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<!DOCTYPE html>
<html>
<head>
<title>Activity-2</title>
</head>
<body bgcolor="LightCyan">
<fieldset>
<legend><b><font style="color:Navy;">EDULA VINAY KUMAR REDDY, 19BCE0202</font></b></legend>
<div style="display: flex;">
<form name="Activity-2" method="post">
<h1></h1>
<h2><u><font style="color:red;">Register now while seats are available !</font></u></h2> 
<div >
<label for="fname"><b>First name</b> <font style="color:red;">* </font>
<input style="margin-left:70px" type="text" required name="txtFirstName" id="fname" size="30" /></br>
</label> 
</div></br>
<div >
<label for="fname"><b>Last name</b><font style="color:red;">* </font>
<input style="margin-left:75px" type="text" required name="txtFirstName" id="fname" size="30" />
</label> 
</div></br>
<div>
<p><b>Please select your Gender :</b></p>
<input type="radio" id="m" name="male" value="male">
<label for="age1">Male</label><br>
<input type="radio" id="f" name="female" value="female">
<label for="age2">Female</label><br>
</div></br>
<div >
<label for="fname"><b>Company/Institution</b><font style="color:red;">* </font>
<input style="margin-left:10px" type="text" required name="txtFirstName" id="fname" size="30" />
</label>
</div></br></br>
<div >
<label for="fname"><b>Address</b><font style="color:red;">* </font>
<input style="margin-left:90px" type="text" required name="txtFirstName" id="fname" width="48" size="30" />
</label>
</div></br></br>
<div >
<label for="fname"><b>City</b>
<input style="margin-left:125px" type="text" required name="txtFirstName" id="fname" size="30" />
</label>
</div></br></br>
<div>
<label for="cars"><b>State/Province/Region</b></label>
<select style="margin-left:5px"id="state" name="state">
<option >AP</option>
<option >Telangana</option>
<option >Tamilnadu</option>
<option >Hyd</option>
</select>
</div></br></br>
<div>
<label for="cars"><b>Country</b></label>
<select style="margin-left:100px" id="cars" name="cars">
<option >India</option>
<option >US</option>
</select>
</div></br></br>
<div>
<label for="fname"><b>Email</b><font style="color:red;">* </font>
<input style="margin-left:105px" type="text" required name="txtFirstName" id="fname" size="30" />
</label>
</div></br></br>
<div>
<label for="fname"><b>Phone Number</b><font style="color:red;">* </font>
<input style="margin-left:47px" type="text" required name="txtFirstName" id="fname" size="30" />
</label>
</div></br></br>
</form>
<form >
<p style="margin-left:250px ; font-size:20px"><u><b>Lunch!</b></u></p></br>
<div align="center">
<label style="margin-left:235px" for="fname" size="30"><b>Meal Preference:</b>
<select style="margin-left:30px" id="meal" name="meal">
<option >Select One Of The Meals given below</option>
<option >Food</option>
<option >Chicken</option>
<option >Mutton</option>
</select>
</label>
</div></br></br>
<p style="margin-left:250px ; font-size:20px"><u><b>Payment Details!</b></u></p></br>
<label style="margin-left:255px" for="fname"><b>Payment Mode : </b>
<input style="margin-left:129px " type="checkbox" name="cash" value="cash">
<label for="cash"> Cash</label><br>
<input style="margin-left:500px " type="checkbox" name="cash" value="cash">
<label for="cash"> Cheque</label><br>
<input style="margin-left:500px " type="checkbox" name="dd" value="dd">
<label for="dd">Demand Draft</label><br><br>
</label>
<div align="center">
<label style="margin-left:250px" for="fname"><b>DD Cheque No.:</b>
<input style="margin-left:30px" type="text" required name="txtFirstName" id="fname" size="35" />
</label>
</div></br></br>
<div align="center" >
<label style="margin-left:255px" for="fname"><b>Drawn on(Bank): </b>
<input style="margin-left:30px" type="text" required name="txtFirstName" id="fname" size="35" />
</label>
</div></br></br>
<div align="center">
<label style="margin-left:260px" for="fname"><b>Payable At: </b>
<input style="margin-left:68px" type="text" required name="txtFirstName" id="fname" size="35" />
</label>
</div></br></br>
</form>
</div>
<div align="center">
<button style="background-color:MediumSeaGreen; border-color:lightGrey; color:white" type="submit" form="nameform" value="Submit">Submit</button>
<button style="background-color:MediumSeaGreen; border-color:lightGrey; color:white" type="Reset" form="nameform" value="Reset">Reset</button>
</div>
</fieldset>
</body>