form-daftar 4

<!DOCTYPE html>
<html>
<head>
    <link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
    <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script>
    <script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
    <title>Formulir Pendaftaran Siswa Baru | SMAN 1 Tanjung</title>
    <style type="text/css">
        body {
            background-color: #FFFFCC
        }
    </style>
</head>

<body>
    <form class="form-horizontal">
        <header>
            <legend><center>Formulir Pendaftaran Siswa Baru</center></legend>
        </header>

        <form action="proses-pendaftaran.php" method="POST">

            <fieldset>

            <div class="form-group">
                <label class="col-md-4 control-label" for="nama">Nama*</label>
                <div class="col-md-4">
                    <input id="nama" name="nama" placeholder="nama lengkap" class="form-control input-md" required="" type="text">

                </div>
            </div>

            <div class="form-group">
                <label class="col-md-4 control-label" for="alamat">Alamat*</label>
                <div class="col-md-6">
                    <input id="alamat" name="alamat" placeholder="alamat" class="form-control input-md" required="" type="text">

                </div>
            </div>

            <div class="form-group">
                <label class="col-md-4 control-label" for="jenis_kelamin">Jenis Kelamin</label>
                <div class="col-md-4">
                    <select id="jenis_kelamin" name="jenis_kelamin" class="form-control">
                        <option value="Laki-Laki">Laki-Laki</option>
                        <option value="Perempuan">Perempuan</option>
                    </select>
                </div>
            </div>

            <div class="form-group">
                <label class="col-md-4 control-label" for="agama">Agama</label>
                <div class="col-md-4">
                    <select id="agama" name="agama" class="form-control">
                        <option value="Islam">Islam</option>
                        <option value="Kristen">Kristen</option>
                        <option value="Hindu">Hindu</option>
                        <option value="Budha">Budha</option>
                        <option value="Atheis">Atheis</option>
                    </select>
                </div>
            </div>

            <div class="form-group">
                <label class="col-md-4 control-label" for="sekolah_asal">Sekolah Asal*</label>
                <div class="col-md-4">
                    <input id="sekolah_asal" name="sekolah_asal" placeholder="nama sekolah" class="form-control input-md" required="" type="text">

                </div>
            </div>

            <div class="form-group">
                <label class="col-md-4 control-label" for="daftar"></label>
                <div class="col-md-4">
                    <button id="daftar" name="daftar" class="btn btn-primary">Daftar</button>
                </div>
            </div>

            </fieldset>

        </form>
    </form>
</body>
</html>