tugas
Nama : Dermawan
Stambuk : 21011244
Mata Kuliah : Pemrograman Web
<html>
<head><title>Formulir Pendaftaran</title></head>
<body bgcolor="9A7792">
<FORM action="tugas1.php" method="POST" name="input">
<center><H1>FORMULIR ISIAN MAHASISWA<BR>JURUSAN ADMINISTRASI PENDIDIKAN KONSENTRASI TIK<BR>UNIVERSITAS MUHAMMADIYAH KENDARI<BR>(UMK) 2012</H1></CENTER><HR ALIGN="CENTER" WIDTH="1050" SIZE="7" COLOR="CB069F"><BR><BR>
<h2><b>1. Masukkan Nama Anda:</b></h2> <input type="text" name="nama" size='50'>
<h2><b>2. Masukkan Alamat Anda:</b></h2> <input type="text" name="alamat" size='50'>
<h2>3. Masukkan Tempat Tanggal Lahir Anda :</h2>
<select name="tempat">
<option value=Kendaril, >Kendari</option>
<option value=Raha, >Raha</option>
<option value=Konawe, >Konawe</option>
<option value=Buton, >Buton </option>
<option value=Wakatobi, >Wakatobi</option>
<option value=Bombana, >Bombana</option>
<option value=Kolaka, >Kolaka</option>
</select>
<select name="tanggal">
<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=-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=-Septermber>September</option>
<option value=-Oktober>Oktober</option><option value=-November>November</option>
<option value=-Desember>Desember</option>
</select>
<select name="tahun">
<option value=-1980>1980</option><option value=-1981>1981</option><option value=-1982>1982</option>
<option value=-1983>1983</option><option value=-1984>1984</option><option value=-1985>1985</option>
<option value=-1986>1986</option><option value=-1987>1987</option><option value=-1988>1988</option>
<option value=-1989>1989</option><option value=-1990>1990</option><option value=-1991>1991</option>
<option value=-1992>1992</option><option value=-1993>1993</option><option value=-1994>1994</option>
<option value=-1995>1995</option><option value=-1996>1996</option><option value=-1997>1997</option>
<option value=-1998>1998</option><option value=-1999>1999</option><option value=-2000>2000</option>
</select>
<h2>4. Pilih Agama Anda:</h2>
<input type="radio" name="Agama" value=Islam checked>Islam<br>
<input type="radio" name="Agama" value=Kristen>Kristen<br>
<input type="radio" name="Agama" value=Hindu>Hindu<br>
<input type="radio" name="Agama" value=Budha>Budha
<h2>5. Pilih Mata Kuliah Anda:</h2>
<input type="checkbox" name="Mata_Kuliah01" value="Pemrograman Web"> Pemrograman Web<br>
<input type="checkbox" name="Mata_Kuliah02" value="Pengelolaan Hardware"> Pengelolaan Hardware<br>
<input type="checkbox" name="Mata_Kuliah03" value="Jaringan Nirkabel"> Jaringan Nirkabel<br>
<input type="checkbox" name="Mata_Kuliah04" value="Pemrograman Web Lanjut"> Pemrograman Web Lanjut<br>
<input type="checkbox" name="Mata_Kuliah05" value="Basis Data"> Basis Data<br>
<input type="checkbox" name="Mata_Kuliah06" value="Multi Media"> Multi Media<br>
<input type="checkbox" name="Mata_Kuliah07" value="Open Source">Open Source<br>
<br>
<blink><h2><input type="submit" name="Pilih" value="JOIN NOW"> <input type="reset" name="Pilih" value="CANCEL"></h2></blink>
</FORM>
</body>
</html>
<?php
if (isset($_POST['Pilih'])){
$nama= $_POST['nama'];
echo "<h2><b>1. Nama Anda:</b></h2>
<h3><b><font color='Red'>$nama</font></b></h3>";
$alamat= $_POST['alamat'];
echo "<h2><b>3. Alamat Anda:</b></h2>
<h3><b><font color='red'>$alamat</font></b></h3>";
$tempat= $_POST ['tempat'];
echo "<h2>4. Tempat Tanggal Lahir Anda:<h2>
<h3><font color=red><b>$tempat</b></font>";
$tanggal= $_POST ['tanggal'];
echo "<font color=red><b>$tanggal</b></font>";
$bulan= $_POST ['bulan'];
echo "<font color=red><b>$bulan</b></font>";
$tahun= $_POST ['tahun'];
echo "<font color=red><b>$tahun</b></font></h3>";
?Afama= $_POST['Agama'];
echo "<h2>5. Agama Anda:</h2>
<h3><b><font color='red'>$Agama</font></b></h3>";
echo "<h2><br>7. Mata Kuliah Anda:<br></h2>";
if (isset($_POST['Mata_Kuliah01'])) {
echo "<h3><font color='red'> " . $_POST['Mata_Kuliah01'] . "</font><br>";
}
if (isset($_POST['Mata_Kuliah02'])) {
echo "<font color='red'> " . $_POST['Mata_Kuliah02'] . "</font><br>";
}
if (isset($_POST['Mata_Kuliah03'])) {
echo "<font color='red'> " . $_POST['Mata_Kuliah03'] . "</font><br>";
}
if (isset($_POST['Mata_Kuliah04'])) {
echo "<font color='red'> " . $_POST['Mata_Kuliah04'] . "</font><br>";
}
if (isset($_POST['Mata_Kuliah05'])) {
echo "<font color='red'> " . $_POST['Mata_Kuliah05'] . "</font><br>";
}
if (isset($_POST['Mata_Kuliah05'])) {
echo "<font color='red'> " . $_POST['Mata_Kuliah06'] . "</font><br>";
}
if (isset($_POST['Mata_Kuliah07'])) {
echo "<font color='red'> " . $_POST['Mata_Kuliah07'] . "</font><br>";
}
}
?>
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