chrome/test/data/autofill/heuristics/input/12_register_rediff.com.html

   1 <html>
   2 <!--Form Location: http://register.rediff.com/register/register.php?FormName=user_details--><head>
   3 <meta http-equiv="Cache-Control" content="no-cache">
   4 <meta http-equiv="Pragma" content="no-cache">
   5 <meta http-equiv="Expires" content="0">
   6 <meta name="DESCRIPTION" content="Rediffmail Free Unlimited Storage, Store photos, videos, music in Rediffmail.">
   7 <meta name="KEYWORDS" content="Rediffmail Free Unlimited Storage, Store photos, Store videos, Store music">
   8 <title>Rediffmail Free Unlimited Storage</title>
   9 </head>
  10 <body leftmargin="0" marginwidth="0" marginheight="0" topmargin="0" rightmargin="0" bottommargin="0">
  11 <center>
  12 <form action="register.php?ref_id=" method="POST" name="register_mail">
  13 <div id="wrapper" style="width:990px;">
  14 <!--TOP BAR BEGINS-->
  15 <table cellspacing="0" cellpadding="0" border="0" width="100%" align="center">
  16 <tr height="45" valign="bottom">
  17 <td>&#160;<a href="http://www.rediff.com/" class="f12">Home</a><br>&#160;<img src="#" title="Rediff.com" hspace="0">
  18 </td>
  19 <td></td>
  20 </tr>
  21 <tr><td height="10"></td></tr>
  22 <tr><td colspan="2" height="3" bgcolor="#e5e5e5"></td></tr>
  23 <tr><td height="10"></td></tr>
  24 </table>
  25 <!--TOP BAR ENDS--><table cellspacing="0" cellpadding="0" border="0" width="660" height="54" align="center" class="f14">
  26 <tr>
  27 <td colspan="5" class="f22">Create a Rediffmail account</td>
  28                 </tr>
  29 <tr><td height="17"></td></tr>
  30 <tr>
  31 <td width="180">Full Name</td>
  32                         <td width="14"><b>:</b></td>
  33                         <td width="185"><input type="text" name="name" value="" style="width:185px;" maxlength="61"></td>
  34                         <td width="6"></td>
  35                         <td width="272"><font class="f10" color="#868686">Enter your first name &amp; last name<br>Eg. Sameer Bhagwat</font></td>
  36                 </tr>
  37 <tr><td height="5"></td></tr>
  38 <tr>
  39 <td></td>
  40 <td></td>
  41                         <td colspan="3" align="left" valign="middle"><div class="f14" id="check_availability" style="display:none;position:relative; visibility: hidden;"></div></td>
  42                 </tr>
  43 <tr><td height="5"></td></tr>
  44 <tr>
  45 <td valign="top">Choose a Rediffmail ID</td>
  46                         <td valign="top"><b>:</b></td>
  47                         <td valign="bottom">
  48 <input type="text" name="login" value="" style="width:185px;" maxlength="30" ><br><input type="button" value="Check availability" class="btn_checkavail">
  49 </td>
  50                         <td></td>
  51                         <td valign="top">@rediffmail.com</td>
  52                 </tr>
  53 <tr>
  54 <td></td>
  55 <td></td>
  56                         <td colspan="3" valign="top"><div id="recommend_text"></div></td>
  57                 </tr>
  58 <tr>
  59 <td>Password</td>
  60                         <td><b>:</b></td>
  61                         <td><input type="password" name="passwd" value="" style="width:185px;" maxlength="12"></td>
  62                         <td></td>
  63                         <td width="272"><font class="f10" color="#868686">6-12 characters allowed</font></td>
  64                 </tr>
  65 <tr><td height="10"></td></tr>
  66 <tr>
  67 <td>Retype password</td>
  68                         <td><b>:</b></td>
  69                         <td><input type="password" name="confirm_passwd" value="" style="width:185px;" maxlength="12"></td>
  70                 </tr>
  71 <tr><td height="10"></td></tr>
  72 <tr>
  73 <td colspan="5">
  74                                         <div id="div_altemail" style="visibility:visible;display:block;">
  75                                         <table cellspacing="0" cellpadding="0" border="0" class="f14">
  76 <tr>
