HTML Formulir Pendaftaran
<!DOCTYPE html>
<html>
<head><title>Formulir Pendaftaran</title></head>
<body>
<center><table>
<h2><center> Formulir Pendaftaran SMK Krian 1</center></h2>
<font face="times new roman" size="4">
<center><table border="0" </center>
</font>
<tr>
<td> Nama Lengkap </td>
<td> : </td>
<td><input type="teks" name="Nama" size="30"</td>
</tr>
<tr>
<td> NISN </td>
<td> : </td>
<td><input type="teks" name="NISN" size="30"</td>
</tr>
<tr>
<td> Tempat Lahir </td>
<td> : </td>
<td><input type="teks" name="Tempat" size="30"</td>
</tr>
<tr>
<td> Tanggal Lahir </td>
<td> : </td>
<td><input type="date" name="Tanggal" </td>
</tr>
<tr>
<td> Jenis Kelamin </td>
<td> : </td>
<td><input type="radio" name="opsi" size="30" value="Laki-Laki"> Laki-Laki</td>
<td><input type="radio" name="opsi" size="30" value="Perempuan"> Perempuan</td>
</tr>
<tr>
<td> Agama </td>
<td> : </td>
<td><input type="checkbox" name="Agama" value="Islam">Islam
<input type="checkbox" name="Kristen" value="Kristen">Islam
<input type="checkbox" name="Katolik" value="Katolik">Islam
<input type="checkbox" name="Hindu" value="Hindu">Islam
<input type="checkbox" name="Buddha" value="Buddha">Islam
<input type="checkbox" name="Khonghucu" value="Khonghucu">Islam
</td>
</tr>
<tr>
<td> Alamat </td>
<td> : </td>
<td><textarea cols="31" rows="5"></textarea></td>
</tr>
<tr>
<td> Asal Sekolah </td>
<td> : </td>
<td><input type="text" name="Nama" size="30"</td>
</tr>
<tr>
<td> Jurusan yang akan dipilih </td>
<td> : </td>
<td><select>
<option>******** Pilih Jurusan ********</option>
<option>Rekayasa Perangkat Lunak</option>
<option>Teknik Pemesinan</option>
<option>Teknik Instalasi Tenaga Listrik</option>
<option>Teknik Pengelasan</option>
<option>Teknik Logistik</option>
</select></td>
</tr>
<tr>
<td> Alamat Email </td>
<td> : </td>
<td><input type="email" name="email" size="30"</td>
</tr>
<tr>
<td> No Handphone </td>
<td> : </td>
<td><input type="no hp" name="no hp" </td>
</tr>
<tr>
<td> Nama Ayah </td>
<td> : </td>
<td><input type="text" name="Nama" size="30"</td>
</tr>
<tr>
<td> Pekerjaan Ayah </td>
<td> : </td>
<td><input type="text" name="Nama" size="30"</td>
</tr>
<tr>
<td> Nama Ibu </td>
<td> : </td>
<td><input type="text" name="Nama" size="30"</td>
</tr>
<tr>
<td> Pekerjaan Ibu </td>
<td> : </td>
<td><input type="text" name="Nama" size="30"</td>
</tr>
<tr>
<td> Alamat </td>
<td> : </td>
<td><textarea cols="31" rows="5"></textarea></td>
</tr>
<tr>
<td> Alamat Orang Tua </td>
<td> : </td>
<td><textarea cols="31" rows="5"></textarea></td>
</tr>
</table></center>
<input type="submit" value="SIMPAN"
<input type="submit" value="RESET"
</body>
</html>
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