<form action="@" method="post">
<font size="+3">Biodata Pribadi</font>
<table border="0">
<tr>
<td>Nama</td><td>:</td>
<td><input size="30" type="text" value="isikan nama"/></td>
</tr>
<tr>
<td>Alamat</td><td>:</td>
<td><input size="40" type="text" Value="isikan alamat"/></td>
</tr>
<tr>
<td>TTL</td><td>:</td>
<td><input size="26" type="text" value="Nama Kota" /> <select size="1" name="select">
<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 size"1"name="select">
<option>January</option>
<option>Febuary</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 size="1" name="select">
<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>1992</option>
<option>1991</option>
<option>1990</option>
</select>
</td>
<tr>
<td>Kelamin</td><td>:</td>
<td><input size="1" type="radio" name="Kelamin"/>Female <input size="1" type="radio" name="Kelamin" />Male</td>
</tr>
<tr>
<td>Agama</td><td>:</td>
<td><select name="Agama">
<option>Islam</option>
<option>Kristen</option>
<option>Hindu</option>
<option>Budha</option>
<option>Katolik</option>
<option>dan lain lain</option>
</select></td>
</tr>
<tr>
<td>Hobi</td><td>:</td>
<td><input size="1" type="checkbox"/>Olah Raga <input size="1" type="checkbox"/>Belajar <input size="1" type= "checkbox"" />Komputer <input size="1" type="checkbox"/>Musik <input size="1" type="checkbox"/>Lain-Lain</td>
</tr>
<tr>
<td>Moto</td><td>:</td>
<td><textarea>silahkan isi moto anda</textarea></td>
</tr>
<tr>
<td colspan="2"></td>
<td><input Size="1" Type="reset"value="Ulangi">
<input size="1" type="submit" Value="Daftar"></td>
</tr>
</form>
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