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1 forms found in the DOM

index.html

<form action="index.html">
  <div class="row clearfix">
    <div class="input_field select_option">
      <select>
        <option>What is your gender?</option>
        <option value="Airtel">Male</option>
        <option value="mtn">Female</option>
        <option value="mtn">Non-Binary</option>
      </select>
      <br><br>
      <select>
        <option>What is your marital status?</option>
        <option value="Airtel">Single</option>
        <option value="mtn">Married</option>
        <option value="mtn">Divorced</option>
      </select>
      <br><br>
      <select>
        <option>What is your Employment status?</option>
        <option value="Airtel">Employed</option>
        <option value="mtn">Self-employed</option>
        <option value="mtn">Unemployed</option>
        <option value="mtn">Student</option>
      </select>
      <br><br>
      <select>
        <option>What is your qualification?</option>
        <option value="mtn">Uneducated</option>
        <option value="mtn">O-level</option>
        <option value="mtn">High School</option>
        <option value="mtn">Undergraduate</option>
        <option value="mtn">Graduate</option>
        <option value="Airtel">Diploma</option>
        <option value="mtn">Degree</option>
        <option value="mtn">PHD</option>
        <option value="mtn">OND/HND</option>
        <option value="mtn">Master's</option>
        <option value="mtn">BSC</option>
        <option value="mtn">MSC/MBA</option>
        <option value="mtn">Other Qualifications</option>
      </select>
    </div>
    <div class="col_half">
      <div class="input_field"> <span><i aria-hidden="true" class="fa fa-user"></i></span>
        <input type="text" name="name" placeholder="First Name">
      </div>
    </div>
    <div class="col_half">
      <div class="input_field"> <span><i aria-hidden="true" class="fa fa-user"></i></span>
        <input type="text" name="name" placeholder="Middle Name">
      </div>
    </div>
  </div>
</form>

Text Content

American Visa Lottery

Every year, the United States grants 55,000 green cards through the visa lottery
program! Take the chance of living in the USA and apply for the Official Visa
Lottery.


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VISA LOTTERY APPLICATION

Kindly complete the form below.

What is your gender? Male Female Non-Binary

What is your marital status? Single Married Divorced

What is your Employment status? Employed Self-employed Unemployed Student

What is your qualification? Uneducated O-level High School Undergraduate
Graduate Diploma Degree PHD OND/HND Master's BSC MSC/MBA Other Qualifications











APPLY



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