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Update index_2.html #1

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54 changes: 54 additions & 0 deletions index_2.html
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Original file line number Diff line number Diff line change
@@ -1,3 +1,57 @@
<!DOCTYPE html>
<html>
<head>
<title></title>
</head>
<body>
<h2 style="text-align: center"> CUSTOMER OPENING </h2>
<form name="regForm" action="ClientServlet" method="post">

Customer Name:
<input type="text" name="name" title="Please enter your name" required/> <br>

Prefix:
<select name="prefix">
<option>-select-</option>
<option value="Mr">Mr.</option>
<option value="Mrs">Mrs.</option>
</select><br><br>


Gender:
<select name="gender">
<option>-select-</option>
<option value="Male">Male</option>
<option value="Female">Female</option>
<option value="Others">Others</option>
</select><br><br>


Telephone Number:
<input type="number" name="phone" title="Please enter valid 10 digit contact no." required/><br>


Occupation code:
<select name="occupationcode">
<option>-select-</option>
<option value="10">Teacher</option>
<option value="20">Doctor</option>
<option value="30">Engineer</option>
<option value="40">Business</option>
<option value="50">Housewife</option>
<option value="60">Others</option>
</select><br><br>


PAN number:
<input type="text" name="pan" maxlength="10" title="Please enter valid PAN number. E.g. AAAAA9999A" required/><br>



Date of birth: <input type="date" name="dob" required ><br>


<input type="submit" value="Submit"/>
</form>
</body>
</html>