assignment/assignment1.html at main · Asttttha/assignment · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>CONTACT DETAILS</title>

</head>
<body>
    <div class="all">
        <form action="">
            <h1 class="heading"> CONTACT DETAILS </h1>
            <h2> USER'S CONTACT DETAILS </h2>
            <h4>Please Fill All The Fields</h4>
            <p> Your Name :
                <input type="text" name="name2" required placeholder="Your Full Name">
            </p>
            <p> Your Phone-Number :
                <input type="number" name="phnumber">
            </p>
            <p> Your Email :
                <input type="email" name="email1" placeholder="Please Enter Valid Email Address" required>
            </p>
            <p> Your Adress :
                <textarea name="address1" id="" cols="90" rows="4" required placeholder="Please Enter Your Address"> </textarea>
            </p>
            <fieldset>
                <legend>Gender</legend>
                <p>
                    Male <input type="radio" name="gender" id="male"> Female <input type="radio" name="gender" id="female">
                    Other <input type="radio" name="gender" id="other" required></p>
            </fieldset>
            <p> Message :
                <textarea name="message1" id="" cols="500" rows="5" required placeholder="Enter Your Message/Enquiry To Us"></textarea>
            </p>
            <p> Subject :
                <select name="sub1" id="">
                <option value="Subject">Select Appropriate Subject</option>
                <option value="JOB INQUIRY">JOB INQUIRY</option>
                <option value="RECHECK FORM">RECHECK FORM</option>
                <option value="FACING ISSUES">FACING ISSUES</option>
                <option value="CHANGE CONTACT DETAILS">CHANGE CONTACT DETAILS</option>
                <option value="OTHERS" class="type">OTHERS</option>
                </select>
            </p>
            <p>
                <input type="submit" value="CONFIRM" name="submit" id="submit">
            </p>
        </form>
    </div>
</body>
</html>