Download as txt, pdf, or txt
Download as txt, pdf, or txt
You are on page 1of 1

<html> <head> <title>NSEP</title> <body> <FORM action="...

" method="post"> <fieldset> <legend><strong>Registration Form</strong></legend> <TABLE> <TR> <TD><LABEL for="fname">First Name</LABEL> <TD><INPUT type="text" name="firstname" id="fname"tabindex=1></td></tr> <TR> <TD><LABEL for="lname">Last Name</LABEL> <TD><INPUT type="text" name="lastname" id="lname"tabindex=2> <TR><TD> Gender <td><label><INPUT TYPE="RADIO" NAME="gender"CHECKED VALUE="Female"tabindex=3>Fem ale</LABEL> <TD> <LABEL><INPUT TYPE="RADIO" NAME="gender" VALUE="Male"tabindex=4>Male</LABEL> <TR> <TD><LABEL for="Cno">Contact Number</LABEL> <TD><INPUT type="text" name="Contact NO" id="Cno"tabindex=5> <TR> <TD><LABEL for="college">College</LABEL> <TD><INPUT type="text" name="college" id="college"tabindex=6> <TR> <TD><LABEL for="fname">Committed Amount</LABEL> <TD><INPUT type="text" name="Comittedamount" id="Amount"> <TR> <TD><LABEL for="bankname">Bank Name </LABEL> <TD><INPUT type="text" name="bankname" id="bname"> <TR> <TD><LABEL for="accno">Student Account Number</LABEL> <TD><INPUT type="text" name="accountnumber" id="accno"> <TR> <TD><LABEL for="gradyear">Year of Graduation</LABEL> <TD><INPUT type="text" name="gradyear" id="gradyear"> <TR> <TD><LABEL for="address">Address</LABEL> <TD><textarea rows="2" cols="20"></textarea></td> </TABLE> <br><input type="submit" value="Submit"><br> </fieldset> </FORM> </body> </html>

You might also like