Scribd
Upload
0 views2 pages

Student Reg

The document is an HTML form for student registration that includes fields for login details, personal information, and contact details. Users are required to input their email, password, full name, date of birth, gender, contact number, and address. The form is structured using fieldsets for better organization and includes a submit button.

Uploaded by

thirdeye353
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
0 views2 pages

Student Reg

The document is an HTML form for student registration that includes fields for login details, personal information, and contact details. Users are required to input their email, password, full name, date of birth, gender, contact number, and address. The form is structured using fieldsets for better organization and includes a submit button.

Uploaded by

thirdeye353
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as TXT, PDF, TXT or read online on Scribd
You are on page 1/ 2

<!

DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Validate</title>
</head>
<body>
<div align="left">
<h2> Student Registration</h2>
<form action="">

<!-- Login details -->


<fieldset>
<legend> Login Details</legend>

<label for="email"> Email :</label>


<input type="email" id="email" placeholder="[email protected]"
required>
<br> <br>

<label for="pswd">Password :</label>


<input type="password" id="pswd" required>
</fieldset>

<!-- Personal details-->

<fieldset>
<legend>Personal information</legend>

<label for="name"> Full Name : </label>


<input type="text" id="fname" required>
<br> <br>

<label for="dob"> Date of birth : </label>


<input type="date" id="dob" required>
<br><br>

<label for="gender">Gender : </label>


<input list="genders" id="gender" required>

<datalist id="genders">

<option value="male">
<option value="female">
<option value="other">

</datalist>

</fieldset>

<!--Contact details -->


<fieldset>
<legend>Contact details</legend>
<label for="contactno">Contact No:</label>
<input type="tel" id="contactno" placeholder="+022 204357"
required>
<br> <br>
Address : <br>
<textarea id="add" rows="5" cols="20">
</textarea>
</fieldset>
<input type="submit" value="Submit">
</form>
</div>

</body>
</html>

You might also like