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63 lines (54 loc) · 1.67 KB
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<!DOCTYPE html>
<html>
<head>
<title> Register</title>
</head>
<body>
<h1>Register</h1>
<form action="" method="GET">
<label for="first">First Nmae: </label>
<input type="text" name="First" id="First" placeholder="First Name" required />
<label for="Last">Last Name:</label>
<input type="text" name="Last" id="Last" placeholder="Last Name"required />
<div>
<label for="male"> Male</label>
<input id="male"name="Gender" type="radio" for="male" />
<label for="female"> Female </label>
<input id="female" name="Gender" type="radio" for="female" />
<label for="Other"> Others</label>
<input id="Other" name="Gender" type="radio" for="others" />
</div>
<div>
<label for="Email"> Email: </label>
<input id="Email"name="email" type="email" placeholder="Your Email ID" />
<label for="Password"> Password:</label>
<input type="password" id="Password" name="password" pattern=".{5,10}" required title=" password must be between 5 to 10 Characters" placeholder="Enter your Password" />
</div>
<div>
<label>
Birthday:
<select name="month">
<options>Month</options>
<options>Jan</options>
<options>Feb</options>
<options>March</options>
</select>
<select month="Day">
<options>Day</options>
<options>11</options>
<options>12</options>
</select>
<select month="Year">
<options>Year</options>
<options>1995</options>
<options>1996</options>
</select>
</label>
</div>
<div>
<label for="checkbox"> I aggre to the terms and conditions </label>
<input type="checkbox" id="checkbox" name="checkbox" />
</div>
<input type= "submit" value="Submit">
</form>
</body>