hercioneto

cadastroCNH.html

Nov 1st, 2018
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  1. <!-- cadastroCNH.html -->
  2. <html>
  3. <head>
  4.     <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
  5.     <title>CADASTRO CNH</title>
  6. </head>
  7. <body>
  8. <form action="cnh.php" method="POST">
  9. <label for="nome">Nome</label>
  10. <input type="text" name="nome" id="nome" required="">
  11. <br/>
  12. <label for="sexo">Sexo</label>
  13. <select name="sexo" id="sexo">
  14.     <option>Masculino</option>
  15.     <option>Feminino</option>
  16. </select>
  17. <br/>
  18. <label for="dataNasc">Data Nascimento</label>
  19. <input type="date" name="dataNasc" id="dataNasc" required="
  20. ">
  21. <br/>
  22. <label for="renovacao">Renovação</label>
  23. <input type="checkbox" name="renovacao" id="renovacao" value="sim">Sim
  24. <br/>
  25. <label for="adicionais">Adicionais</label>
  26. <br/>
  27. <input type="radio" name="adicionais" value="Oculos"> Óculos
  28.  <input type="radio" name="adicionais" value="Lentes"> Lentes
  29. <input type="radio" name="adicionais" value="Nada" checked=""> Nada
  30. <br>
  31. <input type="submit" name="enviar" value="Enviar">
  32. </form>
  33. </body>
  34. </html>
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