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Sep 18th, 2017
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  1. <form name="register" action="Registration.jsp" method="POST" onsubmit="return verify(register);">
  2. <table>
  3. <tr><td colspan="2"><U><B>Signing up.</B></U></td></tr>
  4. <tr>
  5. <td><font size="1" color="red">*</font>Login ID: </td>
  6. <td><input type="text" name="loginID" size="20"/></td>
  7. </tr>
  8. <tr><td colspan="2"><font size="1">Login into our web site using this.</font></td></tr>
  9. <tr>
  10. <td><font size="1" color="red">*</font>Username: </td>
  11. <td><input type="text" name="username" size="20"/></td>
  12. </tr>
  13. <tr><td colspan="2"><font size="1">We will address you using this.</font></td></tr>
  14. <tr>
  15. <td><font size="1" color="red">*</font>Password: </td>
  16. <td><input type="password" name="password" size="20"/></td>
  17. </tr>
  18. <br/>
  19. <tr><td colspan="2"><U><B>Personal Particulars.</B></U></td></tr>
  20. <tr>
  21. <td><font size="1" color="red">*</font>Name: </td>
  22. <td><input type="text" name="name" size="20"/></td>
  23. </tr>
  24. <tr>
  25. <td><font size="1" color="red">*</font>Email: </td>
  26. <td><input type="text" name="email" size="20"/></td>
  27. </tr>
  28. <tr>
  29. <td><font size="1" color="red">*</font>Date of Birth: </td>
  30. <td>
  31. <select name="day">
  32. <c:forEach var="i" begin="1" end="31" step="1">
  33. <option value="${i}">${i}</option>
  34. </c:forEach>
  35. </select>
  36. <select name="month">
  37. <option value="jan">January</option>
  38. <option value="feb">February</option>
  39. <option value="mar">March</option>
  40. <option value="apr">April</option>
  41. <option value="may">May</option>
  42. <option value="jun">June</option>
  43. <option value="jul">July</option>
  44. <option value="aug">August</option>
  45. <option value="sep">September</option>
  46. <option value="oct">October</option>
  47. <option value="nov">November</option>
  48. <option value="dec">December</option>
  49. </select>
  50. <select name="year">
  51. <c:forEach var="i" begin="1900" end="2011" step="1">
  52. <option value="${i}">${i}</option>
  53. </c:forEach>
  54. </select>
  55. </td>
  56. </tr>
  57. <tr>
  58. <td><font size="1" color="red">*</font>Phone number: </td>
  59. <td><input type="text" name="phone" size="20"/></td>
  60. </tr>
  61. <tr>
  62. <td><font size="1" color="red">*</font>Gender: </td>
  63. <td>
  64. Male<input type="radio" name="gender" value="male" checked="true"/> &nbsp;&nbsp;
  65. Female<input type="radio" name="gender" value="female"/>
  66. </td>
  67. </tr>
  68. <tr>
  69. <td colspan="2"><input type="checkbox" name="news" checked="true"/>Check this to receive our weekly newsletters and promotions.</td>
  70. </tr>
  71. <tr>
  72. <td>Why choose us: </td>
  73. <td><textarea name="comments" row="10" col="35">None.</textarea></td>
  74. </tr>
  75. <tr>
  76. <td><input type=submit value="Submit"/></td>
  77. <td><input type=reset value="Clear details"/></td>
  78. </tr>
  79. </table>
  80. </form>
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