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test2H.html
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76 lines (58 loc) · 2.08 KB
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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">
<link rel="stylesheet" href="css/test2H.css">
<title>Insuarance</title>
<style>
#finalAns {
display: none;
}
</style>
</head>
<body>
<div class="container">
<div class="box">
<form action="#" name="formvalue" onsubmit="return handlSubmit()">
<input type="text" name="name" id="name" placeholder="Enter Name">
<br><br>
<span>Birth Date</span>
<br>
<input type="date" name="date" id="date">
<br><br>
<input type="number" name="mobile" id="m_no" placeholder="Enter Mobile Number">
<br><br>
<div id="occupation">
<p><input type="radio" name="work" value="salary">Salaried</p>
<p><input type="radio" name="work" value="Self_Employee">Self-Employee</p>
</div>
<br><br>
<select name="income" id="income">
<option value="0">--Select--</option>
<option value="0-3">0 to 3 lakha</option>
<option value="3-5">3 to 5 lakh</option>
<option value="5-10">5 to 10 lakh</option>
<option value="up10">Above 10 lakh</option>
</select>
<br><br>
<input type="text" name="amount" id="amount" placeholder="Please Enter Amount">
<span id="error"></span>
<br><br>
<div id="smoke">
<p3><input type="radio" name="smokeing" value="Yes">Yes</p3>
<br>
<p4><input type="radio" name="smokeing" value="No">No</p4>
</div>
<br><br>
<button id="submit" onclick="return handleClick()">submit</button>
</form>
<div id="Ans">
<div id="temp">
</div>
</div>
</div>
</div>
<script src="js/test2H.js"></script>
</body>
</html>