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Sep 15th, 2019
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  1. <div class="container">
  2. <div class="well" style="background-color: white; opacity: 0.8 ">
  3.   <center>
  4.         <form  action="proses-pendaftaran.php"method="post" name="form1"">
  5.                  
  6.                    <h2 class="Jadul">Pendaftaran Siswa</h2>
  7.      
  8.      <b>
  9.      <table cellpadding="3" cellspacing="2" >
  10.      <tr>
  11.        <td>NIS</td>
  12.        <td>:</td>
  13.        <td><input type="text" name="nis" required></td>
  14.      </tr>
  15.      <tr>
  16.        <td>NISN</td>
  17.        <td>:</td>
  18.        <td><input type="text" name="nisn" required></td>
  19.      </tr>
  20.      <tr>
  21.        <td>Nama</td>
  22.        <td>:</td>
  23.        <td><input type="text" name="nama" required></td>
  24.      </tr>
  25.      <tr>
  26.        <td>Tanggal lahir</td>
  27.        <td>:</td>
  28.        <td><input type="date" name="tgl" required></td>
  29.      </tr>
  30.      <tr>
  31.        <td>Alamat</td>
  32.        <td>:</td>
  33.        <td><textarea width:"20" required name="alamat"></textarea></td>
  34.      </tr>
  35.      
  36.      <tr>
  37.        <td>Jenis Kelamin</td>
  38.        <td>:</td>
  39.        <td>          
  40.                <input type="radio" id="jk" name="jk" value="Wanita" required>Wanita  
  41.                <input type="radio" id="jk" name="jk" value="Pria" required>Pria
  42.            </td>
  43.      </tr>
  44.      <tr>
  45.        <td>Asal sekolah</td>
  46.        <td>:</td>
  47.        <td><input type="text" name="sekolah" required></td>
  48.      </tr>
  49.      <tr>
  50.        <td>Nama orang tua</td>
  51.        <td>:</td>
  52.        <td><input type="text" name="ortu" required></td>
  53.      </tr>
  54.      <tr>
  55.        <td>No Telepon</td>
  56.        <td>:</td>
  57.        <td><input type="text" name="tlp" required></td>
  58.      </tr>
  59.      
  60.      <tr>
  61.        <td>Golongan Darah</td>
  62.        <td>:</td>
  63.        <td>          
  64.                <input type="radio" id="golongan" name="golongan" value="a" required>A  
  65.                <input type="radio" id="golongan" name="golongan" value="a" required>A    
  66.                <input type="radio" id="golongan" name="golongan" value="ab" required>AB
  67.                <input type="radio" id="golongan" name="golongan" value="o"required>O
  68.            </td>
  69.      </tr>
  70.      <tr>
  71.        <td>&nbsp;</td>
  72.        <td></td>
  73.      <td><button  type="submit" name="daftar">Daftar </button>
  74. </td>
  75. </tr>
  76. </table>
  77. </b>
  78. </form>
  79. </div>
  80. </center>
  81. </ul>
  82. </div>
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