User registration Form using Java Script.

Special : Web Developer's Collection CD-ROM
50,000+ Web Templates, Logos, Cliparts, Scripts. Order Now!

Add to Favorites Make Home Page

1613 Online

Language Categories

Source Codes Home
Project Ideas New!
Interview Questions
FAQs Home
ASP Home: ASP Source Codes; ASP Script Directory New!; ASP .Net Script Directory New!; ASP Interview Questions; ASP FAQs; ASP How Tos
C Home: C Source Codes; C Script Directory New!; C Interview Questions; C FAQs; C How Tos
C++ Home: C++ Source Codes; C++ Script Directory New!; C++ Interview Questions; C++ FAQs; C++ How Tos
Java Home: Java Source Codes; Java Directory New!; Java Interview Questions; Java FAQs; Java How Tos
JavaScript Home: JavaScript Directory New!; JavaScript Source Codes; JavaScript FAQs; JavaScript How Tos
COBOL Home: COBOL Source Codes; COBOL FAQs; COBOL How Tos
Pascal Home: Pascal Source Codes; Pascal FAQs; Pascal How Tos
PHP Script Directory New!
Python Script Directory New!
Perl & CGI Script Directory New!
Flash Script Directory New!
CFML Script Directory New!
Remotely Hosted Scripts New!
Tools & Utilities Directory New!
XML Script Directory New!
Best Programmers: Amit Mathur; Vishal Bhardwaj; Deepesh Jain
Vyom NetWork

Our Services

Get 9,000 Interview Questions & Answers in an eBook.

9500+ Pages
9000 Question & Answers
All Tech. Categories

14 MB Content

Get it now !!

Home » Home » Forms Home » User registration Form using Java Script.

