Professional Documents
Culture Documents
<tr>
<td>Date of Birth (D M Y):</td>
<td>
<select>
<option value="1" name="d">1</option>
<option value="3" name="d">3</option>
<option value="5" name="d">5</option>
<option value="7" name="d">7</option>
<option value="9" name="d">9</option>
<option
<option
<option
<option
<option
value="2" name="d">2</option>
value="4" name="d">4</option>
value="6" name="d">6</option>
value="8" name="d">8</option>
value="10" name="d">10</option>
<td>Address:</td>
<td><textarea rows="4" cols="30" name="address"></textarea> </td>
</tr>
<tr><td colspan="2" align="center">
<input value="Register" type="submit" onClick="validate();" />
</td></tr>
</table></body></html>