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73 lines (56 loc) · 1.68 KB
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<Html>
<head>
<title>
Registration Page
</title>
</head>
<body>
<br>
<br>
<form>
<label> Name </label>
<input type="text" name="" size="15"/> upload your fees receipt here <input type="file"> <br><br>
<label> Fthers Name: </label>
<input type="text" name="" size="15"/> <br> <br>
<label> Mothers Name </label>
<input type="text" name="" size="15"/> <br> <br>
Address
<br>
<textarea cols="80" rows="5" value="address">
</textarea> <br><br><br>
<label>
State
</label>
<select>
<option value=""> Please select your state </option>
<option value="UTTAR PRADESH">UTTAR PRADESH</option>
<option value="MADHYA PRADESH">MADHYA PRADESH</option>
<option value="GUJRAT">GUJRAT</option>
<option value="HARAYANA">HARAYANA</option>
<option value="DELHI">DELHI</option>
<option value="PUNJAB">PUNJAB</option>
</select>
<label>
Gender :
</label>
<input type="radio" name="male"/> Male
<input type="radio" name="male"/> Female
<input type="radio" name="male"> Other
<br>
<br>
<br>
<label>
Hobbies:
</label>
<input type="radio" name="cricket"/> Cricket
<input type="radio" name="cricket"/> Dancing
<input type="radio" name="cricket"> Singing
<input type="radio" name="cricket"> Hockey
<br>
<br>
<br>
<label> DOB </label>
<input type="text" name="" size="10"/>
<br><br>
<input type="button" value="Submit">