<html>
<head><title>PengisianForm</title></head>
<body>
<form action="proses30.php" method="POST" name="input">
<center>
<h3>
<b><blink>FORMULIR ISIAN MAHASISWA UMK</blink></b></h3>
</center>
<th>1. </th>Nama : <input name="nama" size="18" type="text" /><br /><br />
<th>2. </th>Alamat : <input name="Alamat" size="18" type="text" /><br /><br />
<th>3. </th>Agama : <br />
<input name="agama" type="radio" value="Islam" />Islam<br />
<input name="agama" type="radio" value="Kristen" />Kristen<br />
<input name="agama" type="radio" value="Hindu" />Hindu<br />
<input name="agama" type="radio" value="Budha" />Budha<br /><br />
<th>4. </th>Jenis kelamin : <br />
<input name="jenis" type="radio" value="Perempuan" />Perempuan<br />
<input name="jenis" type="radio" value="Laki-laki" />Laki-laki<br /><br />
<th>5. </th>Tempat Tanggal Lahir :
<select name="Tempat">
<option value="Kota"> Kota</option>
<option value="Kendari"> Kendari</option>
<option value="Konut"> konut</option>
<option value="Konsel"> konsel</option>
<option value="Bau-bau"> Bau-bau</option>
<option value="Raha"> Raha</option>
<option value="kolaka"> kolaka</option>
<option value="wawonii"> wawonii</option>
</select>
<select name="Tanggal">
<option value="Tgl"> Tgl</option><option value="01"> 01</option>
<option value="02"> 02</option><option value="03">03</option>
<option value="04">04 </option><option value="05">05</option>
<option value="06">06</option><option value="07">07</option>
<option value="08"> 08</option><option value="09"> 09</option>
<option value="10"> 10</option><option value="11"> 11</option>
<option value="12"> 12</option><option value="13"> 13</option>
<option value="14"> 14</option><option value="15"> 15</option>
<option value="16"> 16</option><option value="17"> 17</option>
<option value="18"> 18</option><option value="19"> 19</option>
<option value="20"> 20</option><option value="21"> 21</option>
<option value="22"> 22</option><option value="23"> 23</option>
<option value="24"> 24</option><option value="25"> 25</option>
<option value="26"> 26</option><option value="27"> 27</option>
<option value="28"> 28</option><option value="29"> 29</option>
<option value="30"> 30</option><option value="31"> 31</option>
</select>
<select name="Bulan">
<option value="Bln">Bln </option><option value="Januari"> Januari</option>
<option value="Februari"> Februari</option><option value="Maret">Maret</option>
<option value="april">april </option><option value="Mei">Mei</option>
<option value="Juni">Juni</option><option value="Juli">Juli</option>
<option value="Agustus"> Agustus</option><option value="September"> September</option>
<option value="Oktober"> Oktober</option><option value="November"> November</option>
<option value="Desember"> Desember</option>
</select>
<select name="Tahun"><option value="Thn"> Thn</option>
<option value="2012"> 2012</option><option value="2011"> 2011</option>
<option value="2010"> 2010</option><option value="2009"> 2009</option>
<option value="2008"> 2008</option><option value="2007"> 2007 </option>
<option value="2006"> 2006</option><option value="2005"> 2005</option>
<option value="2004"> 2004</option> <option value="2003"> 2003</option>
<option value="2002"> 2002</option><option value="2001"> 2001</option>
<option value="2000"> 2000</option><option value="1999"> 1999</option>
<option value="1998"> 1998</option><option value="1997"> 1997</option>
<option value="1996"> 1996</option><option value="1995"> 1995</option>
<option value="1994"> 1994</option><option value="1993"> 1993</option>
<option value="1992"> 1992</option><option value="1991"> 1991</option>
<option value="1990"> 1990</option><option value="1989"> 1989</option>
<option value="1988"> 1988</option><option value="1987"> 1987</option>
<option value="1986"> 1986</option><option value="1985"> 1985</option>
<option value="1984"> 1984</option><option value="1983"> 1983</option>
<option value="1982"> 1982</option><option value="1981"> 1981</option>
<option value="1980"> 1980</option><br />
</select> <br /><br />
<th>6. </th>Cita-cita :<br />
<input name="Cita-cita" type="radio" value="Guru" /> Guru<br />
<input name="Cita-cita" type="radio" value="Dokter" /> Dokter<br />
<input name="Cita-cita" type="radio" value="Pramugari" /> Pramugari<br />
<input name="Cita-cita" type="radio" value="Polwan" /> Polwan<br />
</form>
</body></html><br />
<br />
7. <br />
Hobby : <br />
<input name="Hobby" type="radio" value="Menyanyi" /> Menyanyi<br />
<input name="Hobby" type="radio" value="Membaca" /> Membaca<br />
<input name="Hobby" type="radio" value="Berenang" /> Berenang<br />
<input name="Hobby" type="radio" value="Memancing" /> Memancing<br />
<br />
<br />
8. <br />
Mata Kuliah TI Yang Diminati : <br />
<input name="Kuliah" type="checkbox" value="Pemrograman WEB" />Pemrograman WEB<br />
<input name="Kuliah" type="checkbox" value="Teknologi open source" />Teknologi open source<br />
<input name="Kuliah" type="checkbox" value="Multimedia" />Multimedia<br />
<input name="Kuliah" type="checkbox" value="Jaringan komputer" />Jaringan komputer<br />
<input name="Kuliah" type="checkbox" value="Basis Data" />Basis Data<br />
<br />
<input name="Input" type="submit" value="Input" /><input size="10%" type="Reset" value="Reset" />
hasil dari listing diatas adalah seperti gambar berikut ini:
<?php
if
(isset($_POST['Input'])) {
$nama=
$_POST['nama'];
echo "1. Nama
: <b>$nama</b><br>";
$Alamat=
$_POST['Alamat'];
echo "2.
Alamat : <b>$Alamat</b><br>";
$agama=
$_POST['agama'];
echo "3.
agama : <b>$agama</b><br>";
$jenis=
$_POST['jenis'];
echo "4.
jenis kelamin : <b>$jenis</b><br>";
$Tempat=
$_POST['Tempat'];
echo "5.
Tempat : <b>$Tempat</b><br>";
$Tanggal=
$_POST['Tanggal'];
echo "6.
Tanggal : <b>$Tanggal</b><br>";
$Bulan=
$_POST['Bulan'];
echo "7.
Bulan : <b>$Bulan</b><br>";
$Tahun=
$_POST['Tahun'];
echo "8.
Tahun : <b>$Tahun</b><br>";
$Cita_cita=
$_POST['Cita-cita'];
echo "9.
Cita_cita : <b>$Cita_cita</b><br>";
$Hobby=
$_POST['Hobby'];
echo "10.
Hobby : <b>$Hobby</b><br>";
$Kuliah= $_POST['Kuliah'];
echo "11.
Kuliah : <b>$Kuliah</b><br>";
}
?>
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