<!-- this script is provided by https://www.htmlfreecode.com coded by: Kerixa Inc. -->
<!-- this script got from www.htmlfreecode.com - Coded by: Krishna Eydat -->
<!doctype.html>
<title>Application Form</title>
<h2 align="center"><b><u><font face="algeria" font color="navy" > APPLICATION FORM</H2> </b></u>
<hr size="4" color="navy">
<font color="navy"><p>NAME :-
<input type ="text" name="name" max length="25" >
<p>FATHER'S NAME : -
<input type="text" name="name" max length="30">
<p>ADDRESS : - 
<input type="text" name="name" max length="50">
<p>CITY</p>
<p>DATE OF BIRTH 
<table border="2">
<td>..</td>
<td>..</td>
<td>..</td>
<td>..</td>
<td>..</td>
<td>..</td>
<td>..</td>
<td>..</td></table>
</p>
<p>MERITAL STATUS</p>
<p>SINGLE
<input type="checkbox" name="single" value="text" >
MARRIED
<input type="checkbox" name="single" value="text" >
<p>GENDER</p>
<p>MALE
<input type="radio" name="male" value="text" >
FEMALE
<input type="radio" name="male" value="text" >
</p>

</html>
<font face="Tahoma"><a target="_blank" href="http://www.htmlfreecode.com/"><span style="font-size: 8pt; text-decoration: none">JavaScript Free Code</span></a></font><a target='_blank' href='https://www.htmlfreecode.com' style='font-size: 8pt; text-decoration: none'>Html Free Codes</a>