Untitled

<html>
    <head>
        <title>title</title>
    </head>
    <body>
        <form>
            <label for="name">name</label>
            <input type="text" name="name">
         <br>
         <label for="mobile">mobile</label>
            <input type="tel" name="mobile">
            <br>
            <label for="shipping">shipping</label>
            <select     name="shipping">
            <option value="post">post</option>
             <option value="payek">payk</option>
            </select>
            <br>
           <label name="chk">bime</label>
           <input type="checkbox" name="bime" value="bime">
           <br>
           <input type="submit" value="submit">
        </form>
    </body>
</html>
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