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<!

DOCTYPE html>
<html>
<head>
<title>Registrasi</title>
</head>
<body>
<form action="contact.php" method="POST">
<fieldset>
<legend>Registrasi</legend>
<p>
<label>Nama:</label>
<input type="text" name="nama" placeholder="Nama lengkap..." />
</p>
<p>
<label>Username:</label>
<input type="text" name="username" placeholder="Username..." />
</p>
<p>
<label>Email:</label>
<input type="email" name="email" placeholder="Your email..." />
</p>
<p>
<label>Password:</label>
<input type="password" name="password" placeholder="Passowrd..." />
</p>
<p>
<label>Jenis kelamin:</label>
<label><input type="radio" name="jenis_kelamin" value="laki-laki" />
Laki-laki</label>
<label><input type="radio" name="jenis_kelamin" value="perempuan" />
Perempuan</label>
</p>
<p>
<label>Agama:</label>
<select name="agama">
<option value="islam">Islam</option>
<option value="kristen">Kristen</option>
<option value="hindu">Hindu</option>
<option value="budha">Budha</option>
</select>
</p>
<p>
<label>Biografi:</label>
<textarea name="biografi"></textarea>
</p>
<p>
<input type="submit" name="submit" value="Daftar" />
</p>
</fieldset>
</form>
</body>
</html>

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