  77 <td width="179">Alternate Email Address</td>
  78                                                         <td width="14"><b>:</b></td>
  79                                                         <td width="185"><input type="text" name="altemail" value="" style="width:185px;" maxlength="100"></td>
  80                                                         <td width="6"></td>
  81                                                         <td width="272" class="grey1 f10">If you forget your password,<br>we will send it to this account.</td>
  82                                                 </tr>
  83 <tr><td height="6"></td></tr>
  84 </table>
  85 </div>
  86                         </td>
  87                 </tr>
  88 <tr>
  89 <td colspan="2"></td>
  90                         <td colspan="3">
  91                                 <table cellspacing="0" cellpadding="0" border="0"><tr>
  92 <td><input type="checkbox" name="chk_altemail" class="nomargin"></td>
  93                                                 <td><div id="altid_msg"><span class="f12">&#160;Click if you don't have an alternate ID</span></div></td>
  94                                         </tr></table>
  95 </td>
  96                 </tr>
  97 <tr>
  98 <td colspan="5">
  99                                 <div id="div_hintQS" style="visibility:hidden;display:none;">
 100                                         <table cellspacing="0" cellpadding="0" border="0" class="f14">
 101 <tr><td height="6"></td></tr>
 102 <tr>
 103 <td width="179">Select a Security Question</td>
 104                                                         <td width="14"><font><b>:</b></font></td>
 105                                                         <td colspan="3">
 106                                                         <select name="hintq" style="width:285px;"><option label="Select from the list" value="" selected>Select from the list</option>
 107 <option label="What is the name of your first school?" value="What is the name of your first school?">What is the name of your first school?</option>
 108 <option label="What is your favourite pass-time?" value="What is your favourite pass-time?">What is your favourite pass-time?</option>
 109 <option label="What is your favourite food?" value="What is your favourite food?">What is your favourite food?</option>
 110 <option label="What is your exact time of birth?" value="What is your exact time of birth?">What is your exact time of birth?</option></select>
 111 </td>
 112                                                 </tr>
 113 <tr><td height="10"></td></tr>
 114 <tr>
 115 <td>Enter an Answer</td>
 116                                                         <td><b>:</b></td>
 117                                                         <td width="185"><input type="password" name="hinta" style="width:185px;" maxlength="30" value=""></td>
 118                                                         <td width="6"></td>
 119                                                         <td width="272"></td>
 120                                                 </tr>
 121 <tr><td height="10"></td></tr>
 122 <tr>
 123 <td>Mother's Maiden Name</td>
 124                                                         <td><b>:</b></td>
 125                                                         <td><input type="text" name="mothername" value="" style="width:185px;" maxlength="30"></td>
 126                                                         <td></td>
 127                                                         <td><font class="f10" color="#868686">Enter your mother's name<br>before marriage<br></font></td>
 128                                                 </tr>
 129 </table>
 130 </div>
 131                         </td>
 132                 </tr>
 133 <tr><td height="10"></td></tr>
 134 <tr>
 135 <td>Date of Birth</td>
 136                         <td><b>:</b></td>
 137                         <td colspan="3">
 138                         <select name="DOB_Day"><option value="">Day</option>
