parent
fa619a3191
commit
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<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="utf-8">
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<meta http-equiv="X-UA-Compatible" content="IE=edge">
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<title></title>
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<meta name="description" content="">
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
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<link rel="stylesheet" href="https://fonts.googleapis.com/icon?family=Material+Icons">
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<style>
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#fname,
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#lname,
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#add,
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#male,
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#female,
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#mail,
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#pincode,
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#c1,
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#expire,
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#cvv,
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#cardnmbr {
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background-color: antiquewhite;
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}
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h1 {
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color: rgb(29, 157, 142);
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color: white;
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text-shadow: 1px 1px 2px black, 0 0 25px blue, 0 0 5px darkblue;
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font-family: Impact, Haettenschweiler, 'Arial Narrow Bold', sans-serif;
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<!-- font-family: Verdana, Geneva, Tahoma, sans-serif;
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-->
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}
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h2 {
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border: 88ch;
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color: rgb(65, 66, 29);
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color: white;
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text-shadow: 1px 1px 2px black, 0 0 25px blue, 0 0 5px darkblue;
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font-family: Verdana, Geneva, Tahoma, sans-serif;
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<!-- font-family: Impact, Haettenschweiler, 'Arial Narrow Bold', sans-serif;
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-->
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}
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#paymentdetail {
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background-color: blueviolet;
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}
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#userdetail {
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background-color: blueviolet;
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}
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body {
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background-color: rgb(13, 63, 83);
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}
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.button {
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position: relative;
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border-style: double;
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}
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</style>
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</head>
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<body>
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<header>
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<center>
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<u> <h1>Payment Form </u>
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</h1>
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</center>
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</header>
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<main> <br><i class="fas fa-bars"></i>
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<div id="userdetail">
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<form action="practice_ho_rhi_h">
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<caption>
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<u><h2>
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User Details :
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</h2></u> <br> <span> (Note - Required Fields are followed by * ) </span> <br>
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<br> </caption>
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<label for="fname"> First Name :
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<input type="text" id="fname" placeholder="Your First Name Goes Here !!" required>
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</label><br> <br>
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<label for="fname"> Last Name :
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<input type="text" id="lname" placeholder="Your Last Name Goes Here !!" required>
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</label><br>
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<fieldset><i class="glyphicon glyphicon-user"></i>
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<legend></legend> <label for="gender">Gender : </label>
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<label for="male">
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<input type="radio" id="male" name="g1">Male
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<label for="female">
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<input type="radio" id="female" name="g1">Female </label></fieldset> <br>
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<i class="glyphicon glyphicon-cloud"></i> <label for="Address"> Address :
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<textarea name="" id="add" cols="25" rows="7"></textarea>
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</label> <br><i class="glyphicon glyphicon-envelope"></i>
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<label for="mail">Email :</label>
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<input type="email" name="mail" id="mail"> <br>
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<label for="pincode">Pin Code :</label>
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<input type="number" name="" id="pincode">
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</div>
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<div id="paymentdetail">
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<u><h2>Payment Details :</h2></u>
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<label for="">Card Type :</label>
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<select name="cardselect" id="c1">
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<option value="select">--Select a Card Type--</option>
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<option value="vi">Visa</option>
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<option value="ru">Rupay</option>
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<option value="mc">MasterCard</option>
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</select> <br>
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<label for="Card">Card Number : </label>
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<input type="number" name="cardnmbr" id="cardnmbr"> <br>
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<label for="">Expiration Date :
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<input type="date" name="expire" id="expire">
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<br> <label for="cvv">CVV :
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<input type="password" name="cvv" id="cvv" >
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<br> <br> </div> <br>
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<input type="submit" value="Pay Now " class="button">
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<input type="reset" name="" class="button">
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</form>
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</main>
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</body>
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</html>
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