"FORM PENDAFTARAN"
Bootstrap 3.3.0 Snippet by hazlindaghazali

<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Form Name</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nama">nama</label> <div class="col-md-4"> <input id="nama" name="nama" type="text" placeholder="nama" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="jenis kelamin">jenis kelamin</label> <div class="col-md-2"> <select id="jenis kelamin" name="jenis kelamin" class="form-control"> <option value="1">pria</option> <option value="2">wanita</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="No HP/WA/BBM">No HP/WA/BBM</label> <div class="col-md-4"> <input id="No HP/WA/BBM" name="No HP/WA/BBM" type="text" placeholder="No HP/WA/BBM" class="form-control input-md"> <span class="help-block">help</span> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="pas foto">pas foto</label> <div class="col-md-4"> <input id="pas foto" name="pas foto" class="input-file" type="file"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Alamat tinggal">Alamat tinggal</label> <div class="col-md-4"> <textarea class="form-control" id="Alamat tinggal" name="Alamat tinggal">Alamat tinggal</textarea> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Alamat KTP">Alamat KTP</label> <div class="col-md-4"> <textarea class="form-control" id="Alamat KTP" name="Alamat KTP">Alamat</textarea> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="KTP">KTP</label> <div class="col-md-4"> <input id="KTP" name="KTP" class="input-file" type="file"> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="SIM">SIM</label> <div class="col-md-4"> <input id="SIM" name="SIM" class="input-file" type="file"> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="STNK">STNK</label> <div class="col-md-4"> <input id="STNK" name="STNK" class="input-file" type="file"> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="kirim">kirim</label> <div class="col-md-4"> <button id="kirim" name="kirim" class="btn btn-success">kirim</button> </div> </div> </fieldset> </form>

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