payment_form.html

<!DOCTYPE html>
<html lang="en">
  <head>
    <meta charset="UTF-8" />
    <meta name="viewport" content="width=device-width, initial-scale=1.0" />
    <title>Payment Form</title>
  </head>
  <body>
    <form action="">
      <h1>Payment Form</h1>
      <h2>Contact Information</h2>
      <p>Name: <input type="text" name="name" /></p>
      <fieldset>
        <legend>Gender</legend>
        <p>
          Male <input type="radio" name="gender" id="male" /> Female
          <input type="radio" name="gender" id="female" />
        </p>
      </fieldset>
      <p>
        Address:
        <textarea name="address" id="address" cols="100" rows="7"></textarea>
      </p>
      <p>Email: <input type="email" name="email" id="email" /></p>
      <p>Pincode: <input type="number" name="pincode" id="pincode" /></p>
    </form>
  </body>
</html>