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- <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
- <html xmlns="http://www.w3.org/1999/xhtml">
- <head>
- <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
- <title>Sign Up</title>
- <link href="all.css" rel="stylesheet" type="text/css" />
- </head>
- <body>
- <form method="post" action="" id="sign">
- <fieldset><legend>Sign Up</legend>
- <br /><br />
- First Name:<br /> <input type="text" name="firstname" required="required" placeholder="Enter your first name" /><br /><br />
- Last Name:<br /> <input type="text" name="lasttname" required="required" placeholder="Enter your Surname name" /><br /><br />
- UserName:<br /> <input type="text" name="userr" required="required" placeholder="Enter your username" /><br /><br />
- Password:<br /><input type="password" name="pass" required="required" placeholder="Enter your password" /><br /><br />
- Email Id:<br /><input type="email" name="mail" required="required" placeholder="Enter your mail id" /><br /><br />
- DOB:<br /><input type="date" name="dob" required="required" placeholder="Enter your date of birth" style="appearance:none" /><br /><br />
- Address:<br />
- <textarea onclick="" cols="100" rows="10" draggable="false">
- Enter Your Address....</textarea><br /><br />
- Phone Number:<br /><input type="number" name="phone" required="required" placeholder="Enter your Phone Number" maxlength="10" style="-moz-appearance:none;-webkit-appearance:none; appearance:none; " /><br /><br />
- <input type="submit" id="submit" value="Submit" /><input type="reset" id="reset" value="Reset" /><br /><br />
- </fieldset>
- </form>
- </body>
- </html>
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