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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"> <title>FSSAI</title> <link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Roboto:300,400,500,700&display=swap"> <style> h2,label{color:#333}button,label{font-size:14px}body{font-family:Roboto,sans-serif;background-color:#f0f0f0;margin:0;display:flex;justify-content:center;align-items:center;height:100vh}.container{background-color:#fff;padding:20px;border-radius:5px;box-shadow:0 0 10px rgba(0,0,0,.1);width:100%;max-width:50%;box-sizing:border-box}h2{text-align:center;margin-bottom:20px}.form-group{margin-bottom:15px}label{font-weight:700}input[type=file],input[type=text]{width:calc(100% - 20px);padding:6px;border:1px solid #ccc;border-radius:3px;font-size:16px;margin-top:5px;background-color:#fff;box-sizing:border-box;outline:0}.form-row{display:flex;align-items:center;justify-content:space-between}.form-row .form-group{width:48%}button{background-color:#4caf50;color:#fff;padding:12px 0;border:none;border-radius:1px;cursor:pointer;width:17%;text-transform:uppercase}button:hover{background-color:#45a049}@media screen and (max-width:600px){.container{max-width:90%}.form-row{flex-wrap:wrap}.form-row .form-group{width:100%}} </style> </head> <body> <div class="container"> <h2>Upload Files</h2> <form action="#" method="POST" enctype="multipart/form-data"> <div class="form-group"> <label for="name">Name:</label> <input type="text" id="name" name="name"> </div> <div class="form-row"> <div class="form-group"> <label for="mobile">Mobile:</label> <input type="text" id="mobile" name="mobile"> </div> <div class="form-group"> <label for="email">Email:</label> <input type="text" id="email" name="email"> </div> </div> <div class="form-group"> <label for="file1">Pan Card:</label> <input type="file" id="file1" name="file1" accept=".jpg, .jpeg, .png"> </div> <div class="form-group"> <label for="file2">Aadhaar Card Of Applicant - Front Side:</label> <input type="file" id="file2" name="file2" accept=".jpg, .jpeg, .png"> </div> <div class="form-group"> <label for="file3">Aadhaar Card Of Applicant - Back Side:</label> <input type="file" id="file3" name="file3" accept=".jpg, .jpeg, .png"> </div> <div class="form-group"> <label for="file4">Proof Of Possession Of Premises (Electricity Bill / Rent Agrement Etc):</label> <input type="file" id="file4" name="file4" accept=".jpg, .jpeg, .png"> </div> <div class="form-group"> <label for="file4">Current Photo Of The Applicant:</label> <input type="file" id="file4" name="file4" accept=".jpg, .jpeg, .png"> </div> <button type="submit">Upload</button> </form> </div> </body> </html>
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