<html>
<head>
<title>HTML::Form</title>
</head>
<body>
<fieldset>
<legend><strong>Member Registration</strong></legend>
<form name="regform" action="insert.html" method="get" enctype="multipart/form-data">
<table width="80%" align="center">
<tr>
<td>User Name:</td>
<td><input type="text" name="username" size="28" value="sam" maxlength="15" readonly="readonly" disabled="disable"/></td>
</tr>
<tr>
<td>Password:</td>
<td><input type="password" name="userpass" size="28" value="test12"/></td>
</tr>
<tr>
<td>Email:</td>
<td><input type="text" name="email" size="28"/></td>
</tr>
<tr>
<td>Address:</td>
<td><textarea name="address" rows="10" cols="40">Address</textarea></td>
</tr>
<tr>
<td>City:</td>
<td><input type="text" name="city" size="28"/></td>
</tr>
<tr>
<td>States:</td>
<td>
<select name="state" >
<option value="">Select State</option>
<option value="AP" selected="selected">Andhra Pradesh</option>
<option value="TN">Tamil Nadu</option>
<option value="Karnataka">Karnataka</option>
</select>
</td>
</tr>
<tr>
<td>Zip Code:</td>
<td><input type="text" name="zip" size="28"/></td>
</tr>
<tr>
<td>Interests:</td>
<td>
<input type="checkbox" name="intr" checked="checked" value="movies" />Movies
<input type="checkbox" name="intr" checked="checked" value="sports" />Sports
</td>
</tr>
<tr>
<td>Gender:</td>
<td>
<input type="radio" name="gender" checked="checked" value="male" />Male
<input type="radio" name="gender" checked="checked" value="female" />Female
</td>
</tr>
<tr>
<td>Upload Picture:</td>
<td><input type="file" name="pic" size="28"/></td>
</tr>
<tr>
<td>User Id:</td>
<td><input type="hidden" name="userid" value="1" size="28"/></td>
</tr>
<tr>
<td></td>
<td>
<input type="button" name="reg" value="Register"/>
<input type="submit" name="reg" value="Register"/>
<input type="reset" name="clr" value="Clear"/>
<input type="image" src="Images/form_submit.gif" />
</td>
</table>
</form>
</fieldset>
</body>
</html>
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