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- <!DOCTYPE html>
- <html>
- <head>
- <title>Sign Up</title>
- <style type="text/css">
- td{
- padding-bottom: 6px;
- }
- </style>
- </head>
- <body>
- <h2 style="text-align: center;">STUDENT REGISTRATION FORM</h2>
- <table style="padding-left: 10%;">
- <tr>
- <td>FIRST NAME</td>
- <td><input type="text" name=""> (max 30 characters a-z and A-Z)</td>
- </tr>
- <tr>
- <td>LAST NAME</td>
- <td><input type="text" name=""> (max 30 characters a-z and A-Z)</td>
- </tr>
- <tr>
- <td>DATE OF BIRTH</td>
- <td>
- <select><option>Day</option><select>
- <select><option>Month</option><select>
- <select><option>Year</option><select>
- </td>
- </tr>
- <tr>
- <td>EMAIL</td>
- <td><input type="email" name=""></td>
- </tr>
- <tr>
- <td>MOBILE NUMBER</td>
- <td><input type="number" name="" maxlength="10">(10 digit number)</td>
- </tr>
- <tr>
- <td>GENDER</td>
- <td>
- Male<input type="radio" name="ff">
- Female<input type="radio" name="ff">
- </td>
- </tr>
- <tr>
- <td>ADDRESS</td>
- <td><textarea></textarea></td>
- </tr>
- <tr>
- <td>CITY</td>
- <td><input type="text" name=""> (max 30 characters a-z and A-Z)</td>
- </tr>
- <tr>
- <td>PIN CODE</td>
- <td><input type="number" name=""> (6 digit number)</td>
- </tr>
- <tr>
- <td>STATE</td>
- <td><input type="text" name=""> (max 30 characters a-z and A-Z)</td>
- </tr>
- <tr>
- <td>COUNTRY</td>
- <td><input type="text" name="" placeholder="India"> </td>
- </tr>
- <tr>
- <td>HOBBIES</td>
- <td>
- Drawing<input type="checkbox" name="">
- Singing<input type="checkbox" name="">
- Sketching<input type="checkbox" name="">
- Others<input type="checkbox" name="">
- <input type="text" name="">
- </td>
- </tr>
- <tr>
- <td>QUALIFICATION</td>
- <td>
- <table>
- <tr>
- <td>S1.NO.</td>
- <td>Examination</td>
- <td>Board</td>
- <td>Percentage</td>
- <td>Year of Passing</td>
- </tr>
- <tr>
- <td>1</td>
- <td>Class X</td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- </tr>
- <tr>
- <td>2</td>
- <td>Class XII</td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- </tr>
- <tr>
- <td>1</td>
- <td>Graduation</td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- </tr>
- <tr>
- <td>1</td>
- <td>Masters</td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- <td><input type="text" name=""></td>
- </tr>
- <tr>
- <td></td>
- <td></td>
- <td>(10 char max)</td>
- <td>(upto 2 decimal)</td>
- <td></td>
- </tr>
- </table>
- </td>
- </tr>
- <tr>
- <td>COURSES APPLIED FOR</td>
- <td>
- BCA<input type="radio" name="rr">
- B.Com<input type="radio" name="rr">
- B.Sc<input type="radio" name="rr">
- B.A<input type="radio" name="rr">
- </td>
- </tr>
- <tr>
- <td></td>
- <td style="padding-left: 30%;">
- <input type="submit" name=""><input type="submit" value="Reset">
- </td>
- </tr>
- </table>
- </body>
- </html>
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