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LEMBAR KERJA PRAKTIK IIINama : Lela Mariati Bangun Matakuliah : Pemrograman Web Praktik
NIM : 120709019 Tanggal : 10 April 2015
Paraf :
KODE HTML :<html><head> <title> FORMULIR DATA ANGGOTA KELOMPOK KECIL UKM KMK USU UP FIB </title> </head><body> <body background="http://www.desktop-image.com/wp-content/uploads/2014/06/desktop-wallpaper-tumblr.jpg"><h2 align="center"><font color="black">FORMULIR DATA ANGGOTA KELOMPOK KECIL UKM KMK USU UP FIB</font></h2><form action="proses" method="post" name="form"><table width="68%" border="0" align="center" cellpadding="0"><tr><td width="33%"><font color="black">Nama</td><td width="3%">:</td><td width="64%"><input name="txtNama" size="57"id="txtNama"></input></td></tr><tr><td><font color="black">Tempat Tanggal Lahir</td><td>:</td><td><input name="txtTgl" type="text" id="txtTempat" size="20"maxlength="2"></input> /<input name="txtBulan" type="text" id="txtTanggallahir" size="30"maxlength="2"></input> </tr><tr><td><font color="black">Alamat</td><td>:</td><td><textarea name="txtAlamat" cols="40" rows="2"id="txtAlamat"></textarea></td></tr><tr><td><font color="black">Jurusan</td><td>:</td><td><select name="cboJob" id="cboJob"><option>-Pilih-</option><option>Ilmu Perpustakaan dan Informasi-S1</option><option>Ilmu Perpustakaan dan Informasi-D3</option><option>Etnomusikologi</option><option>Sastra Arab</option><option>Sastra Batak</option><option>Sastra Indonesia</option><option>Sastra Inggris</option><option>Sastra Jepang</option><option>Sastra Melayu</option><option>Ilmu Sejarah</option><option>Pariwisata</option><option>Sastra Cina</option><option>Bahasa Inggris</option>
<option>Bahasa Jepang</option></select></td></tr><tr><td width="33%"><font color="black">Stambuk</td><td width="3%">:</td><td width="100%"><input name="txtStambuk" size="57"id="txtStambuk"></input></td></tr><tr><td><font color="black">Jenis Kelamin</td><td>:</td><td><input name="radJk" type="radio" value="1" checked></input><font color="white"> Laki-Laki<input type="radio" name="radJk" value="2"> </input><font color="white"> Perempuan</td></tr><tr><td width="33%"><font color="black">Asal Gereja</td><td width="3%">:</td><td width="100%"><input name="txtAsalgereja" size="57"id="txtAsalgereja"></input></td></tr><tr><td width="33%"><font color="black">No.Handphone</td><td width="3%">:</td><td width="100%"><input name="txtNo.Handphone" size="57"id="txtNo.Handphone"></input></td></tr><td width="33%"><font color="black">Golongan darah</td><td width="3%">:</td><td width="100%"><input name="txtGolongandarah" size="57"id="txtGolongandarah"></input></td></tr></tr><td width="33%"><font color="black">Hobi</td><td width="3%">:</td><td width="100%"><input name="txtHobi" size="57"id="txtHobi"></input></td></tr><tr><td><font color="black">Alamat Facebook</td><td>:</td><td><textarea name="txtAlamatfacebook" cols="40" rows="1"id="txtAlamatfacebook"></textarea></td></tr><tr><td><font color="black">Alamat Email</td><td>:</td><td><textarea name="txtAlamatemail" cols="40" rows="1"id="txtAlamatemail"></textarea></td></tr><tr><td width="33%"><font color="black">Talenta</td><td width="3%">:</td><td width="100%"><input name="txtTalenta" size="57"id="txtTalenta"></input></td></tr><td width="33%"><font color="black">Nama PKK</td><td width="3%">:</td><td width="100%"><input name="txtNamaPKK" size="57"id="txtNamaPKK"></input></td>
</tr</tr><td width="33%"><font color="black">Nama Kelompok Kecil</td><td width="3%">:</td><td width="100%"><input name="txtNamaKK" size="57"id="txtNamaKK"></input></td></tr>
<td><input type="submit" value="Kirimkan data"></td></tr></table></table></body></html>
HASIL PRINTSCREEN :