formulir

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<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" />

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</pre>

</form>