Need the code to do the following: Html/Php

Create a webpage that prints the following: Note: Quantity including: - 1 to 5. Extra including: - Cola. - Water. - Coffee. - Tea. 3. Information (i) files///D:/Programming1-2016-2017/Dr Ali Alla Tell us about you Personal Your information is important Name: Telephone: Gender: Nationality Male Female Note: Nationality including: - Egyptian. - American. - Syrian. - Other. Sports including: - Tennis. - Football. Address: City: state: zip code: - Swimming. - Handball. 10. Your information is important I Like: Reading Writing Travelling Tennis Football Swimming Handball - Submit Query Reset Note: City including: - Cairo. - Alexandria. - Hurghada. - Luxor