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<title> FORMULIR PENDAFTARAN SISWA BARU </title>
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<td width="70%" align="center" valign="center" bgcolor="white" COLSPAN="3" ROWSPAN="1" > FORMULIR PENDAFTARAN SISWA BARU</TD>
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<td width="20%" align="left" valign="center" bgcolor="white">NAMA DEPAN</TD>
<td width="5%" align="center" valign="center" bgcolor="white">:</TD>
<td width="45%" align="left" valign="center" bgcolor="white"><input type="text" name=" "><br></TD>
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<td width="20%" align="left" valign="center" bgcolor="white">NAMA BELAKANG</TD>
<td width="5%" align="center" valign="center" bgcolor="white">:</TD>
<td width="45%" align="left" valign="center" bgcolor="white"><input type="text" name=" "><br></TD>
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<td width="20%" align="left" valign="center" bgcolor="white">TANGGAL LAHIR</TD>
<td width="5%" align="center" valign="center" bgcolor="white">:</TD>
<td width="45%" align="left" valign="center" bgcolor="white">
TGL<select name = "TGL">
<option value = "1">1</option>
<option value = "2">2</option>
<option value = "3">3</option>
<option value = "4">4</option>
<option value = "5">5</option>
<option value = "6">6</option>
<option value = "7">7</option>
<option value = "8">8</option>
<option value = "9">9</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>
BLN<select name = "BLN">
<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>
THN<select name= "Thn">
<option value = "90">1990</option>
<option value = "91">1991</option>
<option value = "92">1992</option>
<option value = "93">1993</option>
<option value = "94">1994</option>
<option value = "95">1995</option>
<option value = "96">1996</option>
<option value = "97">1997</option>
<option value = "98">1998</option>
<option value = "99">1999</option>
<option value = "00">2000</option>
<option value = "01">2001</option>
<option value = "02">2002</option>
<option value = "03">2003</option>
<option value = "04">2004</option>
<option value = "05">2005</option>
<option value = "06">2006</option>
<option value = "07">2007</option>
<option value = "08">2008</option>
<option value = "09">2009</option>
<option value = "10">2010</option>
</select> </TD> </TR>
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<td width="20%" align="left" valign="center" bgcolor="white">JENIS KELAMIN</TD>
<td width="5%" align="center" valign="center" bgcolor="white">:</TD>
<td width="45%" align="left" valign="center" bgcolor="white"><input type="checkbox" name="vehicle" value="Bike">Laki - laki<br><input type="checkbox" name="vehicle" value="Car">Perempuan
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<td width="20%" align="left" valign="center" bgcolor="white">TOTAL NILAI UN</TD>
<td width="5%" align="center" vaalign="center" bgcolor="white">:</TD>
<td width="45%" align="left" valign="center" bgcolor="white"><input type="text" name=" ">
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<td width="20%" align="left" valign="center" bgcolor="white">Hobi</TD>
<td width="5%" align="center" valign="center" bgcolor="white">:</TD>
<td width="45%" align="left" valign="center" bgcolor="white">
<input type="checkbox" name="Hobi" value="nulis">Menulis
<input type="checkbox" name="Hobi" value="baca">Membaca
<input type="checkbox" name="Hobi" value="nari">Menari<br>
<input type="checkbox" name="Hobi" value="gambar">Gambar
<input type="checkbox" name="Hobi" value="nyanyi">Menyanyi
<input type="checkbox" name="Hobi" value="main">Games
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<td width colspan ="3"align="CENTER" valign="center" bgcolor="white" >
<input type="Submit" value="KIRIM" > <input type="Submit" value="BATAL" >
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