INPUT FIELD CHECKBOX EXAMPLE

<!doctype html>
<html>
    <head>
        <title>
            HTML Input Fields Example
        </title>
        <style>
            div{
                margin:10px;
            }
        </style>
    </head>
    <body>
        <form>
            <div>Please choose a city in which you would love to live after retirement.</div>
            <div><input type="checkbox" name="city" value="goa"/> Goa</div>
            <div><input type="checkbox" name="city" value="chandigarh"/> Chandigarh</div>
            <div><input type="checkbox" name="city" value="vizag"/> Vizag</div>
            <div><input type="checkbox" name="city" value="pondicherry"/> Pondicherry</div>
            <div><input type="text" placeholder="Others..."/></div>
            <br/>
            <div><input type="submit" name="Submit"/></div>
        </form>
    </body>
</html>