Can any one write a code for me to add details to phpmyadmin table


#1




gemini

SELF ASSESSMENT FORM



input[type=text], select {
width: 100%;
padding: 12px 20px;
margin: 8px 0;
display: inline-block;
border: 1px solid #ccc;
border-radius: 6px;
border-bottom: 2px solid green;
}

input[type=submit] {
width: 100%;
background-color: #4CAF50;
color: white;
padding: 14px 20px;
margin: 8px 0;
border: none;
border-radius: 4px;
cursor: pointer;
}

input[type=submit]:hover {
background-color: #45a049;
}

div {
border-radius: 5px;
background-color: #f2f2f2;
padding: 20px;
}



        body {font-family:Arial, Sans-Serif;}

        #container {width:300px; margin:0 auto;}

        /* Nicely lines up the labels. */
        form label {display:inline-block; width:140px;}

        form .line {clear:both;}
        form .line.submit {text-align:right;}

    </style>
</head>
<body>
    <div id="container">


Firstname:





Middlename:





Lastname:





Fathername:





Spousename:





Mothername:





Dateofbirth:


- Month -
January
Febuary
March
April
May
June
July
August
September
October
November
December


- Day -
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31


- Year -
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947





Age:





Bloodgroup:


Select
A+
A-
B+
B-
O+
O-
O+
O-





Maritalstatus:

Yes

No


Gender:

Male

Female


PANnumber:





Passportnumber:





Total_Year_of_Experience:





Relevent_Year_of_Experience:





PerviousCompanyDetails:






Emailid:





ContactNumber:





AlternativeNumber:





UANNumber:





AadharNumber:





PresentAdderss:






PermanentAddress:







Selectimagetoupload:







UploadSelfAssessementform:







Selectfilestoupload:




Note: All the Documents should be in a single "PDF" or "DOC" format



#2

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