<html> <head> <title>Index</title> </head> <body> <h2 align="center">User Registration Form</h2> <form name="forml" method="post" action="UserRegistrationFormOutput.php" enctype="multipart/form-data"> <table width="53%" border="0" align="center" cellpadding="5" cellspacing="0"> <tr> <td width="49%">Name</td> <td colspan="2"> <div align="left" <input type="text" name="name" size="25" maxlength="25"> </div> </td> </tr> <tr> <td width="49%"> </td> <td height="2" colspan="2"> </td> </tr> <tr> <td width="49%" height="57">Address</td> <td height="57" colspan="2"> <textarea name="address" cols="25" rows="4"> </textarea> </td> </tr> <tr> <td width="49%"> </td> <td height="2" colspan="2"> </td> </tr> <tr> <td width="49%"> Date of Birth</td> <td height="2" colspan="2"> <select name=birth_month> <option selected value=1>January <option value=2> February <option value=3>March <option value=4>April <option value=5>May <option value=6>June <option value=7>July <option value=8>August <option value=9>September <option value=10>October <option value=11>November <option value=12>December </select> <select name=birth_day> <option selected value=1>01 <option value=2>02 <option value=3>03 <option value=4>04 <option value=5>05 <option value=6>06 <option value=7>07 <option value=8>08 <option value=9>09 <option value=10>10 <option value=11>11 <option value=12>12 <option value=13>13 <option value=14>14 <option value=15>15 <option value=16>16 <option value=17>17 <option value=18>18 <option value=19>19 <option value=20>20 <option value=21>21 <option value=22>22 <option value=23>23 <option value=24>24 <option value=25>25 <option value=26>26 <option value=27>27 <option value=28>28 <option value=29>29 <option value=30>30 <option value=31>31</option> </select> <input maxlength=4 name=birth_year size=4> (Year)</td> </tr> <tr> <td width="49%" height="2"> </td> <td height="2" width="17%"> </td> <td height="2" width="34%"> </td> </tr> <tr> <td width="49%">Gender</td> <td height="2" width="17%"><input type="radio" name="gender" value="M">Male </td> <td height="2" width="34%"><input type="radio" name="gender" value="F">Female </td> </tr> <tr> <td width="49%" height="5"> </td> <td height="5" colspan="2"> </td> </tr> <tr> <td width="49%">Music Preference </td> <td height="2" colspan="2"> <table width="100%" border="0"> <tr> <td> <input type="checkbox" name="pop" value="1"> Pop </td> <td> <input type="checkbox" name="rock" value="1"> Rock </td> </tr> <tr> <td> <input type="checkbox" name="jazz" value="1"> Jazz </td> <td> <input type="checkbox" name="metal" value="1"> Metal </td> </tr> <tr> <td> <input type="checkbox" name="instrumental" value="1"> Instrumental </td> <td> </td> </tr> </table> </td> </tr> <tr> <td width="49%" height="2"> </td> <td colspan="2" height="2"> </td> </tr> <tr> <td colspan="3"> <div align="center"> <input type="submit" name="Submit" value="Submit"> </div> </td> </tr> </table> </form> </body> </html> <!-- UserRegistrationFormOutput.php <html> <head> <title>Display Output </title> </head> <body> <h2> Dear <?php if ($gender=='M') { echo "Mr."; } elseif ($gender=='F') { echo "Ms."; } echo " ", $name; ?> ! You have entered the following information: </h2> <table border="1"> <tr> <td>Address </td> <td> <?php echo $address; ?> </td> </tr> <tr> <td>Date of Birth </td> <td> <?php echo $birth_month, " ", $birth_day, " ", $birth_year; ?> </td> </tr> <tr> <td colspan=2>You prefer listening to: <?php if (!(empty($pop))) { if ($pop==1){ echo " Pop "; } } if (!(empty($jazz))) { if ($jazz==1) { echo " Jazz "; } } if (!(empty($rock))) { if ($rock==1){ echo " Rock "; } } if (!(empty($instrumental))) { if ($instrumental==1) { echo " Instrumental "; } } if (!(empty($metal))) { if ($metal==1){ echo " Metal "; } }?></td></tr> </table> </body> </html> -->
