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29 lines (27 loc) · 1.06 KB
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<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Document</title>
</head>
<body>
<form >
<fieldset>
<legend>Information:</legend>
<label for="fname">First name:</label>
<input type="text" id="fname" name="fname" value="Sumit"><br>
<label for="lname">Phone number:</label>
<input type="text" id="lname" name="lname" ><br><br>
<label for="discrption">Discription</label><br>
<textarea name="message" rows="10" cols="30"></textarea><br>
<label for="subjects">subjects:</label>
<label for="subjects">physics:</label>
<input type="checkbox" name="physics" >
<label for="subjects">maths:</label>
<input type="checkbox" name="maths" >
<label for="subjects">science:</label>
<input type="checkbox" name="science" ><br>
<button type="submit" value="Submit">Submit</button>
</fieldset>
</form>
</body>
</html>