A D V E R T I S E M E N T

Title	User registration Form using Java Script.
Author	Sukanta Mondal
Author Email	suku_jgec_it [at] yahoo.com
Description	This is a sample user registration form using JavaScript. Here student Radio button specially for our college Jalpaiguri Govt. Engg.College. I add this code because user can understand simple use of form elements. User can also select general radio field for general use.
Category	» Forms
Hits	397645
Code	Select and Copy the Code
<html> <head> <title>User Registration Form</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <script language="JavaScript" fptype="dynamicanimation"> <!-- function dynAnimation() {} function clickSwapImg() {} //--> </script> <script language="JavaScript1.2" fptype="dynamicanimation" src="file:///C:/Program%20Files/Microsoft%20Office/Office10/fpclass/animate.js"> </script> </head> <body onload="dynAnimation()"> <script language="javascript"> function verify(form) <!-- verify() function start here--> { if(document.forms[0].elements[0].value=="") { alert("Please Enter User ID"); document.forms[0].elements[0].focus(); return(false); } if(document.forms[0].elements[1].value=="") { alert("Please Enter your Password"); document.forms[0].elements[2].value=""; document.forms[0].elements[1].focus(); return(false); } if(document.forms[0].elements[1].value.length<4) { alert("Password must be greater than 4 character"); document.forms[0].elements[1].value=""; document.forms[0].elements[2].value=""; document.forms[0].elements[1].focus(); return(false); } if(document.forms[0].elements[2].value=="") { alert("Please Enter your Confirm Password"); document.forms[0].elements[2].focus(); return(false); } <!-- Checking of Password and ConfirmPassword's Equality --> if((document.forms[0].elements[1].length)!=(document.forms[0].elements[2]. length)) { alert("Your Password does not match with Confirm Password"); document.forms[0].elements[1].value=""; document.forms[0].elements[2].value=""; document.forms[0].elements[1].focus(); return(false); } if((document.forms[0].elements[1].length)==(document.forms[0].elements[2]. length)) { if((document.forms[0].elements[1].value)!=(document.forms[0].elements[2].v alue)) { alert("Your Password does not match with Confirm Password"); document.forms[0].elements[1].value=""; document.forms[0].elements[2].value=""; document.forms[0].elements[1].focus(); return(false); } } if(document.forms[0].elements[3].value=="secq") { alert("Please Select your Security Question"); document.forms[0].elements[3].focus(); return(false); } if(document.forms[0].elements[4].value=="") { alert("Please Answer the security question"); document.forms[0].elements[4].focus(); return(false); } if(document.forms[0].elements[5].value=="DD") { alert("Please select Day of DOB"); document.forms[0].elements[5].focus(); return(false); } if(document.forms[0].elements[6].value=="MM") { alert("Please select Month of DOB"); document.forms[0].elements[6].focus(); return(false); } if(document.forms[0].elements[7].value=="YYYY") { alert("Please select Year of DOB"); document.forms[0].elements[7].focus(); return(false); } if(document.forms[0].elements[10].checked==true) <!-- Check student info if checked ::if Loop start here--> { if(document.forms[0].elements[11].value=="") { alert("Please Enter your First Name"); document.forms[0].elements[11].focus(); return(false); } if(document.forms[0].elements[13].value=="") { alert("Please Enter your Last Name"); document.forms[0].elements[13].focus(); return(false); } if(document.forms[0].elements[14].value=="Year") { alert("Please specify your Academic year"); document.forms[0].elements[14].focus(); return(false); } if(document.forms[0].elements[15].value=="adminyear") { alert("Please put your Admission Year"); document.forms[0].elements[15].focus(); return(false); } if(document.forms[0].elements[16].value=="dept") { alert("Please Select your Department"); document.forms[0].elements[16].focus(); return(false); } if(document.forms[0].elements[17].value=="") { alert("Please put your Roll Number"); document.forms[0].elements[17].focus(); return(false); } if(document.forms[0].elements[17].value!="") <!-- Check Roll No field If Loop--> { r0=document.forms[0].elements[17].value.indexOf('2'); r1=document.forms[0].elements[17].value.indexOf('k'); r2=parseInt(document.forms[0].elements[17].value.charAt(2)); r3=document.forms[0].elements[17].value.indexOf('_'); r4=parseInt(document.forms[0].elements[17].value.charAt(4)); r5=parseInt(document.forms[0].elements[17].value.charAt(5)); r6=parseInt(document.forms[0].elements[17].value.charAt(6)); len=document.forms[0].elements[17].value.length; if((len!