<html>
<head>
<title>Formulir Pendaftaran Siswa Baru</title>
</head>
<body Background="nature.jpg">
<center>
<tr>
<td width="80%" height="1">
<p align="center"><b><font face="Impact" size="6">Formulir Pendaftaran Siswa Baru</font></b></p>
</tr>
<table border="1"width="30%">
<tr>
<td>Nama</td>
<td Width="5%" align="center">:</td>
<td>
<form>
<input type="text" name="T4" size="31"></td>
</form>
</tr>
<tr>
<td>Kelas</td>
<td Width="5%" align="center">:</td>
<td>
<input type="text" name="T4" size="31"></td>
</form>
</tr>
<tr>
<td>E-mail</td>
<td Width="5%" align="center">:</td>
<td>
<input type="text" name="T4" size="31"></td>
</form>
</tr>
<tr>
<tr>
<td>Password</td>
<td Width="5%" align="center">:</td>
<td>
<form> <input type="password" name="pwd">
</form>
</tr>
<tr>
<td>Re-Password</td>
<td Width="5%" align="center">:</td>
<td>
<form>
<input type="password" name="pwd">
</form>
</tr>
<tr>
<tr>
<td>Jenis Kelamin</td>
<td Width="5%" align="center">:</td>
<td>
<form>
<input type="radio" name="sex" value="laki-laki"> laki-laki <br>
<input type="radio" name="sex" value="perempuan"> perempuan
</form>
</tr>
<tr>
<td> Hobby </td>
<td Width="5%" align="center">:</td>
<td>
<form>
<input type="checkbox" name="vehicle" value="Membaca"> Membaca <br>
<input type="checkbox" name="vehicle" value="Olah raga"> Olah Raga <br>
<input type="checkbox" name="vehicle" value="Menulis"> Menulis <br>
<input type="checkbox" name="vehicle" value="Males"> Males
</form>
<tr>
<td> Agama </td>
<td Width="5%" align="center">:</td>
<td>
<select>
<option value="islam"> Islam </option>
<option value="Kristen"> Kristen </option>
<option value="Hindu"> Hindu </option>
<option value="Budha"> Budha </option>
</select>
</tr>
<tr>
<td width="100%" colspan="3">
<p align="center">
<input type="reset" value="simpan" name="b3">
<input type="reset" value="batal" name="b4"> </td>
</tr>
</table>
</body>
</html>
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