| <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> |