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<html>
<head>
<title>Borang</title>
</head>
<body>
<form method="post" action="#">
<fieldset>
<legend>Form Data Diri</legend>
<table>
<tr>
<td>nama lengkap</td>
<td>:</td>
<td><input type="text" name="nama"/></td>
</tr>
<tr>
<td>password</td>
<td>:</td>
<td><input type="password" name="pass" /></td>
</tr>
<tr>
<td>jenis kelamin</td>
<td>:</td>
<td>
<input type="radio" name="jk" value="laki-laki" />
laki-laki
<input type="radio" name="jk" value="perempuan" />
perempuan
</td>
</tr>
<tr>
<td>tanggal lahir</td>
<td>:</td>
<td>
<input type="date" name="bd" />
</td>
</tr>
<tr>
<td>hobi</td>
<td>:</td>
<td>
<input type="checkbox" name="hobi1"
value="novel"/> membaca novel
<input type="checkbox" name="hobi2"
value="badminton"/> badminton
<input type="checkbox" name="hobi3"
value="futsal"/> futsal
<input type="checkbox" name="hobi4"
value="badminton"/> badminton
</form>
</td>
</tr>
<tr>
<td>Agama</td>
<td>:</td>
<td><select name="agama">
<option value="">--pilih--</option>
<option value="islam">islam</option>
<option value="protestan">protestan</option>
<option value="katolik">katolik</option>
<option value="hindu">hindu</option>
<option value="budha">budha</option>
</select>
</td>
</tr>
<tr>
<td>alamat</td>
<td>:</td>
<td>
<textarea cols="25" rows="5"
placeholder="masukkan alamat di sini"></textarea>
</td>
</tr>
<tr>
<td></td>
<td></td>
<td>
<input type="submit" value="kirim" />
<input type="reset" value="batal"/>
</td>
</tr>
</table>
</fieldset>
</form>
</body>
</html>