Untitled

<!DOCTYPE html>
<html>
<head>
    <title>PEndaftaran Jurudsan </title>
</head>
<body>
<table cellspacing="0" cellpadding="0" width="400" align="center" border="0" >
    <form>
        <tr>
            <th colspan="3"><font face="" size="3" color="OOOOOO"><strong>PENDAFTARAN</strong></font></th>
        </tr>
        <tr>
            <td>Nama : <input type="textarea" name="fnama"></td>
            <td>Tanggal Lahir : <option></option></td>
        </tr>
    </form>
</table>
</body>
</html>