<html>
<head>
<title>Pendaftaran Kerja</title>
</head>
<body>
<h1>FORMULIR PENDAFTARAN KERJA</h1>
<marquee>FORMULIR PENDAFTARAN KERJA
</marquee>
<h1>SAYA SISWA SMKN 1 PANTAI LABU</h1>
<marquee direction="Right">SAYA SISWA SMKN 1 PANTAI LABU
</marquee>
<table border="0" style="center.color:#FF0000">
<tr>
<td>Name Lengkap</td>
<td>:</td>
<td><input type=:"text"></td>
</tr>
<tr>
<td>Tempat Lahir</td>
<td>:</td>
<td><input type=:"text"></td>
</tr>
<tr>
<td>Tanggal Lahir</td>
<td>:</td>
<td><input type=:"text"></td>
</tr>
<tr>
<td>Jenis Kelamin</td>
<td>:</td>
<td><input type=:"radio"/>Laki-Laki
<input type="radio"/>Prempuan</td>
</tr>
<tr>
<td>Alamat</td>
<td>:</td>
<td><textarea cols="22"rows="3"></textarea></td>
</tr>
<tr>
<td>E-mail</td>
<td>:</td>
<td><input type=:"email"></td>
</tr>
<tr>
<td>No HP</td>
<td>:</td>
<td><input type=:"number"></td>
</tr>
<tr>
<td>Kota</td>
<td>:</td>
<td><select>
<option>*****SELECT KOTA*****</option>
<option>medan</option>
<option>l.pakam</option>
<option>t.morawa</option>
<option>siantar</option>
<option>lima puluh</option>
<option>sidikalang</option>
<option>rantau parapat</option>
<option>samosir</option>
<option>kota pinang</option>
<option>stabat</option>
</select></td>
</tr>
<tr>
<td> :</td>
<td> :</td>
<td><input type=:"submit" name="submit" value="simpan"/>
<input type="reset" value="Batal"/></td>
</tr>
</table>
</body>
</html>
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