-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathdriver.php
39 lines (38 loc) · 1.42 KB
/
driver.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
<html>
<head>
<meta charset="UTF-8">
<title>Detail</title>
<link rel="stylesheet" type="text/css" href="style/offeraride.css">
</head>
<body>
<?php include('nav.php'); ?>
<div class="text-b">Personal Info</div>
<form action="details.php" method="post">
<div class="form-group">
<label>Name: </label>
<input type="text" name="name" id="name" value="" class="box" placeholder="Your Name" required >
</div>
<div class="form-group">
<label>Gender: </label>
<input type="radio" name="gender" id = "Male" value="M" checked required> Male
<input type="radio" name="gender" id ="Female" value="F" required > Female
</div>
<div class="form-group">
<label>Mobile No.: </label>
<input type="number" name="num" id="num" value="" class="box" placeholder="Your Number" required >
</div>
<div class="form-group">
<label>E-mail: </label>
<input type="text" name="mail" id="mail" value="" class="box" placeholder="Your E-mail" required >
</div>
<div class="form-group">
<label>Address: </label>
<textarea class="box" id="address" name="address" cols="20" rows="3" placeholder="Your Address"></textarea>
</div>
<div class="form-group">
<button type="submit" class="box btn">Submit</button>
</div>
</form>
<?php include('contact.php'); ?>
</body>
</html>