<!DOCTYPE html>
<html>
<head>
    <title>My Page</title>
    <link rel="stylesheet" type="text/css" href="page.css">
</head>
<body>
    <form name="form1" method="post" action="">
        <fieldset><legend><b>Formulir Pendaftaran Calon Peserta</b></legend>
        <table cellspacing="15">
            <tr>
                <td width="150">Nama</td>
                <td><input type="text" name="nama" autocomplete="off"></td>
            </tr>
            <tr>
                <td width="180">No. Induk Penduduk</td>
                <td><input type="text" name="nip"></td>
            </tr>
            <tr width="120">
                <td width="58">Kelamin</td>
                <td width="100"><input type="radio" name="radiobutton" value="radiobutton" class="rb1">Pria/Male</td><td width="20"><input type="radio" name="radiobutton" value="radiobutton" class="rb2">Wanita/Female</td>
            </tr>
            <tr>
                <td width="150">TTL</td>
                <td width="100"><input type="text" name="ttl"></td>
            </tr>
            <tr>
                <td width="150">Agama</td>
                <td>
                    <select name="Agama">
                        <option value="Islam">Islam</option>
                        <option value="Katholik">Katholik</option>
                        <option value="Protestan">Protestan</option>
                        <option value="Hindu">Hindu</option>
                        <option value="Buddha">Buddha</option>
                        <option value="KongHuCu">KongHuCu</option>
                        <option value="Lainnya">Lainnya</option>
                    </select>
                </td>
            </tr>
            <tr>
                <td width="150">Status</td>
                <td>
                    <select name="Status" bordercolor="1">
                        <option value="Kawin">Kawin</option>
                        <option value="BelumKawin">Belum Kawin</option>
                    </select>
                </td>
            </tr>
            <tr>
                <td><input class="button" type="submit" name="Submit" value="Simpan">&nbsp;&nbsp;&nbsp;<input class="button" type="submit" name="Submit2" value="Submit"></td>
            </tr>
        </table>
        </fieldset>
    </form>
</body>
</html>