New gmail account registration form

Here is a sample Gmail account registration form:

Create a Google Account

First name: ___ Last name: __

Username: ___

Password: Confirm password:

Email address: ___

Birthday:

• Month: ___
• Day: ___
• Year: ___

Gender: ___

Mobile phone: ___

Security question: ___

Security answer: ___

Recovery email: ___

Recovery phone: ___

Terms of Service: I agree to the Google Terms of Service.

Privacy Policy: I agree to the Google Privacy Policy.

Create account

Note: This is a sample form and may not reflect the actual form used by Google for Gmail account registration.