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registration.html
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registration.html
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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">
<link rel="stylesheet" href="style.css">
<link rel="stylesheet" href="https://unicons.iconscout.com/release/v4.0.0/css/line.css">
<title>Regisration Form </title>
</head>
<body>
<h1 style="color: Black
; text-align: center; padding-top: 80px;">REQUEST FOR PASSPORT</h1>
<div class="container">
<form action="registration.php" method="post">
<div class="form first">
<div class="details personal">
<span class="title">Personal Details</span>
<div class="fields">
<div class="input-field">
<label>First Name</label>
<input type="text" name="fname" placeholder="Enter First Name" required>
</div>
<div class="input-field">
<label>Middle Name</label>
<input type="text" name="mname" placeholder="Enter Middle name" required>
</div>
<div class="input-field">
<label>Last Name</label>
<input type="text" name="lname" placeholder="Enter Last name" required>
</div>
<div class="input-field">
<label>Phone Number</label>
<input type="text" name="phone" placeholder="Enter Phone Number" required>
</div>
<div class="input-field">
<label>Date of Birth</label>
<input type="date" name="dob" placeholder="Enter birth date" required>
</div>
<div class="input-field">
<label>Gender</label>
<select name="gender" required>
<option disabled selected>Select gender</option>
<option>Male</option>
<option>Female</option>
<option>Others</option>
</select>
</div>
</div>
<button class="nextBtn" name="submit">
<span class="btnText">Register</span>
<i class="uil uil-navigator"></i>
</button>
</div>
</div>
</div>
</div>
</form>
</div>
</body>
</html>