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A Man Report

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shakaibbelal
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31 views

A Man Report

Uploaded by

shakaibbelal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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<!

DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Registration Form</title>
</head>
<body>
<center><b><h1>Registration Form</h1></b></center>
<center> <table border="5" cellspacing="10" cellpadding="4">
<tr>
<td>Name</td>
<td><input type="Text" name="Name" placeholder="Enter Your Name" required></td>
</tr>
<tr>
<td>Contact</td>
<td><input type="number" name="Contact" placeholder="Enter Your Phone Number" required></td>
</tr>
<tr>
<td>Email</td>
<td><input type="text" name="Email" placeholder="Enter Your Email" required></td>
</tr>
<tr>
<td>Adress</td>
<td>
<textarea name="Stud_Address" rows="6" cols="10" placeholder="Enter Your
Address"></textarea>
</td>
</tr>
<tr><td>Gender:</td>
<td>
<input type="radio" name="Gender" value="Male">Male
<input type="radio" name="Gender" value="Female">Female
</td>
</tr>
<tr>
<td>City</td>
<td><Select name="City">
<option value="">Select City</option>
<option value="Nashik">Nashik</option>
<option value="Mumbai">Mumbai</option>

</Select></td>
</tr>
<tr>
<td>Language</td>
<td><input type="checkbox" name="lang[]" value="English">English
<input type="checkbox" name="lang[]" value="Marathi">Marathi
<input type="checkbox" name="lang[]" value="Hindi">Hindi</td>
</tr>
<tr>
<td>Date of birth</td>
<td><input type="date" name="Stud_dob"></td>
</tr>
<tr>
<td>UserName</td>
<td><input type="text" name="USerNAme" placeholder="Enter your Username"></td>
</tr>
<tr>
<td>
Password
</td>
<td><input type="password" name="passsword" placeholder="Enter your Password"></td>
</tr>
<tr>
<td>Upload Photo</td>
<td> <input type="file" name="photo"></td>
</tr>
<tr>
<td><input type="submit" name="Submit" value="Submit"> </td>
<td><input type="reset" name="Reset" value="Reset"></center></td>
</tr>
</table></center>
</body>
</html>
Output::::

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