<!doctype html>
<html>
<head>
<tittle>Form Pendaftaran</tittle>
</head>
<body>
<header>
<h3>Formulir Data Pendaftaran Siswa Baru</h3>
</header>
<form action ="proses-pendaftaran.php" method="POST">
<fieldset>
<p>
<laber for="nama">Nama : </label>
<input type="text" name="nama" placeholder="Nama Lengkap" />
</p>
<p>
<label for="alamat">Alamat : </label>
<textarea name="alamat"> </textarea>
</p>
<p>
<label for="jenis_kelamin">Jenis Kelamin : </label>
<label> <input type="radio" name="jenis_kelamin" value ="laki-laki"> Laki-laki</label>
<label> <input type="radio" name="jenis_kelamin" value ="perempuan"> Perempuan</label>
</p>
<p>
<label for="agama">Agama : </label>
<select name="agama">
<option>Islam</option>
<option>Kristen</option>
<option>Budha</option>
<option>Hindu</option> </select>
</p>
<p>
<label for="sekolah_asal">Sekolah Asal : </label>
<input type="text" name="sekolah_asal" placeholder="Nama Sekolah" />
</p>
<p>
<input type="submit" value="Daftar" name="daftar" />
</p>
</fieldset>
</form>
</body>
</html>
Post a Comment