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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4.     <title>Iman Nurohman || XI RPL 1</title>
  5.     <link rel="stylesheet" type="text/css" href="cssnya.css">
  6.   <link rel="" href="lihat.php">
  7. </head>
  8. <body >
  9.     <h3 align="center"><font size="5px"><b>Iman Nurohman || XI-RPL 1</b></font></h3>
  10.     <div>
  11.     <form id="Registrasi" action="lihat.php" method="post" name="registrasi">
  12.         <fieldset><legend>Formulir Pendaftaran Calon Peserta</legend>
  13.         <table>
  14.             <tr>
  15.                 <tr>
  16.             <td class="colom1" width="58">Nama Depan</td>
  17.             <td class="colom2"  width="230"><input class="area" type="text" name="nama_depan"></td>
  18.         </tr>
  19.         <tr>
  20.             <td class="colom1" width="58">Nama Belakang</td>
  21.             <td class="colom2"  width="230"><input class="area" type="text" name="nama_belakang"></td>
  22.         </tr>
  23.         <tr>
  24.             <td class="colom1" width="58">Kelamin</td>
  25.             <td class="colom2">
  26.             <input type="radio" name="radiobutton" value="Pria" class="rb1">Pria </td>
  27.             <td class="colom3">
  28.             <input type="radio" name="radiobutton" value="Wanita" class="rb1">Wanita </td>
  29.         </tr>
  30.         <tr><td class="colom1">TTL</td>
  31.       <td class="colom2"><input type="text" name="tempat" value="" class="ttl"></td>
  32.       <td class="colom3"><input type="date" name="tanggal_lahir" class="date"></td>
  33.         </tr>
  34.         <tr>
  35.             <td class="colom1">Agama</td>
  36.             <td class="colom2"><select name="agama">
  37.                 <option value="islam">Islam</option>
  38.                 <option value="kristen">Kristen</option>
  39.                 <option value="katholik">Katholik</option>
  40.                 <option value="hindu">Hindu</option>
  41.                 <option value="budha">Budha</option>
  42.                 <option value="konguchu">Konguchu</option>
  43.                 <option value="atheis">Atheis</option></select>
  44.             </td>
  45.         </tr>
  46.         <tr>
  47.             <td class="colom1">Alamat</td>
  48.             <td class="colom2">
  49.             <input type="text" name="alamat" value="" class="area">
  50.         </tr>
  51.         <tr>
  52.             <td ></td>
  53.             <td class="tombol" align="center"><input class="button" type="submit" name="Submit" value="Daftar" >
  54.         </tr>
  55.             </tr>
  56.         </table></fieldset>
  57.     </form></div>
  58. </body>
  59. </html>
');