. Debit Card </td><td><input type="checkbox" name="" value=""><td></tr>
  133. <tr><td>4. ATM cum Debit</td><td> <input type="checkbox" name="" value=""><td></tr>
  134. <tr><td>5. Net Banking </td><td><input type="checkbox" name="" value=""><td></tr>
  135. <tr><td>6. Cheque Book </td><td><input type="checkbox" name="" value=""><td></tr>
  136. <tr><td>7. Credit Card </td><td><input type="checkbox" name="" value=""><td></tr>
  137. <tr><td>8. Locker </td><td><input type="checkbox" name="" value=""><td></tr>
  138.  
  139. <tr>
  140. <td><label for="name">Bank Address :</td>
  141. <td><textarea rows="3" col="35"></textArea></td>
  142. </tr>
  143.  
  144. <tr>
  145. <td><label for="name">Any Other ID Detail :</td>
  146. <td><textarea rows="3" col="35"></textArea></td>
  147. </tr>
  148.  
  149. <tr>
  150. <td>Do You Have any Other Account :</td>
  151. <td>
  152. <input type="radio" name="Do You Have any Other Account" value="Yes">Yes
  153. <input type="radio" name="Do You Have any Other Account" value="No">No
  154. </td>
  155. </tr>
  156.  
  157. <tr>
  158. <td><label for="name">Other Account Details :</td>
  159. <td><textarea rows="3" col="30"></textArea></td>
  160. </tr>
  161.  
  162.  
  163.  
  164.  
  165. </table>
  166.  
  167.  
  168. </fieldset>
  169.  
  170. </form>
  171.  
  172.  
  173.  
  174.  
  175. <form>
  176.  
  177. <fieldset style="background-color:hsl(0, 0%, 94%);">
  178. <legend><h2 style="color:black; font-size:25px"><ins>Customer Full Details</ins></h2></legend>
  179.  
  180. <table>
  181.  
  182. <h3 style="font-size:20px; color:Maroon;"><ins>Please Fill All Details as Per the ID.</ins></h3>
  183.  
  184. <tr>
  185. <td><h4>Customer Name :</h4></td>
  186. </tr>
  187. <tr>
  188. <td><label for ="name">First </td>
  189. <td><label for ="name">Middle </td>
  190. <td><label for ="name">Last </td>
  191. </tr>
  192.  
  193. <tr>
  194. <td><input type="text" name=""></td>
  195. <td><input type="text" name=""></td>
  196. <td><input type="text" name=""></td>
  197. </tr>
  198.  
  199.  
  200. <tr>
  201. <td><h4>Father Name :</h4></td>
  202. </tr>
  203. <tr>
  204. <td><label for ="name">First </td>
  205. <td><label for ="name">Middle </td>
  206. <td><label for ="name">Last </td>
  207. </tr>
  208.  
  209. <tr>
  210. <td><input type="text" name=""></td>
  211. <td><input type="text" name=""></td>
  212. <td><input type="text" name=""></td>
  213. </tr>
  214.  
  215.  
  216. <tr>
  217. <td><h4>Mother Name :</h4></td>
  218. </tr>
  219. <tr>
  220. <td><label for ="name">First </td>
  221. <td><label for ="name">Middle </td>
  222. <td><label for ="name">Last </td>
  223. </tr>
  224.  
  225. <tr>
  226. <td><input type="text" name=""></td>
  227. <td><input type="text" name=""></td>
  228. <td><input type="text" name=""></td>
  229. </tr>
  230.  
  231. </table>
  232. <table>
  233.  
  234.  
  235.  
  236.  
  237. <tr>
  238. <td><label for="name">Permanent Address :</td>
  239. <td><textarea rows="3" col="30"></textArea></td>
  240. </tr>
  241.  
  242.  
  243.  
  244. <tr>
  245. <td><label for="name">City</td>
  246. <td><input type="text" name=""></td>
  247. </tr>
  248.  
  249. <tr>
  250. <td><label for="name">Pin Code</td>
  251. <td><input type="text" name=""></td>
  252. </tr>
  253.  
  254. <tr>
  255. <td><label for="name">State</td>
  256. <td><input type="text" name=""></td>
  257. </tr>
  258.  
  259. <tr>
  260. <td><label for="name">Mobile no :</td>
  261. <td><input type="tel" name=""></td>
  262. </tr>
  263.  
  264. <tr>
  265. <td><label for ="name">Gmail id : </td>
  266. <td><input type="text" name=""></td>
  267. </tr>
  268.  
  269. <tr>
  270. <td>Occupation:</td>
  271. <td>
  272. <input type="radio" name="Occupation" value="Student" >Student
  273. <input type="radio" name="Occupation" value="Business" >Business
  274. <input type="radio" name="Occupation" value="Govt. Job" >Govt. Job
  275. <input type="radio" name="Occupation" value="Others" >Others
  276. </td>
  277. </tr>
  278.  
  279.  
  280.  
  281. </table>
  282.  
  283.  
  284.  
  285. </fieldset>
  286.  
  287. </form>
  288.  
  289.  
  290.  
  291.  
  292.  
  293.  
  294. <form>
  295.  
  296. <fieldset style="background-color:hsl(0, 0%, 94%);">
  297. <legend><h2 style="color:black; font-size:25px"><ins>Submission</ins></h2></legend>
  298.  
  299. <h3 style="font-size:20px; color:Maroon;"><ins>Please Check Details Carefully Before Submittting.</ins></h3>
  300.  
  301. <a href="login.html">
  302. <input type="button" value="Submit" onclick="return validateTextbox();" >
  303. </a>
  304.  
  305. <a href="form.html">
  306. <input type="button" value="Reset" onclick="return validateTextbox();" >
  307. </a>
  308.  
  309.  
  310. <input type="button" onclick="alert('All Yor Details will be Deleted')" value="Cancel" >
  311.  
  312.  
  313.  
  314. </fieldset>
  315.  
  316. </form>
  317.  
  318.  
  319.  
  320. </body>
  321.  
  322.  
  323. </html>
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