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- <div class="container">
- <h1>Formulir Pendaftaran Akun</h1>
- <form action="">
- <div class="mb-3 col-12 col-md-4">
- <label for="name" class="form-label">Nama Lengkap</label>
- <input
- type="text"
- name="name"
- id="name"
- placeholder="Masukkan nama lengkap"
- class="form-control">
- </div>
- <div class="mb-3 col-12 col-md-4">
- <label for="pob" class="form-label">Tempat Lahir</label>
- <input
- type="text"
- name=""
- id="pob"
- placeholder="Masukkan kota tempat lahir"
- class="form-control">
- </div>
- <div class="mb-3 col-12 col-md-4">
- <label for="dob" class="form-label">Tangga Lahir</label>
- <input
- type="date"
- name="dob"
- id="dob"
- class="form-control">
- </div>
- <div class="mb-3 col-12 col-md-4">
- <label for="address" class="form-label">Alamat</label>
- <textarea
- name="address"
- id="address"
- placeholder="Masukkan alamat lengkap"
- class="form-control" rows="3"></textarea>
- </div>
- <div class="mb-3 col-12 col-md-4">
- <label for="phone" class="form-label">Nomor Telepon</label>
- <div class="input-group">
- <span class="input-group-text">+62</span>
- <input
- type="text"
- name="phone"
- id="phone"
- placeholder="812-3456-789"
- class="form-control">
- </div>
- </div>
- <div class="mb-3 col-12 col-md-4">
- <input
- type="submit"
- value="Daftar"
- class="btn btn-primary col-12">
- </div>
- </form>
- </div>
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