Adding user input to a database

Member Profile Form The following information is collected for the purpose of storing and will be viewed by only members

Tell us about yourself :

Photo image File(Limit 300K, jpg or gif..) to upload/store in database:
File upload :
Rollno :
Branch :
The name you would like(User Name) :
Email address :
Password :
Re-type password :
DOB,Branch,other degrees etc.:

Tell us about your family :

Spouse Name :
Spouse DOB,Branch,other degrees etc.:
Kids Name,DOB,Branch,other degrees etc.:

Tell us about your place of residence & work :

Office address :
Office Phone Nos.:
Home address :
Home Phone Nos.:
NRI(if any) Home/Office address :
NRI(if any) Home/Office Phone Nos.:

Tell us about your past & Present Activities :

During 1984-2008 :
2009 Onwards :
Other Titbits :

Click on the button below :

For Enquiries Please Contact : Webmaster : S.S.Selvaraju,B.E.(Hons)(Mech),M.tech
P.S.: Either use the file upload(Browse option at the top of thr form)
or send your photos(during college as well as after college) to :
SS_Selvaraju@yahoo.com