<tr><td><select name="state">
<option value="0">select state</option>
<option value="1">Andaman and Nicobar Islands</option>
<option value="2">Andhra Pradesh </option>
<option value="3">Arunachal Pradesh </option>
<option value="4">Assam</option>
<option value="5">Bihar </option>
<option value="6">Chandigarh </option>
<option value="7">Chhattisgarh </option>
<option value="8">Dadra and Nagar </option>
<option value="9">Daman and Diu </option>
<option value="10">Delhi </option>
<option value="11">Goa </option>
<option value="12">Gujarat </option>
<option value="13">Haryana </option>
<option value="14">Himachal</option>
<option value="15">Jammu and Kashmir </option>
<option value="16">Jharkhand </option>
<option value="17">Karnataka </option>
<option value="18">Kerala </option>
<option value="19">Lakshadweep</option>
<option value="20">Madhya Pradesh </option>
<option value="21">Maharashtra </option>
<option value="22">Manipur </option>
<option value="23">Meghalaya </option>
<option value="24">Mizoram </option>
<option value="25">Nagaland </option>
<option value="26">Orissa</option>
<option value="27">Puducherry </option>
<option value="28">Punjab </option>
<option value="29">Rajasthan </option>
<option value="30">Sikkim </option>
<option value="31">Tamil Nadu </option>
<option value="32">Tripura </option>
<option value="33">Uttarakhand </option>
<option value="34">Uttar Pradesh </option>
<option value="35">West Bengal</option>
</option>
</select>
<td><select name="city">
<option value="0">select city</option>
<option value="1">Alappuzha</option>
<option value="2">Baleshwar</option>
<option value="3">Bardhhaman</option>
<option value="4">Bharuch </option>
<option value="5">Berhampur </option>
<option value="6">Kozhikode </option>
<option value="7">Kannur </option>
<option value="8">Chengalpattu </option>
<option value="9">Kochi</option>
<option value="10">Chennai</option>
<option value="11">Guwahati </option>
<option value="12">Jalandhar </option>
<option value="13">Palakkad</option>
<option value="14">Pune </option>
<option value="15">Kollam </option>
<option value="16">Sewagram </option>
<option value="17">Sridham </option>
<option value="18">Srirampur</option>
<option value="19">Tarangambadi </option>
<option value="20">Thalasseri </option>
<option value="21">Thiruchchirapalli </option>
<option value="22">Trissur </option>
<option value="23">Thiruvananthapuram</option>
<option value="24">Udhagamandalam </option>
<option value="25">Vadodara </option>
<option value="26">Varanasi </option>
<option value="27">Vasai </option>
<option value="28">Vijayawada </option>
</select>
</td></tr>
</table>
<table>
<tr><td><input type="submit" value="SEARCH" name="submit"></td>
<td><input type="reset" value="RESET">
</td></tr>
</table>
</form>
</body>
</html>
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