0% found this document useful (0 votes)
2 views

assignment1

The document is an HTML template for a GATE Examination Registration form. It includes fields for personal information such as full name, email, password, date of birth, gender, nationality, category, and exam center. The form is designed to be submitted via POST to 'submit_registration.php'.

Uploaded by

sdking1811
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
2 views

assignment1

The document is an HTML template for a GATE Examination Registration form. It includes fields for personal information such as full name, email, password, date of birth, gender, nationality, category, and exam center. The form is designed to be submitted via POST to 'submit_registration.php'.

Uploaded by

sdking1811
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Question 3)

<!DOCTYPE html>

<html lang="en">

<head>

<meta charset="UTF-8">

<meta name="viewport" content="width=device-width, initial-scale=1.0">

<title>GATE Examination Registration</title>

</head>

<body>

<h2>GATE Examination Registration Form</h2>

<form action="submit_registration.php" method="POST">

<label for="fullname">Full Name:</label><br>

<input type="text" id="fullname" name="fullname" required><br><br>

<label for="email">Email:</label><br>

<input type="email" id="email" name="email" required><br><br>

<label for="password">Password:</label><br>

<input type="password" id="password" name="password" required><br><br>

<label for="confirm_password">Confirm Password:</label><br>

<input type="password" id="confirm_password" name="confirm_password" required><br><br>

<label for="dob">Date of Birth:</label><br>

<input type="date" id="dob" name="dob" required><br><br>

<label for="gender">Gender:</label><br>

<input type="radio" id="male" name="gender" value="male">

<label for="male">Male</label>

<input type="radio" id="female" name="gender" value="female">

<label for="female">Female</label><br><br>

<label for="nationality">Nationality:</label><br>

<select id="nationality" name="nationality" required>

<option value="">Select Nationality</option>

<option value="indian">Indian</option>

<option value="other">Other</option>

</select><br><br>

<label for="category">Category:</label><br>

<input type="checkbox" id="gen" name="category" value="gen">

<label for="gen">General</label>
<input type="checkbox" id="obc" name="category" value="obc">

<label for="obc">OBC</label>

<input type="checkbox" id="sc" name="category" value="sc">

<label for="sc">SC</label>

<input type="checkbox" id="st" name="category" value="st">

<label for="st">ST</label><br><br>

<label for="exam_center">Exam Center:</label><br>

<select id="exam_center" name="exam_center" required>

<option value="">Select Exam Center</option>

<option value="delhi">Delhi</option>

<option value="mumbai">Mumbai</option>

<option value="kolkata">Kolkata</option>

<option value="chennai">Chennai</option>

</select><br><br>

<input type="submit" value="Submit">

<input type="reset" value="Reset">

</form>

</body>

</html>

Question 12
a

You might also like