<head><title>formulir</title>
</head>
<body>
<table border="1" align="center" height="30%" width="75%">
<tr>
<td bgcolor="yellow">
<h1 align="center">FORMULIR</h1>
</td></tr>
<tr><td bgcolor="skyblue">
<form action="info.html" method="post">
Nama lengkap :<input type="text" name="nama_pegawai" size="20" maxlength="20">
</input><br>
Alamat :<input type="text" name="nama_pegawai" size="20" maxlength="20">
</input><br>
Tempat lahir : <input type="text" name="tempat" size="30"></input><br>
Tanggal lahir: <select name="tgl">
<option name="tgl">1</option>
<option name="tgl">2</option>
<option name="tgl">3</option>
<option name="tgl">4</option>
<option name="tgl">5</option>
<option name="tgl">6</option>
<option name="tgl">7</option>
<option name="tgl">8</option>
<option name="tgl">9</option>
<option name="tgl">10</option>
<option name="tgl">11</option>
<option name="tgl">12</option>
<option name="tgl">13</option>
<option name="tgl">14</option>
<option name="tgl">15</option>
</select>
<select name="bulan">
<option name="bulan">january</option>
<option name="bulan">feb</option>
<option name="bulan">mart</option>
</select>
<select>
<option name="tahun">2014</option>
<option name="tahun">2015</option>
<option name="tahun">2016</option>
</select><br>
jurusan yang anda inginkan: <br>
<input type="checkbox" name="pemasaran" value="ok">sales
<input type="checkbox" name="model" value="k">show
<input type="checkbox" name="perawat" value="o">nurse<br>
<input type=radio name="jurusan" value="kampret">T.Jahit
<input type=radio name="jurusan" value="bocor">T.tambal ban
<input type=radio name="jurusan" value="spon">T.steam<br>
<input type="submit" value="kirim">
<input type="reset" value="kosong">
</form>
</td></tr>
</table>
</body>
</html>
ini lah hasil running:
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