<html>
<head>
<title> SMAN 1 Kuningan </title>
</head>
<body>
<form name="F_daftar_sis" action="cintayunipratami@yahoo.com" method="post" target="top">
<center><b><U>FORMULIR PENDAFTARAN SISWA BARU</u></b><br><br>
<table border="1" width="80%">
<tr>
<td width="25%">NO PENDAFTARAN</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="text" name="NP"></td></tr>
<td width="25%">NAMA SISWA</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="text" name="NS"></td></tr>
<td width="25%">JENIS KELAMIN</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="radio" name="JK" value="Laki-laki">Laki-laki<br>
<input type="radio" name="JK" value="Perempuan">Perempuan</br>
</tr>
<TR>
<td width="25%">E-MAIL</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="text" name="EM"></td></tr>
<TR>
<td width="25%">PASSWORD</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="PASSWORD" name="PWD"></td></tr>
<TR>
<td width="25%">AGAMA</td>
<td width="5%" align="center">:</td>
<td width="50%"><select size="1" name="AG">
<option selected>Islam</option>
<option>Kristen</option>
<option>Hindu</option>
<option>Budha</option>
</select></td>
</tr>
<tr>
<td width="25%">ASAL SEKOLAH</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="text" name="AS"></td></tr>
<tr>
<td width="25%">JUMLAH NILAI</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="text" name="JN"></td></tr>
<tr>
<td width="25%">HOBI</td>
<td width="5%" align="center">:</td>
<td width="50%"><input type="checkbox" name="HB" value="BLJR">Belajar<input type="checkbox" name="HB" value="MNL">Menulis<br>
<input type="checkbox" name="HB" value="MBC">Membaca<input type="checkbox" name="HB" value="OR">Olahraga
<tr>
<td width="80%" colspan="3"><center><input type="submit" value="Simpan"> |
<input type="Reset" value="Batal">
</body>
</html>
