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student.html
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Student Sign-In Page</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="teacher.css">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.1.3/css/bootstrap.min.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.3/umd/popper.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.1.3/js/bootstrap.min.js"></script>
<style>
@import url(https://fonts.googleapis.com/css?family=Raleway:400,500);
body,
html {
font-family: 'Raleway', Helvetica, sans-serif;
}
</style>
</head>
<body>
<nav class="navbar navbar-expand-md navbar-light bg-light">
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarTogglerDemo01"
aria-controls="navbarTogglerDemo01" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarTogglerDemo01">
<a class="navbar-brand" href="#">Basic Information</a>
<ul class="navbar-nav mr-auto mt-2 mt-lg-0">
</div>
</nav>
<!--Form Layout-->
<h1 id="title" class="display-4 text-center" style="color:rgb(236, 76, 13);">Student Sign-In Form</h1>
<div class="container center-block text-dark">
<form action="/html/tags/html_form_tag_action.cfm" role="form" id="survey-form" class="bg-light rounded p-4">
<p id="description" class="text-center pt-2 pb-2">Please Sign In Here</p>
<!--Input Section-->
<div class="form-group row">
<label for="first_name" class="col-sm-4 col-form-label" id="name">* First Name:</label>
<div class="col-sm-6">
<input type="text" class="form-control form-control-sm" id="first_name" id="name-label" name="name"
placeholder="Enter First Name" required>
</div>
</div>
<div class="form-group row">
<label for="first_name" class="col-sm-4 col-form-label" id="name">* Last Name:</label>
<div class="col-sm-6">
<input type="text" class="form-control form-control-sm" id="first_name" id="name-label" name="name"
placeholder="Enter Last Name" required>
</div>
</div>
<div class="form-group row">
<label for="last_name" class="col-sm-4 col-form-label" id="email2">* Email:</label>
<div class="col-sm-6">
<input type="text" class="form-control form-control-sm" id="email" id="email-label" name="email"
placeholder="Enter your Email" required>
</div>
</div>
<div class="form-group row">
<label for="date" class="col-sm-4 col-form-label" id="ageMove"><i class="fa fa-calendar"
aria-hidden="true"></i> Registration Date:</label>
<div class="col-sm-6">
<input type="date" class="form-control form-control-sm" id="age" name="date"
placeholder="Start date" required>
</div>
</div>
<div class="form-group row">
<label for="dropdown" class="col-form-label col-sm-4">Class</label>
<select class="form-control form-control-sm col-sm-4 mr-2 mt-2" id="dropdown">
<option id="dropdown" disabled>Select An Option</option>
<option>Student</option>
<option>Full Time Job</option>
<option>Full Time Learner</option>
<option>Prefer Not To Say</option>
<option>Other</option>
</select>
</div>
<!--SELECT GENDER SECTION START-->
<div class="form-group row">
<label for="dropdown" class="col-form-label col-sm-4">* Gender</label>
<select class="form-control form-control-sm col-sm-4 mr-2 mt-2" id="dropdown">
<option id="dropdown" disabled>Select An Option</option>
<option>Male</option>
<option>Female</option>
<option>Prefer Not To Say</option>
</select>
</div>
<!--SELECT SEC. END-->
<!--Password Section-->
<div class="form-group row">
<label for="password" class="col-sm-4 col-form-label" id="email2">* Password:</label>
<div class="col-sm-6">
<input type="password" class="form-control form-control-sm" id="email" id="email-label"
name="password" placeholder="Enter your password" required>
</div>
</div>
<div class="form-group row">
<label for="password" class="col-sm-4 col-form-label" id="email2">* Confirm Password:</label>
<div class="col-sm-6">
<input type="password" class="form-control form-control-sm" id="email" id="email-label"
name="password" placeholder="Confirm Password" required>
</div>
</div>
<!--INPUT SEC. END-->
<!--SELECT SECTION START-->
<div class="form-group row">
<label for="dropdown" class="col-form-label col-sm-4">* Departments</label>
<select class="form-control form-control-sm col-sm-4 mr-2 mt-2" id="dropdown">
<option id="dropdown" disabled>Select An Option</option>
<option>Student</option>
<option>Full Time Job</option>
<option>Full Time Learner</option>
<option>Prefer Not To Say</option>
<option>Other</option>
</select>
</div>
<!--SELECT SEC. END-->
<!--MOBILE NUMBER INPUT-->
<div class="form-group row">
<label for="mobile-number" class="col-sm-4 col-form-label" id="name">* Mobile:</label>
<div class="col-sm-6">
<input type="text" class="form-control form-control-sm" id="first_name" id="name-label"
name="mobile" placeholder="Input Mobile Number" required>
</div>
</div>
<!--MOBILE NUMBER INPUT END-->
<!--MOBILE NUMBER INPUT-->
<div class="form-group row">
<label for="mobile-number" class="col-sm-4 col-form-label" id="name">* Name of Sponsor:</label>
<div class="col-sm-6">
<input type="text" class="form-control form-control-sm" id="first_name" id="name-label"
name="mobile" placeholder="Input Sponsors Name" required>
</div>
</div>
<!--MOBILE NUMBER INPUT END-->
<!--MOBILE NUMBER INPUT-->
<div class="form-group row">
<label for="mobile-number" class="col-sm-4 col-form-label" id="name">* Sponsors Mobile:</label>
<div class="col-sm-6">
<input type="text" class="form-control form-control-sm" id="first_name" id="name-label"
name="mobile" placeholder="Input Mobile Number" required>
</div>
</div>
<!--MOBILE NUMBER INPUT END-->
<!--DOB-->
<div class="form-group row">
<label for="date" class="col-sm-4 col-form-label" id="ageMove"><i class="fa fa-calendar"
aria-hidden="true"></i> Date-Of-Birth:</label>
<div class="col-sm-6">
<input type="date" class="form-control form-control-sm" id="age" name="date"
placeholder="Birth Date" required>
</div>
</div>
<!--DOB END-->
<!--ADDRESS SECTION-->
<div class="form-group row justify-content-left">
<label for="comment" class="col-form-label col-sm-4">Address :</label>
<textarea class="col-sm-6 form-control form-control-sm text-muted" id="area"
placeholder="Enter your Address here. . ."></textarea>
</div>
<!--ADDRESS SECTION END-->
<!--PROFILE PIC SECTION-->
<div class="form-group row">
<label for="first_name" class="col-sm-4" id="name">Profile Picture :</label>
<div class="col-sm-6">
<input type="file" class="" id="first_name" id="name-label" name="filename" required>
</div>
</div>
<!--PROFILE PIC SEC. END-->
<!--BUTTON SUBMIT-->
<div class="form-group row justify-content-center">
<div class="offset-4 col-sm-8">
<button type="submit" id="submit" class="btn btn-danger btn-sm p-2 mb-2">Submit</button>
<button type="submit" id="submit" class="btn btn-dark text-white btn-sm p-2 mb-2">Cancel</button>
</div>
</div>
<!--BUTTON SUBMIT END-->
</form>
</div>
</body>
</html>