$1.$ Use Grids or Flexboxes for the form structure. $1$ mark

$2.$ The input form on the left side $3$ marks

$$ Name should be text field. Required.

$$ Email should be email input field. Required.

$$ Phone should be text input field

$$ Address should be textarea. Required

$3.$ The input field on the right side $2$ marks

$$ Coupon should be number input field. Minimum of $4$ numbers is required

$$ Date should be date input field

$$ The radio buttons should toggle between the three values

$4.$ Add a checkbox and submit button $1$ mark

$5.$ The css design should match the given picture. Colors don$$t have to be exact. Carefully analyze what css properties should be added. $($Important: The input fields are shown in grey but don$$t add grey color to the fields. Keep the input fields color as is$)3$ marks