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- <!DOCTYPE html>
- <html>
- <head>
- <title> Registration </title>
- <style>
- </style>
- </head>
- <body>
- <form action="reg.php" method="get">
- Name : <input type ="text" name ="name">
- <br><br><br>
- Mobile Number : <input type ="text" name ="mobile">
- <br><br><br>
- Insitute's Name : <input type ="text" name="insName">
- <br><br><br>
- Insitute's Adrress : <input type ="text" name ="address">
- <br><br><br>
- Type : <select name="type">
- <option value="type"> Type </option>
- <option value="Provider"> Provider </option>
- <option value="Receiver"> Receiver</option>
- </select>
- <br><br><br>
- <input type="submit" value ="Done">
- </form>
- </body>
- </html>
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