<html>
<head>
<title>
Session 2nd 4th Program
</title>
</head>
<body>
<form>
<table border="8" width="40%" align="center" bordercolordark="maroon" bordercolorlight="red">
<tr>
<td align="center">
Name :
</td>
<td>
<input type="text" name="txt_name"></input>
</td>
</tr>
<tr>
<td align="center">
Address :
</td>
<td>
<textarea type="" name="txt_name"></textarea>
</td>
</tr>
<tr>
<td align="center">
City :
</td>
<td>
<input type="text" name="txt_city"></input>
</td>
</tr>
<tr>
<td align="center">
State :
</td>
<td>
<input type="text" name="txt_state"></input>
</td>
</tr>
<tr>
<td align="center">
BirthDate :
</td>
<td>
<select name="list_day">
<option>1
<option>2
<option>3
<option>4
<option>5
<option>6
<option>7
<option>8
<option>9
<option>10
<option>11
<option>12
<option>13
<option>14
<option>15
<option>16
<option>17
<option>18
<option>19
<option>20
<option>21
<option>22
<option>23
<option>24
<option>25
<option>26
<option>27
<option>28
<option>29
<option>30
<option>31
</select>
<select name="list_mon">
<option>JAN
<option>FEB
<option>MAR
<option>APR
<option>MAY
<option>JUN
<option>JUL
<option>AUG
<option>SEP
<option>OCT
<option>NOV
<option>DEC
</select>
<select name="list_year">
<option>1980
<option>1981
<option>1982
<option>1983
<option>1984
<option>1985
<option>1986
<option>1987
<option>1988
<option>1989
<option>1990
<option>1991
<option>1992
<option>1993
<option>1994
<option>1995
<option>1996
<option>1997
<option>1998
<option>1999
<option>2000
<option>2001
<option>2002
<option>2003
<option>2004
<option>2005
<option>2006
<option>2007
<option>2008
<option>2009
<option>2010
</td>
</tr>
<tr>
<td align="center">
E-Mail :
</td>
<td>
<input type="text" name="txt_email">
</input>
</td>
</tr>
<tr>
<td align="center">
UserName :
</td>
<td>
<input type="text" name="txt_username">
</input>
</td>
<tr>
<td align="center">
Password :
</td>
<td>
<input type="password" name="txt_password">
</input>
</td>
</tr>
<tr>
<td align="center">
Gender :
</td>
<td>
<input type="radio" name="radio_gender" value="Male">Male
</input>
<input type="radio" name="radio_gender" value="Female">Female
</input>
</td>
</tr>
<tr>
<td rowspan="2" align="center">Hobbies</td>
<td>
<input type="checkbox" name="hobbies" value=reading>Reading
<input type="checkbox" name="hobbies" value=music>Music
</td>
</tr>
<tr>
<td>
<input type="checkbox" name="hobbies" value=travaling>Traveling
<input type="checkbox" name="hobbies" value=other>Others
</td>
</tr>
<tr>
<td>
</td>
<td>
<input type="submit">
<input type="reset">
</td>
</tr>
</table>
</form>
</body>
</html>
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