Ukrainian deaths reported today: 2121
<br>
Russian deaths reported today: 2046
<br>
Total deaths reported today: 4167
<p>
<form method="post" action="report.cfm">
  Full name: <input type="text" name="fname">
  <br>
  Age: <input type="text" name="age">
  <br>
  Gender: <select name="gender"><option value="m">Male</option><option value="f">Female</option></select>
  <br>
  Nationality: <select name="nat"><option value="u">Ukrainian</option><option value="r">Russian</option></select>
  <br>
  Location: <input type="text" name="loc">
  <p>
  Description: (Tell us about this person)
  <br>
  <textarea cols="72" rows="5" name="d"></textarea>
  <p>
  <input type="submit" name-"Submit" value="Submit">
</form>