BCA / BCS: 2. Design an HTML form for customer registration visiting a departmental store. Form should consists of fields such as name, contact no,gender, preferred days of purchasing, favorite item(to be selected from a list of items),suggestions etc.. You should provide button to submit as well as reset the form contents.

Program :

<html>

<h4>Information of a Customer</h4>

<br>

Customer Name :<input type="text" >

<br>

Contact : <input type="text" >

<br>

Gender : <input type="radio" name="color" value="red"> Male

<input type="radio" name="color" value="blue"> Female <br>

<br>

Day of Purchasing :<select name="Days" size="1">

</select>

<br>

Items :<select name="list of Item" size="1">

<option>Almonds</option>

<option>Chocolates</option>

<option>Remote Control</option>

<option>Adapter</option>

<option>Football</option>

</select>

<br>

Suggestion Box :<textarea rows="5" cols="20"></textarea>

<br>

</html>

Output Screen

BCA / BCS