| Current Path : /var/www/html/venkat/blockchain/ |
| Current File : /var/www/html/venkat/blockchain/register.php |
<?php
include("inde.php");
?>
<div align = "center"> <br><form method = "post" action = "submit.php">
<table>
<colspan = "3"> <td> <b> Fill your Details </b> </td> </tr>
<tr> <td> <br> <font face = "verdana"> Participation Category </td> <td> <br> : </td>
<td> <br> <select name = "category">
<option value = "iitk"> IIT-K participant </option>
<option value = "iiita"> IIIT-A participant </option>
<option value = "outsidestudent"> Outside student </option>
<option value = "others"> Others </option>
</select>
</td>
</tr>
<tr> <td> <br> <font face = "verdana"> Interested to participate in poster presentation</td> <td> <br> : </td>
<td> <br> <select name = "poster">
<option value = "yes"> Yes</option>
<option value = "no"> No </option>
</select>
</td>
</tr>
<tr>
<td> <br> <font face = "verdana"> Enter Code <img src="session.php" > </td> <td> <br> : </td> <td> <br> <input type="text" name="vercode" /> <a href = "register.php">Refresh</a> </td> </tr> <tr>
<td> <br> <font face = "verdana"> Your Name </td> <td> <br> : </td> <td> <br> <input type = "text" name = "name" maxlength = "45"> </td> </tr> <tr>
<td> <br> <font face = "verdana"> E-Mail Id</td> <td> <br> : </td> <td> <br> <input type = "email" name = "email" maxlength = "40"> </td>
</tr>
<tr colspan = "3">
<td> <br> <input type = "submit" value = "Submit"> </td>
</tr>
</table>
</form>
</div>
<?php
include("bottom.php");
?>