Page 146 - COMPUTER
P. 146

<b>ADDRESS : </b><input type="text" length="20" name="address" placeholder="Enter Your
               Address"> <p>


               <b>PHONE NO : </b><input type="num" length="20" name="phone" placeholder="Enter
               Your Contact nunber"> <p>

               <b>DATE OF BIRTH: </b><input type="date" name="dob" >


               <p>

               <INPUT TYPE="BUTTON"  VALUE="REGISTER" onClick="a_();" >

               <INPUT TYPE="BUTTON" VALUE="PRINT" onClick="window.print();" >


               <INPUT TYPE="reset" name="reset">

               <INPUT TYPE="BUTTON" VALUE="CLOSE" onClick="window.close();">

               </form>


               </body>

               </html>












































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