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Copy path535210022 - Sign Up Form.html
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535210022 - Sign Up Form.html
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<html>
<head>
<title> Sign Up Form </title>
</head>
<body>
<form>
<table>
<tr>
<td>
Nama Lengkap :
</td>
<td>
<input type = "text" placeholder = "Andi Susilo" name = "">
</td>
</tr>
<tr>
<td>
Email :
</td>
<td>
<input type = "Email" placeholder = "***@gmail.com" name = "">
</td>
</tr>
<tr>
<td>
Password :
</td>
<td>
<input type = "Password" placeholder = "Password" name = "">
</td>
</tr>
<tr>
<td>
Phone No. :
</td>
<td>
<select>
<option> +62 </option>
<option> +65 </option>
<option> +61 </option>
</select>
<input type = "Number" placeholder = "8***********" name = "">
</td>
</tr>
<tr>
<td>
Jenis Kelamin :
</td>
<td>
<input type = "radio" name = "Gender"> Laki-laki
<input type = "radio" name = "Gender"> Perempuan
</td>
</tr>
<tr>
<td>
Alamat :
</td>
<td>
<input type = "Address" placeholder = "Jl. ***" name = "">
</td>
</tr>
<tr>
<td>
Upload Pas Foto :
</td>
<td>
<input class = "file-upload-input" type = "file" onchange = "readURL(this)" accept = "Image/*">
</td>
</tr>
<tr>
<td>
<input type = "Submit" value = "Submit" name = "">
</td>
</tr>
</table>
</form>
</body>
</html>