Nama : Fitakwim
Nim : 311510074
Kelas : TI.15.D.4
Pelita bangsa
Source code :
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<html>
<head>
<title>Mengisi Data Form</title>
</head>
<body bgcolor="green">
<center><justify><font color="blue"font face="ALGERIAN">STT PELITA BANGSA
<hr>
<table border=0>
<form action="output.php" method="post">
<tr>
<td>Nim</td>
<td>:</td>
<td><input type=text name=Nim></td>
</tr>
<tr>
<td>Nama Lengkap</td>
<td>:</td>
<td><input type=text name=Nama></td>
</tr>
<tr>
<td>Jurusan</td>
<td>:</td>
<td>
<input type=radio name="jurusan" value="TI">T. Informatika
<input type=radio name="jurusan" value="Elektro">T. Elektro
<input type=radio name="jurusan" value="Sipil">T. Sipil
</td>
</tr>
<tr>
<td>Tempat dan Tanggal Lahir</td>
<td>:</td>
<td><input type=text name=Tempat size=15>
<select name=Tgl>
<option name=Tgl>Tgl
<option name=Tgl>1
<option name=Tgl>2
<option name=Tgl>3
<option name=Tgl>4
<option name=Tgl>5
<option name=Tgl>6
<option name=Tgl>7
<option name=Tgl>8
<option name=Tgl>9
<option name=Tgl>10
<option name=Tgl>11
<option name=Tgl>12
<option name=Tgl>13
<option name=Tgl>14
<option name=Tgl>15
<option name=Tgl>16
<option name=Tgl>17
<option name=Tgl>18
<option name=Tgl>19
<option name=Tgl>20
<option name=Tgl>21
<option name=Tgl>22
<option name=Tgl>23
<option name=Tgl>24
<option name=Tgl>26
<option name=Tgl>27
<option name=Tgl>28
<option name=Tgl>29
<option name=Tgl>30
<option name=Tgl>31
</select>
<select name=Bln>
<option name=Bln>Bln
<option name=Bln>Januari
<option name=Bln>Februari
<option name=Bln>Maret
<option name=Bln>April
<option name=Bln>Mei
<option name=Bln>Juni
<option name=Bln>Juli
<option name=Bln>Agustus
<option name=Bln>September
<option name=Bln>Oktober
<option name=Bln>November
<option name=Bln>Desember
</select>
<select name=Thn>
<option name=Thn>Thn
<option name=Thn>2012
<option name=Thn>2011
<option name=Thn>2010
<option name=Thn>2009
<option name=Thn>2008
<option name=Thn>1993
<option name=Thn>1992
</select>
</td>
</tr>
<tr>
<td>Jenis Kelamin</td>
<td>:</td>
<td><input type=radio name=JK value=Laki-laki>Laki-laki<input type=radio name=JK value=Perempuan>Perempuan</td>
</tr>
<tr>
<td>Alamat</td>
<td>:</td>
<td><input type=textfield name=alamat></td>
</tr>
<tr>
<td>Telp</td>
<td>:</td>
<td><input type=textfield name=Nama></td>
</tr>
<tr>
<td>Password</td>
<td>:</td>
<td><input type=password name=Nama></td>
</tr>
<tr>
<td>Hoby</td>
<td>:</td>
<td>
<input type=checkbox name="Hoby" value="Traveling">Traveling
<input type=checkbox name="Hoby" value="Kuliner">Kuliner
<input type=checkbox name="Hoby" value="Singing">Singing
</tr>
<tr>
<td> </td>
<td> </td>
<td><input type="reset" name=kembali value=Reset>
<input type="submit" name=tambah value=kirim></td>
</tr>
</form>
</table>
</font>
</body>
</html>
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Tampilan :
Terima kasih.
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