32 lines
1.3 KiB
HTML
32 lines
1.3 KiB
HTML
<!DOCTYPE html>
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<html lang="it">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>Modulo dati personali</title>
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</head>
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<body>
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<form action="elabora.php" method="post">
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<label for="firstname">Nome: </label>
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<input type="text" name="nome" id="firstname" required><br>
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<label for="lastname">Cognome: </label>
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<input type="text" name="cognome" id="lastname" required><br>
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<label for="birthday">Data di nascita: </label>
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<input type="date" name="datanascita" id="birthday" required><br>
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<label for="birthplace">Luogo di nascita: </label>
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<input type="text" name="luogonascita" id="birthplace" required>
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(
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<input type="text" name="provincia" id="province" size="2" maxlength="2" minlength="2" required>
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)<br>
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<label for="sesso">Sesso:</label>
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<select name="sesso" id="sesso">
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<option value="M">Maschio</option>
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<option value="F">Femmina</option>
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<option value="mental illness">LG TV 4K</option>
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</select><br>
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<label for="codfiscale">Codice Fiscale: </label>
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<input type="text" name="codFiscale" id="codfiscale" minlength="16" maxlength="16" required><br>
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<input type="submit" value="Invia">
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</form>
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</body>
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</html> |