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Assignment1.html
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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>Assignment 1</title>
<style>
body{
background-repeat: no-repeat;
background-position: center;
padding: 150px;
/* background-size: 300px; */
background-image: url("jitimage.png") ;
}
</style>
</head>
<body>
<form align="center">
<table border="2" align="center" style="background-color:#f5daf0;">
<tr>
<h4><center>CODER FORM</center> </h4>
</tr>
<tr>
<th><label for="firstname">First_Name: </label>
<th>
<input type="text" name="firstname" placeholder="Enter your first name"></th>
</th>
</tr>
<tr>
<th><label for="lastname">Last_Name: </label>
<th>
<input type="text" name="lastname" placeholder="Enter your last name"></th>
</th>
</tr>
<tr>
<th><label for="contact">Contact_No: </label></th>
<th><input type="tel" name="contact" placeholder="Enter your phone number"></th>
</tr>
<tr>
<td>
<label for="address"><b>Address: </b></label></td>
<td><textarea name="address"></textarea>
</td>
</tr>
<tr>
<td>
<label for="gender"><b>Gender:</b></label></td>
<td><input type='radio' name='gender' value='female'>Female
<input type='radio' name='gender' value='male'>Male
<input type='radio' name='gender' value='other'>Other
</td>
</tr>
<tr>
<td>
<label><b>Course:</b> </label></td>
<td><input type='checkbox' name='A'>Java
<input type='checkbox' name='B'>Python
<input type='checkbox' name='C'>Php
</td>
</tr>
<tr>
<td>
<label><b>Date_of_Birth:</b> </label></td>
<td><input type='date'>
</td>
</tr>
<tr>
<td>
<label for="documents"><b>ID Proof: </b></label></td>
<td><input type="file" name="documents">
</td>
</tr>
</table><br>
<button><a href="Request.html">SUBMIT</a></button>
</form>
</body>
</html>