 139 <option value="01">01</option>
 140 <option value="02">02</option>
 141 <option value="03">03</option>
 142 <option value="04">04</option>
 143 <option value="05">05</option>
 144 <option value="06">06</option>
 145 <option value="07">07</option>
 146 <option value="08">08</option>
 147 <option value="09">09</option>
 148 <option value="10">10</option>
 149 <option value="11">11</option>
 150 <option value="12">12</option>
 151 <option value="13">13</option>
 152 <option value="14">14</option>
 153 <option value="15">15</option>
 154 <option value="16">16</option>
 155 <option value="17">17</option>
 156 <option value="18">18</option>
 157 <option value="19">19</option>
 158 <option value="20">20</option>
 159 <option value="21">21</option>
 160 <option value="22">22</option>
 161 <option value="23">23</option>
 162 <option value="24">24</option>
 163 <option value="25">25</option>
 164 <option value="26">26</option>
 165 <option value="27">27</option>
 166 <option value="28">28</option>
 167 <option value="29">29</option>
 168 <option value="30">30</option>
 169 <option value="31">31</option></select><select name="DOB_Month"><option value="">Month</option>
 170 <option value="01">JAN</option>
 171 <option value="02">FEB</option>
 172 <option value="03">MAR</option>
 173 <option value="04">APR</option>
 174 <option value="05">MAY</option>
 175 <option value="06">JUN</option>
 176 <option value="07">JUL</option>
 177 <option value="08">AUG</option>
 178 <option value="09">SEP</option>
 179 <option value="10">OCT</option>
 180 <option value="11">NOV</option>
 181 <option value="12">DEC</option></select><select name="DOB_Year"><option value="" label="Year" selected>Year</option>
 182 <option value="1910" label="1910">1910</option>
 183 <option value="1911" label="1911">1911</option>
 184 <option value="1912" label="1912">1912</option>
 185 <option value="1913" label="1913">1913</option>
 186 <option value="1914" label="1914">1914</option>
 187 <option value="1915" label="1915">1915</option>
 188 <option value="1916" label="1916">1916</option>
 189 <option value="1917" label="1917">1917</option>
 190 <option value="1918" label="1918">1918</option>
 191 <option value="1919" label="1919">1919</option>
 192 <option value="1920" label="1920">1920</option>
 193 <option value="1921" label="1921">1921</option>
 194 <option value="1922" label="1922">1922</option>
 195 <option value="1923" label="1923">1923</option>
 196 <option value="1924" label="1924">1924</option>
 197 <option value="1925" label="1925">1925</option>
 198 <option value="1926" label="1926">1926</option>
 199 <option value="1927" label="1927">1927</option>
 200 <option value="1928" label="1928">1928</option>
 201 <option value="1929" label="1929">1929</option>
 202 <option value="1930" label="1930">1930</option>
 203 <option value="1931" label="1931">1931</option>
 204 <option value="1932" label="1932">1932</option>
 205 <option value="1933" label="1933">1933</option>
 206 <option value="1934" label="1934">1934</option>
 207 <option value="1935" label="1935">1935</option>
 208 <option value="1936" label="1936">1936</option>
 209 <option value="1937" label="1937">1937</option>
 210 <option value="1938" label="1938">1938</option>
 211 <option value="1939" label="1939">1939</option>
 212 <option value="1940" label="1940">1940</option>
 213 <option value="1941" label="1941">1941</option>
 214 <option value="1942" label="1942">1942</option>
 215 <option value="1943" label="1943">1943</option>
 216 <option value="1944" label="1944">1944</option>
 217 <option value="1945" label="1945">1945</option>
 218 <option value="1946" label="1946">1946</option>
 219 <option value="1947" label="1947">1947</option>
 220 <option value="1948" label="1948">1948</option>
 221 <option value="1949" label="1949">1949</option>
 222 <option value="1950" label="1950">1950</option>
 223 <option value="1951" label="1951">1951</option>
 224 <option value="1952" label="1952">1952</option>
