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index.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Registration Form</title>
<link rel="stylesheet" href="style.css">
</head>
<body>
<div class="form-container">
<h2>BankEase Registration Form</h2>
<form>
<!-- Name (First Name and Last Name) -->
<div class="form-group">
<label for="first-name">Name</label>
<div class="name-group">
<input type="text" id="first-name" placeholder="First Name">
<input type="text" id="last-name" placeholder="Last Name">
</div>
</div>
<!-- Gender -->
<div class="form-group">
<label for="gender">Gender</label>
<select id="gender">
<option value="" disabled selected>Select Gender</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Others</option>
</select>
</div>
<!-- Date of Birth -->
<div class="form-group">
<label for="dob">Date of Birth</label>
<input type="date" id="dob" placeholder="mm-dd-yyyy">
</div>
<!-- Phone Number -->
<div class="form-group">
<label for="phone">Phone Number</label>
<input type="text" id="phone" placeholder="Enter phone number">
</div>
<!-- Email Address -->
<div class="form-group">
<label for="email">Email</label>
<input type="email" id="email" placeholder="Enter email address">
</div>
<!-- PIN and Re-enter PIN -->
<div class="form-group">
<label for="pin">PIN</label>
<input type="password" id="pin" placeholder="Enter PIN">
</div>
<div class="form-group">
<label for="reenter-pin">Re-enter PIN</label>
<input type="password" id="reenter-pin" placeholder="Re-enter PIN">
</div>
<!-- Submit and Reset Buttons -->
<div class="button-group">
<button type="submit" class="submit-btn">Submit</button>
<button type="reset" class="reset-btn">Reset</button>
</div>
</form>
</div>
<script src="script.js"></script>
</body>
</html>