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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"> | ||
| <title>Document</title> | ||
| </head> | ||
| <body style="background-color: burlywood;"> | ||
| <b> <h1 style="text-align: center;" font face="arial">Online Course Form</h1> </b> | ||
| <br> | ||
| <form action="/action.php" style="text-align: center;"> | ||
| <font color="blue" face="time new roman"> <h5 style="text-align: center;">Name</h5> </font> <input type="text" placeholder="Name"> | ||
| <br> | ||
| <font color=blue ><h5>Father Name</h5></font> | ||
| <input type="text" placeholder="Father Name"> | ||
| <br> | ||
| <font color=blue><h5>Date of Barth</h5></font> | ||
| <input type="text" placeholder="00/00/0000"> | ||
| <br> | ||
| <font color=blue><h5>Age</h5></font> | ||
| <input type="text" placeholder="Age" | ||
| <br> | ||
| <font color=blue><h5>Phone Number</h5></font> | ||
| <input type="text" placeholder="phone number"> | ||
| <br> | ||
| <font color="blue" face="time new roman"> <h5>Email</h5> </font> | ||
| <input type="text" placeholder="Email"> | ||
| <br> | ||
| <font color=blue><h5>City</h5></font> | ||
| <input type="text" placeholder="city" | ||
| <br> | ||
| <font color=blue><h5>Select Class</h5></font> | ||
| <select name="class"> | ||
| <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="collage">Collage</option> | ||
| <option value="Graduaction">Graduaction</option> | ||
| </select> | ||
| <br> | ||
| <font color=blue><h5>Select one field</h5></font> | ||
| <label for="101"> | ||
| <input type="radio" value="Web Development" name="subject" id="101">Web Development | ||
| </label> | ||
| <label for="102"> | ||
| <input type="radio" value="App Development" name="subject" id="102">App Development | ||
| </label> | ||
| <br> <br> | ||
| <input type="submit" value="submit"> | ||
| </form> | ||
| </body> | ||
| </html> |