 225 <option value="1953" label="1953">1953</option>
 226 <option value="1954" label="1954">1954</option>
 227 <option value="1955" label="1955">1955</option>
 228 <option value="1956" label="1956">1956</option>
 229 <option value="1957" label="1957">1957</option>
 230 <option value="1958" label="1958">1958</option>
 231 <option value="1959" label="1959">1959</option>
 232 <option value="1960" label="1960">1960</option>
 233 <option value="1961" label="1961">1961</option>
 234 <option value="1962" label="1962">1962</option>
 235 <option value="1963" label="1963">1963</option>
 236 <option value="1964" label="1964">1964</option>
 237 <option value="1965" label="1965">1965</option>
 238 <option value="1966" label="1966">1966</option>
 239 <option value="1967" label="1967">1967</option>
 240 <option value="1968" label="1968">1968</option>
 241 <option value="1969" label="1969">1969</option>
 242 <option value="1970" label="1970">1970</option>
 243 <option value="1971" label="1971">1971</option>
 244 <option value="1972" label="1972">1972</option>
 245 <option value="1973" label="1973">1973</option>
 246 <option value="1974" label="1974">1974</option>
 247 <option value="1975" label="1975">1975</option>
 248 <option value="1976" label="1976">1976</option>
 249 <option value="1977" label="1977">1977</option>
 250 <option value="1978" label="1978">1978</option>
 251 <option value="1979" label="1979">1979</option>
 252 <option value="1980" label="1980">1980</option>
 253 <option value="1981" label="1981">1981</option>
 254 <option value="1982" label="1982">1982</option>
 255 <option value="1983" label="1983">1983</option>
 256 <option value="1984" label="1984">1984</option>
 257 <option value="1985" label="1985">1985</option>
 258 <option value="1986" label="1986">1986</option>
 259 <option value="1987" label="1987">1987</option>
 260 <option value="1988" label="1988">1988</option>
 261 <option value="1989" label="1989">1989</option>
 262 <option value="1990" label="1990">1990</option>
 263 <option value="1991" label="1991">1991</option>
 264 <option value="1992" label="1992">1992</option>
 265 <option value="1993" label="1993">1993</option>
 266 <option value="1994" label="1994">1994</option>
 267 <option value="1995" label="1995">1995</option>
 268 <option value="1996" label="1996">1996</option>
 269 <option value="1997" label="1997">1997</option>
 270 <option value="1998" label="1998">1998</option>
 271 <option value="1999" label="1999">1999</option>
 272 <option value="2000" label="2000">2000</option>
 273 <option value="2001" label="2001">2001</option>
 274 <option value="2002" label="2002">2002</option>
 275 <option value="2003" label="2003">2003</option>
 276 <option value="2004" label="2004">2004</option>
 277 <option value="2005" label="2005">2005</option>
 278 <option value="2006" label="2006">2006</option>
 279 <option value="2007" label="2007">2007</option>
 280 <option value="2008" label="2008">2008</option>
 281 <option value="2009" label="2009">2009</option></select>
 282 </td>
 283                 </tr>
 284 <tr><td height="10"></td></tr>
 285 <tr>
 286 <td>Gender</td>
 287                         <td><b>:</b></td>
 288                         <td colspan="3">
 289                         <input type="radio" name="gender" value="m" checked>Male &#160;&#160;<input type="radio" name="gender" value="f">Female
 290                 </td>
 291                 </tr>
 292 <tr><td height="10"></td></tr>
 293 <tr>
 294 <td>I live in<span class="country">Country</span>
 295 </td>
 296                         <td><b>:</b></td>
 297                         <td colspan="3">
 298                         <select style="width: 183px;" name="country"><option value="" label="Select">Select</option>
 299 <option value="99" label="India" selected>India</option>
 300 <option value="222" label="United States">United States</option>
 301 <option value="221" label="United Kingdom">United Kingdom</option>
 302 <option value="37" label="Canada">Canada</option>
