<!DOCTYPE html> <html> <head> <meta charset="utf-8"> <title>test form</title> </head> <body> <h1>Register</h1> <form action=""> <label for="first">First Name</label> <input type="text" id="first" placeholder="first name" required> <label for="last">Last Name</label> <input type="text" id="last" placeholder="last name" required> <br /> <label for="male">Male:</label> <input type="radio" name="gender" id="male" value="male"> <label for="female">Female:</label> <input type="radio" name="gender" id="female" value="female"> <label for="male">Other:</label> <input type="radio" name="gender" id="other" value="other"> <br /> <label for="email">E-Mail</label> <input type="email" id="email" placeholder="E-Mail" required> <label for="password">Password</label> <input type="password" id="password" placeholder="password" minlength="5" maxlength="10" required> <br /> <span>Birthday:</span> <select name="month"> <option>Month:</option> <option>January</option> <option>February</option> </select> <select name="year"> <option>Year:</option> <option>2019</option> <option>2018</option> <option>2017</option> </select> <select name="day"> <option>Day:</option> <option>1</option> <option>2</option> </select> <br /> <input type="submit" name="submit" value="submit"> </form> </body> </html>