<form name="insert" method="post" action="">
	<input type="text" name="reg_no" placeholder="Registration Number" required>
	<br>
	<input type="text" name="first_name" placeholder="Full Name" required>
	<br>
    <input type="text" name="last_name" placeholder="Full Name" required>
    <br>
	<input type="text" name="age" placeholder="Age" required>
	<br>

	<input type="submit" name="insert_button" value="Insert Record" required>
</form>