Registration Form

Registration Form

Username:

    <label for="password">Password:</label>
    <input type="password" id="password" name="password" required><br><br>

    <label for="email">Email:</label>
    <input type="email" id="email" name="email" required><br><br>

    <label for="phone">Phone:</label>
    <input type="tel" id="phone" name="phone" required><br><br>

    <label for="birthdate">Date of Birth:</label>
    <input type="date" id="birthdate" name="birthdate" required><br><br>

    <label for="gender">Gender:</label>
    <input type="radio" id="male" name="gender" value="male">
    <label for="male">Male</label>
    <input type="radio" id="female" name="gender" value="female">
    <label for="female">Female</label>
    <input type="radio" id="other" name="gender" value="other">
    <label for="other">Other</label><br><br>

    <label for="address">Address:</label><br>
    <textarea id="address" name="address" rows="4" cols="50"></textarea><br><br>

    <input type="submit" value="Submit">
</form>

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