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- <h2>Registration Page</h2>
- <form method="post">
- <fieldset>
- <legend>Student Data</legend>
- <table>
- <tr>
- <td>First Name</td>
- <td> : <input type="text" name="first_name" autofocus="">
- <font color = "red"><p><?php echo form_error('first_name'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Middle Name</td>
- <td> : <input type="text" name="middle_name">
- <font color = "red"><p><?php echo form_error('middle_name'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Last Name</td>
- <td> : <input type="text" name="last_name">
- <font color = "red"><p><?php echo form_error('last_name'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Gender</td>
- <td>
- : <input type="radio" name="gender" value="M"> Male
- <input type="radio" name="gender" value="F"> Female
- <font color = "red"><p><?php echo form_error('gender'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Email</td>
- <td> : <input type="text" name="email">
- <font color = "red"><p><?php echo form_error('email'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Place of Birth</td>
- <td> : <input type="text" name="place_of_birth">
- <font color = "red"><p><?php echo form_error('place_of_birth'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Date of Birth</td>
- <td> : <input type="date" name="date_of_birth">
- <font color = "red"><p><?php echo form_error('date_of_birth'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Home Address</td>
- <td> : <textarea name="address" cols="30" rows="10"></textarea>
- <font color = "red"><p><?php echo form_error('address'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Province</td>
- <td> : <input type="text" name="province">
- <font color = "red"><p><?php echo form_error('province'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Districts</td>
- <td> : <input type="text" name="districts">
- <font color = "red"><p><?php echo form_error('districts'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Postal Code</td>
- <td> : <input type="text" name="postal_code">
- <font color = "red"><p><?php echo form_error('postal_code'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Phone No.</td>
- <td> : <input type="text" name="phone">
- <font color = "red"><p><?php echo form_error('phone'); ?></p></font>
- </td>
- </tr>
- </table>
- </fieldset>
- <p> </p>
- <fieldset>
- <legend>Parent's Data</legend>
- <table>
- <tr>
- <td>Father's Full Name</td>
- <td> : <input type="text" name="father_name">
- <font color = "red"><p><?php echo form_error('father_name'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Father's Occupation</td>
- <td> : <input type="text" name="father_occupation">
- <font color = "red"><p><?php echo form_error('father_occupation'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Father's Phone No.</td>
- <td> : <input type="text" name="father_phone">
- <font color = "red"><p><?php echo form_error('father_phone'); ?></p></font>
- </td>
- </tr>
- <tr><td> </td></tr>
- <tr>
- <td>Mother's Full Name</td>
- <td> : <input type="text" name="mother_name">
- <font color = "red"><p><?php echo form_error('mother_name'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Mother's Occupation</td>
- <td> : <input type="text" name="mother_occupation">
- <font color = "red"><p><?php echo form_error('mother_occupation'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td>Mother's Phone No.</td>
- <td> : <input type="text" name="mother_phone">
- <font color = "red"><p><?php echo form_error('mother_phone'); ?></p></font>
- </td>
- </tr>
- <tr><td> </td></tr>
- <tr>
- <td>Parent's Address</td>
- <td> : <textarea name="parent_address" cols="30" rows="10"></textarea>
- <font color = "red"><p><?php echo form_error('parent_address'); ?></p></font>
- </td>
- </tr>
- <tr>
- <td colspan="2" align="right"> <input type="submit" value="Submit Data"> </td>
- </tr>
- </table>
- </fieldset>
- <p> </p>
- </form>
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