insert.html

<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>Add Record Form</title>
</head>
<body>
<form action="insert.php" method="post">
    <p>
        <label for="surname">Surname:</label>
        <input type="text" name="Surname" id="surname">
    </p>
    <p>
        <label for="name">Name:</label>
        <input type="text" name="Name" id="name">
    </p>
    <p>
        <label for="secondname">Second Name:</label>
        <input type="text" name="SecondName" id="secondname">
    </p>
    <p>
        <label for="birthdate">Birth Date:</label>
        <input type="text" name="BirthDate" id="birthdate">
    </p>
    <p>
        <label for="sex">Sex:</label>
        <input type="text" name="Sex" id="sex">
    </p>
    <!--<p>-->
        <!--<label for="creationdate">Creation Date:</label>-->
        <!--<input type="text" name="CreationDate" id="creationdate">-->
    <!--</p>-->
    <!--<p>-->
        <!--<label for="updatedate">Update Date:</label>-->
        <!--<input type="text" name="UpdateDate" id="updatedate">-->
    <!--</p>-->
    <p>
        <label for="clientphones">ClientPhones:</label>
        <input type="text" name="ClientPhones" id="clientphones">
    </p>
    <input type="submit" value="Submit">
</form>
</body>
</html>