Selasa, 30 Mei 2017
<head>
<title>Membuat Form</title>
</head>
<body>
<ol>
<li><b>Tell us about yourself..?</b><br>
My Name :
<input type ="text" name="nama" value="First Name"/><input type ="text" name="nama" value="Last Name"/><br />
Gender :
<select>
<option value="">Jenis kelamin</option>
<option> Pria</option>
<option> Wanita</option>
</select><br>
Birthday : <select>
<option value="">Select Month</option>
<option> Januari</option>
<option> Februari</option>
<option> Maret</option>
<option> April</option>
<option> Mei</option>
<option> Juni</option>
<option> July</option>
<option> Agustus</option>
<option> September</option>
<option> Oktober</option>
<option> November</option>
<option> Desember</option>
</select>
<select>
<option value="">Day</option>
<option> 1</option>
<option> 2</option>
<option> 3</option>
<option> 4</option>
<option> 5</option>
<option> 6</option>
<option> 7</option>
<option> 8</option>
<option> 9</option>
<option> 10</option>
<option> 11</option>
<option> 12</option>
<option> 13</option>
<option> 14</option>
<option> 15</option>
<option> 16</option>
<option> 17</option>
<option> 18</option>
<option> 19</option>
<option> 20</option>
<option> 21</option>
<option> 22</option>
<option> 23</option>
<option> 24</option>
<option> 25</option>
<option> 26</option>
<option> 27</option>
<option> 28</option>
<option> 29</option>
<option> 30</option>
</select>
<select>
<option value="">Years</option>
<option> 1991</option>
<option> 1992</option>
<option> 1993</option>
<option> 1994</option>
<option> 1995</option>
<option> 1996</option>
<option> 1997</option>
<option> 1998</option>
<option> 1999</option>
<option> 2000</option>
</select><br>
I Live In : <select>
<option value="">Your Country</option>
<option> Indonesia</option>
<option> United States </option>
<option> United Kingdom</option>
</select><br>
Postal Code : <input type="text" name="Postal" size="40"/>
</li>
<li><b>Select an ID and Password</b><br>
Your Email :
<input type ="text" name="Email" />
<select>
<option> Yahoo.com</option>
<option> Gmail.com</option>
</select>
<button>Check</button><br>
Password :
<input type ="text" name="Email" size="40"/><br>
PRe-Type Password :
<input type ="text" name="Email" size="40"/>
</li>
<li><b>IN Case Forget ID or Password?</b><br>
<i>Alternatif email </i> :
<input type ="text" name="Email" size="40"/><br>
<i>1.Security Question</i>
<select>
<option value="" >Select One</option>
<option> What Your Mother Name</option>
<option> What Your Father Name</option>
</select><br>
Your Answer :<input type ="text" name="Email" size="40"/><br>
<i>2.Security Question</i>
<select>
<option value="" >Select One</option>
<option> What Your Family Name</option>
<option> What Your Car Brand</option>
</select><br>
Your Answer <input type ="text" name="Email" size="40"/><br>
<button> Simpan </button> <button> Batal</button> <br>
Saran Anda<br>
<input type="text" name="Saran" width="190" height="80"/>
</li>
</ol>
</body>
</html>
