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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>form</title>
</head>
<body>
<h1>Assignment 5</h1>
<h3>"part 1"</h3>
<fieldset>
<legend>the first section</legend>
<br>
<fieldset>
<legend>the first subsection</legend>
<p>fieled 1:
<input type="text" name="fieled 1" size="15"
maxlength="30"/>
</p>
</fieldset>
<p>fieled 1:
<input type="text" name="fieled 1" size="15"
maxlength="30"/>
</p>
</fieldset>
<br>
<fieldset>
<legend>section II</legend>
<br>
<fieldset>
<legend>section II-A</legend>
<p>fieled 1:
<input type="text" name="fieled 1" size="15"
maxlength="30"/>
</fieldset>
<br>
<fieldset>
<legend>section II-B</legend>
<p>fieled 1:
<input type="text" name="fieled 1" size="15"
maxlength="30"/>
</fieldset>
<br>
</fieldset>
<br>
<br>
<h3>"part 2"</h3>
<fieldset>
<legend>login</legend>
<form action="http://www.example.com/login.php">
<p>name :
<input type="text"name="name" size="15"
maxlength="30"/></p>
<p>email:
<input type="email"name="email" size="15"
maxlength="30"/></p>
<p>password
<input type="password"name="password" size="15"
maxlength="30"/></p>
</fieldset>
<fieldset>
<legend>your feedback</legend>
<p>please check all the emotions that apply to you:<br>
angry <input type="checkbox" name="emotions"
value="angry" checked="checked"/><br>
sad<input type="checkbox" name="emotions"
value="sad"/><br>
happy<input type="checkbox" name="emotions"
value="happy"/><br>
ambivalent<input type="checkbox" name="emotions"
value="ambivalent"/><br>
<br>
how satisfied were you with our service ?<br>
satisfied<input type="checkbox" name="emotions"
value="very satisfied"/><br>
</p>
</fieldset>
<br>
<br>
<h3>"part 3"</h3>
<table style="background-color: rgb(95, 39, 148);">
<thead>
<tr>
<td>first name:
<input type="text"name="first name="size="15"
maxlength="30" required="required"></td>
<td>(max 30 characters a-z and A-Z)</td></tr>
<tr>
<td>last name :
<input type="text"name="last name"size="15"
maxlength="30"required="required"></td>
<td>(max 30 characters a-z and A-Z)</td>
</tr>
<tr><td>date of birth</td>
<td><select name="date"size="2" required="required">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select></td>
<td>
<select name="month"size="2" required="required">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select></td>
<td><select name="year"size="2" required="required">
<option value="2023">2023</option>
<option value="2022">2022</option>
<option value="2021">2021</option>
<option value="2020">2020</option>
<option value="2020">2020</option>
<option value="2019">2019</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
</select></td>
</tr>
<tr>
<td><label>Email id : <input type="email"name="email"required="required"/></label></td>
</tr>
<tr>
<td>mobile number :<input type="number" name="number"required="required"></td></tr>
</thead>
<tbody>
<tr><td>gender :
<label for="male">male</label>
<input id="male" type="radio" name="gender" value="m">
<label for="female">female</label>
<input id="female" type="radio" name="gender" value="f">
</td></tr>
<tr>
<td>address</td>
<td><textarea name="address" id="address" cols="20" rows="4"required="required"></textarea>
</tr>
<tr>
<td>city : <input type="city" name="city"size="15"
maxlength="30"required="required"></td>
<td>(max 30 characters a-z and A-Z)</td>
</tr>
<tr>
<td>pin code :<input type="pin code number" name="pin code"size="15"
maxlength="6"required="required"></td>
<td>(6 digital number )</td> </tr>
<tr>
<td>state : <input type="state" name="state"size="15"
maxlength="30"required="required"></td>
<td>(max 30 characters a-z and A-Z)</td>
</tr>
</tbody>
<tfoot>
<tr>
<td>country :<input type="text" name="country"required="required"></td>
</tr>
<tr>
<td>hobbies :</td>
<td>drowing <input type="checkbox" name="service" id="drowing">
singing <input type="checkbox" name="service" id="singing">
dancing <input type="checkbox" name="service" id="dancing">
sketching <input type="checkbox" name="service" id="sketching">
other <input type="checkbox" name="service" id="other">
<input type="text">
</td></tr>
<tr>
<td>qualification :
<table border="2">
<tr>
<th>sl.no.examlnation</th>
<th>board</th>
<th>percentage</th>
<th>year of passing</th>
</tr>
<tr>
<th>1 : class X</th>
<td><input type="text"></td>
<td><input type="text"></td>
<td><input type="text"></td>
</tr>
<tr>
<th>2 : class XII</th>
<td><input type="text"></td>
<td><input type="text"></td>
<td><input type="text"></td>
</tr>
<tr>
<th>3 : gradustion</th>
<td><input type="text"></td>
<td><input type="text"></td>
<td><input type="text"></td>
</tr>
<tr>
<th>4 : masters</th>
<td><input type="text"></td>
<td><input type="text"></td>
<td><input type="text"></td>
</tr>
<tr>
<th></th>
<td>(10 char max)</td>
<td>(upto 2 declmal)</td>
</tr>
</table></td></tr>
<tr>
<th>courses <br> applied for</th>
<td>bca <input type="radio" name="courses" id="bca">
b.com <input type="radio" name="courses" id="b.com">
b.sc <input type="radio" name="courses" id="b.sc">
b.a <input type="radio" name="courses" id="b.a">
</td>
</tr>
<tr>
<td><input type="submit" name="submit"
value="submit"/></td>
<td><input type="reset"name="reset"value="reset"></td>
</tfoot>
</tr>
</table>
</body>
</html>