tugas.html

<html>

<head>
    <title>Form HTML</title>
</head>

<body>

    <center><h1> FORMULIR PENDAFTARAN ANGGOTA PERPUSTAKAAN </h1></center>
    <marquee bgcolor="cyan">Nauval Banyu Arrachman</marquee>

    <h3> Identitas Siswa </h3>
    <table>
        <tr>
            <td>Nama</td>
            <td> :</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Tempat Tanggal Lahir</td>
            <td> :</td>
            <td>
                <input type="text" name="nama">
            </td>
            <td><input type="date" name="date" /></td>
        </tr>
        <tr>
            <td>Jenis Kelamin</td>
            <td>  :</td>
            <td>
                <input type="radio" name="kelamin" value="Laki-Laki"> Laki-Laki
    <input type="radio" name="kelamin" value="perempuan"> perempuan
            </td>
        </tr> 
         <tr>
            <td>Agama</td>
            <td>:</td>
            <td>
                <select name="agama">
                    <option>Pilih Agama</option>
                    <option>Islam</option>
                    <option>Kristen</option>
                    <option>Budha</option>
                    <option>Hindu</option>
            
                </select>
            </td>
        </tr> 
         <tr>
            <td>Alamat</td>
            <td>:</td>
            <td>
                <textarea name="alamat" cols="40" rows="5"></textarea>
            </td>
        </tr>
        <tr>
            <td>Kelas</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>No. Handphone</td>
            <td>:</td>
            <td>
                <input type="number" name="number"/>
            </td>
        </tr>
    </table>
    <h3> Identitas Orang Tua/ Wali </h3>
    <table>
        <tr>
            <td>1. Ayah</td>
            <td>
            </td>
        </tr>
        <tr>
            <td>Nama</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Pekerjaan</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Alamat</td>
            <td>:</td>
            <td>
                <textarea name="alamat" cols="40" rows="5"></textarea>
            </td>
        </tr>
        <tr>
            <td>No. Handphone</td>
            <td>:</td>
            <td>
                <input type="tel" name="tel"/>
            </td>
        </tr>
        
        <tr>
            <td>2. ibu</td>
            <td>
            </td>
        </tr>
        <tr>
            <td>Nama</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Pekerjaan</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Alamat</td>
            <td>:</td>
            <td>
                <textarea name="alamat" cols="40" rows="5"></textarea>
            </td>
        </tr>
        <tr>
            <td>No. Handphone</td>
            <td>:</td>
            <td>
                <input type="tel" name="tel"/>
            </td>
        </tr>
        
        <tr>
            <td>3. Wali</td>
            <td>
            </td>
        </tr>
        <tr>
            <td>Nama</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Pekerjaan</td>
            <td>:</td>
            <td>
                <input type="text" name="nama">
            </td>
        </tr>
        <tr>
            <td>Alamat</td>
            <td>:</td>
            <td>
                <textarea name="alamat" cols="40" rows="5"></textarea>
            </td>
        </tr>
        <tr>
            <td>No. Handphone</td>
            <td>:</td>
            <td>
                <input type="tel" name="tel"/>
            </td>
        </tr>
        <br/>
        <table style="float:right" border="0">
            <thead>
                <tr>
                    <th>Tanggerang selatan</th>
                    <th>...............</th>
                    <th>2023</th>
                </tr>
                    <tfoot>
                        <tr>
                            <td></td>
                            <td>(......................)</td>
                        </tr>
                    </tfoot>
                    <tfoot>
                        <tr>
                            <td></td>
                            <td>pemohonan</td>
                        </tr>
                    </tfoot>
                
            </thead>
            
            
        

    </table>

</body>

</html>