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102 lines (102 loc) · 2.42 KB
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<!DOCTYPE html>
<html>
<head>
<title>Student Registration Form</title>
</head>
<body bgcolor="#F0F8FF">
<form>
<table align="center">
<tr>
<td colspan="5" align="center">
<h1>Student Registration Form</h1>
</td>
</tr>
<tr>
<td>Roll no. :</td>
<td><input type="text" size="50"/></td>
</tr>
<tr>
<td>Student name :</td>
<td>
<input type="text" size="21" placeholder="First Name"/>
-
<input type="text" size="21" placeholder="Last Name"/>
</td>
</tr>
<tr>
<td>Father's name :</td>
<td><input type="text" size="50"/></td>
</tr>
<tr>
<td>Date of birth :</td>
<td>
<input type="text" size="3" Placeholder="Day" /> -
<input type="text" size="3" Placeholder="Month" /> -
<input type="text" size="8" Placeholder="Year" />
<i>(DD-MM-YYYY)</i>
</td>
</tr>
<tr>
<td>Mobile no. :</td>
<td>
<input type="text" size="1" value="+91" /> -
<input type="text" size="42" /></td>
</tr>
<tr>
<td>Email id :</td>
<td><input type="text" size="50"/></td>
</tr>
<tr>
<td>Password :</td>
<td><input type="password" size="50"/></td>
</tr>
<tr>
<td>Gender :</td>
<td>
<input type="radio" name="g" /> Male
<input type="radio" name="g" /> Female
</td>
</tr>
<tr>
<td>Department :</td>
<td>
<input type="checkbox" /> CSE
<input type="checkbox" /> IT
<input type="checkbox" /> ECE
<input type="checkbox" /> Civil
<input type="checkbox" /> Mech
</td>
</tr>
<tr>
<td>Course :</td>
<td><select>
<option> ---------------------- Select Current Course's ------------------------ </option>
<option>Python</option>
<option>Node</option>
<option>Java</option>
<option>React</option>
<option>PHP</option>
</select>
</td>
</tr>
<tr>
<td>Student photo :</td>
<td><input type="file" /></td>
</tr>
<tr>
<td>City :</td>
<td><input type="text" size="50"/></td>
</tr>
<tr>
<td>Address : placeholder="Enter your address here"</td>
<td><textarea cols="48" rows="5" placeholder="Enter your address here"></textarea></td>
</tr>
<tr>
<td colspan="2" align="center">
<input type="submit" value="Register" />
</td>
</tr>
</table>
</form>
</body>
</html>