| Server IP : 172.67.189.169 / Your IP : 216.73.216.59 Web Server : Apache/2 System : Linux cat167-197.static.lnwhostname.com 5.10.0-20-amd64 #1 SMP Debian 5.10.158-2 (2022-12-13) x86_64 User : paphayomho ( 1042) PHP Version : 5.6.40 Disable Function : exec,system,passthru,shell_exec,proc_close,proc_open,dl,popen,show_source,posix_kill,posix_mkfifo,posix_getpwuid,posix_setpgid,posix_setsid,posix_setuid,posix_setgid,posix_seteuid,posix_setegid,posix_uname MySQL : ON | cURL : ON | WGET : OFF | Perl : OFF | Python : OFF | Sudo : OFF | Pkexec : OFF Directory : /home/paphayomho/domains/paphayomhospital.go.th/private_html/PCU2566/admin/CRUD/ |
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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">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<link rel="stylesheet" a href="CSS/bootstrap.css"/>
<title>Registration Form</title>
</head>
<body class="bg-dark">
<div class="container">
<div class="row">
<div class="col-lg-6 m-auto">
<div class="card mt-5">
<div class="card-title">
<h3 class="bg-success text-white text-center py-3"> Registration Form in PHP</h3>
</div>
<div class="card-body">
<form action="insert.php" method="post">
<input type="text" class="form-control mb-2" placeholder=" User Name " name="name">
<input type="email" class="form-control mb-2" placeholder=" User Email " name="email">
<input type="text" class="form-control mb-2" placeholder=" User Age " name="age">
<button class="btn btn-primary" name="submit">Submit</button>
</form>
</div>
</div>
</div>
</div>
</div>
</body>
</html>