FORMULIR DATA DIRI
code script :
<html>
<head>
<title>FORM++</title>
</head>
<body>
<form action="Latihan-html.html" method="post">
<font size="2"><h1>DATA PRIBADI</h1> </font><br />
<table>
<tr>
<td>Nama</td>
<td>:</td>
<td><input size="68" type="text" /></td>
</tr>
<tr>
<td>Alamat</td>
<td>:</td>
<td><input size="68" type="text" /></td>
</tr>
<tr>
<td>TTL</td>
<td>:</td>
<td><input size="20" type="text" />
<select>
<option>-Tanggal-</option>
<option>01</option>
<option>02</option>
<option>03</option>
<option>04</option>
<option>05</option>
<option>06</option>
<option>07</option>
<option>08</option>
<option>09</option>
<option>10</option>
<option>11</option>
<option>12</option>
<option>13</option>
<option>14</option>
<option>15</option>
<option>16</option>
<option>17</option>
<option>18</option>
<option>19</option>
<option>20</option>
<option>21</option>
<option>22</option>
<option>23</option>
<option>24</option>
<option>25</option>
<option>26</option>
<option>27</option>
<option>28</option>
<option>29</option>
<option>30</option>
<option>31</option></select>
<select>
<option>-Bulan-</option>
<option>January</option>
<option>February</option>
<option>Maret</option>
<option>April</option>
<option>Mey</option>
<option>Juni</option>
<option>Juli</option>
<option>Agustus</option>
<option>September</option>
<option>Oktober</option>
<option>November</option>
<option>Desember</option></select>
<select>
<option>-Tahun-</option>
<option>2011</option>
<option>2010</option>
<option>2009</option>
<option>2008</option>
<option>2007</option>
<option>2006</option>
<option>2005</option>
<option>2004</option>
<option>2003</option>
<option>2002</option>
<option>2001</option>
<option>2000</option>
<option>1999</option>
<option>1998</option>
<option>1997</option>
<option>1996</option>
<option>1995</option>
<option>1994</option>
<option>1993</option>
<option>1992</option>
<option>1991</option>
<option>1990</option></select></td>
</tr>
<tr>
<td>Kelamin</td>
<td>:</td>
<td><input type="radio" name="Kelamin" value="Laki-laki" />Male
<input type="radio" name="Kelamin" value="Perempuan" />Female
<input type="radio" name="Kelamin" value="Lainnya" />Other</td>
</tr>
<tr>
<td>Agama</td>
<td>:</td>
<td><select> <option>-Agama-</option>
<option>Islam</option>
<option>Kristen</option>
<option>Budha</option>
<option>Hindu</option></select></td>
</tr>
<tr>
<td>Hobby</td>
<td>:</td>
<td><input type="checkbox" />Advanture <input type="checkbox" />Traveller <input type="checkbox" />Hang Out <input type="checkbox" />Coders <input type="checkbox" />Berenang<input type="checkbox" />Lain-lain</td>
</tr>
<tr>
<td valign="top">Motivasi</td>
<td valign="top">:</td>
<td><textarea cols="65" rows="4"> ketikkan apa yang ingin anda ketikkan .... </textarea></td>
</tr>
<tr>
<td colspan="2"></td>
<td><input type="submit" name="submit" />
<input type="reset" name="reset" />
</td>
</tr>
</table>
</form>
</body>
</html>
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