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index.html
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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>Student Registration Form</title>
<style>
* {
font-family: Arial, Helvetica, sans-serif;
}
input {
padding: 10px;
margin: 10px;
}
button {
margin: 10px;
}
form {
margin: 10px;
padding: 10px 20px;
border: rgb(93, 1, 180) solid 2px;
}
h1 {
text-decoration: underline;
color: blueviolet;
}
a {
text-decoration: none;
}
</style>
</head>
<body>
<center>
<div>
<img src="./Saylani-logo.png" alt="Saylani Logo" />
</div>
<h1>STUDENT REGISTRATION FORM</h1>
</center>
<form action="./thankYou.html" style="background-color: blueviolet; color: white;">
<table>
<tr>
<td>First Name:</td>
<td><input type="text" maxlength="30" placeholder="Enter first name" /> (max 30 characters a-z A-z)
</td>
</tr>
<tr>
<td>Last Name:</td>
<td><input type="text" maxlength="30" placeholder="Enter last name" /> (max 30 characters a-z A-z)
</td>
</tr>
<tr>
<td>Date of Birth</td>
<td>
<select name="" id="">
<option value="null">Day:</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<select name="Month" id="">
<option value="null">Month:</option>
<option value="Jan">Jan</option>
<option value="Feb">Feb</option>
<option value="Mar">Mar</option>
<option value="Apr">Apr</option>
<option value="May">May</option>
<option value="Jun">Jun</option>
<option value="Jul">Jul</option>
<option value="Aug">Aug</option>
<option value="Sept">Sept</option>
<option value="Oct">Oct</option>
<option value="Nov">Nov</option>
<option value="Dec">Dec</option>
</select>
<select name="" id="">
<option value="null">Year:</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
</select>
</td>
</tr>
<tr>
<td>Email Id</td>
<td><input type="email" name="" id="" placeholder="Enter email address"></td>
</tr>
<tr>
<td>Gender</td>
<td>
<label for="male">Male</label><input type="radio" name="gender" id="male">
<label for="female">Female</label><input type="radio" name="gender" id="female">
</td>
</tr>
<tr>
<td>Address</td>
<td>
<textarea name="" id="" cols="30" rows="4"></textarea>
</td>
</tr>
<tr>
<td>City</td>
<td><input type="text" name="City" id="" maxlength="30" placeholder="Enter City Name"> (max 30
characters a-z A-Z)</td>
</tr>
<tr>
<td>PIN CODE</td>
<td><input type="number" name="" id="" maxlength="6" placeholder="Enter pincode"> (6 digit number)
</td>
</tr>
<tr>
<td>STATE</td>
<td><input type="text" name="" id="" placeholder="Enter state" maxlength="30"> (max 30 characters
a-z
A-Z)</td>
</tr>
<tr>
<td>COUNTRY</td>
<td><input type="text" name="" id="" placeholder="Enter Country"></td>
</tr>
<tr>
<td>HOBBIES</td>
<td>
<label for="drawing">Drawing</label><input type="checkbox" name="hobbies" id="drawing">
<label for="singing">Singing</label><input type="checkbox" name="hobbies" id="singing">
<label for="dancing">Dancing</label><input type="checkbox" name="hobbies" id="dancing">
<label for="sketching">Sketching</label><input type="checkbox" name="hobbies" id="sketching">
</td>
</tr>
<tr>
<td></td>
<td><label for="other">Others</label><input type="checkbox" name="hobbies" id="other"><input type="text"
name="" id=""></td>
</tr>
</table>
<table>
<tr>
<td>QUALIFICATION</td>
<td>Sr.No.</td>
<td>Examination</td>
<td><center>Board</center></td>
<td>Percentage</center></td>
<td><center>Year of Passing</center></td>
</tr>
<tr>
<td rowspan="4"></td>
<td>1</td>
<td>Class X</td>
<td><input type="text" name="" id="" maxlength="10"></td>
<td><input type="text" name="" id=""></td>
<td><input type="text" name="" id=""></td>
</tr>
<tr>
<td>2</td>
<td>Class XII</td>
<td><input type="text" name="" id="" maxlength="10"></td>
<td><input type="text" name="" id=""></td>
<td><input type="text" name="" id=""></td>
</tr>
<tr>
<td>3</td>
<td>Graduation</td>
<td><input type="text" name="" id="" maxlength="10"></td>
<td><input type="text" name="" id=""></td>
<td><input type="text" name="" id=""></td>
</tr>
<tr>
<td>4</td>
<td>Masters</td>
<td><input type="text" name="" id="" maxlength="10"></td>
<td><input type="text" name="" id=""></td>
<td><input type="text" name="" id=""></td>
</tr>
<tr>
<td colspan="3"></td>
<td><center>(10 char max)</center></td>
<td><center>(upto 2 decimal)</center></td>
</tr>
<tr>
<td>COURSES <br />APPLIED FOR</td>
<td>
<label for="bca">BCA</label><input type="radio" name="COURSES" id="bca">
<label for="bcom">B.Com</label><input type="radio" name="COURSES" id="bcom">
<label for="bsc">B.Sc</label><input type="radio" name="COURSES" id="bsc">
<label for="ba">B.A</label><input type="radio" name="COURSES" id="ba">
</td>
</tr>
</table>
<center>
<div>
<button type="submit">Submit</button>
<button type="button"><a href="./index.html">Reset</a></button>
</div>
</center>
</form>
</body>
</html>