vscode-live-server/Dweb at 250b6d9dfc412492a785c4b0b358c4474c03c5d0 · ritwickdey/vscode-live-server · GitHub

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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>Dweb - School Admission</title>
    <style>
        body {
            font-family: Arial, sans-serif;
            margin: 0;
            padding: 0;
            background-color: #f4f4f4;
        }

        header {
            background-color: #4CAF50;
            color: white;
            padding: 1rem;
            text-align: center;
        }

        h1 {
            margin: 0;
        }

        form {
            width: 50%;
            margin: 2rem auto;
            background-color: #fff;
            padding: 20px;
            border-radius: 5px;
            box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
        }

        label {
            font-weight: bold;
            display: block;
            margin-bottom: 0.5rem;
        }

        input, select, button {
            width: 100%;
            padding: 10px;
            margin-bottom: 1rem;
            border: 1px solid #ccc;
            border-radius: 5px;
        }

        button {
            background-color: #4CAF50;
            color: white;
            border: none;
            cursor: pointer;
        }

        button:hover {
            background-color: #45a049;
        }

        footer {
            text-align: center;
            padding: 1rem;
            background-color: #4CAF50;
            color: white;
            position: fixed;
            bottom: 0;
            width: 100%;
        }
    </style>
</head>
<body>
    <header>
        <h1>Dweb Application Form</h1>
    </header>

    <form action="/submit-application" method="post">
        <label for="username">Username:</label>
        <input type="text" id="username" name="username" placeholder="Enter your username" required>

        <label for="email">Email Address:</label>
        <input type="email" id="email" name="email" placeholder="Enter your email" required>

        <label for="phone">Phone Number:</label>
        <input type="tel" id="phone" name="phone" placeholder="Enter your phone number" required>

        <label for="location">Location:</label>
        <input type="text" id="location" name="location" placeholder="Enter your location" required>

        <label for="dob">Date of Birth:</label>
        <input type="date" id="dob" name="dob" required>

        <label for="gender">Gender:</label>
        <select id="gender" name="gender" required>
            <option value="" disabled selected>Select your gender</option>
            <option value="male">Male</option>
            <option value="female">Female</option>
            <option value="other">Other</option>
        </select>

        <button type="submit">Submit Application</button>
    </form>

    <footer>
        <p>&copy; 2023 Dweb Application. All rights reserved.</p>
    </footer>
</body>
</html>