
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <title>Latihan Form</title> </head> <body> <h4><?php echo $_GET['msg'] ?></h4> <h1 align="center"><em>Latihan Membuat Form 1</em></h1> <form id="formdata" name="formdata" method="post" action="save-data.php"> <table width="100%" align="center" border="0" cellpadding="10" cellspacing="5" > <tr > <td width="32%" valign="top">Nama:</td> <td width="70%" valign="top"> <input name="name" type="text"id="name" style="width:95%" maxlength="100" title="name" /> </td> </tr> <tr > <td width="32%" valign="top">Email: </td> <td width="70%" valign="top"> <input name="email" type="text"id="email" style="width:95%" maxlength="100" title="email" /> </td> </tr> <tr > <td width="32%" valign="top">Jenis Kelamin:</td> <td width="70%" valign="top"> <input name="Sex" type="checkbox" value="m" />Laki-laki <input name="Sex" type="checkbox" value="f" /> Perempuan <br/><input name="Sex" type="checkbox" value="sm" />Other</td> </tr> <tr > <td width="32%" valign="top">Tanggal Lahir:</td> <td width="70%" valign="top"> <select name="dd" id="dd"> <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> <option>31</option> </select> <select name="mm" id="mm"> <option>Januari</option> <option>Februari</option> <option>Maret</option> <option>April</option> <option>Mei</option> <option>Juni</option> <option>Juli</option> <option>Agusutus</option> <option>September</option> <option>Oktober</option> <option>November</option> <option>Desember</option> </select> <select name="yy" id="yy"> <option>1980</option> <option>1981</option> <option>1982</option> <option>1983</option> <option>1984</option> <option>1985</option> <option>1986</option> <option>1987</option> <option>1988</option> <option>1989</option> <option>1990</option> </select> </td> </tr> <tr > <td width="32%" valign="top">Negara</td> <td width="70%" valign="top"> <select name="Negara" size="1"> <option>Indonesia</option> <option>Malaysia</option> <option>Amerika</option> </select> </td> </tr> <tr > <td width="32%" valign="top">Kota:</td> <td width="70%" valign="top"> <input name="City" type="text" id="City" style="width:95%" maxlength="100" title="name" /> </td> </tr> <tr > <td width="32%" valign="top">Alamat:</td> <td width="70%" valign="top"><textarea name="Address" cols="75" rows="2"></textarea> </td> </tr> <tr > <td width="32%" valign="top">Telepon:</td> <td width="70%" valign="top"> <input name="tlp" type="text"id="tlp" style="width:30%" maxlength="20" title="name" /> </td> </tr> <tr class="colortd"> <th colspan="2" valign="top"><input name="SIMPAN" type="submit" value="SIMPAN" /></th> </tr> </table> </FORM> </body> </html> |

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <title>Latihan Form</title> </head> <body> <h4><?php echo $_GET['msg'] ?></h4> <h1 align="center"><em>Latihan Membuat Form 2</em></h1> <form id="formdata" name="formdata" method="post" action="save-data.php"> <table width="100%" align="center" border="0" cellpadding="10" cellspacing="5" > <tr > <td width="32%" valign="top">Nama:</td> <td width="70%" valign="top"> <input name="name" type="text" class="field" id="name" style="width:95%" maxlength="100" title="name" /> </td> </tr> <tr> <td width="32%" valign="top">Email: </td> <td width="70%" valign="top"> <input name="email" type="text" class="field" id="email" style="width:95%" maxlength="100" title="email" /> </td> </tr> <tr > <td width="32%" valign="top">Jenis Kelamin:</td> <td width="70%" valign="top"> <input name="Sex" type="checkbox" value="m" />Laki-laki <input name="Sex" type="checkbox" value="f" /> Perempuan <br/><input name="Sex" type="checkbox" value="sm" />Other</td> </tr> <tr > <td width="32%" valign="top">Tanggal Lahir:</td> <td width="70%" valign="top"> <select name="dd" id="dd"> <option> </option> <?php $rtg = range(1, 31); foreach ($rtg as $idx => $val){ echo "<option>$val</option>"; } ?></select> <select name="mm" id="mm"> <option> </option> <?php $rtg = array(1 => "Januari",2 => "Februari",3 => "Maret",4 => "April",5 => "Meis",6 => "Juni",7 => "Juli",8 => "Agusutus",9 => "September",10 => "Oktober",11 => "November",12 => "Desember"); foreach($rtg as $idx => $val) { echo "<option value=\"$key\" >$val</option>"; } ?> </select> <select name="yy" id="yy"> <option> </option> <?php $rtf = range(date("Y",time()) - 18,date("Y",time()) - 70); foreach($rtf as $idx => $val) { echo "<option value=\"$val\" $sel>$val</option>"; } ?> </select> </td> </tr> <tr > <td width="32%" valign="top">Negara</td> <td width="70%" valign="top"> <select name="Negara" size="1"> <option>Indonesia</option> <option>Malaysia</option> <option>Amerika</option> </select> </td> </tr> <tr > <td width="32%" valign="top">Kota:</td> <td width="70%" valign="top"> <input name="City" type="text" id="City" style="width:95%" maxlength="100" title="name" /> </td> </tr> <tr > <td width="32%" valign="top">Alamat:</td> <td width="70%" valign="top"><textarea name="Address" cols="95" rows="2"></textarea> </td> </tr> <tr > <td width="32%" valign="top">Telepon:</td> <td width="70%" valign="top"> <input name="tlp" type="text"id="tlp" style="width:30%" maxlength="20" title="name" /> </td> </tr> <tr class="colortd"> <th colspan="2" valign="top"><input name="SIMPAN" type="submit" value="SIMPAN" /></th> </tr> </table> </FORM> </body> </html> |