You are on page 1of 1

index.php http://localhost:4649/?

mode=php

1 <!DOCTYPE html>
2 <html lang="en">
3 <head>
4 <meta charset="UTF-8">
5 <meta http�equiv="X-UA-Compatible" content="IE=edge">
6 <meta name="viewport" content="width=device�width, initial�scale=1.0">
7 <title>Resistration Form��title>
8 ��head>
9 <h1>Blood Donation Camp��h1>
10
11 <body bgcolor='FFC0CB'>
12 <div><h2>Registration Form��h2>��div>
13 <form action="connect.php" method="POST">
14
15 <label for="user">Name:��label><br>
16 <input type="text" name="name" id="name" required><br><br>
17
18 <label for="email">Email:��label><br>
19 <input type="email" name="email" id="email" required><br><br>
20
21 <label for="phone">Phone:��label><br>
22 <input type="text" name="phone" id="phone" required><br><br>
23
24 <label for="bgroup">Blood Group:��label><br>
25 <input type="text" name="bgroup" id="bgroup" required><br><br>
26
27 <input type="submit" name="submit" id="submit" ��
28 ��form>
29
30
31 ��body>
32 ��html>
33

1 of 1 1/14/2023, 10:02 AM

You might also like