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49 lines (47 loc) · 1.88 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta content="width=device-width, initial-scale=1.0">
<style>
body {
display: flex;
justify-content: center;
align-items: center;
height: 100vh;
margin: 0;
background-color: #f0f0f0;
}
</style>
</head>
<body>
<form>
<fieldset>
<legend>Sarkaari faram</legend>
<label for="text">Enter your name:</label><br/>
<input type="text" id="username" name="username"required><br/><br/>
<label for="email">Enter your mail:</label><br/>
<input type="email" id="email" name="email"required><br/><br/>
<label for="password">Enter your password:</label><br/>
<input type="password" id="password" name="pass" required><br/><br/>
<label for="Confirmpassword">Confirm your password:</label><br/>
<input type="password" id="Confirmpassword" name="Confirmpassword"><br/><br/>
<label>Enter your gender:</label>
<div class="gender-group">
<input type="radio" name="gender" id="male" value="male" required>
<label for="male">Male</label>
<input type="radio" name="gender" id="female" value="female">
<label for="femlae">Female</label>
<input type="radio" name="gender" id="others" value="others">
<label for="others">Others</label>
</div>
<br/><br/>
<label for="dob">Enter your Date of Birth :</label><br/>
<input type="date" id="dob" name="dob" required><br/><br/>
<label for="address">Enter your address</label><br/>
<textarea id="address" name="address"></textarea><br/><br/>
<input type="submit" value="submit">
</fieldset>
</form>
</body>
</html>