daniramadhan7

Registrasi Kuliah Tatap Muka

Oct 11th, 2021 (edited)
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  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>Registrasi Kuliah Tatap Muka</title>
  9.     <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css">
  10.     <script src="script.js">
  11. </head>
  12.  
  13. <body>
  14.     </script>
  15.     <br>
  16.     <center>
  17.         <h2>Registrasi Kuliah Tatap Muka</h2>
  18.     </center>
  19.     <div class="container">
  20.         <form name="formPendaftaran" action="daftar.php" method="get">
  21.             <div class="form-group">
  22.                 <label>Nama</label>
  23.                 <input type="text" name="nama" placeholder="Nama Lengkap" class="form-control" required maxlength="40"
  24.                    minlength="3"></input>
  25.             </div>
  26.  
  27.             <div class="form-group">
  28.                 <label>NRP</label>
  29.                 <input type="number" class="form-control" name="nrp" id="nrp" placeholder="NRP" required
  30.                    minlength="11"></input>
  31.             </div>
  32.  
  33.             <div class="form-group">
  34.                 <label>Email</label>
  35.                 <input type="email" class="form-control" name="email" id="email" placeholder="Email Aktif" required
  36.                    minlength="3"></input>
  37.                 <small id="emailHelp" class="form-text text-muted">Email akan digunakan untuk mengirimkan
  38.                     notifikasi.</small>
  39.             </div>
  40.  
  41.             <div class="form-group">
  42.                 <label>Departemen</label>
  43.                 <select class="form-control" name="departemen" id="departemen">
  44.                     <option value="0">Pilih Departemen</option>
  45.                     <option value="1">Departemen Matematika</option>
  46.                     <option value="2">Departemen Fisika</option>
  47.                     <option value="3">Departemen Biologika</option>
  48.                     <option value="4">Departemen Kimia</option>
  49.                     <option value="5">Departemen Statistika</option>
  50.                     <option value="6">Departemen Informatika</option>
  51.                 </select>
  52.                 <small id="departemenHelp" class="form-text text-muted">Silahkan memilih departemen anda.</small>
  53.             </div>
  54.  
  55.             <div class="form-group">
  56.                 <label>Status Vaksinasi</label>
  57.                 <br>
  58.                 <input type="checkbox" id="vehicle1" name="vaksin1" value="vaksin1">
  59.                 <label for="vehicle1"> Sudah Vaksin 1</label><br>
  60.                 <input type="checkbox" id="vehicle2" name="vaksin2" value="vaksin2">
  61.                 <label for="vehicle2"> Sudah Vaksin 2</label><br>
  62.                 <small id="vaksinHelp" class="form-text text-muted">Harap mengisi status vaksinasi.</small>
  63.             </div>
  64.  
  65.             <button type="submit" class="btn btn-primary" onclick="javascript:validateForm();">Submit</button>
  66.         </form>
  67.     </div>
  68. </body>
  69.  
  70. </html>
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