MWA/regpage.html at main · Ramyabejjam/MWA · GitHub

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<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
</head>
<body>
<form>
<h1 align="center"> REGISTRATION </h1>
<table align="center" cellspacing="10">
<tr>
<td>Name::</td>
<td> <input name="uname" type="text"> </td>
</tr>
<tr>
<td>Password::</td>
<td> <input name="pwd" type="password"> </td>
</tr>
<tr>
<td> E-mail ID:: </td>
<td> <input name="email" type="text"> </td>
</tr>
<tr>
<td> Phone Number:: </td>
<td> <input name="phno" type="text" maxlength="10"> </td>
</tr>
<tr>
<td> Gender:: </td>
<td><input name="gender" type="radio" value="Male">&nbsp;&nbsp;Male &nbsp;&nbsp;&nbsp;&nbsp;
<input name="gender" type="radio" value="Female">&nbsp;&nbsp;Female</td>
</tr>
<tr>
<td> Date of Birth </td>
<td>
<input type="date" name="dob" />
</td>
</tr>
<tr>
<td valign="top">Languages Known::</td>
<td>
<input name="lk" type="checkbox" value="English">&nbsp;English<br>
<input name="lk" type="checkbox" value="Telugu">&nbsp;Telugu<br>

<input name="lk" type="checkbox" value="Hindi">&nbsp;Hindi<br>

<input name="lk" type="checkbox" value="Tamil">&nbsp;Tamil<br>
</td>
</tr>
<tr>
<td>Address</td>
<td><textarea></textarea></td>
</tr>
<tr>
<td colspan="2" align="center"> <input type="submit" value="Register">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
<input type="reset" value="Cancel"> </td>
</tr>
</table>
</form>
</body>
</html>