code-school/naztee.html at main · nazteeemba/code-school · GitHub

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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>naztee</title>
    <link rel="stylesheet" href="style.css">
</head>
<body>
    <ul>
  <li><a class="active" href="#home">Home</a></li>
  <li><a href="#news">News</a></li>
  <li><a href="#contact">Contact</a></li>
  <li><a href="#about">About</a></li>
</ul>
<br>
    <form>
        <fieldset>

            <legend>personal information</legend>

            <label for="email">Email Address:</label>
            <input type="email" id="email" name="email"
                    placeholder="example@gmail.com" required>

            <label for="confirm_email">Confirm Email Address:</label>
            <input type="email" id="confirm_email" name="confirm_email" placeholder="example@gmail.com" required>
            <br>
            <label for="surname">surname: <input type="text" placeholder="surname"></label>
            <label for="middlename">middlename: <input type="text" placeholder="middlename"></label>
            <br>
            <label for="firstname">firstname: <input type="text" placeholder="firstname"></label>
            <label for="dob">birthdate: <input type="date"  name="dob"></label>
            <br>
                <label for="choice">religion:
                <select name="choice" id="choice">
                <option value="option">select religion</option>
                <option value="option1">christian</option>
                <option value="option2">muslim</option>
                <option value="option3">pagan</option>
                </select>
            <label for="phone">contact: <input type="tel" name="phone" id="phone" placeholder="+234-800-123-4567"></label>
                <br>

                <label for="choice">status:
                <select name="choice" id="choice">
                <option value="option">what's your status</option>
                <option value="option1">married</option>
                <option value="option2">single</option>
                <option value="option3">devorced</option>
                </select>
            </label>

                <Label>

                    <input type="checkbox" name="gender-choice" value="female">
                    female


                    <input type="checkbox" name="gender-choice" value=" male">
                    male
                </Label>
                <br>
                <label for="choice">nationality:
                <select name="choice" id="choice">
                <option value="option">select country</option>
                <option value="option1">nigeria</option>
                <option value="option2">eygpt</option>
                <option value="option3">USA</option>

                </select>
                </label>

                <label for="choice">state:
                <select name="choice" id="choice">
                <option value="option">select state</option>
                <option value="option1">lagos</option>
                <option value="option2">abuja</option>
                <option value="option3">kaduna</option>
                </select>
                </Label>

                <label for="choice">LGA:
                <select name="choice" id="choice">
                <option value="option">select LGA</option>
                <option value="option1">jema'a</option>
                <option value="option2">jaba</option>
                <option value="option3">kaduna</option>
                </select>
                </Label>
            <br>

                <input type="radio" name="radio" value="I accept the terms amd condition">I accept the terms amd condition <hr>
            <br>

            <input type="submit" value="submit">
        </fieldset>
    </form>
</body>
</html>