<table border="2">
<tr>
<td colspan="2"><font size="10"><center>Form Pendaftaran E-mail Smk Labor Pekanbaru</center></font></td>
</tr>
<tr>
<td><table border="0">
<td>Nama Depan</td>
<td><center>:</center></td>
<td><input size="25" type="text" /></td>
</tr>
<tr>
<td>Nama Belakang</td>
<td><center>:</center></td>
<td><input size="25" type="text" /></td>
</tr>
<tr>
<td>User Id</td>
<td><center>:</center></td>
<td><input size="25" type="text" />@smk Labor.sch.id</td>
</tr>
<tr>
<td>Password</td>
<td><center>:</center></td>
<td><input size="25" type="text" /></td>
</tr>
<tr>
<td>Ulangi Password</td>
<td><center>:</center></td>
<td><input size="25" type="text" /></td>
</tr>
<tr>
<td>TTL</td>
<td><center>:</center></td>
<td><input size="25" type="text" />
<select>
<option>-Tanggal-</option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</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>Januari</option>
<option>Februari</option>
<option>Maret</option>
<option>April</option>
<option>Mei</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>1995</option>
<option>1996</option>
<option>1997</option>
<option>1998</option>
<option>1999</option>
<option>2000</option>
<option>2001</option>
<option>2002</option>
<option>2003</option>
<option>2004</option>
<option>2005</option>
<option>2006</option>
<option>2007</option>
<option>2008</option>
<option>2009</option>
<option>2010</option>
<option>2011</option>
<option>2012</option>
</select></td></tr>
<tr>
<td>Jenis Kelamin</td>
<td><center>:</center></td>
<td><input type="radio" name="Kelamin" value="Laki-Laki" />Laki-Laki
<input type="radio" name="Kelamin" value="Perempuan" />Perempuan</td>
</tr>
<tr>
<td>Pertanyaan Keamanan</td>
<td><center>:</center></td>
<td><select>
<option>Apakah anda suka mandi ?</option>
<option>Dimana anda akan menikah ?</option>
<option>Apakah anda sudah punya anak ?</option>
<option>Dimana anda sekarang ?</option>
<option>Apakah anda jarang mandi ?</option>
</select></td></tr>
<tr>
<td>Jawaban</td>
<td><center>:</center></td>
<td><input size="30" type="text" /></td>
</tr>
<tr>
<td>Alamat</td>
<td><center>:</center></td>
<td><input size="30" type="text" /></td>
</tr>
</table></td>
<td>
<table border="0">
<tr>
<td>NIS</td>
<td><center>:</center></td>
<td><input size="30" type="text" /></td>
</tr>
<tr>
<td>Jurusan</td>
<td><center>:</center></td>
<td><select>
<option>Teknik informasi dan komunikasi</option>
<option>Akutansi</option>
<option>Sekretaris</option>
<option>Penjualan</option>
</select></td></tr>
<tr>
<td>Kelas</td>
<td><center>:</center></td>
<td><select>
<option>10</option>
<option>11</option>
<option>12</option>
</select></td></tr>
<tr>
<td>Hobi</td>
<td><center>:</center></td>
<td><input type="checkbox" />Belajar
<input type="checkbox" />Musik
<input type="checkbox" />Olaharaga
<input type="checkbox" />Lain-lain
</td></tr>
<tr>
<td valign="top">Motto</td>
<td valign="top">:</td>
<td><textarea cols="20" rows="4"> Tuliskan moto anda disini </textarea>
</td> </tr>
<tr>
<td><input type="checkbox" /> Saya Menyetejui untuk pembuatan E-mail Smk Labor !
</td></tr>
<tr>
<td colspan="2"></td>
<td><input type="reset" name="reset" value="Buatkan" />
<input type="submit" name="submit" value="batalkan" /></td>
</tr>
</table>
</form>
INI ADALAH HASILNYA
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7 komentar:
Sangat bermanfaat...
Thx sharingnya
terima kasih nyel :)
oh kod form..ku pikir kan kod apaan tadi.. nice sharing sob :)
TERIMA KASIH ..SYA BOLH TRY..
terima kasih udah komentari, semoga bermanfaat :)
kebetulan saya juga baru belajar html web design.thanks.
oke sama sama bos :D
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