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<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<title>Untitled Document</title>
</head>

<body>

<form id="stdudent">
 <fieldset>
  <legend>Student Information</legend>
 <table width="90%">
 <tr>
 <td><input name="name" type="text" id="name" placeholder="Full Name" required="required" /></td>
 <td><input type="text" name="fname" id="fname" placeholder="Father Name" required="required" /></td>
 </tr>
 <tr>
   <td><input type="text" name="gname" id="gname" placeholder="Guardian's Name" required="required"/></td>
   <td><input type="text" name="nationality" id="nationality" placeholder="Nationality" required="required" /></td>
   </tr>
 <tr>
   <td>
     <p>Gender
       <label>
         <input type="radio" name="Gender" value="Male" id="Gender_0" required="required" />
         Male</label>
       <label>
         <input type="radio" name="Gender" value="Female" id="Gender_1" required="required" />
         Female</label>
       <br />
     </p></td>
   <td><p>D.O.B
     <input name="DD" type="text" id="dd" placeholder="DD" size="3" maxlength="2" required="required" />/ 
     <input name="DD2" type="text" id="mm" placeholder="MM" size="3" maxlength="2" required="required" />/
     <input name="DD3" type="text" id="yy" placeholder="YY" size="5" maxlength="4" required="required" /><br /><span style="color:#999999;">Format : 25/12/2005</span></p> </td>
   </tr>
 <tr>
   <td><select name="class" id="class">
     <option value="">To which class is admission required?</option>
     <option value="Play Group">Play Group</option>
     <option value="Nursery">Nursery</option>
     <option value="Prep">Prep</option>
     <option value="1st">1st</option>
     <option value="2nd">2nd</option>
     <option value="3rd">3rd</option>
     <option value="4th ">4th</option>
     <option value="5th ">5th </option>
     <option value="6th">6th </option>
     <option value="7th">7th</option>
     <option value="8th">8th</option>
     <option value="9th">9th</option>
     <option value="10th">10th</option>
   </select></td>
   <td><input name="xschool" type="text" id="xschool" placeholder="School Name if already studied in?" size="60" /></td>
   </tr>
 </table>
 </fieldset>
 <fieldset>
 <legend>Guardian Information</legend>
  <table width="90%">
 <tr>
 <td><input name="cnic" type="text" required="required" id="cnic" placeholder="Father's/Guardian's CNIC No" size="50" /></td>
 <td><input name="occoupation" type="text" required="required" id="occupation" placeholder="Father's/Guardian's Occupation" size="50" /></td>
 </tr>
 <tr>
   <td><input name="email" type="email" required="required" id="email" placeholder="Email Address" size="50" /></td>
   <td><input name="confirmemail" type="email" required="required" id="confirmemail" placeholder="Confirm Email Address" size="50" /></td>
   </tr>
 <tr>
   <td><input name="contact" type="text" required="required" id="contact" placeholder="Father's/Guardian's Contact Number" size="40"/></td>
   <td><input type="submit" name="Submit" id="button" value="Submit Online Registration" /></td>
   </tr>
  </table>
 </fieldset>
</form>

</body>
</html>