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stud.php
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148 lines (130 loc) · 3.72 KB
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<!DOCTYPE html>
<html>
<head>
<title>Ragistration Form</title>
</head>
<body bgcolor="pink">
<center>
<marquee> <h1>Student Ragistration Form</h1> </marquee>
<form name="ragistartion" method="POST" action="valid.php">
<table>
<tr>
<td>FirstName:- </td>
<td> <input type="text" name="txtFName" maxlength="30" required> (max 30 character [a-z][A-Z])</td>
</tr>
<tr>
<td>LastName:- </td>
<td> <input type="text" name="txtLName" maxlength="30" required> (max 30 character [a-z][A-Z])</td>
</tr>
<tr>
<td>Date of Birth:- </td>
<td><input type="Date" name="Date" required></td>
</tr>
<tr>
<td>Email:- </td>
<td><input type="text" name="Email" required></td>
</tr>
<tr>
<td>Mobile No:- </td>
<td><input type="number" name="mobileNo" required> (10 digit)</td>
</tr>
<tr>
<td>Gender:- </td>
<td><input type="radio" name="Gender" value="Male">Male
<input type="radio" name="Gender" value="Female">Female</td>
</tr>
<tr>
<td>Address:- </td>
<td><textarea cols="30" rows="5" name="address" required> </textarea></td>
</tr>
<tr>
<td>City:- </td>
<td><input type="text" name="city" maxlength="30" required>(max 30 character)</td>
</tr>
<tr>
<td>PINCODE:- </td>
<td><input type="number" name="pincode" maxlength="6" required> (6-digit)</td>
</tr>
<tr>
<td>STATE:- </td>
<td><input type="text" name="state" maxlength="30" required> (max 30 character)</td>
</tr>
<tr>
<td>Country:- </td>
<td><select name="selCountry">
<option value="">----Select Country----</option>
<option value="INDIA">INDIA</option>
<option value="USA">USA</option>
<option value="RUSSIA">RUSSIA</option>
</select></td>
</tr>
<tr>
<td>Select Hobbies:- </td>
<td>
<input type="checkbox" name="playing" value="Playing"> Playing
<input type="checkbox" name="traveling" value="Traveling"> Traveling
<input type="checkbox" name="dancing" value="Dancing"> Dancing <br>
<input type="checkbox" name="other" value="other"> other
<input type="text" name="othertx">
</td>
</tr>
<tr>
<td> Qualification : </td>
<td>
<table>
<tr>
<td align="center">Sl No. </td>
<td align="center">Examination </td>
<td align="center">Board </td>
<td align="center">Percentage </td>
<td align="center">Year Of Passing </td>
</tr>
<tr>
<td>1</td>
<td>Class X</td>
<td><input type="text" name="ClassX_Board"></td>
<td><input type="text" name="ClassX_Percentage"></td>
<td><input type="text" name="ClassX_Year"></td>
</tr>
<tr>
<td>2</td>
<td>Class XII</td>
<td><input type="text" name="ClassXII_Board"></td>
<td><input type="text" name="ClassXII_Percentage"></td>
<td><input type="text" name="ClassXII_Year"></td>
</tr>
<tr>
<td>3</td>
<td>Graduation</td>
<td><input type="text" name="Graduation_Board"></td>
<td><input type="text" name="Graduation_Percentage"></td>
<td><input type="text" name="Graduation_Year"></td>
</tr>
<tr>
<td>4</td>
<td>Masters</td>
<td><input type="text" name="Masters_Board"></td>
<td><input type="text" name="Masters_Percentage"></td>
<td><input type="text" name="Masters_Year"></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>Coures<br>Applied For:-</td>
<td><input type="radio" name="coures" value="BCA">BCA
<input type="radio" name="coures" value="BCOM">BCOM
<input type="radio" name="coures" value="BA">BA
<input type="radio" name="coures" value="BSC">BSC
</td>
</tr>
<tr>
<td><input type="submit" name="submit" value="submit">
<input type="reset" name="reset" value="reset">
</td>
</tr>
</table>
</form>
</center>
</body>
</html>