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30 lines (30 loc) · 993 Bytes
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Application Form</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<link rel="stylesheet" type="text/css" href="appform.css">
</head>
<body>
<b><h1>Application Form</h1></b>
First name:<br>
<input type="text" name="firstname"><br>
Last name:<br>
<input type="text" name="lastname"><br>
Address:<br>
<input type="text" name="address"><br>
Grade:<br>
<input type="text" name="grade"><br>
Gender:<br>
<input type="radio" name="gender" value="male" checked> Male<br>
<input type="radio" name="gender" value="female"> Female<br>
<input type="radio" name="gender" value="other"> Other<br>
User name:<br>
<input type="text" name="username"><br>
User password:<br>
<input type="password" name="psw"><br>
<input type="submit" value="Submit">
</body>
</html>