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- <div class="container">
- <div class="well" style="background-color: white; opacity: 0.8 ">
- <center>
- <form action="proses-pendaftaran.php"method="post" name="form1"">
- <h2 class="Jadul">Pendaftaran Siswa</h2>
- <b>
- <table cellpadding="3" cellspacing="2" >
- <tr>
- <td>NIS</td>
- <td>:</td>
- <td><input type="text" name="nis" required></td>
- </tr>
- <tr>
- <td>NISN</td>
- <td>:</td>
- <td><input type="text" name="nisn" required></td>
- </tr>
- <tr>
- <td>Nama</td>
- <td>:</td>
- <td><input type="text" name="nama" required></td>
- </tr>
- <tr>
- <td>Tanggal lahir</td>
- <td>:</td>
- <td><input type="date" name="tgl" required></td>
- </tr>
- <tr>
- <td>Alamat</td>
- <td>:</td>
- <td><textarea width:"20" required name="alamat"></textarea></td>
- </tr>
- <tr>
- <td>Jenis Kelamin</td>
- <td>:</td>
- <td>
- <input type="radio" id="jk" name="jk" value="Wanita" required>Wanita
- <input type="radio" id="jk" name="jk" value="Pria" required>Pria
- </td>
- </tr>
- <tr>
- <td>Asal sekolah</td>
- <td>:</td>
- <td><input type="text" name="sekolah" required></td>
- </tr>
- <tr>
- <td>Nama orang tua</td>
- <td>:</td>
- <td><input type="text" name="ortu" required></td>
- </tr>
- <tr>
- <td>No Telepon</td>
- <td>:</td>
- <td><input type="text" name="tlp" required></td>
- </tr>
- <tr>
- <td>Golongan Darah</td>
- <td>:</td>
- <td>
- <input type="radio" id="golongan" name="golongan" value="a" required>A
- <input type="radio" id="golongan" name="golongan" value="a" required>A
- <input type="radio" id="golongan" name="golongan" value="ab" required>AB
- <input type="radio" id="golongan" name="golongan" value="o"required>O
- </td>
- </tr>
- <tr>
- <td> </td>
- <td></td>
- <td><button type="submit" name="daftar">Daftar </button>
- </td>
- </tr>
- </table>
- </b>
- </form>
- </div>
- </center>
- </ul>
- </div>
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