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profil_nou.html
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<html lang="ro">
<head>
<meta charset="utf-8"/>
</head>
<body>
<form method="POST" enctype="multipart/form-data" action="profil_nou.php">
<label for="profil">Nume profil:</label>
<input type="text" id="profil" name="profil">
<br>
<label for="nume">Nume:</label>
<input type="text" id="nume" name="nume">
<label for="prenume">Prenume:</label>
<input type="text" id="prenume" name="prenume">
<br>
<fieldset>
<legend>Data Nașterii:</legend>
<label for="ziua">ziua:</label>
<input type="text" id="ziua" size="3" name="ziua">
<label for="luna">luna:</label>
<input type="text" id="luna" size="3" name="luna">
<label for="anul">anul:</label>
<input type="text" id="anul" size="5" name="anul">
</fieldset>
<br>
<fieldset>
<legend>Adresa:</legend>
<br>
<input type="text" id="adresa1" size="50" name="adresa1">
<br>
<input type="text" id="adresa2" size="50" name="adresa2">
</fieldset>
<br>
<fieldset>
<legend>Semnatura</legend>
<label for="signature">Fișier:</label>
<input type="file" id="signature" name="signature">
<label for="dy">Deplasament verticală:</label>
<input type="text" size="4" id="dy" name="dy" value="370">
<label for="dx">Deplasament orizontală:</label>
<input type="text" size="3" id="dx" name="dx" value="125">
</fieldset>
<br>
<input type="submit" value="Înregistrează">
</form>
</body>
</html>