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Anchit Jindal

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Oct 16th, 2009
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HTML 0.99 KB | None | 0 0
  1. <html>
  2. <title>Form</title>
  3. <form action="process5.php" method="post">
  4. Name:<input type="text" name="name"size="20" ><br><br>
  5.  
  6. Father's Name:<input type="text" name="fname" size="20"><br><br>
  7.  
  8. Address:<textarea name="address" rows="5" cols="40"></textarea><br><br>
  9.  
  10. Date of Birth(DD/MM/YYYY):<input type="text" name="dob"size="10"maxlength="10"><br><br>
  11.  
  12. Course:<select name="Course">
  13. <option>B.Tech.
  14. <option>M.B.A.
  15. </select><br><br>
  16.  
  17. Branch:<select name="Branch">
  18. <option>C.S.E.
  19. <option>E.C.E.
  20. <option>M.E.
  21. <option>I.T.
  22. <option>M.B.A.
  23. </select>
  24. <br><br>
  25.  
  26. Batch:<input type="text" name="batch" size="9" maxlength="9"><br><br>
  27.  
  28. Roll No.<input type="text" name="rno" size="3" maxlenght="3"><br><br>
  29.  
  30. Univ. Reg. No.<input type="text" name="reg" size="11" maxlength="11"><br><br>
  31.  
  32. Gender
  33. <br>
  34. <input type="radio" name="gender"value="Male">Male
  35. <input type="radio" name="gender"value="Male">Female<br><br>
  36.  
  37. <input type="submit"value="Submit">
  38.  
  39. <input type="reset">
  40. </form>
  41. </html>
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