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index.html
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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<meta http-equiv="X-UA-Compatible" content="ie=edge" />
<title>Registration Form in HTML CSS</title>
<link rel="stylesheet" href="style.css" />
</head>
<body>
<section class="container">
<header>
<div class="header-container">
<img src="./hr6_.png" alt="HR6 Solutions" class="logo">
<h2 class="heading">Appointment Page</h2>
</div>
</header>
<form action="/submit-form" method="post" class="form">
<div class="input-box">
<label>Full Name</label>
<input type="text" placeholder="Enter full name" name="username" required />
</div>
<div class="input-box">
<label>Email Address</label>
<input type="text" placeholder="Enter email address" name="email" required />
</div>
<div class="input-box">
<label>Phone Number</label>
<input type="number" placeholder="Enter phone number" name="number" required />
</div>
<div class="column">
<div class="input-box">
<label>Appointment Date</label>
<input type="date" placeholder="Enter Appointment date" name="date" required />
</div>
<div class="input-box">
<label>Appointment Time</label>
<input type="time" name="appt-time" value="13:30" name="time" />
</div>
</div>
<div class="gender-box">
<h3>Gender</h3>
<div class="gender-option">
<div class="gender">
<input type="radio" id="check-male" name="gender" checked />
<label for="check-male">Male</label>
</div>
<div class="gender">
<input type="radio" id="check-female" name="gender" />
<label for="check-female">Female</label>
</div>
<div class="gender">
<input type="radio" id="check-other" name="gender" />
<label for="check-other">Prefer Not Say</label>
</div>
</div>
</div>
<div class="input-box address">
<label>Business Details</label>
<input type="text" placeholder="Enter Business Query" name="business" required />
</div>
<div class="input-box address">
<label>Message</label>
<input type="text" placeholder="Enter Your Message" name="message" required />
</div>
<button type="submit">Book Appointment</button>
</form>
</section>
</body>
</html>