-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathform.html
67 lines (49 loc) · 2.37 KB
/
form.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewpoint" content="width=device-width, intial-scale=1.0">
<title><b> BCA ADMISSION REGISTRATION</b></title>
</head>
<body background="https://www.wallpapertip.com/wmimgs/43-432685_blackboard-wallpapers-4k-blackboard-on-wooden-wall.jpg" style='background-size:100%;'>
<FONT COLOR="white">
<center>
<h1><marquee> BCA ADMISSION REGISTRATION fORM </marquee></h1><br><br><br>
<form action ="submit" method="POST">
<label for="fullname">Full name :</label>
<input type="text" id="Full name" name ="Full name" required> <br><br>
<label for="email">EMAIL :</label>
<input type="email" id="email" name ="email" required><br><br>
<label for="phone">PHONE NO :</label>
<input type="tel" id="phone" name ="phone" required><br><br>
<label for="dob">DATE OF BIRTH :</label>
<input type="date" id="dob" name ="dob" required><br><br>
<label for="gender">GENDER :</label><br>
<label for="male">MALE </label>
<input type="radio" id="male" name ="gender" value=" male" placeholder="male" required><br><br>
<label for="female">FEMALE :</label>
<input type="radio" id="female " name ="gender" value="female" placeholder="female" required><br><br>
<label for="address">ADDRESS :</label>
<input type="address" id="address" row="4" cols="50" placeholder="address" required></textarea> <br><br>
<label for="Qualification">QUALIFICATION :</label>
<select id ="Qualification" name="Qualification" required>
<option value="12th">12th</option>
<option value="Diploma">Diploma</option>
<option value="Bachlor's degree ">Bachlor's degree</option>
<option value="other">other</option>
</select><br><br>
<label for="marks">MARKS (IN PERCENTAGE) :</label>
<input type="number" id="marks" name ="marks" step="0.01" placeholder="PERCENTAGE" required><br><br>
<label for="course">Preferred course:</label>
<select id ="course" name="course" required>
<option value="BCA">BCA</option>
<option value="BSC IT">BSC IT</option>
<option value="B.TECH">B.TECH</option>
</select><br><br>
<label for="feedback">feedback:</label>
<input type="text" id="feedback" name="feedback" placeholder="feedback" required ><br>
<input type="submit" value ="submit">
</form>
</center>
</body>
</html>