- Nama
- Tanggal lahir
- Alamat tempat tinggal
- Kota tempat tinggal
- Pekerjaan
- Jenis kelamin
- Hoby
- Dan terdapat tombol button kirim dan reset
Dibawah ini adalah contoh From Registrasi :
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<html>
<head> <title> Form Registrasi </title> </head>
<body>
<h2 align="center"><font color="#9966FF">Form
Registrasi</font></h2>
<form action="proses" method="post" name="form">
<table width="68%" border="0" align="center" cellpadding="0">
<tr>
<td width="33%">Nama</td>
<td width="3%">:</td>
<td width="64%"><input name="txtNama" type="text"
id="txtNama"></input></td>
</tr>
<tr>
<td>Tgl Lahir</td>
<td>:</td>
<td><input name="txtTgl" type="text" id="txtTgl" size="4"
maxlength="2"></input> /
<input name="txtBulan" type="text" id="txtBulan" size="4"
maxlength="2"></input> /
<input name="txtTahun" type="text" id="txtTahun" size="8"
maxlength="4"></input></td>
</tr>
<tr>
<td>Alamat</td>
<td> </td>
<td><textarea name="txtAlamat" cols="40" rows="2"
id="txtAlamat"></textarea></td>
</tr>
<tr>
<td>Kota</td>
<td>:</td>
<td><input name="txtKota" type="text" id="txtKota"></input>
</td>
</tr>
<tr>
<td>Pekerjaan</td>
<td>:</td>
<td><select name="cboJob" id="cboJob">
<option>Mahasiswa</option>
<option>Pegawai</option>
<option>Karyawan</option>
<option>Swasta</option>
</select></td>
</tr>
<tr>
<td>Jenis Kelamin</td>
<td>:</td>
<td><input name="radJk" type="radio" value="1" checked>
</input> Laki-Laki
<input type="radio" name="radJk" value="2"> </input> Perempuan
</td>
</tr>
<tr>
<td>Hobby</td>
<td>:</td>
<td><input name="cekReading" type="checkbox" id="cekReading"
value="1"> </input> Reading </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><input name="cekSport" type="checkbox" id="cekSport"
value="2"> </input> Sport</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><input name="cekSing" type="checkbox" id="cekSing"
value="3"></input> Singing </td>
</tr><br>
<tr>
<td> </td>
<td> </td>
<td><input name="cekTravel" type="checkbox" id="cekTravel"
value="4"></input> Traveling </td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><input name="btnKirim" type="submit" id="btnKirim"
value="Kirim"> </input>
<input name="btnReset" type="reset" id="btnreset"
value="reset"> </input> </td>
</tr>
</table>
</body>
</html>
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Form Registrasi
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