ASSIGNMENT - 2
Build a Web application with HTML, CSS, JavaScript, jQuery and PHP
for online application/registration form. Form should accept the
information and print/display on a browser with formatting/styling upon
submission (Button click) on success. Host the application on a cloud
platform.
Index.html
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Online Registration Form</title>
<link rel="stylesheet" href="style.css">
<script
src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.6.0/jquery.min.js"></
script>
</head>
<body>
<div class="container">
<h1>Online Registration Form</h1>
<form id="registrationForm" action="process.php" method="POST">
<!-- Personal Information -->
<div class="form-section">
<h2>Personal Information</h2>
<div class="form-group">
<label for="firstName">First Name*</label>
<input type="text" id="firstName" name="firstName"
required>
</div>
<div class="form-group">
<label for="lastName">Last Name*</label>
<input type="text" id="lastName" name="lastName"
required>
</div>
<div class="form-group">
<label for="dob">Date of Birth*</label>
<input type="date" id="dob" name="dob" required>
</div>
<div class="form-group">
<label for="gender">Gender*</label>
<select id="gender" name="gender" required>
<option value="">Select Gender</option>
<option value="male">Male</option>
<option value="female">Female</option>
<option value="other">Other</option>
</select>
</div>
</div>
<!-- Contact Information -->
<div class="form-section">
<h2>Contact Information</h2>
<div class="form-group">
<label for="email">Email Address*</label>
<input type="email" id="email" name="email" required>
</div>
<div class="form-group">
<label for="phone">Phone Number*</label>
<input type="tel" id="phone" name="phone" required>
</div>
<div class="form-group">
<label for="address">Address*</label>
<textarea id="address" name="address"
required></textarea>
</div>
</div>
<!-- Educational Information -->
<div class="form-section">
<h2>Educational Information</h2>
<div class="form-group">
<label for="qualification">Highest
Qualification*</label>
<input type="text" id="qualification"
name="qualification" required>
</div>
<div class="form-group">
<label for="institution">Institution*</label>
<input type="text" id="institution" name="institution"
required>
</div>
<div class="form-group">
<label for="yearOfPassing">Year of Passing*</label>
<input type="number" id="yearOfPassing"
name="yearOfPassing" min="1900" max="2024" required>
</div>
</div>
<div class="form-group">
<button type="submit" id="submitBtn">Submit
Registration</button>
</div>
</form>
<!-- Result Display Section -->
<div id="resultDisplay" style="display: none;">
<h2>Registration Details</h2>
<div id="registrationDetails"></div>
<button id="printBtn">Print Details</button>
</div>
</div>
<script src="script.js"></script>
</body>
</html>
Style.css
* {
margin: 0;
padding: 0;
box-sizing: border-box;
}
body {
font-family: Arial, sans-serif;
line-height: 1.6;
background-color: #f4f4f4;
}
.container {
max-width: 800px;
margin: 2rem auto;
padding: 2rem;
background-color: white;
border-radius: 8px;
box-shadow: 0 0 10px rgba(0,0,0,0.1);
}
h1 {
text-align: center;
color: #333;
margin-bottom: 2rem;
}
.form-section {
margin-bottom: 2rem;
padding: 1rem;
border: 1px solid #ddd;
border-radius: 4px;
}
.form-section h2 {
color: #2c3e50;
margin-bottom: 1rem;
font-size: 1.2rem;
}
.form-group {
margin-bottom: 1rem;
}
label {
display: block;
margin-bottom: 0.5rem;
color: #333;
}
input, select, textarea {
width: 100%;
padding: 0.8rem;
border: 1px solid #ddd;
border-radius: 4px;
font-size: 1rem;
}
textarea {
height: 100px;
resize: vertical;
}
button {
background-color: #3498db;
color: white;
padding: 1rem 2rem;
border: none;
border-radius: 4px;
cursor: pointer;
width: 100%;
font-size: 1rem;
}
button:hover {
background-color: #2980b9;
}
#resultDisplay {
margin-top: 2rem;
padding: 1rem;
border: 1px solid #ddd;
border-radius: 4px;
}
#registrationDetails {
margin: 1rem 0;
}
.detail-item {
margin-bottom: 0.5rem;
padding: 0.5rem;
background-color: #f8f9fa;
border-radius: 4px;
}
.detail-label {
font-weight: bold;
color: #2c3e50;
}
@media print {
.container {
