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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Document</title>
</head>
<body>
<div id1="COLORS">
<style> H1,p
{
background-color:chartreuse;
text-align: center;
}
</style>
<style> input
{
background-color: #00ffc8;
align-content: center;
color: darkred;
font-size: medium;
font-family: 'Lucida Sans', 'Lucida Sans Regular', 'Lucida Grande', 'Lucida Sans Unicode', Geneva, Verdana, sans-serif;
}
</style>
<style>iframe
{
height: fit-content;
;
}
</style>
</div>
<div>
<H1 style ="text-align:center"><em>JEE MAINS REGISTRATION FORM</em></H1>
<div id2= "Personal Details"></div>
<p><b>PERSONAL DETAILS</b></p>
<form >
<label for="Candidates Name">Candidates Name </label>
<input type="text" name="Candidates Name">
<br> <br>
<label for="Fathers Name ">Fathers Name</label>
<input type ="text" name="Fathers name">
<br> <br>
<label for="Mothers Name">Mothers Name </label>
<input type ="text" name="Mothers name">
<br> <br>
<label for="Date of Birth">Candidates Date of birth</label>
<input type="date" name="Date of Birth">
<br> <br>
<label for="Gender">Gender -- male </label>
<input type="radio" name="Gender">
<label for="Gender"> Female</label>
<input type="radio" name="Gender">
</form>
<div id="Present Address"></div>
<p><b>PRESENT ADDRESS</b></p>
<form>
<label for="Permises No">Permises No./Name</label>
<input type="text" name="Permises No">
<br> <br>
<label for="Sub-Locality">Sub-Locality(Optional) </label>
<input type="text" name="Sub-Locality">
<br> <br>
<label for="Locality">Locality </label>
<input type="text" name="Locality">
<br> <br>
<label for="Country">Country</label>
<input type="" name="Country">
<br> <br>
<label for="State">State </label>
<input type="text" name="State">
<br> <br>
<label for="District">District </label>
<input type="text" name="District">
<br> <br>
<label for="Pincode">Pincode</label>
<input type="number" name="Pincode">
<br> <br>
<label for="EMAIL Address">Email Address</label>
<input type="email" name="EMAIL Address">
<br> <br>
<label for="ConfirmEmailaddress">Confirm Email Address</label>
<input type="email" name="ConfirmEmailaddress">
<br> <br>
<label for="MobileNumber">Mobile number</label>
<input type="number" name="MobileNumber">
<br> <br>
<label for="Alternateconatactnumber">Alternate Contact No.(Optional)</label>
<input type="number" name="Alternatecontactnumber">
</form>
<form>
<p><b>Temporary Address</b></p>
<input type="checkbox" name="Address">
<label for="Address">Same As Present Address</label>
</form>
<form>
<p><b>CHOOSE PASSWORD</b></p>
<label for="PASSWORD">PASSWORD</label>
<input type="password" name="PASSWORD">
<br><br>
<label for="CONFIRMPASSWORD">CONFIRM PASSWORD</label>
<input type="password" name="CONFIRMPASSWORD">
</form>
<form>
<p><b>SECURITY PIN</b></p>
<label for="pinseq">Enter the pin(CASE SENSITIVE)</label>
<input type="text" name="pinseq">
<br>
<label for="SEQPIN">Security pin</label>
<input type="NUMBERS" name="SEQPIN" value= "47d877">
</form>
</div>
</body>
</html>