<h2 style="color: black; font-weight: normal;
text-align: left;">
<span style="font-size:
large;"><b>BIODATA ANGGOTA</b></span></h2>
<form action="" method="POST">
<pre><h3>
Nama
:<input name="nama" size="50"
type="text" />
Tempat Lahir
:<input name="tempat" size="50"
type="text" />
Tanggal Lahir
:<input name="tanggal" size="30"
type="text" />
<select name="Tanggal">
<option selected="selected" 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><select
name="bulan">
<option selected="selected"
value="januari">januari
</option><option value="februari">februari
</option><option value="maret">maret
</option><option value="april">april
</option><option value="mei">mei
</option><option value="juni">juni
</option><option value="juli">juli
</option><option value="agustus">agustus
</option><option value="september">september
</option><option value="oktober">oktober
</option><option value="november">november
</option><option value="desember">desember
</option></select><select name="tahun">
<option selected="selected" value="1990">1990
</option><option value="1991">1991
</option><option value="1992">1992
</option><option
value="1993">1993
</option><option value="1994">1994
</option><option value="1995">1995
</option><option value="1996">1996
</option><option value="1997">1997
</option><option value="1998">1998
</option><option value="1999">1999
</option><option value="2000">2000
</option><option value="2001">2001
</option><option
value="2002">2002
</option><option value="2003">2003
</option><option value="2004">2004
</option><option value="2005">2005
</option><option value="2006">2006
</option><option value="2007">2007
</option><option value="2008">2008
</option><option value="2009">2009
</option><option value="2010">2010
</option><option value="2011">2011
</option><option value="2012">2012
</option><option value="2013">2013
</option><option value="2014">2014
</option><option value="2015">2015
</option><option
value="2016">2016
</option><option value="2017">2017
</option><option value="2018">2018
</option><option value="2019">2019
</option><option value="2020">2020
</option></select>
Jenis Kelamin
:<input name="jenis" type="radio"
value="pria" />pria <input name="jenis"
type="radio" value="wanita" />wanita
Pendidikan
:<select name="sekolah">
<option selected="selected" value="sd">SD
</option><option value="sltp">SLTP
</option><option value="slta">SLTA
</option><option value="d">Diploma
</option><option value="sarjana">Sarjana
</option></select>
Alamat
:<textarea cols="40" name="alamat"
rows="4"></textarea>
Nomer Telepon
:<input name="telp" size="35"
type="text" />
E-mail
:<input name="mail" size="50"
type="text" />
<input type="submit" value="simpan"
/> <input type="reset" value="batal" />
</h3>
</pre>
</form>