dithph

form

Sep 11th, 2015
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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <title> PENDAFTARAN EKSKUL </title>
  5. <style>
  6. #yeay{
  7. font-size: 40px;
  8. font-family: segoe print;
  9. text-align: center;
  10. }
  11.  
  12. h1{
  13. font-size: 40px;
  14. font-family: segoe print;
  15. color: white;
  16. }
  17.  
  18. #warna{
  19. background-color: #42C667;
  20. }
  21.  
  22. #tels{
  23. font-family: arial;
  24. }
  25.  
  26. *{
  27. margin: 0;
  28. padding: 0;
  29. }
  30.  
  31. #alamat{
  32. margin-left: 15px;
  33. }
  34.  
  35. #color{
  36. background-color: #42C667;
  37. }
  38.  
  39. #kelamin{
  40. margin-left: 15px;
  41. }
  42.  
  43. #depan{
  44. margin-left: 15px;
  45. }
  46.  
  47. #nis{
  48. margin-left: 15px;
  49. }
  50.  
  51. #kelas{
  52. margin-left: 15px;
  53. }
  54.  
  55. #hobby{
  56. margin-left: 15px;
  57. }
  58.  
  59. #agama{
  60. margin-left: 15px;
  61. }
  62.  
  63. #eks{
  64. margin-left: 15px;
  65. }
  66. </style>
  67. </head>
  68. <body>
  69. <div id="warna">
  70. <div id="tels"><b> SMK Telekomunikasi Telesandi Bekasi </b></div>
  71. <h1 align="center"><b> FORM PENDAFTARAN EKSKUL </b></h1>
  72. </div>
  73.  
  74. <hr>
  75.  
  76. <form>
  77. <b>NAMA : </b><br>
  78. <input id="depan" type="text" placeholder="Nama Depan">
  79. <input type="text" placeholder="Nama Belakang"><br>
  80. <b>NIS : </b><br>
  81. <input id="nis" type="text" placeholder="NIS Anda"><br>
  82. <b>KELAS : </b><br>
  83. <input id="kelas" type="text" placeholder="Kelas Anda"><br><br>
  84.  
  85. <hr>
  86.  
  87. <b>JENIS KELAMIN : </b><br>
  88. <div id="kelamin"><input type="radio" name="kelamin" value="cowo"> Laki-laki <br>
  89. <input type="radio" name="kelamin" value="cewe"> Perempuan <br><br>
  90. </div>
  91.  
  92. <hr>
  93.  
  94. <b>HOBBY : </b><br>
  95. <div id="hobby"><input type="checkbox"> Badminton <br>
  96. <input type="checkbox"> Jogging <br>
  97. <input type="checkbox"> Membaca <br>
  98. <input type="checkbox"> Berenang <br>
  99. <input type="checkbox"> Futsal <br><br>
  100. </div>
  101.  
  102. <hr>
  103.  
  104. <b>AGAMA : </b><br>
  105. <div id="agama"><input type="radio" name="agama" value="islam"> Islam <br>
  106. <input type="radio" name="agama" value="khatolik"> Khatolik <br>
  107. <input type="radio" name="agama" value="hindu"> Hindu <br>
  108. <input type="radio" name="agama" value="budha"> Budha <br>
  109. <input type="radio" name="agama" value="protestan"> Protestan <br><br>
  110. </div>
  111.  
  112. <hr>
  113.  
  114. <b>ALAMAT : </b><br>
  115. <textarea id="alamat" rows="5" cols="50">
  116. </textarea><br><br>
  117.  
  118. <hr>
  119.  
  120. <b> EKSTRAKURIKULER : </b><br>
  121. <div id="eks"><input type="checkbox" name="syntax"> Syntax <br>
  122. <input type="checkbox" name="voli"> Voli <br>
  123. <input type="checkbox" name="bengkel"> Bengkel Matematika <br>
  124. <input type="checkbox" name="senmed"> Seni Media <br>
  125. <input type="checkbox" name="tomcat"> Tomcat <br>
  126. <input type="checkbox" name="futsal"> Futsal <br>
  127. <input type="checkbox" name="taekwondo"> Taekwondo <br>
  128. <input type="checkbox" name="basket"> Basket <br>
  129. <input type="checkbox" name="robotik"> Robotik <br>
  130. <input type="checkbox" name="paskibra"> Paskibra <br>
  131. <input type="checkbox" name="magazine"> TelsMagazine <br>
  132. <input type="checkbox" name="lain"> Dll <br><br>
  133. </div>
  134.  
  135. <input type="button" onclick="alert('SELAMAT BERGABUNG!')" value="Kirim"></a>
  136. <input type="reset" value="Reset">
  137.  
  138. <hr>
  139.  
  140. <div id="color">
  141. <div id="yeay"><b> TERIMA KASIH ^_^ </b></div>
  142. </div>
  143.  
  144. <hr>
  145.  
  146. </form>
  147. </body>
  148. </html>
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