=7)\|\|(r0!=0)\|\|(r1!=1)\|\|(r3!=3)\|\|(r4>6 \|\| r4<1)\|\|(r2>9 \|\| r2<1)) { alert("Not a valid Roll Number"); document.forms[0].elements[17].focus(); return(false) } <!--Verify Department with Roll No--> switch(document.forms[0].elements[16].value) { case 'IT': if(r4!=6\|\|(r5>4\|\|r5<0)\|\|(r6>9\|\|r6<0)) { alert("Not a valid Roll Number of Information Technology"); document.forms[0].elements[16].focus(); return(false) }break; case 'CSE': if(r4!=5\|\|(r5>4\|\|r5<0)\|\|(r6>9\|\|r6<0)) { alert("Not a valid Roll Number of Computer Science"); document.forms[0].elements[16].focus(); return(false) }break; case 'ECE': if(r4!=4\|\|(r5>4\|\|r5<0)\|\|(r6>9\|\|r6<0)) { alert("Not a valid Roll Number of Electronics"); document.forms[0].elements[16].focus(); return(false) }break; case 'EE': if(r4!=2\|\|(r5>6\|\|r5<0)\|\|(r6>9\|\|r6<0)) { alert("Not a valid Roll Number of Electrical Engineering"); document.forms[0].elements[16].focus(); return(false) }break; case 'ME': if(r4!=3\|\|(r5>6\|\|r5<0)\|\|(r6>9\|\|r6<0)) { alert("Not a valid Roll Number of Mechanical Engineering"); document.forms[0].elements[16].focus(); return(false) }break; case 'CE': if(r4!=1\|\|(r5>6\|\|r5<0)\|\|(r6>9\|\|r6<0)) { alert("Not a valid Roll Number of Civil Engineering"); document.forms[0].elements[16].focus(); return(false) }break; }<!--End of Switch 1--> <!--Verify Department with Year--> switch(document.forms[0].elements[14].value) { case 'Fourth': if(r2!=1\|\|(r2>9\|\|r2<0)) { alert("Not a valid Roll Number of Forth Year"); document.forms[0].elements[14].focus(); return(false) }break; case 'Third': if(r2!=2\|\|(r2>9\|\|r2<0)) { alert("Not a valid Roll Number of Third Year"); document.forms[0].elements[14].focus(); return(false) }break; case 'Second': if(r2!=3\|\|(r2>9\|\|r2<0)) { alert("Not a valid Roll Second Year"); document.forms[0].elements[14].focus(); return(false) }break; case 'First': if(r2!=4\|\|(r2>9\|\|r2<0)) { alert("Not a valid Roll Number of First Year"); document.forms[0].elements[14].focus(); return(false) }break; } <!--End of Switch 2--> } <!--End of Roll No field If Loop--> if(document.forms[0].elements[17].value!="selecthostel") <!--Check Gender with Hostel::Loop Start--> { if((document.forms[0].elements[8].checked==true)&&(document.forms[0].elements[18].value=="LH")) { alert("You are Male user::Please select Boys Hostel"); document.forms[0].elements[18].focus(); return(false); } if((document.forms[0].elements[9].checked==true)&&(document.forms[0].elements[18].value!="LH")) { alert("You are Female user::Please select L.H."); document.forms[0].elements[18].focus(); return(false); } } <!--Check Gender with Hostel::Loop End--> } <!-- Check student info if checked ::if Loop End here--> if(document.forms[0].elements[24].checked==true) <!-- Check General info if checked:: if Loop start here--> { if(document.forms[0].elements[25].value=="") { alert("Please Enter Your First Name"); document.forms[0].elements[25].focus(); return(false); } if(document.forms[0].elements[27].value=="") { alert("Please Enter your Last Name"); document.forms[0].elements[27].focus(); return(false); } if(document.forms[0].elements[30].value=="state") { alert("Please Select Your State"); document.forms[0].elements[30].focus(); return(false); } if(document.forms[0].elements[31].value=="country") { alert("Please Select Your State"); document.forms[0].elements[31].focus(); return(false); } if((document.forms[0].elements[32].value=="pincode")\|\|(document.forms[0].elements[33].value="")) { alert("Please Select Your Pincode OR if Other specify"); document.forms[0].elements[32].focus(); return(false); } } <!-- Check General info if checked ::if Loop end here--> } <!-- End verify() function--> function studentclear(form) { document.forms[0].elements[11].value=""; document.forms[0].elements[12].value=""; document.forms[0].elements[13].value=""; document.forms[0].elements[14].value="Year"; document.forms[0].elements[15].value="adminyear"; document.forms[0].elements[16].value="dept"; document.forms[0].elements[17].value=""; document.forms[0].elements[18].value="selecthostel"; document.forms[0].elements[19].value=""; document.forms[0].elements[20].value=""; document.forms[0].elements[21].value=""; document.forms[0].elements[22].value=""; document.forms[0].elements[23].value=""; document.forms[0].elements[25].focus(); } function