Lab Assignment 1
Submitted by:
Name: Ameena Yaqoob
Reg. No.: UW-21-CS-BS-040
Class: BSCS 6th A
Subject: web engineering
Date: 22 march, 2024
DEPARTMENT OF COMPUTER SCIENCE
UNIVERSITY OF WAH
WAH CANTT
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<title>registration<title>
</head>
<body>
<form style="background-color:beige" >
<div style="flex: 1; padding-right: 20px;">
<h3>Workshop Registration More Actions ↓</h3>
<p>Register now while seats are available!</p>
<label for="fname">First Name:</label><br>
<input type="text" id="fname" name="firstname" value=""><br>
<label for="lname">Last Name:</label><br>
<input type="text" id="lname" name="lastname" value=""><br>
<label for="company">Company Institution:</label><br>
<input type="text" id="company" name="company" value=""><br>
<label for="address">Address:</label><br>
<textarea id="address" name="address" rows="4"></textarea><br>
<label for="city">City:</label><br>
<input type="text" id="city" name="city" value=""><br>
<label for="stateprovince">State/Province / Region:</label><br>
<select id="stateprovince" name="stateprovince">
<option value="default">Select</option>
</select><br>
<label for="country">Country:</label><br>
<select id="country" name="country">
<option value="default">Select</option>
</select><br>
<label for="email">Email:</label><br>
<input type="text" id="email" name="email" value=""><br>
<label for="phone">Phone Number:</label><br>
<input type="text" id="phone" name="phone" value=""><br>
</div>
<div style="flex:1; padding-left: 20px;margin-top:auto">
<br><br>
<label for="lunch">Lunch:</label><br>
<select id="lunch" name="lunch">
<option value="default">Select</option>
</select><br>
<label for="mealpreference">Meal Preference:</label><br>
<select id="mealpreference" name="mealpreference">
<option value="vegetarian">Vegetarian</option>
</select><br><br>
<label for="paymentdetails">Payment Details:</label><br><br>
</select><br>
<label>Payment Mode:</label><br><br>
<input type="checkbox" id="cash" name="paymentmode" value="cash">
<label for="cash">Cash</label><br>
<input type="checkbox" id="cheque" name="paymentmode" value="cheque">
<label for="cheque">Cheque</label><br>
<input type="checkbox" id="dd" name="paymentmode" value="dd">
<label for="dd">Demand Draft</label><br>
</select><br>
<label for="ddchequeno">DD/Cheque No.:</label><br>
<input type="text" id="ddchequeno" name="ddchequeno" value=""><br>
<label for="drawnon">Drawn On (Bank Name):</label><br>
<input type="text" id="drawnon" name="drawnon" value=""><br>
<label for="payableat">Payable at:</label><br>
<input type="text" id="payableat" name="payableat" value=""><br>
<div style="position:center; "
<br><br>
<input style="background-color:bisque" type="submit" value="Submit">
<input style="background-color:bisque" type="reset" value="Reset">
</div>
</form>
</body>
</html>
