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66 lines (64 loc) · 1.87 KB
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<!doctype html>
<html>
<head>
<title> Registration form </title>
</head>
<body>
<form>
<fieldset>
<table>
<legend> Registration Form </legend>
<tr>
<label> <td>First Name</td> </label>
<td><input type ="text" name =""></td>
</tr>
<tr>
<label><td> Last Name</td> </label>
<td><input type ="text" name =""></td>
</tr>
<tr>
<label><td> Nick Name </td> </label>
<td><input type ="text" name =""></td>
</tr>
<tr>
<label> <td> e-mail </td></label>
<td><input type ="text" name =""></td>
</tr>
<tr>
<label><td> Password </td></label>
<td><input type ="password" name =""></td>
</tr>
<tr>
<label><td> Date Of Birth </td> </label>
<td><input type ="date" name =""></td>
</tr>
<tr>
<label><td> Gender </td></label>
<td>
<input type="radio" name="rt1"> male
<input type="radio" name="rt1"> female
<input type="radio" name="rt1"> other
</td>
</tr>
<tr>
<label><td> Mobile </td> </label>
<td><input type ="text" name=""></td>
</tr>
<tr>
<label><td> Address </td></label>
<td>
<textarea>
</textarea>
</td>
</tr>
<tr>
<td>
<input type ="button" value="submit">
<input type ="button" value="reset">
</td>
</tr>
<table>
</fieldset>
</form>
</body>
</html>