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    WTassi 3

    Uploaded by

    om.lohade23
    This document contains a registration form program with HTML code. The form includes fields for a user to enter their first name, middle name, last name, course, gender, phone number, address, email, password, and retype password. It also includes submit button to submit the form. The form is intended to collect user information and registration details.

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    WTassi 3

    Uploaded by

    om.lohade23
    5 views3 pages
    This document contains a registration form program with HTML code. The form includes fields for a user to enter their first name, middle name, last name, course, gender, phone number, address, email, password, and retype password. It also includes submit button to submit the form. The form is intended to collect user information and registration details.

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    WTassi3

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    This document contains a registration form program with HTML code. The form includes fields for a user to enter their first name, middle name, last name, course, gender, phone number, address, email, password, and retype password. It also includes submit button to submit the form. The form is intended to collect user information and registration details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    5 views3 pages

    WTassi 3

    Uploaded by

    om.lohade23
    This document contains a registration form program with HTML code. The form includes fields for a user to enter their first name, middle name, last name, course, gender, phone number, address, email, password, and retype password. It also includes submit button to submit the form. The form is intended to collect user information and registration details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    Practical No : 3

    Name : Lohade Om Manoj


    Roll No : 78

    Title : Regestration Form


    Program :
    <!DOCTYPE html>
    <html lang="en">
    <head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Registration Page</title>
    </head>
    <body style="background-color: aqua;">
    <h1>Regestration form</h1>
    <form action="/action.php">
    <label for="firstname">First Name:</label>
    <input type="text" id="firstname" name="firstname" required /><br
    /><br />

    <label for="middlename">Middle Name:</label>


    <input type="text" id="middlename" name="middlename" /><br /><br />

    <label for="lastname">Last Name:</label>


    <input type="text" id="lastname" name="lastname" required /><br /><br
    />
    <p>
    Course
    <select name="course">
    <option value="Information Technology">Information
    Technology</option>
    <option value="Computer Science">Computer Science</option>
    <option value="ENTC">ENTC</option>
    <option value="AIDS">AIDS</option>
    </select>
    </p>
    <h3>Gender</h3>
    <label for="Male">
    <input type="checkbox" value="Male" name="Gender" id="101">Male
    </label><br>
    <label for="Female">
    <input type="checkbox" value="Female" name="Gender" id="102">Female
    </label><br>
    <label for="Other">
    <input type="checkbox" value="Other" name="Gender" id="103">Other
    </label><br><br>
    <label for="phone">Phone:</label>
    <input
    type="tel"
    id="phone"
    name="phone"
    placeholder="+91"
    required
    /><br /><br />
    <label for="address">Address:</label><br>
    <textarea id="address" name="address" rows="4" cols="50"></textarea
    ><br /><br />
    <label for="email">Email:</label>
    <input type="email" id="email" name="email" required /><br /><br />
    <label for="password">Password:</label>
    <input
    type="password"
    id="password"
    name="password"
    required
    /><br /><br />
    <label for="retype_password">Re-type Password:</label>
    <input
    type="password"
    id="retype_password"
    name="retype_password"
    required
    /><br /><br />
    <input type="submit" value="submit">
    </form>
    </body>
    </html>

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