<form name="newad" method="post" enctype="multipart/form-data" action="">
  <h1>KUGBUD COMMUNITY </h1>
  <h1>TAXPAYER DATABASE MANAGEMENT SYSTEM</h1>
  <h1>Online/Offline Solution.</h1>


  
  <p><input type="file" name="image"></p>
  <p><input name="Submit" type="submit" value="Upload image"></p>

  <fieldset>
    <img src="http://lorempixel.com/200/200/people" width="200" height="200" alt="avatar">
    <h2>Register New Revenue Payer</color></h2>

    <label for="ptin">Current TIN Of Business Owner</label>
    <input type="text" name="ptin">
    </p>
    <p>
      <label for="fullname">Full Name</label>
      <input type="text" name="name" </p>
      <p>
        <label for="dob">Date Of Birth</label>
        <input type="datetime-local">
      </p>
      <p>
        <label for="address">Residential Address</label>
        <input type="textarea" name="address">
      </p>
      <p>
        <label for="full name">Personal Phone Number </label>
        <input type="tel" name="tel">
      </p>
  </fieldset>
  <fieldset>
    <h2>Business Information</h2>
    <p>
      <label for="ptin">Current Company TIN </label>
      <input type="text" name="ptin">
    </p>
    <p>
      <label for="bname">Business Name</label>
      <input type="text" name="bname">
    </p>
    <label for="full baddress">Address Of Current Business Location </label>
    <input type="textarea" name="baddress">
    </p>
    <p>
      <label for="option">Revenue Sector</label>
      <select>
<option id="sector">
<option value="edu">Education</option>
<option value="env">Environment</option>
<option value="agric">Agriculture</option>
<option value="tourism">Tourism Beaureu</option>
<option value="tourism">#</option>
<option value="tourism">#</option>
</select>
    </p>
    <p>
      <label for="option">Revenue Lot</label>
      <select>
<option id="rlot">
<option value="l1">Lot 1</option>
<option value="l2">Lot 2</option>
<option value="l3">Lot 3</option>
<option value="l4">Lot 4</option>
<option value="l4">Lot #</option>
<option value="l4">Lot #</option>
</select>
  </fieldset>
  <button type="submit">Add Payer</button>
</form>
<p><a href="https://www.sitepoint.com/community/t/profile-page-with-picture-upload-for-data-collection/249601?u=sama74">https://www.sitepoint.com/community/t/profile-page-with-picture-upload-for-data-collection/249601?u=sama74</a></p>
form h1 {
  color: white;
  text-align: center;
}

form {
  font-size: 22px;
  color: white;
}

input {
  display: block;
}

fieldset {
  margin: 1em 180;
  background-color: pink;
  clear: both;
  color: #000;
}

label, input {
  display: block;
  color: red;
}

body {
  background: blue;
}

form img {
  float: right;
  display: block;
  margin-left:25px;
}
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