|
|
@ -7,19 +7,19 @@
|
|
|
|
</head>
|
|
|
|
</head>
|
|
|
|
<body>
|
|
|
|
<body>
|
|
|
|
<form action="process.php" method="POST">
|
|
|
|
<form action="process.php" method="POST">
|
|
|
|
<!-- Last Name Input (required) -->
|
|
|
|
<!--Required input for the last name -->
|
|
|
|
<label for="last_name">Last Name:</label>
|
|
|
|
<label for="last_name">Last Name:</label>
|
|
|
|
<input type="text" id="last_name" name="last_name" required><br><br>
|
|
|
|
<input type="text" id="last_name" name="last_name" required><br><br>
|
|
|
|
|
|
|
|
|
|
|
|
<!-- First Name Input (required) -->
|
|
|
|
<!-- Required input for the first name -->
|
|
|
|
<label for="first_name">First Name:</label>
|
|
|
|
<label for="first_name">First Name:</label>
|
|
|
|
<input type="text" id="first_name" name="first_name" required><br><br>
|
|
|
|
<input type="text" id="first_name" name="first_name" required><br><br>
|
|
|
|
|
|
|
|
|
|
|
|
<!-- Age Input (number type) -->
|
|
|
|
<!--Input of type numer for the age -->
|
|
|
|
<label for="age">Age:</label>
|
|
|
|
<label for="age">Age:</label>
|
|
|
|
<input type="number" id="age" name="age" min="0" step="1"><br><br>
|
|
|
|
<input type="number" id="age" name="age" min="0" step="1"><br><br>
|
|
|
|
|
|
|
|
|
|
|
|
<!-- Gender Selection -->
|
|
|
|
<!--List for the gender -->
|
|
|
|
<label for="gender">Gender:</label>
|
|
|
|
<label for="gender">Gender:</label>
|
|
|
|
<select id="gender" name="gender">
|
|
|
|
<select id="gender" name="gender">
|
|
|
|
<option value="male">Male</option>
|
|
|
|
<option value="male">Male</option>
|
|
|
@ -27,7 +27,7 @@
|
|
|
|
<option value="other">Other</option>
|
|
|
|
<option value="other">Other</option>
|
|
|
|
</select><br><br>
|
|
|
|
</select><br><br>
|
|
|
|
|
|
|
|
|
|
|
|
<!-- Submit Button -->
|
|
|
|
<!--Submit button -->
|
|
|
|
<input type="submit" value="Submit">
|
|
|
|
<input type="submit" value="Submit">
|
|
|
|
</form>
|
|
|
|
</form>
|
|
|
|
</body>
|
|
|
|
</body>
|
|
|
|