-
Notifications
You must be signed in to change notification settings - Fork 2
/
form.html
105 lines (91 loc) · 3.77 KB
/
form.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="assets/form-style.css">
<title>Application Form</title>
</head>
<body>
<div id="outside">
<form id="survey-form" action="/my-handling-form-page" method="post">
<h1 id="title">Application for admission in SLRTCE</h1>
<p id="description"><b>Note:</b> This Application does not confirm your Admission</p>
<!-- ------------------Personal Details---------------------------- -->
<fieldset>
<!-- groups of widgets that share the same purpose, for styling and semantic purposes -->
<legend>Personal Details</legend>
<!-- formally describes the purpose of the fieldset it is included inside. -->
<div>
<label id="name-label" for="name">Name:</label>
<input type="text" required id="name" name="user_name" placeholder="Enter name here"></div>
<div>
<label for="address-label">Address:</label>
<input type="Address" id="address" name="Address" placeholder="Enter address here"></div>
<div>
<label id="email-label" for="Email">Email:</label>
<input type="email" required id="email" name="user_email" placeholder="Enter email here"></div>
<div>
<label id="number-label" for="phone">Phone Number:</label>
<input type="text" id="number" name="user_name" placeholder="Enter 10 digit number"></div>
<div>
<label id="iq-label" for="iq">IQ:</label>
<input type="number" id="iq" name="iq" placeholder="Enter IQ here"></div>
<!-- ------------------Radio Buttons-------------------------------- -->
<div>
<label for="Gender">Gender</label>
<p>
<input type="radio" name="gender" value="male"> Male<br>
<input type="radio" name="gender" value="female"> Female<br>
<input type="radio" name="gender" value="other"> Other
</p>
</div>
<label for="date-label">Date Of Birth:</label>
<input type="date" name="bday">
</fieldset>
<!-- ------------------Checkboxes-------------------------------- -->
<fieldset>
<legend>Education Details</legend>
<p>
<label id="" for="phone">PCM marks:</label>
<input type="text" name="" value=""><br>
<label id="" for="phone">CET marks:</label>
<input type="text" name="" value=""><br>
</p>
</fieldset>
<!-- -----------------Dropdown menus--------------------------------- -->
<fieldset>
<legend>Family Details</legend>
<div>
<label for="">Father's Name:</label>
<input type="text" name="" value="">
<label for="">Father's Contact No.:</label>
<input type="text" name="" value="">
</div>
<div>
<label for="">Mother's Name:</label>
<input type="text" name="" value="">
<label for="">Mother's Contact No.:</label>
<input type="text" name="" value="">
</div>
</fieldset>
<!-- --------------------Text Areas------------------------------ -->
<fieldset>
<legend>Essay Section</legend>
<div>
<label for="msg"></label>
<p> In 50 words or more explain why you want to join this college</p>
<textarea id="msg" name="user_message" rows="4" cols="50" placeholder="Enter Text Here"></textarea></div>
<!-- <div>
<label for="msg">Please upload contact details for 2 references</label><br>
<textarea id="msg2" name="user_message" rows="4" cols="50" placeholder="Enter Text Here"></textarea> </div> -->
<p>Upload CET Certificate, Bank Statement and 12th Passing Certifiates here:
<button>Attach Files</button></p>
</fieldset>
<div id="submitbutton">
<button type="submit" id="submit">Send your application</button></div>
</form>
</div>
</body>
</html>