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<head>
<title> Registrasi</title>
</head>
<body Bgcolor="33ff99">
<table align="center">
<tr widht="50">
<td align="center" colspan=4 font="times roman" bgcolor="1ce88a">FORM REGISTRASI</td>
</tr>
<br/>
<tr>
<td><label for="nim">NIM</label></td><td>:</td>
<td colspan=2><input size="60" type="text" name="nama" value=""/></td>
</tr>
<tr>
<td><label for="nama">NAMA</label></td><td>:</td>
<td colspan=2><input size="60" type="text" name="nama" value=""/></td>
</tr>
<tr>
<td><label for="jk">JENIS KELAMIN</label></td><td>:</td>
<td colspan="5">
<input type="radio" name="jk" value="laki-laki" />Laki-laki
<input type="radio" name="jk" value="perempuan" />Perempuan </td>
</tr>
<tr>
<td><form name="list"> ASAL </form></td><td>:</td>
<td><select name="level">
<option value="pilih" selected>-</option>
<option value="delphi" >jambi</option>
<option value="delphi" >jakarta</option>
<option value="delphi" >palembang</option>
<option value="delphi" >bandung</option>
<option value="delphi" >surabaya</option>
<option value="delphi" >jogja</option>
</select></td>
</tr>
<tr>
<td><label for="alamatemail">ALAMAT E-MAIL</label></td><td>:</td>
<td colspan=2><input size="60" type="text" name="alamatemail" value=""/></td>
</tr>
<tr>
<td><label for="pasword">PASSWORD</label></td><td>:</td>
<td colspan=2><input size="60" type="text" name="pasword" value=""/></td>
</tr>
<tr>
<td rowspan=3><form name="hobby"> <br />HOBBY </form></td><td rowspan=3>:</td>
<td><input type="checkbox" name="sepakbola"/>Sepakbola <td><input type="checkbox" name="membaca"/>Membaca </td><br />
</td>
</tr>
<tr>
<td><input type="checkbox" name="futsal"/>Futsal</td> <td><input type="checkbox" name="joging"/>Jogging</td>
</tr>
<tr>
<td><input type="checkbox" name="berenang"/>Berenang</td> <td><input type="checkbox" name="gowes"/>Gowes</td>
</tr>
<tr>
<td><form name="Alamat"><br />DESKRIPSI DIRI</form></td><td>:</td><td colspan=2><textarea name="Alamat" rows="5" cols="38"></textarea></td>
</tr>
<tr>
<td colspan=4 align="center" bgcolor="f10659"><input type="submit" value="OK" /> <input type="submit" value="Batal" /></td>
</tr>
</table>
</body>
</html>
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