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reg_form.html
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37 lines (27 loc) · 1.01 KB
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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>Registration</title>
</head>
<body>
<form action="user_data.php" method="post">
<label>Name:</label>
<input type="text" name="name" placeholder="enter your full name" required><p></p>
<label>Email:</label>
<input type="email" name ="email" placeholder="example@mail.com" required><p></p>
<label>Date of Birth:</label>
<input type="date" name="dob" required><p></p>
<label>Gender:</label>
<label for="male">Male</label>
<input type="radio" value="male" name="gender" required>
<label for="female">Female</label>
<input type="radio" value="female" name="gender" required><p></p>
<label>Country:</label>
<input type="text" name="country" required><p></p>
<input type="submit" name="submit" value="Submit"><p></p>
</form>
</body>
</html>