72 lines
2.2 KiB
HTML
72 lines
2.2 KiB
HTML
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<html lang="fr">
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<head>
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<meta charset="UTF-8">
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<meta name="description" content="ma première page">
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<meta name="keywords" content="html,but info Fontainebleau, ressource R1.02">
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<meta name="author" content="Mathis Moogin">
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<title>exo2</title>
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</head>
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<body>
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<form action="https://dwarves.iut-fbleau.fr/requete.php" method="post">
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<ul>
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</ul>
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<li>
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<label for="nom">entrez votre nom:</label>
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<input type="text" name="nom" id="nom" required />
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</li>
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<li>
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<label for="prenom">entrez votre prenom:</label>
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<input type="text" name="prenom" id="prenom" required />
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</li>
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<li>
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<label for="date">entrez votre date de naissance:</label>
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<input type="date" name="date" id="date" required />
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</li>
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<li>
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<label for="email">entrez votre email:</label>
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<input type="email" name="email" id="email" required />
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</li>
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<li>
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<label for="postal">entrez votre code postal:</label>
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<input type="number" name="postal" id="postal" required />
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</li>
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<li>
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<label for="telephone">entrez votre numéro de téléphone:</label>
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<input type="tel" name="telephone" id="telephone" pattern="[0-9]{10}" required />
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</li>
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<li>
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<legend>choisissez votre sexe</legend>
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<ul>
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<li>
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<input type="radio" id="FEMME" name="sexe" value="FEMME" checked />
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<label for="FEMME">FEMME</label>
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</li>
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<li>
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<input type="radio" id="HOMME" name="sexe" value="HOMME" checked />
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<label for="HOMME">HOMME</label>
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</li>
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</ul>
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</li>
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<li>
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<label for="semestre">Choisissez le semestre</label>
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<select name="semestre" id="semestre">
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<option value="S2">Semestre 2</option>
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<option value="S1">Semestre 1</option>
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<option value="S3">Semestre 3</option>
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<option value="S4">semestre 4</option>
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</select>
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</li>
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<li>
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<label for="niveau">entrez votre niveau en html /10:</label>
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<input type="range" name="niveau" id="niveau" min="0" max="10" value="5" required />
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</li>
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<li>
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<label for="message">Message:</label>
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<textarea id="message" name="message" rows="5" cols="33">
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</textarea>
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</li>
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<li><button>submit</button></li>
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</form>
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</body>
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</html>
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