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Membuat Form Regristasi dengan HTML

21 Dec
membuat form resgritasi dengan html,
cara membuatnya cukup simple,kita hanya menggunakan notepad,
nih codingannya,tinggal copy paste ajah dengan format,,

file name : formregristasi.html

Save as type : all files

Encoding : ANSI

<!–boleh dicopy asalakan jangan di hapus tulisan ini
febrialams.worddpress.com–>
<html>
<head>
<title>Tugas No 3</title>
</head>
<body>
<style>
h1{color:black;background-color:orange;}
</style>
<h1>Data Pribadi</h1>
<form action=” method=’post’name=’formpendaftaran’>
<table>
<tr>
<td>Jenis Pendaftaran*</td>
<td>:&nbsp;<input type=’radio’ value=’I’ name=’Jenis’>Institusi &nbsp;<input type=’radio’ value=’P’ name=’Jenis’>Personal &nbsp;</td>
</tr>
<tr>
<td>Nama Lengkap*</td>
<td>:&nbsp;<input type=’text’ name=’txtuser’ size=’50’ maxlength=’20’ /></td>
</tr>
<tr>
<td>Tempat Lahir*</td>
<td>:&nbsp;<input type=’text’ name=’txtuser’ size=’50’ maxlength=’20’ /></td>
</tr>
<tr>
<td>Tanggal Lahir*</td>
<td>
:&nbsp;<select name=’Tanggal’>
<option value=’tgl’>Tgl</option>
<option value=’1′>1</option>
<option value=’2′>2</option>
<option value=’3′>3</option>
<option value=’4′>4</option>
<option value=’5′>5</option>
<option value=’6′>6</option>
<option value=’7′>7</option>
<option value=’8′>8</option>
<option value=’9′>9</option>
<option value=’10’>10</option>
<option value=’11’>11</option>
<option value=’12’>12</option>
<option value=’13’>13</option>
<option value=’14’>14</option>
<option value=’15’>15</option>
<option value=’16’>16</option>
<option value=’17’>17</option>
<option value=’18’>18</option>
<option value=’19’>19</option>
<option value=’20’>20</option>
<option value=’21’>21</option>
<option value=’22’>22</option>
<option value=’23’>23</option>
<option value=’24’>24</option>
<option value=’25’>25</option>
<option value=’26’>26</option>
<option value=’27’>27</option>
<option value=’28’>28</option>
<option value=’29’>29</option>
<option value=’30’>30</option>
<option value=’31’>31</option>
</select>&nbsp &nbsp
<select name=’Bulan’>
<option value=’Bln’>Bulan</option>
<option value=’1′>Januari</option>
<option value=’2′>Februari</option>
<option value=’3′>Maret</option>
<option value=’4′>April</option>
<option value=’5′>Mei</option>
<option value=’6′>Juni</option>
<option value=’7′>Juli</option>
<option value=’8′>Agustus</option>
<option value=’9′>September</option>
<option value=’10’>Oktober</option>
<option value=’11’>November</option>
<option value=’12’>Desember</option>
</select>&nbsp &nbsp
<select name=’Tahun’>
<option value=’thn’>Bulan</option>
<option value=’10’>2010</option>
<option value=’09’>2009</option>
<option value=’08’>2008</option>
</select>&nbsp &nbsp
</td>
</tr>
<tr>
<td>Agama*</td>
<td>
:&nbsp;<select name=’Agama’>
<option value=’pilih’> — Pilih Salah Satu — </option>
<option value=’islam’>Islam</option>
<option value=’kristen’>Kristen</option>
<option value=’hindu’>Hindu</option>
</select>
</td>
<tr>
<tr>
<td>Alamat*</td>
<td>:&nbsp;<textarea rows=’3′ cols=’40’ name=’txtAlamat’> </textarea></td>
</tr>
<tr>
<td>Kelurahan*</td>
<td>:&nbsp;<input type=’text’ name=’txtuser’ size=’50’ maxlength=’20’ /></td>
</tr>
<tr>
<td>Kecamatan*</td>
<td>:&nbsp;<input type=’text’ name=’txtuser’ size=’50’ maxlength=’20’ /></td>
</tr>
<tr>
<td>Kotamadya/Kabupaten*</td>
<td>:&nbsp;<input type=’text’ name=’txtuser’ size=’50’ maxlength=’20’ /></td>
</tr>
<tr>
<td>Kode Pos*</td>
<td>:&nbsp;<input type=’text’ name=’txtuser’ size=’30’ maxlength=’20’ /></td>
</tr>
<tr>
<td>Propinsi*</td>
<td>:&nbsp;
<select name=’Provinsi’>
<option value=’Pilih’> — Pilih Propinsi — </option>
<option value=’Jakarta’>Jakarta</option>
<option value=’Bali’>Bali</option>
<option value=’Lombok’>Lombok</option>
</select>
</td>
<tr>
<tr>
<td>Telepon Rumah*</td>
<td>:&nbsp;
<input type=’text’ name=’txtuser’ size=’3′ maxlength=’3′ />&nbsp
<input type=’text’ name=’txtuser’ size=’3′ maxlength=’3′ />&nbsp
<input type=’text’ name=’txtuser’ size=’10’ maxlength=’10’ />
</td>
</tr>
<tr>
<td></td>
<td>&nbsp;&nbsp;&nbsp;contoh &nbsp&nbsp+62 – 21 – 552451454</td>
</tr>
<tr>
<td></td>
<td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=’submit’ name=’tblDaftar’ value=’Isi Form Pendaftaran’> &nbsp;
<input type=’reset’ name=’tblReset’ value=’Kosongkan’></td>
<td>
<hr>
</table>
</form>
</body>
</html>
 
6 Comments

Posted by on December 21, 2010 in TI

 

Tags: , , , , , , , , , , , , , , ,

6 responses to “Membuat Form Regristasi dengan HTML

  1. ReedColdu

    December 29, 2010 at 3:14 pm

    Find and select some good points from you and it aids me to solve a problem, thanks.

    – Henry

     
  2. wahyu

    January 5, 2011 at 10:58 am

    kok code html bat tombol send gak ada bos

     
    • febrialams

      January 5, 2011 at 1:19 pm

      ada kok,,
      itu gw pake fungsi submit,
      jd submit itu kn buat ngesave data,atau mengirim data ke database gan,hehehe

       
  3. wahyu

    January 5, 2011 at 11:04 am

    tanks

     

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