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<br> <h1>sign up </h1></br>
<br>Name:<input type="text" /></br>
<br>Surname:<input type="text" /></br>
<br>Password:<input type="password" />Ex:Aj@#1234</br>
<br>Date:<input type="date" /></br>
<br>Address:</br>
<br>Village:<input type="text" /></br>
<br>P.O:<input type="text" /></br>
<br>P.S:<input type="text" /></br>
<br>Dist:<input type="text" /></br>
<br>State:<input type="text" /></br>
<br>Pin:<input type="number" /> </br>
<br><label><input type="checkbox" />If you want to save details.</label></br>
<br><button>Submit</button></br>
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Sign up
Reviewed by Network security
on
May 19, 2019
Rating:
Reviewed by Network security
on
May 19, 2019
Rating:
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