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<!DOCTYPE html>
<html lang="en">
<head>
<title>Insert Data</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.7.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script>
</head>
<body>
<div class="container">
<h2>Insert Data</h2>
<form action="insert_data.php" method="POST" role="form" enctype="multipart/form-data">
<div class="form-group">
<label for="email">Country</label>
<input type="text" class="form-control" id="email" placeholder="Enter Country" name="country">
</div>
<div class="form-group">
<label for="pwd">Purpose</label>
<input type="text" class="form-control" id="pwd" placeholder="Enter Purpose" name="purpose">
</div>
<div class="form-group">
<label for="pwd">Data</label>
<textarea type="text" class="form-control" id="pwd" placeholder="Enter Data" name="data"></textarea>
</div>
<button type="submit" class="btn btn-default">Submit</button>
</form>
</div>
</body>
</html>