Form/Personal_Info_Form.html at main · Vive-Techie/Form · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Personal Info System</title>
    <style>
        body { font-family: Arial, sans-serif; margin: 0; padding: 0; }
        .container {
            max-width: 600px;
            margin: 50px auto;
            padding: 20px;
            background: #fff;
            border: 1px solid #ddd;
            border-radius: 4px;
        }
        h2 { text-align: center; margin-bottom: 20px; }
        label { display: block; margin-bottom: 5px; }
        input[type="text"], input[type="email"], input[type="number"], input[type="date"], textarea {
            width: 100%;
            padding: 8px;
            margin-bottom: 15px;
            border: 1px solid #ccc;
            border-radius: 4px;
        }
        textarea { resize: vertical; }
        input[type="button"] {
            background: #4CAF50;
            color: #fff;
            padding: 10px;
            border: none;
            border-radius: 4px;
            cursor: pointer;
            width: 100%;
        }
        input[type="button"]:hover { background: #45a049; }
        .info { margin-top: 20px; padding: 10px; border: 1px solid #ddd; border-radius: 4px; background: #f9f9f9; }
    </style>
</head>
<body>

<div class="container">
    <h2>Personal Information Form</h2>
    <form id="infoForm">
        <label for="name">Full Name:</label>
        <input type="text" id="name" name="name" required>

        <label for="email">Email:</label>
        <input type="email" id="email" name="email" required>

        <label for="age">Age:</label>
        <input type="number" id="age" name="age" required min="0">

        <label for="dob">Date of Birth:</label>
        <input type="date" id="dob" name="dob" required>

        <label for="address">Address:</label>
        <textarea id="address" name="address" rows="4" required></textarea>

        <input type="button" value="Submit" onclick="submitForm()">
    </form>

    <div id="info" class="info"></div>
</div>

<script>
    function submitForm() {
        const name = document.getElementById('name').value;
        const email = document.getElementById('email').value;
        const age = document.getElementById('age').value;
        const dob = document.getElementById('dob').value;
        const address = document.getElementById('address').value;

        const infoDiv = document.getElementById('info');
        if (name && email && age && dob && address) {
            infoDiv.innerHTML = `
                <h3>Submitted Information</h3>
                <p><strong>Full Name:</strong> ${name}</p>
                <p><strong>Email:</strong> ${email}</p>
                <p><strong>Age:</strong> ${age}</p>
                <p><strong>Date of Birth:</strong> ${dob}</p>
                <p><strong>Address:</strong> ${address}</p>
            `;
        } else {
            infoDiv.innerHTML = '<p style="color: red;">Please fill out all fields.</p>';
        }
    }
</script>

</body>
</html>