generalclear(form) { document.forms[0].elements[25].value=""; document.forms[0].elements[26].value=""; document.forms[0].elements[27].value=""; document.forms[0].elements[28].value="City"; document.forms[0].elements[29].value=""; document.forms[0].elements[30].value="state"; document.forms[0].elements[31].value="country"; document.forms[0].elements[32].value="pincode"; document.forms[0].elements[33].value=""; document.forms[0].elements[34].value=""; document.forms[0].elements[35].value=""; document.forms[0].elements[36].value=""; document.forms[0].elements[37].value=""; document.forms[0].elements[11].focus(); } </script> <body onLoad=document.forms[0].elements[0].focus();> <form action ="" method="post" onsubmit="return verify(this.form)"> <center> <p dynamicanimation="fpAnimelasticRightFP1" id="fpAnimelasticRightFP1" style="position: relative !important; visibility: hidden" language="Javascript1.2"> <font size="6" face="Monotype Corsiva" color="#800000">New User Registration Form</font></p> </center><br> <i><font color="#FF0000"><font face="Arial" size="4"> * </font><font face="Arial" size="2"> </font> </font> <font face="Arial" size="2"color="#FF0000"> Indicates all the fields are mandatory</font></i><hr><p> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><font size="-1" face="Arial, Helvetica,sans-serif"> User ID: </font><b> <!--webbot bot="Validation" s-data-type="String" b-allow-letters="TRUE" b-allow-digits="TRUE" s-allow-other-chars="_" b-value-required="TRUE" i-minimum-length="4" i-maximum-length="15" --> <input name="uid" size="16" maxlength="15"> </b><font color="#FF0033" size="2"> </font><font face="Arial" size="2" color="#FF0033"> (Contains only letters (a-z), numbers (0-9) and underscore)</font><br> <b><br> </b> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font> <font size="-1" face="Arial, Helvetica,sans-serif"> Password: </font> <font color="#000000"> </font> <input type="password" name="pswd" size="9" maxlength="10" style="font-weight: bold; color:#008000"> <font color="#000000"size="2"> <font face="Arial"> </font></font><font color="#FF0033" size="2" face="Arial"> (Password should be of minimum 4(four) and maximum 10(ten) characters.</font><font size="2"><font color="#FF0033" face="Arial">)</font></p> </font> <font face="ARIAL, HELVETICA" size="-1"> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"></font><font face="ARIAL, HELVETICA" size="-1">Re-Type Password</font>:<font size="2"> <b> <input type="password" name="cpswd" size="11" maxlength="10" style="color:#008000" > </b> </font> <hr> <font size="2"> </font><font size="2"> <font face="Arial, Helvetica, sans-serif"> <i>If you forget your password, you can retrieve it by answering your unique hint question. <br> Frame your question such that only you know its answer. </i></font></font> <div align="center"><font face="Arial" size="2"></font><font face="Arial" size="2"></font><font face="Arial" size="2"></font><font face="Arial" size="2"> </font></div> <font face="Arial" size="2"><br> </font><font size="2"><font face="Arial"><font face="Arial, Helvetica, sans-serif"> </font></font></font><font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"></font><font size="2"><font face="Arial"><font face="Arial, Helvetica, sans-serif">Select a question forgetting password </font><b>: </b></font><select size="1" name="secq"> <option selected value="secq">Select a hit question ?</option> <option value="What is your favourite multimedia software?">What is your favourite multimedia software?</option> <option value="What is your favourite game?">What is your favourite game?</option> <option value="who is your favourite Cricketer?">who is your favourite Cricketer?</option> <option value="who is your favourite Film Actor?">who is your favourite Film Actor?</option> <option value="what is your favourite food?">what is your favourite food?</option> </select><font face="Arial"><b> </b></font> </font><p><font size="2"> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"></font><font color="#000000" face="Arial, Helvetica, sans-serif" size="2">Hit Answer: <input type="text" name="seca" size="21"> </font> <font size="2"><font color="#000000" face="Arial, Helvetica, sans-serif"> </font><font color="#FF0033" face="Arial">(Write Your Answer)</font><font color="#000000" face="Arial"> </font> </font><font size="1"></p> </font> <hr> <div align="left"> <font face="Arial, Helvetica, sans-serif" size="-1"> DD MM YYYY <br> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><font face="Arial, Helvetica, sans-serif" size="-1">Date of Birth: <select size="1" name="DD"> <option selected value="DD">Day</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select> <select size="1" name="MM"> <option selected value="MM">Month</option> <option value="JANUARY">JAN</option> <option value="FEBRUARY">FEB</option> <option value="MARCH">MAR</option> <option value="APRIL">APR</option> <option