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<!DOCTYPE html>
<html lang="en">
<head>
<title>Student Registration Form</title>
</head>
<body>
<blockquote>
<fieldset style="width: 600px;">
<h1><img src="Image/Navy White University Elegant Logo.png" alt="Logo Image" height="150" width="150"
align="middle" />Student Registration Form</h1>
<br>
<form action="submit_form" method="post">
<legend>
<label for="FirstName">First
Name:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="text" id="FirstName" name="FirstName" placeholder="Enter your first name" height="5"
required><br><br>
<label for="lastName">Last
Name:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="text" id="lastName" name="lastName" placeholder="Enter your last name" height="5"
required><br><br>
<label for="dateOfBirth">Date of
Birth:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="date" id="dateOfBirth" name="dateOfBirth" height="5" width="100" required><br><br>
<label for="email">Email
ID:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="email" id="email" name="email" placeholder="Enter your email" height="5" required><br><br>
<label for="mobileNumber">Mobile
Number:</label> <!--This is ( ) used for spacing purpose.-->
<input type="number" id="mobileNumber" name="mobileNumber" placeholder="Enter your mobile number"
height="5" required><br><br>
<label for="gender">Gender:</label>
<input type="radio" id="male" name="gender" value="Male">
<label for="male">Male</label>
<input type="radio" id="female" name="gender" value="Female">
<label for="female">Female</label><br><br>
<label for="address"
align="middle">Address:</label>
<!--This is ( ) used for spacing purpose.-->
<textarea id="address" name="address" placeholder="Enter your address"
align="middle"></textarea><br><br>
<label
for="city">City:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="text" id="city" name="city" placeholder="Enter your city" height="5" required><br><br>
<label for="pinCode">Pin
Code:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="number" id="pinCode" name="pinCode" placeholder="Enter your pin code" height="5"
required><br><br>
<label
for="state">State:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="text" id="state" name="state" placeholder="Enter your state" height="5" required><br><br>
<label
for="country">Country:</label>
<!--This is ( ) used for spacing purpose.-->
<input type="text" id="country" name="country" placeholder="Enter Your Counter" height="5"
required><br><br>
<label for="hobbies">Hobbies:</label>
<input type="checkbox" id="drawing" name="hobbies" value="Drawing">
<label for="drawing">Drawing</label>
<input type="checkbox" id="singing" name="hobbies" value="Singing">
<label for="singing">Singing</label>
<input type="checkbox" id="dancing" name="hobbies" value="Dancing">
<label for="dancing">Dancing</label>
<input type="checkbox" id="sketching" name="hobbies" value="Sketching">
<label for="sketching">Sketching</label>
<input type="checkbox" id="others" name="hobbies" value="Others">
<label for="others">Others</label><br>
<h2>Qualification</h2>
<table border="1">
<tr>
<th>SI.No.</th>
<th>Examination</th>
<th>Board</th>
<th>Percentage</th>
<th>Year of Passing</th>
</tr>
<tr>
<td>1</td>
<td>Class X</td>
<td><input type="text" name="classXBoard" placeholder="Board"></td>
<td><input type="number" name="classXPercentage" placeholder="Percentage"></td>
<td><input type="number" name="classXYear" placeholder="Year"></td>
</tr>
<tr>
<td>2</td>
<td>Class XII</td>
<td><input type="text" name="classXIIBoard" placeholder="Board"></td>
<td><input type="number" name="classXIIPercentage" placeholder="Percentage"></td>
<td><input type="number" name="classXIIYear" placeholder="Year"></td>
</tr>
<tr>
<td>3</td>
<td>Graduation</td>
<td><input type="text" name="graduationBoard" placeholder="Board"></td>
<td><input type="number" name="graduationPercentage" placeholder="Percentage"></td>
<td><input type="number" name="graduationYear" placeholder="Year"></td>
</tr>
<tr>
<td>4</td>
<td>Masters</td>
<td><input type="text" name="mastersBoard" placeholder="Board"></td>
<td><input type="number" name="mastersPercentage" placeholder="Percentage"></td>
<td><input type="number" name="mastersYear" placeholder="Year"></td>
</tr>
</table><br>
<label for="courses">Courses Applied For:</label>
<input type="checkbox" id="bca" name="courses" value="BCA">
<label for="bca">BCA</label>
<input type="checkbox" id="bcom" name="courses" value="B.Com">
<label for="bcom">B.Com</label>
<input type="checkbox" id="bsc" name="courses" value="B.Sc">
<label for="bsc">B.Sc</label>
<input type="checkbox" id="ba" name="courses" value="B.A">
<label for="ba">B.A</label><br><br>
<input type="submit" value="Submit">
<input type="reset" value="Reset">
</form>
</legend>
</fieldset>
</blockquote>
</body>
</html>