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Registration-Form.html
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46 lines (39 loc) · 1.76 KB
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<!DOCTYPE html>
<html>
<head>
<link rel="stylesheet" type="text/css" href="style.css">
<link rel="icon" type="image/png" href="icon.ico" sizes="16x16" />
<link href="https://fonts.googleapis.com/css?family=Oswald" rel="stylesheet">
<link href="https://fonts.googleapis.com/css?family=Ubuntu" rel="stylesheet">
<title>REGiSTRATiON [CTF-2K19]</title>
</head>
<body>
<div class="FORM-BOX"><h2>Register Your Application</h2>
<form action="Back-End-Message.html" method="post">
<div class="inputBox">
<label>First Name:<input type="text" name="fname" placeholder="Vineet" required></label>
<label>Last Name:<input type="text" name="lname" placeholder="Kumar" required></label>
</div>
<div class="inputBox">
<h4>Select Gender:</h4>
<label>Male:<input id="male" type="radio" name="gender" value="male" required></label>
<label>Female:<input id="female" type="radio" name="gender" value="female" required></label>
<label>Other:<input id="other" type="radio" name="gender" value="other" required></label>
</div>
<div class="inputBox"><h4></h4>
<label>Email:<input type="email" name="mail" pattern="[a-zA-Z0-9.-_]{1,}@[a-zA-Z.-]{2,}[.]{1}[a-zA-Z]{2,}" placeholder="vineet@gmail.com" required></label>
<label>Password:<input type="password" name="pass" pattern=".{10,}" placeholder="More than 10 Characters" required></label>
</div>
<div class="inputBox"><h4></h4>
<label>Date Of Birth:<input type="date" name="dob" required></label>
</div>
<div class="inputbox"><h4></h4>
<label>I Agree To Terms And Conditions: <input type="checkbox" name="agree" required><span class="slider round"></span></label>
</div>
<div class="inputBox"><h4></h4>
<input type="submit" class="registerbtn" value="Submit">
</div>
</form>
</div>
</body>
</html>