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30 lines (24 loc) · 1.47 KB
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<html>
<head>
<title>Form</title>
</head>
<body bgcolor="wheat">
<form name="reg_form" method="POST">
<fieldset>
<legend><b><u>Register Here</u></b></legend>
Name of Employee:   <input type="text" id="firstname" name="firstname" maxlength="25"><br><br>
Contact number:   <input type="text" id="contact" name="contact" maxlength="25"><br><br>
Email :   <input type="text" id="email" name="email" maxlength="25"><br><br>
Password:   <input type="password" id="password" name="password" maxlength="15"><br><br>
Designation:   <select name="designation" id="designation"> <option>Choose Designation</option><option>Software Dev</option><option>Software Tester</option><option>Debugger</option>
</select> <br><br>
Choose your Gender:   <input type="radio" id="gender" name="gender" class="male">Male<input type="radio" id="gender" name="gender" class="female">Female<br><br>
Upload your Resume: <input type="file" accept="\image"><input type="submit"><br><br>
Your Registration Code is--<input type="text" class="code" id="code" value="V89GHIS7889" readonly="readonly"><br><br>
Unique id--<input type="text" class="code" id="code" value="88876648vhx" disabled="disabled"><br><br>
<input type="checkbox" id="terms" name="terms" class="condition" checked="checked">I accept Terms and Conditions.<br><br>
<input type="submit" class="submit" id="submit" value="Register">
</fieldset>
</form>
</body>
</html>