<!DOCTYPE html>
<html lang="en">
<head>
<title>Form</title>
</head>
<body>
<form>
<fieldset>
<legend>Personal Details</legend>
<p>
<label>
Salutation
<br />
<select name="salutation">
<option>--None--</option>
<option>Mr.</option>
<option>Ms.</option>
<option>Mrs.</option>
<option>Dr.</option>
<option>Prof.</option>
</select>
</label>
</p>
<p>
<label>First name: <input name="firstName" /></label>
</p>
<p>
<label>Last name: <input name="lastName" /></label>
</p>
<p>
Gender :
<label><input type="radio" name="gender" value="male" /> Male</label>
<label><input type="radio" name="gender" value="female" /> Female</label>
</p>
<p>
<label>Email:<input type="email" name="email" /></label>
</p>
<p>
<label>Date of Birth:<input type="date" name="birthDate"></label>
</p>
<p>
<label>
Address :
<br />
<textarea name="address" cols="30" rows="3"></textarea>
</label>
</p>
<p>
<button type="submit">Submit</button>
</p>
</fieldset>
</form>
</body>
</html>