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<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Student Registration Form</title> <style> body { font-family: Arial, sans-serif; background-color: #d6f0f9; display: flex; justify-content: center; align-items: center; height: 100vh; margin: 0; } .form-container { background-color: #fff; padding: 20px; border-radius: 8px; box-shadow: 0 0 10px rgba(0, 0, 0, 0.1); width: 350px; } .form-container h2 { text-align: center; color: #007bff; margin-bottom: 20px; } .form-container label { display: block; margin-bottom: 8px; font-weight: bold; } .form-container input[type="text"], .form-container input[type="date"], .form-container input[type="email"], .form-container input[type="tel"], .form-container select { width: 100%; padding: 8px; margin-bottom: 15px; border: 1px solid #ccc; border-radius: 4px; } .form-container input[type="radio"] { margin-right: 10px; } .form-container .file-upload { margin-bottom: 15px; } .form-container button { width: 100%; padding: 10px; background-color: #007bff; color: white; border: none; border-radius: 4px; cursor: pointer; } .form-container button:hover { background-color: #0056b3; } </style> </head> <body> <div class="form-container"> <h2>XYZ College/School</h2> <p style="text-align: center; margin-top: -15px; margin-bottom: 20px;">Student Registration Form</p> <form action="#"> <label for="image">Student Image <small>(less than 5 MB)</small></label> <input type="file" id="image" name="image" class="file-upload" accept="image/*" required> <label for="student-name">Student Name</label> <input type="text" id="student-name" name="student-name" placeholder="Full Name" required> <label for="father-name">Father's Name</label> <input type="text" id="father-name" name="father-name" placeholder="Father's Full Name" required> <label for="mother-name">Mother's Name</label> <input type="text" id="mother-name" name="mother-name" placeholder="Mother's Full Name" required> <label>Gender</label> <input type="radio" id="male" name="gender" value="Male" required> <label for="male" style="display: inline;">Male</label> <input type="radio" id="female" name="gender" value="Female"> <label for="female" style="display: inline;">Female</label> <input type="radio" id="other" name="gender" value="Other"> <label for="other" style="display: inline;">Other</label> <label for="dob">Date of Birth</label> <input type="date" id="dob" name="dob" required> <label for="email">E-mail</label> <input type="email" id="email" name="email" placeholder="email@xyz.com" required> <label for="level">Level</label> <select id="level" name="level" required> <option value="High School">High School</option> <option value="Undergraduate">Undergraduate</option> <option value="Postgraduate">Postgraduate</option> </select> <label for="department">Department</label> <select id="department" name="department" required> <option value="Electrical Engineering">Electrical Engineering</option> <option value="Computer Science">Computer Science</option> <option value="Mechanical Engineering">Mechanical Engineering</option> </select> <label for="tel">Tel/Mobile</label> <input type="tel" id="tel" name="tel" placeholder="XXX XXX XXXX" required> <button type="submit">Submit</button> </form> </div> </body> </html>
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