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<Html>  
<head>   
<title>  
Registration Form  
</title>  
</head>  
<body bgcolor="Blue">  
<br>  
<br>  
<form>  
  
<label> Username: </label>         
<input type="text" name="username" size="15"/> <br> <br>  
<label> Password: </label>
<input type="Password" id="pass" name="pass"> <br>   
<br>
<label> First name: </label>     
<input type="text" name="First Name" size="15"/> <br> <br>  
<label> Lastname: </label>         
<input type="text" name="Last Name" size="15"/> <br> <br>  
<label>Email:</label>  
<input type="email" id="email" name="email"/> <br>    
<br> <br>  
  
<br>  
<label>   
Your Department :  
</label><br>  
<input type="radio" name="IS"/> IS <br>  
<input type="radio" name="CS"/> CS <br>  
<input type="radio" name="CNET"/> CNET  
<br>  
<br>  
<input type="button" value="Submit"/> 

</form>  
</body>  
</html>