index.html

<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Form Assignment 3</title>
</head>
<body>
    <form action="">
        <legend>Personal details</legend>
        <label for="salutation">Salutation</label>
        <br>
        <select id="salutation" name="slautation">
            <option value="None">--None--</option>
            <option value="Mr.">Mr.</option>
            <option value="Mrs.">Mrs.</option>
        </select>
        <br><br>
        <label for="firstname">First Name:</label>
        <input type="text" id="firstname" name="First Name" required placeholder="Enter Your First Name">
        <br><br>
        <label for="lastname">Last Name:</label>
        <input type="text" id="lastname" name="Last Name" required placeholder="Enter Your Last Name">
        <br><br>
        <label for="gender">Gender:</label>
        <input type="radio" id="gender" name="gender" value="male">
        <label for="gender">Male</label>
        <input type="radio" id="gender" name="gender" value="female">
        <label for="gender">Female</label>
        <br><br>
        <label for="email">Email:</label>
        <input type="email" id="email" name="email" required placeholder="abc@gmail.com">
        <br><br>
        <label for="dob">Date of birth:</label>
        <input type="date" id="dob" name="date of birth">
        <br><br>
        <label for="address">Address:</label>
        <br>
        <textarea name="Address" id="address" cols="30" rows="5"></textarea>
        <br><br>
        <input type="submit">
    </form>
</body>
</html>