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<HEAD><TITLE Marquee> Ayo Isi Biodatanya Kakak :3 </TITLE></HEAD>


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<table border="2">
<tr>
<td COLSPAN="4">
<align="middle"> FORM ISIAN BIODATA SISWA
</tr>
<tr>
<td ROWSPAN="11">
GAMBAR
<td>NAMA</td>
<td> : </td>
<td><INPUT TYPE="TEXTBOX" NAME="NAMA" COLS="20" SIZE="47" ROWS="5"></td>
</tr>
<tr>
<td>NAMA PANGGILAN</td>
<td>:</td>
<td><INPUT TYPE="TEXTBOX" NAME="NAMA PANGGILAN" COLS="20" SIZE="47" ROWS="5"><
/td>
</tr>
<tr>
<td>KELAS</td>
<td>:</td>
<td><SELECT NAME="KELAS">
<OPTION VALUE="X"> X
<OPTION VALUE="XI"> XI
<OPTION VALUE="XII"> XII
</SELECT>
<SELECT NAME="JURUSAN">
<OPTION VALUE="IPA"> IPA
<OPTION VALUE="IPS"> IPS
<OPTION VALUE="BHS"> BHS
</SELECT>
<SELECT NAME="URUT KELAS">
<OPTION VALUE="1"> 1
<OPTION VALUE="2"> 2
<OPTION VALUE="3"> 3
<OPTION VALUE="4"> 4
<OPTION VALUE="5"> 5
<OPTION VALUE="6"> 6
</SELECT>
</SELECT></td>
</tr>
<tr>
<td>JENIS KELAMIN</td>
<td>:</td>
<td>Laki-laki <INPUT TYPE="RADIO" NAME="OPTION">
Perempuan <INPUT TYPE="RADIO" NAME="OPTION"></td>
</tr>
<tr>

<td>TEMPAT LAHIR</td>
<td>:</td>
<td><INPUT TYPE="TEXTBOX" NAME="TEMPAT LAHIR" COLS="20" SIZE="47" ROWS="5"></t
d>
</tr>
<tr>
<td>TANGGAL LAHIR</td>
<td>:</td>
<td>Hari
<SELECT NAME="HARI">
<OPTION VALUE="1">1
<OPTION VALUE="2">2
<OPTION VALUE="3">3
<OPTION VALUE="4">4
<OPTION VALUE="5">5
<OPTION VALUE="6">6
<OPTION VALUE="7">7
<OPTION VALUE="8">8
<OPTION VALUE="9">9
<OPTION VALUE="10">10
<OPTION VALUE="11">11
<OPTION VALUE="12">12
<OPTION VALUE="13">13
<OPTION VALUE="14">14
<OPTION VALUE="15">15
<OPTION VALUE="16">16
<OPTION VALUE="17">17
<OPTION VALUE="18">18
<OPTION VALUE="19">19
<OPTION VALUE="20"> 20
<OPTION VALUE="21">21
<OPTION VALUE="22">22
<OPTION VALUE="23"> 23
<OPTION VALUE="24">24
<OPTION VALUE="25">25
<OPTION VALUE="26">26
<OPTION VALUE="27">27
<OPTION VALUE="28">28
<OPTION VALUE="29">29
<OPTION VALUE="30">30
<OPTION VALUE="31">31
</SELECT>
Bulan
<SELECT NAME="BULAN">
<OPTION VALUE="Januari">Januari
<OPTION VALUE="Februari">Februari
<OPTION VALUE="Maret">Maret
<OPTION VALUE="April">April
<OPTION VALUE="Mei">Mei
<OPTION VALUE="Juni">Juni
<OPTION VALUE="Juli">Juli
<OPTION VALUE="Agustus">Agustus
<OPTION VALUE="September">September
<OPTION VALUE="Oktober">Oktober
<OPTION VALUE="November">November
<OPTION VALUE="Desember">Desember
</SELECT>

Tahun
<SELECT NAME="TAHUN">
<OPTION VALUE="1990">1990
<OPTION VALUE="1991">1991
<OPTION VALUE="1992">1992
<OPTION VALUE="1993">1993
<OPTION VALUE="1994">1994
<OPTION VALUE="1995">1995
<OPTION VALUE="1996">1996
<OPTION VALUE="1997">1997
<OPTION VALUE="1998">1998
<OPTION VALUE="1999">1999
<OPTION VALUE="2000">2000
</SELECT></td>
</tr>
<tr>
<td>ALAMAT</td>
<td>:</td>
<td><INPUT TYPE="TEXTBOX" NAME="ALAMAT" COLS="20" SIZE="47" ROWS="5"></td>
</tr>
<tr>
<td>NOMOR PONSEL</td>
<td>:</td>
<td>+62<INPUT TYPE="TEXTBOX" NAME="NOMOR PONSEL" COLS="20" SIZE="15" ROWS="5">
</td>
</tr>
<tr>
<td>E-MAIL</td>
<td>:</td>
<td><INPUT TYPE="TEXTBOX" NAME="E-MAIL" COLS="20" SIZE="25" ROWS="5"></td>
</tr>
<tr>
<td>WEBSITE</td>
<td>:</td>
<td><INPUT TYPE="TEXTBOX" NAME="WEBSITE" COLS="20" SIZE="25" ROWS="5"></td>
</tr>
<tr>
<td>KETERANGAN SINGKAT</td>
<td>:</td>
<td><INPUT TYPE TEXTAREA COLS="20" SIZE="30" ROWS="5" HEIGHT="400" WIDTH="350"
NAME="KETERANGAN"></td>
</tr>
<tr>
<td COLSPAN="4">
<ALIGN="CENTER">
<INPUT TYPE="SUBMIT" NAME="YES" VALUE="SUBMIT">
<INPUT TYPE="RESET" NAME="CLEAR" VALUE="RESET">
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