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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4.     <title>Formulir Pendaftaran Siswa Baru | SMK Coding</title>
  5.     <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-1BmE4kWBq78iYhFldvKuhfTAU6auU8tT94WrHftjDbrCEXSU1oBoqyl2QvZ6jIW3" crossorigin="anonymous">
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  9. </head>
  10.  
  11. <body>
  12.     <header>
  13.         <center><h3>Formulir Pendaftaran Siswa Baru</h3></center>
  14.     </header>
  15.     <div class="container">
  16.         <form action="proses-pendaftaran.php" method="POST">
  17.             <fieldset>
  18.             <div class="mb-3">
  19.                 <label for="nama" class="form-label">Nama: </label>
  20.                 <input type="text" name="nama" placeholder="nama lengkap" class="form-control"/>
  21.             </div>
  22.             <p>
  23.                 <label for="alamat" class="form-label">Alamat: </label>
  24.                 <textarea name="alamat" class="form-control" placeholder="Masukkan Alamat"></textarea>
  25.             </p>
  26.             <p>
  27.                 <label for="jenis_kelamin">Jenis Kelamin: </label>
  28.                 <br>
  29.                 <label><input type="radio" name="jenis_kelamin" value="laki-laki" class="form-label"> Laki-laki</label>
  30.                 <label><input type="radio" name="jenis_kelamin" value="perempuan" class="form-label"> Perempuan</label>
  31.             </p>
  32.             <p>
  33.                 <label for="agama">Agama: </label>
  34.                 <select name="agama" class="form-control">
  35.                     <option class="dropdown-item">Islam</option>
  36.                     <option class="dropdown-item">Kristen</option>
  37.                     <option class="dropdown-item">Hindu</option>
  38.                     <option class="dropdown-item">Budha</option>
  39.                     <option class="dropdown-item">Atheis</option>
  40.                 </select>
  41.             </p>
  42.             <p>
  43.                 <label for="sekolah_asal">Sekolah Asal: </label>
  44.                 <input type="text" name="sekolah_asal" placeholder="Nama sekolah Asal" class="form-control"/>
  45.             </p>
  46.             <center>
  47.                 <input type="submit" value="Daftar" name="daftar" class="btn btn-success" />
  48.                 <a href="index.php" class="btn btn-danger">Batal</a>
  49.             </center>
  50.             </fieldset>
  51.  
  52.         </form>
  53.     </div>
  54.     </body>
  55. </html>
');