Trailblazer/form.html at main · OnARCHIT/Trailblazer · GitHub

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<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <meta charset="utf-8">
        <meta name="viewport" contents="" width-device-width,initial-scale="1.0">
        <link rel="stylesheet" href="design.css">
        <title>AICTE FORM</title>
        <script type="text/javascript">
            function callvalue()
            {
                var name= document.getElementById("name").value;
                var name= document.getElementById("Fname").value;
                var name= document.getElementById("Mname").value;
                document.writeln("AICTE FORM:"+"<br>"+"Your Name:"+name+"<br>")
                document.writeln("Father's Name:"+Fname)
                document.writeln("Mother's Name:"+Mname)
            }
        </script>
    </head>
    <body>

        <h2>USER REGISTRAION & AUTHENTICATION</h2>
        <form onsubmit="callvalue()">
            <fieldset>
            <div><br>
                <label for="name">Name:</label>
               <input type="text" placeholder="myName" id="name">

            </div>

            <div>
                <br>
                <label for="Fname"></label>Father's Name:</label>
                <input type="text" placeholder="myFName" id="Fname">
            </div>

            <div>
                <br>
                <label for="Mname"></label>Mother's Name:</label>
                <input type="text" placeholder="myMname" id="Mname">
            </div>
            <div>
                <br>
                D.O.B:<input type="date" name="myDOB">
            </div>
            <div>
                <br>
                Contact:<input type="number" name="myContact">
            </div>
            <div>
                <br>
                Email:<input type="email" name="myEmail">
            </div>
            <div>
                photo:<input type="file"= name="myphoto">
            </div>
            <div>
                <br>
                Gender:MALE <input type="radio" name="myGENDER">
                FEMALE <input type="radio" name="myGENDER">
                OTHER <input type="radio" name="myGENDER">
            </div>

            <div>
                <br>
                <label for="nation">Nationality:</label>
                <select name="myNation" id="nation">
                    <option value="India">INDIA</option>
                    <option value="AFGANISTAN">AFGANISTAN</option>
                    <option value="BANGLADESH">BANGLADESH</option>
                    <option value="Sri-lanka">Sri-lanka</option>
                    <option value="Canada">CANADA</option>
                    <option value="CHINA">CHINA</option>
                </select>
            </div>
            <div>
                <br>
                <label for="State">STATE:</label>
                <select name="myState" id="State">
                    <option value="JHARKHAND">JHARKHAND</option>
                    <option value="BIHAR">BIHAR</option>
                    <option value="BANGLADESH">PUNJAB</option>
                    <option value="MADHYA PARDESH">MADHYA PARDESH</option>
                    <option value="UTTAR PARDESH">UTTAR PARDESH</option>
                    <option value="CHINA"></option>
                </select>
            </div>
            <br>
                DO YOU HAVE PWD QOUTA? :<input type="CHECKBOX" name="myQuota">
            </div>
            <div>
                <br>
                DO YOU HAVE DEFENSE QOUTA? :<input type="CHECKBOX" name="myQuota">
            </div>

           <div>
            <br>
                <input type="SUBMIT" VALUE="Signup">
            </div>
            <div>
                <input type="reset" VALUE="RESET NOW">
            </div>
            <div>
                <br>
            FEEDBACK:<textarea name="myText"></textarea>
            </div>
        </fieldset>
        </form>
    </body>
</html>