<html>
<head></head>
<title>Form Pendaftaran</title>
<body>
<p align="center">
<font size =20 face="calibri"> Form Pendaftaran Mahasiswa></font>
</br>
<form method="post" action="coba.php" name="form">
<center>
<table border="0">
<tr>
<td>Nama : </td>
<td><input type="text" Nama="nama" size ="50"/></td>
</tr>
<tr>
<td>Alamat : </td>
<td><textarea cols=52 rows=10></textarea></td>
</tr>
<tr>
<td>Agama : </td>
<td>
<input type= "radio" name="agama" value="islam"> islam
<input type="radio" name="agama" value="katolik"> katolik
<input type="radio" name="agama" value="budha"> budha
<input type="radio" name="agama" value="Hindu"> Hindu
<input type="radio" name="agama" value="Kristen"> Kristen
<input type="radio" name="agama" value="Konggucu"> konggucu
</td>
</tr>
<tr>
<td>Jenis Kelamin : </td>
<td>
<select name="jk">
<option>pria</option>
<option>wanita</option>
</select>
</td>
</tr>
<tr>
<td>Asal SMA : </td>
<td>
<select name="asalsma">
<option>SMA</option>
<option>SMK</option>
<option>MA</option>
</select>
</td>
</tr>
<tr>
<td><input type="submit" value="kirim" name="kirim"/></td>
<td><input type="reset" value="reset" name="reset"/></td>
</tr>
</table>
</center>
</form>
</p>
</body>
</html>
Hasil :
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