-
Notifications
You must be signed in to change notification settings - Fork 0
/
form-daftar.php
57 lines (52 loc) · 2.11 KB
/
form-daftar.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Formulir Pendaftaran Siswa Baru</title>
<!-- CDN Bootstrap CSS -->
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@5.2.2/dist/css/bootstrap.min.css">
</head>
<body class="bg-dark text-light">
<header>
<h1 class="text-center my-3">Formulir Pendaftaran Siswa Baru</h1>
</header>
<form action="proses-pendaftaran.php" method="POST" class="d-flex justify-content-center mt-5">
<fieldset class="p-4 border border-3 border-secondary rounded">
<div class="my-3">
<label for="nama">Nama: </label>
<input type="text" name="nama" placeholder="Nama Lengkap" class="bg-dark text-light" />
</div>
<div class="my-3">
<label for="alamat">Alamat: </label>
<textarea name="alamat" class="bg-dark text-light"></textarea>
</div>
<div class="my-3">
<label for="jenis_kelamin">Jenis Kelamin: </label>
<label><input type="radio" name="jenis_kelamin" value="Laki-laki">Laki-laki</label>
<label><input type="radio" name="jenis_kelamin" value="Perempuan">Perempuan</label>
</div>
<div class="my-3">
<label for="agama">Agama: </label>
<select name="agama" class="bg-dark text-light">
<option>Islam</option>
<option>Kristen</option>
<option>Katolik</option>
<option>Hindu</option>
<option>Budha</option>
</select>
</div>
<div class="my-3">
<label for="sekolah_asal">Sekolah Asal: </label>
<input type="text" name="sekolah_asal" placeholder="Nama Sekolah" class="bg-dark text-light" />
</div>
<div class="d-flex justify-content-center">
<input type="submit" value="Daftar" name="daftar" class="mt-3 bg-success text-light">
</div>
</fieldset>
</form>
<!-- CDN Bootstrap JS -->
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap@5.2.2/dist/js/bootstrap.bundle.min.js">
</body>
</html>