box-shadow: none;
}
button {
display: none;
}
}
@media (max-width: 768px) {
.container {
margin: 1rem;
padding: 1rem;
}
}
Script.js
$(document).ready(function() {
// Form submission handling
$('#registrationForm').on('submit', function(e) {
e.preventDefault();
// Collect form data
let formData = $(this).serialize();
// Send data to PHP script
$.ajax({
type: 'POST',
url: 'process.php',
data: formData,
dataType: 'json',
success: function(response) {
if(response.status === 'success') {
// Hide form and show results
$('#registrationForm').hide();
displayResults(response.data);
$('#resultDisplay').show();
} else {
alert('Error: ' + response.message);
}
},
error: function() {
alert('An error occurred while processing your request.');
}
});
});
// Print button functionality
$('#printBtn').on('click', function() {
window.print();
});
// Function to display results
function displayResults(data) {
let detailsHtml = '';
// Create HTML for each field
for (let key in data) {
if (data.hasOwnProperty(key)) {
detailsHtml += `
<div class="detail-item">
<span
class="detail-label">${formatLabel(key)}:</span>
<span class="detail-value">${data[key]}</span>
</div>`;
}
}
$('#registrationDetails').html(detailsHtml);
}
// Function to format label text
function formatLabel(key) {
return key
.replace(/([A-Z])/g, ' $1') // Add space before capital
letters
.replace(/^./, function(str) { return str.toUpperCase(); }) //
Capitalize first letter
.trim();
}
// Form validation
function validateForm() {
let isValid = true;
// Check required fields
$('input[required], select[required],
textarea[required]').each(function() {
if (!$(this).val()) {
isValid = false;
$(this).addClass('error');
} else {
$(this).removeClass('error');
}
});
// Validate email format
let emailRegex = /^[^\s@]+@[^\s@]+\.[^\s@]+$/;
if (!emailRegex.test($('#email').val())) {
isValid = false;
$('#email').addClass('error');
}
// Validate phone number
let phoneRegex = /^\d{10}$/;
if (!phoneRegex.test($('#phone').val())) {
isValid = false;
$('#phone').addClass('error');
}
return isValid;
}
// Add validation on input change
$('input, select, textarea').on('change', function() {
if ($(this).val()) {
$(this).removeClass('error');
}
});
});
Process.php
<?php
// Enable error reporting for debugging
error_reporting(E_ALL);
ini_set('display_errors', 1);
// Set headers for JSON response
header('Content-Type: application/json');
// Check if the request is POST
if ($_SERVER['REQUEST_METHOD'] !== 'POST') {
echo json_encode([
'status' => 'error',
'message' => 'Invalid request method'
]);
exit;
}
// Collect and sanitize form data
$formData = array(
'firstName' => sanitizeInput($_POST['firstName'] ?? ''),
'lastName' => sanitizeInput($_POST['lastName'] ?? ''),
'dob' => sanitizeInput($_POST['dob'] ?? ''),
'gender' => sanitizeInput($_POST['gender'] ?? ''),
'email' => sanitizeInput($_POST['email'] ?? ''),
'phone' => sanitizeInput($_POST['phone'] ?? ''),
'address' => sanitizeInput($_POST['address'] ?? ''),
'qualification' => sanitizeInput($_POST['qualification'] ?? ''),
'institution' => sanitizeInput($_POST['institution'] ?? ''),
'yearOfPassing' => sanitizeInput($_POST['yearOfPassing'] ?? '')
);
// Validate required fields
$requiredFields = ['firstName', 'lastName', 'dob', 'gender', 'email',
'phone', 'address', 'qualification', 'institution', 'yearOfPassing'];
foreach ($requiredFields as $field) {
if (empty($formData[$field])) {
echo json_encode([
'status' => 'error',
'message' => ucfirst($field) . ' is required'
]);
exit;
}
}
// Validate email
if (!filter_var($formData['email'], FILTER_VALIDATE_EMAIL)) {
echo json_encode([
'status' => 'error',
'message' => 'Invalid email format'
]);
exit;
}
// Validate phone number
if (!preg_match("/^\d{10}$/", $formData['phone'])) {
echo json_encode([
'status' => 'error',
'message' => 'Invalid phone number format'
]);
exit;
}
// If all validations pass, return success response
echo json_encode([
'status' => 'success',
'message' => 'Registration successful',
'data' => $formData
]);
// Function to sanitize input
function sanitizeInput($data) {
$data = trim($data);
$data = stripslashes($data);
$data = htmlspecialchars($data);
return $data;
}
?>
WEBPAGE:-
