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64 lines (64 loc) · 1.14 KB
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<!DOCTYPE html>
<html>
<head>
<title>html14</title>
</head>
<body>
<frame>
<fieldset style="width:60%;margin-left:20%;" >
<table align="center">
<tr>
<td colspan="2"><h1>Customer Registration</h1></td>
</tr>
<tr>
<td>Customer Name:</td>
<td>
<input type="text" name="name">
</td>
</tr>
<tr>
<td>Password:</td>
<td>
<input type="text" name="password" size="10%">
</td>
</tr>
<tr>
<td>Gender:</td>
<td>
Male<input type="radio" name="gender" value="Male">
Female<input type="radio" name="gender" value="Female">
</td>
</tr>
<tr>
<td>Address:</td>
<td>
<textarea rows="4" cols="50"></textarea>
</td>
</tr>
<tr>
<td>Telephone No:</td>
<td>
<input type="text" name="phn no">
</td>
</tr>
<tr>
<td>Hobbies:</td>
<td>
<select name="hobbies">
<option>reading</option>
<option>dancing</option>
<option>singing</option>
<option>drawing</option>
</select>
</td>
</tr>
<tr>
<td>
<input type="submit" value="Submit">
</td>
</tr>
</table>
</fieldset>
</frame>
</body>
</html>