Selasa, 25 April 2017

Tugas Form Registrasi



<html xmlns="http://www.w3.org/1999/xhtml" xml:lang="en">
<head>
<title>Form</title>

</head>
<body>
<font face="Arial">
<table width="700" cellspacing="11" style="background-color:#999999"  "font-color:#ffffff">
<tr height="70">
<td colspan=4 style="background-color:#666666"><h2 align="center"><font color="white">FORM REGISTRASI</font></h2></td>
</tr>

<tr>
<td width="150">NIM</td>
<td width="20">:</td>
<td colspan=2><input type="text" name="nim" style="width: 60%;" /></td>
</tr>

<tr>
<td>NAMA</td>
<td>:</td>
<td colspan=2><input type="text" name="nama" style="width: 60%;" /></td>
</tr>

<tr>
<td>JENIS KELAMIN</td>
<td>:</td>
<td width="135"><input type="radio" name="jk" value="lk" />Laki-laki</td>
<td><input type="radio" name="jk" value="pr" />Perempuan</td>
</tr>

<tr>
<td>ASAL</td>
<td>:</td>
<td colspan=2>
<select name="kota">
<option selected disabled hidden>Pilih Kota Asal</option>
<option>Belani</option>
<option>Karang Jayo</option>
<option>Ogan Komering Ulu</option>
<option>Ogan Komering Ilir</option>
<option>Indralaya</option>
<option>Rofit</option>
<option>Sekayu</option>
<option>Lubuk Lingau</option>
<option>Palembang</option>
</select>
</td>
</tr>

<tr>
<td>NO. TELP</td>
<td>:</td>
<td colspan=2><input type="text" name="notelp" style="width: 60%;" /></td>
</tr>

<tr>
<td>ALAMAT EMAIL</td>
<td>:</td>
<td colspan=2><input type="text" name="email" style="width: 60%;" /></td>
</tr>

<tr>
<td>PASSWORD</td>
<td>:</td>
<td colspan=2><input type="password" name="pass" style="width: 60%;" /></td>
</tr>

<tr>
<td>HOBI</td>
<td>:</td>
<td><input type="checkbox" name="hb" />Sepakbola</td>
<td><input type="checkbox" name="hb" />Membaca</td>
</tr>

<tr>
<td></td>
<td></td>
<td><input type="checkbox" name="hb" />Futsal</td>
<td><input type="checkbox" name="hb" />Jogging</td>
</tr>

<tr>
<td></td>
<td></td>
<td><input type="checkbox" name="hb" />Berenang</td>
<td><input type="checkbox" name="hb" />Gowes</td>
</tr>

<tr>
<td valign="top">DESKRIPSI DIRI</td>
<td valign="top">:</td>
<td colspan=2><textarea name="deskripsi" rows="7" cols="37"></textarea></td>
</tr>

<tr>
<td colspan=4 align="center" height="50" style="background-color:#666666"><input type="submit" name="ok" value="OK" align="center" /> <input type="reset" name="batal" value="Batal" align="center" /></td>
</tr>
</table>
</body>
</html>

diposting oleh Unknown @ April 25, 2017   0 Komentar