document.write('
Data hosted with ♥ by Pastebin.com - Download Raw - See Original
  1. <!DOCTYPE html>
  2. <html lang="en">
  3.  
  4. <head>
  5.     <meta charset="UTF-8">
  6.     <meta http-equiv="X-UA-Compatible" content="IE=edge">
  7.     <meta name="viewport" content="width=device-width, initial-scale=1.0">
  8.     <title>PPDB | Registrasi</title>
  9.     <link href="https://maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
  10.     <script src="https://maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script>
  11.     <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script>
  12.     <link href="css/regis.css" rel="stylesheet">
  13. </head>
  14.  
  15. <body>
  16.     <section class="get-in-touch p-5">
  17.         <h1 class="title">Registrasi Pendaftar</h1>
  18.         <form action="proses_regis.php" method="POST" enctype="multipart/form-data" class="contact-form row" autocomplete="false">
  19.             <div class="form-field col-lg-6">
  20.                 <input id="nama" name="nama" class="input-text js-input" type="text" autocomplete="false" required>
  21.                 <label class="label" for="nama">Nama Lengkap</label>
  22.             </div>
  23.             <div class="form-field col-lg-6 ">
  24.                 <input id="alamat" name="alamat" class="input-text js-input" type="text" autocomplete="false" required>
  25.                 <label class="label" for="alamat">Alamat</label>
  26.             </div>
  27.             <div class="form-field col-lg-6 ">
  28.                 <input id="sekolah" name="sekolah_asal" class="input-text js-input" type="text" autocomplete="false" required>
  29.                 <label class="label" for="sekolah">Sekolah Asal</label>
  30.             </div>
  31.             <div class="form-field col-lg-6 ">
  32.                 <select name="agama" style="padding:6px; width:320px; font-size:18px; border-radius:15px;">
  33.                     <option>Islam</option>
  34.                     <option>Kristen</option>
  35.                     <option>Hindu</option>
  36.                     <option>Budha</option>
  37.                     <option>Atheis</option>
  38.                 </select>
  39.                 <label class="label mb-4" for="agama">Agama</label>
  40.             </div>
  41.             <div class="form-field col-lg-12">
  42.  
  43.                 <label class="gender-label" for="gender">Jenis Kelamin</label><br>
  44.                 <input type="radio" class="btn-check js-input" name="jenis_kelamin" value="laki-laki" autocomplete="false" required>
  45.                 <label class="btn" for="male">Laki-Laki</label>
  46.  
  47.                 <input type="radio" class="btn-check js-input" name="jenis_kelamin" value="perempuan" autocomplete="false" required>
  48.                 <label class="btn" for="female">Perempuan</label>
  49.             </div>
  50.             <div class="form-field col-lg-12">
  51.                 <label for="foto">Foto</label><br><br>
  52.                 <input type="file" name="foto" value=""><br><br>
  53.             </div>
  54.             <div class="form-field col-lg-12">
  55.                 <input class="submit-btn" name="submit" type="submit" value="submit">
  56.             </div>
  57.         </form>
  58.     </section>
  59.  
  60. </body>
  61.  
  62. </html>
');