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userdata.html
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81 lines (67 loc) · 2.22 KB
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<html>
<head>
<title> User Data </title>
<link rel="stylesheet" type="text/css" href="assets/css/userdata.css"
</head>
<body>
<div id="namediv"><br>ENTER YOUR NAME<br>
<input type="Fname"
class="form-control"
id="inputfname"
placeholder="First Name">
<input type="Mname"
class="form-control"
id="inputmname"
placeholder="Middle Name">
<input type="Lname"
class="form-control"
id="inputlname"
placeholder="Last Name">
</div><br>
<div id="contactdiv"><br>CONTACT DETAILS AND DATE OF BIRTH<br>
<input type="date"
class="form-control"
id="inputdate"
placeholder="Date of Birth">
<input type="text"
class="form-control"
id="inputnumber"
placeholder="mobile number">
<input type="email"
class="form-control"
id="inputemail"
placeholder="email">
</div>
<br>
<div id="addressdiv"><br>ENTER YOUR ADDRESS DETAILS<br>
<input type="street"
class="form-control"
id="inputStreet"
placeholder="Street/Landmark">
<input type="city"
class="form-control"
id="inputCity"
placeholder="City">
<input type="state"
class="form-control"
id="inputState"
placeholder="State">
</div>
<div id="addressdiv">
<input type="zip"
class="form-control"
id="inputZip"
placeholder="Zip">
<input type="country"
class="form-control"
id="inputCountry"
placeholder="Country">
</div><br>
<div id="qualifdiv"> <br>ENTER QUALIFICATIONS<br>
<input type="text"
class="form-control"
id="inputqualification"
placeholder="Qualification">
</div>
</body>
</html>