 303 <option value="189" label="Singapore">Singapore</option>
 304 <option value="128" label="Malaysia">Malaysia</option>
 305 <option value="12" label="Australia">Australia</option>
 306 <option value="185" label="Saudia Arabia">Saudia Arabia</option>
 307 <option value="220" label="United Arab Emirates">United Arab Emirates</option>
 308 <option value="194" label="South Africa">South Africa</option></select>
 309 </td>
 310                 </tr>
 311 <tr><td height="10"></td></tr>
 312 <tr>
 313 <td colspan="5">
 314 <div id="div_city" style="visibility:hidden; display:none;">
 315                         <table cellspacing="0" cellpadding="0" border="0" class="f14">
 316 <tr>
 317 <td width="179" align="right">City&#160;&#160;</td>
 318                                         <td width="14"><b>:</b></td>
 319                                         <td colspan="3"><select name="city" style="width:183px;" ><option label="Select" value="" selected>Select</option>
 320 <option label="Agartala" value="Agartala">Agartala</option>
 321 <option label="Agra" value="Agra">Agra</option>
 322 <option label="Ahmedabad" value="Ahmedabad">Ahmedabad</option>
 323 <option label="Aizwal" value="Aizwal">Aizwal</option>
 324 <option label="Aligarh" value="Aligarh">Aligarh</option>
 325 <option label="Allahabad" value="Allahabad">Allahabad</option>
 326 <option label="Amritsar" value="Amritsar">Amritsar</option>
 327 <option label="Aurangabad" value="Aurangabad">Aurangabad</option>
 328 <option label="Bangalore" value="Bangalore">Bangalore</option>
 329 <option label="Baroda" value="Baroda">Baroda</option>
 330 <option label="Bhopal" value="Bhopal">Bhopal</option>
 331 <option label="Bhubaneshwar" value="Bhubaneshwar">Bhubaneshwar</option>
 332 <option label="Bokaro" value="Bokaro">Bokaro</option>
 333 <option label="Chandigarh" value="Chandigarh">Chandigarh</option>
 334 <option label="Chennai" value="Chennai">Chennai</option>
 335 <option label="Cochin" value="Cochin">Cochin</option>
 336 <option label="Coimbatore" value="Coimbatore">Coimbatore</option>
 337 <option label="Cuttack" value="Cuttack">Cuttack</option>
 338 <option label="Dehradun" value="Dehradun">Dehradun</option>
 339 <option label="Delhi" value="Delhi">Delhi</option>
 340 <option label="Dimapur" value="Dimapur">Dimapur</option>
 341 <option label="Durgapur" value="Durgapur">Durgapur</option>
 342 <option label="Faridabad" value="Faridabad">Faridabad</option>
 343 <option label="Gandhinagar" value="Gandhinagar">Gandhinagar</option>
 344 <option label="Ghaziabad" value="Ghaziabad">Ghaziabad</option>
 345 <option label="Goa" value="Goa">Goa</option>
 346 <option label="Gurgaon" value="Gurgaon">Gurgaon</option>
 347 <option label="Guwahati" value="Guwahati">Guwahati</option>
 348 <option label="Gwalior" value="Gwalior">Gwalior</option>
 349 <option label="Hyderabad" value="Hyderabad">Hyderabad</option>
 350 <option label="Imphal" value="Imphal">Imphal</option>
 351 <option label="Indore" value="Indore">Indore</option>
 352 <option label="Jabalpur" value="Jabalpur">Jabalpur</option>
 353 <option label="Jaipur" value="Jaipur">Jaipur</option>
 354 <option label="Jammu" value="Jammu">Jammu</option>
 355 <option label="Jamnagar" value="Jamnagar">Jamnagar</option>
 356 <option label="Jamshedpur" value="Jamshedpur">Jamshedpur</option>
 357 <option label="Jodhpur" value="Jodhpur">Jodhpur</option>
 358 <option label="Jullundhar" value="Jullundhar">Jullundhar</option>
 359 <option label="Kanpur" value="Kanpur">Kanpur</option>
 360 <option label="Kolhapur" value="Kolhapur">Kolhapur</option>
 361 <option label="Kolkata" value="Kolkata">Kolkata</option>
 362 <option label="Lucknow" value="Lucknow">Lucknow</option>
 363 <option label="Ludhiana" value="Ludhiana">Ludhiana</option>
 364 <option label="Madurai" value="Madurai">Madurai</option>
 365 <option label="Mangalore" value="Mangalore">Mangalore</option>
 366 <option label="Margaon" value="Margaon">Margaon</option>
