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reg1.html
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<!DOCTYPE html>
<html>
<head>
<title>Register</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script>
</head>
<style>
/*<
legend{
text-align: center;
font-size: 50px;
}
li{
display:inline-block;
}
table{
font-size: 20px;
}
*/
h1{
text-align: center;
color: #FFFFFF;
}
.container1{
background-color: #3CBC8D;
}
body{
background:url("download.jpg");
}
.form-group label{
/*border: 2px solid red;*/
border-radius: 10px;
text-decoration: all;
font-size: 20px
color:#FFFFFF;
/*border-left: 6px solid red;*/
}
.LabelClass{
color: #FFFFFF;
font-size: 20px;
border-radius: 10px;
text-decoration: all;
}
input[name=Feedback]{
width: 100%;
height: 150px;
padding: 12px 20px;
box-sizing: border-box;
border: 2px solid #ccc;
border-radius: 8px;
resize: none;
}
.form-group input {
background-color: #3CBC8D;
border-radius: 25px;
color: white;
}
span{
border-radius: 10px;
text-decoration: all;
/*border-left: 6px solid red;*/
}
</style>
<body background="download.jpg">
<div class="container1">
<h1>Complaint here!</h1>
<h1>------------------------------------------------------</h1>
</div>
<h5 class = "LabelClass"><strong>Please send us details about the incident you would like to report. Our Complaint Center will analyze your complaint and take the appropriate measures.<strong></strong></h5>
<div class="container">
<form action="http://localhost:5000/govt" method='POST'>
<div class="form-group">
<table align="center">
<tr>
<td class = "LabelClass">Name</td>
<td><input type="text" placeholder ="First" name="name1">
<input type="text" placeholder="Last" name="name2">
</td>
</tr>
<tr>
<td class = "LabelClass">Gender</td>
<td>
<input type="text" name="gender" placeholder="gender">
</td>
</tr>
<tr>
<td class = "LabelClass">
DOB
</td>
<td><input type="date" name="date"></td>
</tr>
<tr>
<td class = "LabelClass">
Email
</td>
<td>
<input type="Email" name="Email">
</td>
</tr>
<tr>
<td class = "LabelClass">
Date of reported incident
</td>
<td><input type="date" name="incident_date"></td>
</tr>
<tr>
<td class = "LabelClass">
Incident Location
</td>
<td>
<input type="text" placeholder="location" name="location">
</td>
</tr>
<tr>
<td class = "LabelClass">
Upload Photo
</td>
<td>
<input type="file" name="file">
</td>
</tr>
<tr>
<td class = "LabelClass">
Complaint Details
</td>
<td>
<textarea name="complaint details" cols="40" rows="5"></textarea>
</td>
</tr>
<tr>
<td class = "LabelClass">
Desired outcome
</td>
<td>
<textarea name="desired outcome" cols="40" rows="5"></textarea>
</td>
</tr>
<tr>
<td>
</td >
<td class = "LabelClass">Suggest the steps that should be taken to avoid a repeat of the problem
.
</td>
</tr>
<tr>
<td><br></td>
<td><br></td>
</tr>
<tr>
<td>  <input type="submit" name="submit" value="Submit"></td>
<td>  <input type="reset" name="reset"></td>
</tr>
</table>
</form>
</body>
</html>