value="MAY">MAY</option> <option value="JUNE">JUN</option> <option value="JULY">JUL</option> <option value="AUGUST">AUG</option> <option value="SEPTEMBER">SEP</option> <option value="OCTOBER">OCT</option> <option value="NOVEMBER">NOV</option> <option value="DECEMBER">DEC</option> </select> <select size="1" name="YYYY"> <option selected value="YYYY">Year</option> <option value="1970">1970</option> <option value="1971">1971</option> <option value="1972">1972</option> <option value="1973">1973</option> <option value="1974">1974</option> <option value="1975">1975</option> <option value="1976">1976</option> <option value="1977">1977</option> <option value="1978">1978</option> <option value="1979">1979</option> <option value="1980">1980</option> <option value="1981">1981</option> <option value="1982">1982</option> <option value="1983">1983</option> <option value="1984">1984</option> <option value="1985">1985</option> <option value="1986">1986</option> <option value="1987">1987</option> <option value="1988">1988</option> <option value="1989">1989</option> <option value="1990">1990</option> <option value="1991">1991</option> <option value="1992">1992</option> <option value="1993">1993</option> <option value="1994">1994</option> <option value="1995">1995</option> <option value="1996">1996</option> <option value="1996">1996</option> <option value="1997">1997</option> <option value="1998">1998</option> <option value="1999">1999</option> <option value="2000">2000</option> <option value="2001">2001</option> <option value="2002">2002</option> <option value="2003">2003</option> <option value="2004">2004</option> <option value="2005">2005</option> <option value="2006">2006</option> <option value="2007">2007</option> <option value="2008">2008</option> <option value="2009">2009</option> <option value="2010">2010</option> <option value="2011">2011</option> <option value="2012">2012</option> <option value="2013">2013</option> <option value="2014">2014</option> <option value="2015">2015</option> <option value="2016">2016</option> <option value="2017">2017</option> <option value="2018">2018</option> <option value="2019">2019</option> <option value="2020">2020</option> </select> </font></div> <p><font face="Arial, Helvetica, sans-serif" size="-1"> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000">*</font><font face="Arial, Helvetica, sans-serif" size="-1">Gender : <input type="radio" name="Male" value="male" checked> Male <INPUT type=radio value=female name=Male > Female </font> <hr> <table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="100%" id="AutoNumber1" height="336"> <tr> <td width="49%" height="336"> <div align="left"> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><input type="radio" name="Student" value="student" onClick="generalclear(this.form)">Student </div> <div align="left"> <font face="Arial, Helvetica, sans-serif" size="4" color="#FF0000"> </font><img border="0" src="Picture/star.GIF" width="13" height="17"><font size="-1" face="Arial, Helvetica, sans-serif">First Name: </font><input type="text" name="first_name_s" size="28"> <font size="-1" face="Arial, Helvetica, sans-serif"> </font></div> <div align="left"> </div> <div align="left"> <font face="Arial, Helvetica, sans-serif" size="-1"> Middle Name: </font><input type="text" name="middle_name_s" size="28"></div> <div align="left"> </div> <div align="left"> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><img border="0" src="Picture/star.GIF" width="13" height="17"><font size="-1" face="Arial, Helvetica, sans-serif">Last Name: </font> <input type="text" name="last_name_s" size="28"></div> <p><font size="-1" face="Arial, Helvetica, sans-serif"> </font><img border="0" src="Picture/star.GIF" width="13" height="17"> Academic Year: <select size="1" name="year"> <option value="Year" selected>Year</option> <option value="First">First</option> <option value="Second">Second</option> <option value="Third">Third</option> <option value="Fourth">Fourth</option> </select> </p> <p> <img border="0" src="Picture/star.GIF" width="13" height="16"> Year of Admission:15 <select size="1" name="adminyear"> <option value="adminyear" selected>Select Year</option> <option value="1990">1990</option> <option value="1991">1991</option> <option value="1992">1992</option> <option value="1993">1993</option> <option value="1994">1994</option> <option value="1995">1995</option> <option value="1996">1996</option> <option value="1996">1996</option> <option value="1997">1997</option> <option value="1998">1998</option> <option value="1999">1999</option> <option value="2000">2000</option> <option value="2001">2001</option> <option