Web开发_web开发_其他_其他下载-pudn.com

<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=`, initial-scale=1.0"> <link rel="stylesheet" href="style.css"> <title>form</title> </head> <body> <div class = "wrapp-container"> <div class="text-container"> <h2>Please Enter Your Details</h> <h3>Fill the application form below and submit.</h3> <form> <label>Name *</label> <input type="text" id = "ipname" placeholder="First Name"> <input type="text" id = "iplastname" placeholder="Last Name"> <br><br> <label>E-Mail*</label> <input type="email" id = "ipemail"placeholder="Mail@example.com"> <br><br> <label>Phone Number *</label> <input type="tel" id = "ipphone" placeholder="Phone Number"> <br><br> <label>Gender *</label> <select name = "ipgender" id = "ipgender" size = "1"> <option value="Male">Male</option> <option value="Female">Female</option> <option value="Other">Other</option> </select> <br><br> <label>Citizen *</label> <select name = "ipcountry" id = "ipcountry" size = "1"> <option value="India">India</option> <option value="Pakistan">Pakistan</option> <option value="Other">Other</option> </select> <br><br> <label>Date of Birth *</label> <input type="number" id = "ipd" min = "1" max = "31" placeholder="Date"> <input type="number" id = "ipm" min = "1" max = "12" placeholder="Month"> <input type="number" id = "ipy" min = "1990" placeholder="Year"> <br><br> <label>Address *</label> <input type="text" id = "ipsa" placeholder="Street Address"> <input type="text" id = "ipsl" placeholder="Select line 2"> <br> <input type="text" id = "ipl" placeholder="Landmark"> <input type="text" id = "ipc" placeholder="City"> <br> <input type="text" id = "ips" placeholder="State/Province"> <input type="text" id = "ipp" placeholder="Postal/Zip Code"> <br> <input type="submit" class = "subbutton"> </form> </div> </div> </body> </html>