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<Html>
<head>
<link rel="icon" type = "image/x-icon" href="logo.png">
<title>
Registration Page
</title>
</head>
<body bgcolor="Lightskyblue">
<br>
<br>
<form>
<fieldset>
<legend style="color: 3px solid olive;"> New user registration</legend>
<label> Firstname </label>
<input type="text" name="firstname" placeholder="Enter first name" size="15"/> <br> <br>
<label> Lastname: </label>
<input type="text" name="lastname" placeholder="Enter last name" size="15"/> <br> <br>
Date of Birth: <input type = "date"> <br>
Gender :
</label><br>
<input type="radio" name="Gender" value="male"> Male <br>
<input type="radio" name="Gender" value="male"> Female <br>
<input type="radio" name="Gender" value="male" > transgender
<br>
<br>
<label>
Phone :
</label>
<input type="text" name="country code" value="+91" size="2"/>
<input type="text" name="phone" placeholder="Enter mobile number" size="10"/> <br> <br>
Address
<br>
<textarea cols="80" rows="5" value="address">
</textarea>
<br> <br>
Email:
<input type="email" id="email" placeholder="Enter email id" name="email"/> <br>
<br> <br>
Password:
<input type="Password" id="pass" placeholder="Enter password" name="pass"> <br>
<br> <br>
Re-type password:
<input type="Password" id="repass" placeholder="Enter re-password" name="repass"> <br> <br>
<input type="button" value="Submit"/>
</fieldset>
</form>
</body>
</html> |