-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathisiformulir.php
80 lines (78 loc) · 3.42 KB
/
isiformulir.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Latihan Form Kompleks</title>
<style>
.title{
font-size: 12px;
font-family: Verdana, Geneva, Tahoma, sans-serif;
color: blue;
text-align: center;
}
</style>
</head>
<body>
<b class="title">Form Pendaftaran Pelatihan Web Programming</b>
<!-- Form Start -->
<form action="insert.php" method="post">
<!-- Table Start -->
<table border="0" width="75%">
<tr>
<td>NPM</td>
<td><input type="text" name="var_npm" size="22"></td>
</tr>
<tr>
<td>Nama</td>
<td><input type="text" name="var_nama" size="22"></td>
</tr>
<tr>
<td>Password</td>
<td><input type="text" name="var_password" size="22"></td>
</tr>
<tr>
<td>Jenis Kelamin</td>
<td>
<input type="radio" name="var_jk" value="Laki-Laki" checked>Laki-Laki
<input type="radio" name="var_jk" value="Perempuan" checked>Perempuan
</td>
</tr>
<tr>
<td>
<select name="var_agama">
<option selected hidden disabled value="">PILIH</option>
<option value="Islam">Islam</option>
<option value="Katholik">Katholik</option>
<option value="Protestan">Protestan</option>
<option value="Hindu">Hindu</option>
<option value="Budha">Budha</option>
<option value="Lainnya">Lainnya</option>
</select>
</td>
</tr>
<tr>
<td>Hobi</td>
<td>
<input type="checkbox" name="var_baca" value="Membaca">Membaca
<input type="checkbox" name="var_musik" value="Musik">Musik
<input type="checkbox" name="var_komputer" value="Komputer">Komputer
</td>
</tr>
<tr>
<td align="top">Kritik & Saran</td>
<td><textarea name="var_saran" wrap="OFF" cols="20" rows="5"></textarea></td>
</tr>
<tr>
<td align="center">
<input type="submit" name="submit" value="Submit">
<input type="reset" name="reset" value="Reset">
</td>
</tr>
</table>
<!-- Table End -->
</form>
<!-- Form End -->
</body>
</html>