RegistrationSample/index.html at master · 19Nar/RegistrationSample · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <title>Document</title>
    <link rel="stylesheet" href="style2.css">
</head>
<body>
    <form>
        <fieldset>
            <legend>Fill out the form carefully for registration</legend>
        <h1>Student Registration Form</h1>
        <br/>
        <h3>Fields marked with "*" are required</h3>
        <br/>
        <h2>Student name *</h2>
        <input type="text" placeholder="First name"> <input type="text" placeholder="Middle name"> <input type="text" placeholder="Last name">
        <br/>
        <br/>
        <h2>Birth Date *</h2>
        <input type="datetime-local" placeholder="Month">
        <br/>
        <br/>
        <h2>Gender *</h2>
        <select>
            <option value="male">male</option>
            <option value="female">female</option>

          </select>
        <br/>
        <br/>
        <h2>Address</h2>
        <input type="text" id="abc" placeholder="Street address">
        <br/>
        <br/>
        <input type="text" id="abc" placeholder="Street Address line 2">
        <br/>
        <br/>
        <input type="text" placeholder="City"> <input type="text" placeholder="State/Province">
        <br/>
        <br/>
        <input type="text" placeholder="Postal/Zip Code">
        <br/>
        <br/>
        <input type="text" placeholder="Country">
        <select>
            <option value="Belgium">Belgium</option>
            <option value="France">France</option>
            <option value="Germany">Germany</option>
          </select>
          <br/>
          <br/>
        <input type="email" placeholder="Email">
          <br/>
          <br/>
       <input type="tel" placeholder="GSM" required>
          <br/>
          <br/>
       <input type="password" placeholder="Password">
          <h2>Comment</h2>
          <input type="text" id="comment" placeholder="">
          <br/>
          <br/>
          <input type="submit" value="Submit">
        </fieldset>
</form>
</body>
</html>