diff --git a/sample.html b/sample.html
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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>Registration Form</title>
+    <style>
+        body {
+            font-family: Arial, sans-serif;
+            margin: 0;
+            padding: 0;
+            display: flex;
+            justify-content: center;
+            align-items: center;
+            height: 100vh;
+            background-color: #f0f0f0;
+        }
+        .form-container {
+            background-color: white;
+            padding: 30px;
+            border-radius: 8px;
+            box-shadow: 0 4px 8px rgba(0, 0, 0, 0.1);
+            width: 400px;
+        }
+        h2 {
+            text-align: center;
+        }
+        label {
+            display: block;
+            margin: 8px 0 4px;
+        }
+        input[type="text"], input[type="email"], input[type="password"], input[type="tel"], input[type="date"] {
+            width: 100%;
+            padding: 10px;
+            margin-bottom: 12px;
+            border: 1px solid #ccc;
+            border-radius: 4px;
+        }
+        input[type="submit"] {
+            background-color: #4CAF50;
+            color: white;
+            border: none;
+            padding: 10px 15px;
+            cursor: pointer;
+            border-radius: 4px;
+            width: 100%;
+        }
+        input[type="submit"]:hover {
+            background-color: #45a049;
+        }
+        .message {
+            text-align: center;
+            margin-top: 20px;
+        }
+    </style>
+</head>
+<body>
+    <div class="form-container">
+        <h2>Register</h2>
+        <form action="submit_form.php" method="POST">
+            <label for="fname">First Name</label>
+            <input type="text" id="fname" name="fname" required>
+
+            <label for="lname">Last Name</label>
+            <input type="text" id="lname" name="lname" required>
+
+            <label for="email">Email Address</label>
+            <input type="email" id="email" name="email" required>
+
+            <label for="phone">Phone Number</label>
+            <input type="tel" id="phone" name="phone" required>
+
+            <label for="dob">Date of Birth</label>
+            <input type="date" id="dob" name="dob" required>
+
+            <label for="password">Password</label>
+            <input type="password" id="password" name="password" required>
+
+            <label for="confirm-password">Confirm Password</label>
+            <input type="password" id="confirm-password" name="confirm-password" required>
+
+            <input type="submit" value="Register">
+        </form>
+
+        <div class="message">
+            <p>Already have an account? <a href="#">Login here</a></p>
+        </div>
+    </div>
+</body>
+</html>
+
