Text: Create an HTML webpage that contains a form for a user to input information. When the user presses the "Register" button, the form will send the user input to the CGI program called form_action.php using the POST method. Another button is provided to clear the user input. (Note: you do not need to develop this CGI program for this assignment.)
This web form allows a user to input the following fields with the specified formats:
Field Label: Salutation
Input Format/Type: Select from a list of the following options: Dr, Mr, Ms
Field Label: Your First Name
Input Format/Type: Text input
Field Label: Your Last Name
Input Format/Type: Text input
Field Label: Your Date of Birth
Input Format/Type: Date input
Field Label: Your Contact Phone No
Input Format/Type: Telephone number input with the input pattern ########
Field Label: Your Email Address
Input Format/Type: Email input with the input pattern name@domain.com
Field Label: Username
Input Format/Type: Text input with a maximum of 12 characters
Field Label: Password
Input Format/Type: Password input with a maximum of 8 characters
The fields in this form are displayed in a table format as follows:
Your First Name:
Your Last Name:
Salutation:
Your Date of Birth: mm/dd/yyyy
Your Contact Phone No: ###-#######
Your Email Address: name@domain.com
Set your username and password for login as follows:
Username:
Password:
Register Clear
There is also a hidden field in the form with the value "Crypto Exchange Services".