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  • Internet and Web Programming Assignment-1

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    Sriharsha Chinta
    12 views4 pages
    This document contains an HTML registration form with fields for a user to enter their personal details like name, phone number, date of birth, address, course and a password. The form is centered on the page and uses CSS for styling with a red heading, black text and blue background. The user is required to agree to terms and conditions before submitting the form.

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    Internet and web programming Assignment-1

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    This document contains an HTML registration form with fields for a user to enter their personal details like name, phone number, date of birth, address, course and a password. The form is centered on the page and uses CSS for styling with a red heading, black text and blue background. The user is required to agree to terms and conditions before submitting the form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    12 views4 pages

    Internet and Web Programming Assignment-1

    Uploaded by

    Sriharsha Chinta
    This document contains an HTML registration form with fields for a user to enter their personal details like name, phone number, date of birth, address, course and a password. The form is centered on the page and uses CSS for styling with a red heading, black text and blue background. The user is required to agree to terms and conditions before submitting the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 4

    Internet and web programming Assignment-1

    Name: Sriharsha Chinta

    Reg.No: 20BCE2049

    Slot: L41+L42

    Question

    Answer
    <html>
    <head>
    <title>Registration Form</title>
    </head>
    <style>
    body {background-color: rgb(27, 164, 192);}
    h1 {color: red;}
    p {color: black;}
    </style>
    <body>
    <center>
    <h1><u>
    Registration Form
    </u></h1>

    <form method="GET" action="" target="_blank" >

    <label for="nameLabel"><i><b>First Name :</i></b></label></td>


    <input type="text" placeholder="Enter your First name..." name="name"
    required /><br><br>
    <label for="nameLabel"><i><b>Last Name :</i></b></label></td>
    <input type="text" placeholder="Enter your Last name..." name="name"
    required/><br><br>

    <label for="countryLabel"><i><b>Country :</b></i></label>

    <select name="Country" required>


    <option value="" selected disabled>Choose</option>
    <option value="India">India</option>
    <option value="USA">USA</option>
    <option value="UK">UK</option>
    <option value="China">China</option>
    <option value="Australia">Australia</option>
    <option value="Germany">Germany</option>
    <option value="Japan">Japan</option>
    <option value="South Korea">South Korea</option>
    </select><br><br><br>

    <label for="phoneLabel"><i><b>Phone Number :</i></b></label>


    <input type="phone" name="phone" placeholder="9867****" required>

    <label for="clgLabel"><i><b>University Name :</i></b></label></td>


    <input type="text" placeholder="Enter University you study in" name="clg"
    required/><br><br>

    <label for="regLabel"><i><b>Registration Number :</i></b></label>


    <input type="text" placeholder="Enter your reg no..." name="regno"
    required /><br><br>

    <label for="dobLabel"><i><b>Date Of Birth :</b></i></label>


    <input type="date" name="dob" required ><br><br>

    <label for="genderLabel"><i><b>Gender :</b></i></label>


    <input type="radio" name="gender" value="male">
    <label for="male">Male</label>&nbsp;&nbsp;&nbsp;
    <input type="radio" name="gender" value="female">
    <label for="male">Female</label><br><br><br>

    <label for="courseLabel"><i><b>Course :</b></i></label>

    <select name="course" required>


    <option value="" selected disabled>Choose</option>
    <option value="CSE core">CSE core</option>
    <option value="ECE core">ECE core</option>
    <option value="EEE core">EEE core</option>
    <option value="BBA">BBA</option>
    <option value="Integrated Mtech">Integrated Mtech</option>
    <option value="CHY">CHY</option>
    <option value="Mechanical">Mechanical</option>
    <option value="CIVIL">Civil</option>
    </select><br><br><br>
    <label for="emailLabel"><i><b>Email Address :</b></i></label>
    <input type="text" placeholder="Enter your email..." name="email" required
    /><br><br>

    <label for="addressLabel"><i><b>Full Address


    :</b></i></label><br><br></td>
    <textarea name="address" placeholder="Enter your full address..."
    rows="10" cols="25"></textarea><br><br>

    <label for="photo"><i><b>Passport size photograph :</b></i></label>


    <input type="file" name="file" required/><br><br>

    <label for="certificateLabel"><i><b>Covid Vaccination Certificates


    :</b></i></label>
    <input type="file" name="file" required/><br><br>

    <label for="passwordLabel"><i><b>Password :</b></i></label>


    <input type="password" name="password" placeholder="Enter your
    password..." required/><br><br>

    <label for="confirmPasswordLabel"><i><b>Confirm Password :</b></i></label>


    <input type="password" name="confirm_password" placeholder="Confirm your
    password..." required/><br><br>

    <input type="checkbox" id="t&c" name="t&c" value="Terms" required>


    <label for="T&C"> By checking the checkbox you agree for all terms and
    condition. Later we are not answerabale </label><br>

    <input type="submit" name="submit" value="REGISTER" />


    </form>
    </body>

    </html>
    Output

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