 367 <option label="Mumbai" value="Mumbai">Mumbai</option>
 368 <option label="Mysore" value="Mysore">Mysore</option>
 369 <option label="Nagpur" value="Nagpur">Nagpur</option>
 370 <option label="Nasik" value="Nasik">Nasik</option>
 371 <option label="NOIDA" value="NOIDA">NOIDA</option>
 372 <option label="Patna" value="Patna">Patna</option>
 373 <option label="Panjim" value="Panjim">Panjim</option>
 374 <option label="Pondicherry" value="Pondicherry">Pondicherry</option>
 375 <option label="Pune" value="Pune">Pune</option>
 376 <option label="Raipur" value="Raipur">Raipur</option>
 377 <option label="Ranchi" value="Ranchi">Ranchi</option>
 378 <option label="Rourkela" value="Rourkela">Rourkela</option>
 379 <option label="Rajkot" value="Rajkot">Rajkot</option>
 380 <option label="Salem" value="Salem">Salem</option>
 381 <option label="Secunderabad" value="Secunderabad">Secunderabad</option>
 382 <option label="Shillong" value="Shillong">Shillong</option>
 383 <option label="Siliguri" value="Siliguri">Siliguri</option>
 384 <option label="Srinagar" value="Srinagar">Srinagar</option>
 385 <option label="Surat" value="Surat">Surat</option>
 386 <option label="Thane" value="Thane">Thane</option>
 387 <option label="Thiruvananthapuram" value="Thiruvananthapuram">Thiruvananthapuram</option>
 388 <option label="Tiruchirapalli" value="Tiruchirapalli">Tiruchirapalli</option>
 389 <option label="Udaipur" value="Udaipur">Udaipur</option>
 390 <option label="Varanasi" value="Varanasi">Varanasi</option>
 391 <option label="Vellore" value="Vellore">Vellore</option>
 392 <option label="Vijaywada" value="Vijaywada">Vijaywada</option>
 393 <option label="Vishakapatnam" value="Vishakapatnam">Vishakapatnam</option>
 394 <option label="Other" value="Other">Other</option></select></td>
 395                                 </tr>
 396 <tr><td height="8"></td></tr>
 397 <tr>
 398 <td colspan="2"></td>
 399 <td colspan="3"><div id="div_othcity" style="visibility:hidden; display:none;">
 400 <input type="text" name="othercity" value="" style="width:180" ><br><br>
 401 </div></td>
 402                                 </tr>
 403 </table>
 404 </div>
 405                         </td>
 406                 </tr>
 407 <tr><td height="5"></td></tr>
 408 <tr>
 409 <td colspan="2"></td>
 410  <td colspan="3" align="left"><img src="#" border="0" title="" style="border:1px solid #E3E3E3;"></td>
 411
 412                 <!--    <td><div style="width:183px;height:50px;overflow:hidden;"><IMG src="#" BORDER="0" Title="" style="margin:0 0 0 -74px"></div></td>-->
 413
 414
 415                 </tr>
 416 <tr><td height="5"></td></tr>
 417 <tr>
 418 <td valign="top">Enter the text shown above</td>
 419                         <td valign="top"><b>:</b></td>
 420                         <td><input class="captcha" type="text" name="75cd7feb6ce926e1efbb8b96c0fb71c0" style="width:183px;" value=""></td>
 421                         <td></td>
 422                         <td></td>
 423                 </tr>
 424 <tr><td height="15"></td></tr>
 425 <tr>
 426 <td colspan="2"></td>
 427                         <td colspan="3">
 428                         <input type="hidden" name="FormName" value=""><input type="hidden" name="service" value=""><input type="hidden" name="rkey" value="153922a27cd78b39401d01ca72edf344"><input type="hidden" name="ren" value="9ca16fc6ffad8bd96a5115e8ec99d5ce"><input type="hidden" name="newts" value="new"><input type="button" name="Register" value="Create my account &gt;&gt;" class="submitbtn">
 429 </td>
 430                 </tr>
 431 <tr><td height="20"></td></tr>
 432 <tr>
 433 <td colspan="5" class="f12 grey1">By clicking on 'Create my account' above, you confirm that you accept the <a >terms and conditions</a> &amp; <a href="http://www.rediff.com/w3c/policy.html" target="_new">privacy policy</a>
 434 </td>
 435                 </tr>
 436 <tr><td height="10"></td></tr>
 437 </table>
 438 </div>
 439 </form>
 440 </center>
 441
 442
 443 </body>
 444 </html>