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<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <title>Railway Form</title> </head> <body style="text-align: center;"> <h1> Railway Reservation Form</h1> <form style="display: inline-block; text-align: left;"> <div> <label for="bplace">Boarding Place:</label> <input type="text" id="bplace" name="bplace"><br><br> <label for="dplace">Destination Place:</label> <input type="text" id="dplace" name="dplace"><br><br> <label for="dateoftravel">Date of Travel:</label> <input type="date" id="dot" name="dot"> <br><br> <label for="pname"> Passenger Name:</label> <input type="text" id="pname" name="pname"><br><br> </div> <label for="age"> Age</label> <input type="number" id="age" name="age"><br><br> <p>Are you a senior citizen?</p> <div> <input type="radio" id="seniorCitizen" name="scitizen"> <label for="seniorCitizen">Yes</label> <input type="radio" id="notSeniorCitizen" name="scitizen"> <label for="notSeniorCitizen">No</label> </div> <p>Birth Preference:</p> <div> <input type="radio" id="lbirth" name="lbirth"> <label for="lbirth">Lower</label> <input type="radio" id="mbirth" name="mbirth"> <label for="mbirth">Middle</label> <input type="radio" id="ubirth" name="ubirth"> <label for="ubirth">Upper</label> <br><br> </div> <div> <label for="amount"> Final Amount:</label> <input type="text" id="amount" name="amount"><br><br> </div> <div> <button type="submit">Submit</button> </div> </form> </body> </html>
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