Skip to content

Commit bb2c1ca

Browse files
pappuDon11pappuDon11
authored
Create Registration
0 parents  commit bb2c1ca

File tree

1 file changed

+232
-0
lines changed

1 file changed

+232
-0
lines changed

‎Registration

+232
Original file line numberDiff line numberDiff line change
@@ -0,0 +1,232 @@
1+
<html>
2+
<head>
3+
<title>Customer Registration Form</title>
4+
<style>
5+
h3{
6+
font-family: Times New Roman;
7+
font-size: 30pt;
8+
font-style: italic;
9+
font-weight: bold;
10+
color:deeppink;
11+
text-align: center;
12+
}
13+
14+
table{
15+
font-family: Times New Roman;
16+
color:white;
17+
font-size: 16pt;
18+
font-style: normal;
19+
background-color: Black;
20+
border-collapse: collapse;
21+
border: 10px deeppink;
22+
}
23+
table.inner{
24+
border: 10px;
25+
}
26+
</style>
27+
</head>
28+
29+
<body>
30+
<h3><center>REGISTRATION FORM</h3>
31+
32+
33+
<table align="center" cellpadding = "10">
34+
35+
<tr>
36+
<td>First Name</td>
37+
<td><input type="text" name="First_Name" maxlength="30"/>
38+
(max 30 characters a-z and A-Z)
39+
</td>
40+
</tr>
41+
42+
<tr>
43+
<td>Last Name</td>
44+
<td><input type="text" name="Last_Name" maxlength="30"/>
45+
(max 30 characters a-z and A-Z)
46+
</td>
47+
</tr>
48+
49+
<tr>
50+
<td>Date of Birth</td>
51+
52+
<td>
53+
<select name="Birthday_day" id="Birthday_Day">
54+
<option value="-1">Day:</option>
55+
<option value="1">1</option>
56+
<option value="2">2</option>
57+
<option value="3">3</option>
58+
59+
<option value="4">4</option>
60+
<option value="5">5</option>
61+
<option value="6">6</option>
62+
<option value="7">7</option>
63+
<option value="8">8</option>
64+
<option value="9">9</option>
65+
<option value="10">10</option>
66+
<option value="11">11</option>
67+
<option value="12">12</option>
68+
69+
<option value="13">13</option>
70+
<option value="14">14</option>
71+
<option value="15">15</option>
72+
<option value="16">16</option>
73+
<option value="17">17</option>
74+
<option value="18">18</option>
75+
<option value="19">19</option>
76+
<option value="20">20</option>
77+
<option value="21">21</option>
78+
79+
<option value="22">22</option>
80+
<option value="23">23</option>
81+
<option value="24">24</option>
82+
<option value="25">25</option>
83+
<option value="26">26</option>
84+
<option value="27">27</option>
85+
<option value="28">28</option>
86+
<option value="29">29</option>
87+
<option value="30">30</option>
88+
89+
<option value="31">31</option>
90+
</select>
91+
92+
<select id="Birthday_Month" name="Birthday_Month">
93+
<option value="-1">Month:</option>
94+
<option value="January">Jan</option>
95+
<option value="February">Feb</option>
96+
<option value="March">Mar</option>
97+
<option value="April">Apr</option>
98+
<option value="May">May</option>
99+
<option value="June">Jun</option>
100+
<option value="July">Jul</option>
101+
<option value="August">Aug</option>
102+
<option value="September">Sep</option>
103+
<option value="October">Oct</option>
104+
<option value="November">Nov</option>
105+
<option value="December">Dec</option>
106+
</select>
107+
108+
<select name="Birthday_Year" id="Birthday_Year">
109+
110+
<option value="-1">Year:</option>
111+
<option value="2012">2012</option>
112+
<option value="2011">2011</option>
113+
<option value="2010">2010</option>
114+
<option value="2009">2009</option>
115+
<option value="2008">2008</option>
116+
<option value="2007">2007</option>
117+
<option value="2006">2006</option>
118+
<option value="2005">2005</option>
119+
<option value="2004">2004</option>
120+
<option value="2003">2003</option>
121+
<option value="2002">2002</option>
122+
<option value="2001">2001</option>
123+
<option value="2000">2000</option>
124+
125+
<option value="1999">1999</option>
126+
<option value="1998">1998</option>
127+
<option value="1997">1997</option>
128+
<option value="1996">1996</option>
129+
<option value="1995">1995</option>
130+
<option value="1994">1994</option>
131+
<option value="1993">1993</option>
132+
<option value="1992">1992</option>
133+
<option value="1991">1991</option>
134+
<option value="1990">1990</option>
135+
136+
<option value="1989">1989</option>
137+
<option value="1988">1988</option>
138+
<option value="1987">1987</option>
139+
<option value="1986">1986</option>
140+
<option value="1985">1985</option>
141+
<option value="1984">1984</option>
142+
<option value="1983">1983</option>
143+
<option value="1982">1982</option>
144+
<option value="1981">1981</option>
145+
<option value="1980">1980</option>
146+
</select>
147+
</td>
148+
</tr>
149+
150+
151+
<tr>
152+
<td>Email Id</td>
153+
<td><input type="text" name="Email_Id" maxlength="100" /></td>
154+
</tr>
155+
156+
<tr>
157+
<td>Password</td>
158+
<td><input type="text" name="PASSWORD" maxlength="100" />
159+
(max 8 characters a-z and A-Z)
160+
</td>
161+
</tr>
162+
163+
164+
<tr>
165+
<td>Mobile Number</td>
166+
<td>
167+
<input type="text" name="Mobile_Number" maxlength="10" />
168+
(10 digit number)
169+
</td>
170+
</tr>
171+
172+
<tr>
173+
<td>Gender</td>
174+
<td>
175+
<input type="radio" name="Gender" value="male" checked> Male<br>
176+
<input type="radio" name="Gender" value="female"> Female<br>
177+
<input type="radio" name="Gender" value="other"> Other
178+
</td>
179+
</tr>
180+
181+
<tr>
182+
<td>Address<br /><br /><br /></td>
183+
<td><textarea name="Address" rows="4" cols="30"></textarea></td>
184+
</tr>
185+
186+
<tr>
187+
<td>City</td>
188+
<td><input type="text" name="City" maxlength="30" />
189+
(max 30 characters a-z and A-Z)
190+
</td>
191+
</tr>
192+
193+
<tr>
194+
<td>Pincode</td>
195+
<td><input type="text" name="Pin_Code" maxlength="6" />
196+
(6 digit number)
197+
</td>
198+
</tr>
199+
200+
<tr>
201+
<td>State</td>
202+
<td><input type="text" name="State" maxlength="30" />
203+
(max 30 characters a-z and A-Z)
204+
</td>
205+
</tr>
206+
207+
<tr>
208+
<td>Country</td>
209+
<td><input type="text" name="Country" value="India" readonly="readonly" /></td>
210+
</tr>
211+
212+
213+
214+
</td>
215+
</tr>
216+
</table>
217+
<br>
218+
<tr>
219+
<td><center><input Type = "Button" onclick = "redirect(this.form)" Value="Submit"></center></td>
220+
</tr>
221+
222+
</form>
223+
<script language="javascript">
224+
function redirect(form)
225+
{
226+
window.location = "loginform.html";
227+
}
228+
</script>
229+
230+
</body>
231+
</html>
232+

0 commit comments

Comments
 (0)