Your IP : 216.73.216.40
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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Free User Registration Form</title>
<link rel="stylesheet" type="text/css" href="view.css" media="all">
<script type="text/javascript" src="view.js"></script>
</head>
<body id="main_body" >
<img id="top" src="top.png" alt="">
<div id="form_container">
<h1><a>Free User Registration Form</a></h1>
<form id="form_158617" class="appnitro" method="post" action="test1.php">
<div class="form_description">
<h2>Free User Registration Form</h2>
<p>IT/ITES Project, Indian Institute of Information Technology Allahabad</p>
</div>
<ul >
<li id="li_3" >
<label class="description" for="element_3">User Name </label>
<span>
<input id="element_3_1" name= "element_3_1" class="element text" maxlength="255" size="8" value=""/>
<label>First</label>
</span>
<span>
<input id="element_3_2" name= "element_3_2" class="element text" maxlength="255" size="14" value=""/>
<label>Last</label>
</span>
</li> <li id="li_1" >
<label class="description" for="element_1">UserID (Only UniqueID will be registered)</label>
<div>
<input id="element_1" name="element_1" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_6" >
<label class="description" for="element_6">Gender </label>
<div>
<select class="element select small" id="element_6" name="element_6">
<option value="" selected="selected"></option>
<option value="Male" >Male</option>
<option value="Female" >Female</option>
</select>
</div>
</li> <li id="li_7" >
<label class="description" for="element_7">Area_of_Interest </label>
<div>
<select class="element select medium" id="element_7" name="element_7">
<option value="" selected="selected"></option>
<option value="Research Methodology" >Research Methodology</option>
<option value="Advertisement & Brand Management" >Advertisement & Brand Management</option>
<option value="e-Operations" >e-Operations</option>
<option value="e-Education" >e-Education</option>
<option value="e-Finance" >e-Finance</option>
<option value="Data Digitization" >Data Digitization</option>
<option value="DI & ERP" >DI & ERP</option>
<option value="Experts System" >Experts System</option>
<option value="GIS" >GIS</option>
<option value="Software Development" >Software Development</option>
<option value="Information Security" >Information Security</option>
<option value="12" >----------</option>
</select>
</div><p class="guidelines" id="guide_7"><small>Please select your area of interest.</small></p>
</li> <li id="li_4" >
<label class="description" for="element_4">Email ID </label>
<div>
<input id="element_4" name="element_4" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li> <li id="li_5" >
<label class="description" for="element_5">Mobile/Phone </label>
<div>
<input id="element_5" name="element_5" class="element text medium" type="text" maxlength="255" value=""/>
</div>
</li>
<li class="buttons">
<input type="hidden" name="form_id" value="158617" />
<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
<a href="index.html"> Go to Login Page</a>
</li>
</ul>
</form>
<div id="footer">
By: <a href="http://www.iiita.ac.in">Indian Institute of Information Technology, Allahabad</a>
</div>
</div>
<img id="bottom" src="bottom.png" alt="">
</body>
</html>