dengan html.
<html>
<head>
<title >Form Pendaftaran PMB</title>
<style type=text/css>
body {
background-color: skyblue;
}
h1 {
color: orange;
text-align: center;
}
p {
font-family: "Times New Roman";
font-size: 20px;
}
</style>
</head>
<body>
<center>
<font size="10" color="black" face="arial">
<table align="center" border=1>
<p align="black">
<font size="15" face="calibri" >Form Pendaftaran Mahasiswa Baru UAD</font>
<tr>
<td valign="top"><br/> Nama :</td>
<td><input type="text" size=90 maxslength=10></textarea></td>
</tr>
<tr>
<td valign="top"><br/>Alamat:</td>
<td><input type="text" size=90 maxslength=10></textarea></td>
</tr>
<tr>
<td valign="top"><br/>Agama:</td>
<td><input type="radio" name=agama value="Islam">Islam
<input type="radio" name=agama value="Katholik">Khatolik
<input type="radio" name=agama value="Kristen">Kristen
<input type="radio" name=agama value="Hindu">Hindu
<input type="radio" name=agama value="Budha">Budha</td>
</tr>
<tr>
<td valign="top"><br/>Jenis Kelamin:</td>
<td><select>
<option>Laki-Laki</option>
<option>Perempuan</option>
</select></td>
</tr>
<tr>
<td valign="top"><br/>Asal Sekolah:</td>
<td><select>
<option>SMA</option>
<option>SMK</option>
<option>SMEA</option>
<option>DAN LAIN-LAIN</option>
</select></td>
</tr>
<tr>
<td>
<input type="submit" value="Daftar">
<input type="reset" value="Batal">
</td>
</tr>
</table>
</body>
</html>
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