<head><title>BIODATA</TITLE></HEAD>
<body>
<body bgcolor="green">
<form>
<table width="60%" height="65%" border="1" align="center">
<tr align="center">
<td colspan="2"><b>BIODATA</td>
</tr>
<tr>
<td>NAMA</td>
<td><input type="text" size="40"></td>
</tr>
<tr>
<td>TTL</td>
<td> <input type="text"name="TTL"size="15"value=""/>
<select name="select">
<option> Tanggal </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>
<option> 31</option>
</select>
<select name="select">
<option> Bulan </option>
<option> januari </option>
<option> februari </option>
<option> maret </option>
<option> april </option>
<option> mei </option>
<option> juni </option>
<option> juli </option>
<option> agustus </option>
<option> september </option>
<option> oktober </option>
<option> november </option>
<option> desember </option>
</select>
<select name="select">
<option> Tahun </option>
<option> 2016</option>
<option> 2015</option>
<option> 2014</option>
<option> 2013</option>
<option> 2012</option>
<option> 2011</option>
<option> 2010</option>
<option> 2009</option>
<option> 2008</option>
<option> 2007</option>
<option> 2006</option>
<option> 2005</option>
<option> 2004</option>
<option> 2003</option>
<option> 2002</option>
<option> 2001</option>
<option> 2000</option>
<option> 1999</option>
<option> 1998</option>
<option> 1997</option>
<option> 1996</option>
<option> 1995</option>
<option> 1994</option>
<option> 1993</option>
<option> 1992</option>
<option> 1991</option>
<option> 1990</option>
</select> </td>
<tr>
<td>NPM</td>
<td><input type="text" size="20"></td>
</tr>
<tr>
<td>KELAS</td>
<td><input type="text" size="20"></td>
</tr>
<tr>
<td>AGAMA</td>
<td>
<input type="radio" name="pilih" > Islam <input type="radio" name="pilih"> Kristen <input type="radio" name="pilih"> Budha <br>
</td>
<tr>
<td>JENIS KELAMIN</td>
<td>
<input type="radio" name="pilih" > Laki-laki <input type="radio" name="pilih"> Perempuan<br>
</td>
<tr>
<td>KONSENTRASI JURUSAN</td>
<td>
<input type="checkbox">Teknologi Info & Networking<br>
<input type="checkbox">Sistem Informasi<br>
<input type="checkbox">Manajemen Informatika<br>
<input type="checkbox">Komputerisasi akuntansi<br>
<input type="checkbox">Desain grapis<br>
</td>
</tr>
<tr>
<td>HOBY</td>
<td>
<input type="checkbox">Jalan-jalan<br>
<input type="checkbox">Membaca<br>
<input type="checkbox">Mengoperasikan Komputer<br>
</td>
</tr>
<tr>
<td>FAKULTAS</td>
<td>
<select size="1">
<option>Fakultas Ilmu Komputer
<option>Fakultas Ekonomi
<option>Fakultas Hukum
</select>
</td>
</tr>
<tr>
<td>MOTTO</td>
<td>
<textarea rows="5" cols="30"></textarea>
</td>
</tr>
<tr align="center">
<td colspan="2">
<input type="button" value="Simpan">
<input type="reset" value="reset">
<input type="button" value="Keluar">
</td>
</tr>
</table>
</form>
</font>
</body>
</html>