value="2002">2002</option> <option value="2003">2003</option> <option value="2004">2004</option> <option value="2005">2005</option> <option value="2006">2006</option> <option value="2007">2007</option> <option value="2008">2008</option> <option value="2009">2009</option> <option value="2010">2010</option> </select></p> <p> <font color="#FF0000"> </font> <img border="0" src="Picture/star.GIF" width="13" height="16">Department: <select size="1" name="dept"> <option selected value="dept">Select Department</option> <option value="IT">Information Technology</option> <option value="CSE">Computer Sc. & Engineering</option> <option value="ECE">Electronics & Communication</option> <option value="EE">Electrical Engineering</option> <option value="ME">Mechanical Engineering</option> <option value="CE">Civil Engineering</option> </select></p> <p> <img border="0" src="Picture/star.GIF" width="13" height="16">Roll: &nb sp; <input type="text" name="roll" size="7" > <font color="#FF0033" size="2" face="Arial, Helvetica, sans-serif"> (Eg.2k1_612::Here 2k1 stands for year 2001:: 1,2,3,4,5,6 for dept Civil,Elect,Mech,Comp,Ece and IT::Left digits indicates roll no)</font></p> <p><font face="Arial, Helvetica, sans-serif" size="2" color="#FF0033"> </font><font size="-1" face="Arial, Helvetica, sans-serif">Hostel No: <select size="1" name="hostelno"> <option selected value="selecthostel">Select Hostel</option> <option value="Hoste1">Hostel 1</option> <option value="Hostel2">Hostel 2</option> <option value="Hostel3">Hostel 3</option> <option value="Hostel4">Hostel 4</option> <option value="LH">Ladies Hostel</option> </select> </font></p> <p><font face="Arial, Helvetica, sans-serif" size="-1"> Room No : <input type="text" name="roomno" size="10"> </font></p> <p><font face="Arial, Helvetica, sans-serif" size="-1"> Contact No: <input type="text" size="8" name="std_s" maxlength="6"><b> - </b> <input type="text" size="9" name="phno_s" maxlength="9"></font></p> <p><font face="Arial, Helvetica, sans-serif" size="-1"> Mobile No: <input type="text" size="18" name="mobno_s" maxlength="15"> </font> </p> <p><font face="Arial, Helvetica, sans-serif" size="-1"> Email: <input type="text" name="email_s" size="20"> </font> </p> <p><font face="Arial, Helvetica, sans-serif" size="-1"> </font> </p> </td> <td width="3%" height="336"> <img border="0" src="login_divide1.gif" width="23" height="530"></td> <td width="101%" height="336"> <input type="radio" name="Student" value="general" onClick="studentclear(this.form)"> General <div align="left"> <font size="-1" face="Arial, Helvetica, sans-serif"> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> <img border="0" src="Picture/star1.GIF" width="15" height="16"></font><font size="-1" face="Arial, Helvetica, sans-serif">First Name: </font><input type="text" name="first_name" size="28"> <font size="-1" face="Arial, Helvetica, sans-serif"> </font></div> <div align="left"> </div> <div align="left"> <font face="Arial, Helvetica, sans-serif" size="-1"> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> <img border="0" src="Picture/star1.GIF" width="15" height="15"></font><font face="Arial, Helvetica, sans-serif" size="-1"> Middle Name:</font><input type="text" name="middle_name" size="28"></div> <div align="left"> </div> <div align="left"> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><img border="0" src="Picture/star.GIF" width="13" height="17"><font size="-1" face="Arial, Helvetica, sans-serif">Last Name: </font> <input type="text" name="last_name" size="28"></div> <p> <font size="-1" face="Arial, Helvetica, sans-serif"> Select City: <select size="1" name="city"> <option selected value="City">City</option> <option value="BANGALORE">BANGALORE</option> <option value="CHENNAI">CHENNAI</option> <option value="DELHI">DELHI</option> <option value="KOLKATA">KOLKATA</option> <option value="MUMBAI">MUMBAI</option> </select> </font></p> <p><font face="Arial, Helvetica, sans-serif" size="-1"> Other : <input type="text" name="othercity" size="10"> </font><font color="#FF0033" size="2" face="Arial, Helvetica, sans-serif">(If other city please specify)</font><font face="Arial, Helvetica, sans-serif" size="2"><b> </b></font> <font face="Arial, Helvetica, sans-serif" size="-1"> <br> <br> </font><img border="0" src="Picture/star.GIF" width="13" height="17"><font face="Arial, Helvetica, sans-serif" size="-1">Select State: <select size="1" name="state"> <option selected value="state">State</option> <option value="ANDRA PRADESH">ANDRA PRADESH</option> <option value="BIHAR">BIHAR</option> <option value="DELHI">DELHI</option> <option value="JAMMU & KASHMIR">JAMMU & KASHMIR</option> <option value="HARIYANA">HARIYANA</option> <option value="KERAL">KERAL</option> <option value="MADHYA PRADESH">MADHYA PRADESH</option> <option value="MAHARASTA">MAHARASTA</option> <option value="ORRISSA">ORRISSA</option> <option value="RAJASTAN">RAJASTAN</option> <option value="UTTAR PRADESH">UTTAR PRADESH</option> <option value="WEST BENGAL">WEST BENGAL</option> </select> </font> </p> <p> <font face="Arial, Helvetica, sans-serif" size="-1"> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><img border="0" src="Picture/star.GIF" width="13" height="17"><font size="-1" face="Arial, Helvetica, sans-serif">Select a Country :<select size="1" name="country"> <option selected value="country">Country</option> <option value="AFGANISTAN">AFGANISTAN</option> <option value="BANGLADESH">BANGLADESH</option> <option value="BARMA">BARMA</option> <option value="BHUTAN">BHUTAN</option> <option value="JAPAN">JAPAN</option> <option value="INDIA">INDIA</option> <option value="NEPAL">NEPAL</option> <option value="PAKISTAN">PAKISTAN</option> <option value="SRI LANKA">SRI LANKA</option> </select> <br> <br> </font> <font size="4" face="Arial, Helvetica, sans-serif" color="#FF0000"> </font><img border="0" src="Picture/star.GIF" width="13" height="17"><font size="-1" face="Arial, Helvetica, sans-serif">Zip Code: <select size="1" name="pincode"> <option selected value="pincode">Pincode</option> <option value="700001">700001</option> <option value="700002">700002</option> <option value="700003">700003</option> <option value="700004">700004</option> <option value="700005">700005</option> <option value="700006">700006</option> <option value="700007">700007</option> <option value="700008">700008</option> <option value="700009">700009</option> <option value="700010">700010</option> <option value="700011">700011</option> <option value="700012">700012</option> <option value="700013">700013</option> <option value="700014">700014</option> <option value="700015">700015</option> <option value="700016">700016</option> <option value="700017">700017</option> <option value="700017">700018</option> <option value="700019">700019</option> <option value="700020">700020</option> <option value="700021">700021</option> <option value="700022">700022</option> <option value="700023">700023</option> <option value="700024">700024</option> <option value="700025">700025</option> <option value="700026">700026</option> <option value="700027">700027</option> <option value="700028">700028</option> <option value="700029">700029</option> <option value="700030">700030</option> <option value="700031">700031</option> <option value="700032">700032</option> <option value="700033">700033</option> <option value="700034">700034</option> <option value="700035">700035</option> <option value="700036">700036</option> <option value="700037">700037</option> <option value="700038">700038</option> <option value="700039">700039</option> <option value="700040">700040</option> </select> </font><p> <font face="Arial, Helvetica, sans-serif" size="-1"> Other: <input type="text" name="otherpin" size="10"><font color="#FF0033"> </font> </font><font color="#FF0033" size="2" face="Arial, Helvetica, sans-serif">(If other Zip please specify)</font><font face="Arial, Helvetica, sans-serif" size="2"><b> </b></font> <p> <font face="Arial, Helvetica, sans-serif" size="-1"> Contact No: <input type="text" size="6" name="std" maxlength="6"><b> - </b> <input type="text" size="9" name="phno" maxlength="9"> </font> <p> <font face="Arial, Helvetica, sans-serif" size="-1"> Mobile No: <input type="text" size="18" name="mobno" maxlength="15"> </font> <p> <font face="Arial, Helvetica, sans-serif" size="-1">Email: <input type="text" name="email" size="20"> </font> <p> </td> </tr> </table> <hr> <div align="left"><font face="Arial, Helvetica, sans-serif" size="-1"> </font> </div> <center> <input type="submit" value="Submit" name="Submit" tabindex="25"> <input type="reset" value="Reset" name="Reset" tabindex="26"> </center> </form> </table></body></html>

Related Source Codes

Script Name Author

A D V E R T I S E M E N T

Google Groups Subscribe to SourceCodesWorld - Techies Talk

Email:

Free eBook - Interview Questions: Get over 1,000 Interview Questions in an eBook for free when you join JobsAssist. Just click on the button below to join JobsAssist and you will immediately receive the Free eBook with thousands of Interview Questions in an ebook when you join.

Free Tutorials - HTML, Java, SQL, PHP, ASP, Perl, SQL Tutorials
Discuss Programming Problems and Freshers Jobs related issues here.
Discuss Final Year Project Ideas here.