<HTML>
<HEAD>
<TITLE>(ilham) MATERI TENTANG FORMULIR</TITLE>
</HEAD>
<BODY>
<FORM NAME="DAFTAR" ACTION="DATA_DAFTAR_FACEBOOK.PHP">
<TABLE WIDTH="75%" BORDER="2">
<TR>
<TD COLSPAN="3" ALIGN="CENTER">DAFTAR FACEBOOK</TD>
</TR>
<TR>
<TD WIDTH="35%">NAME</TD>
<TD WIDTH="5%" ALIGN="CENTER">:</TD>
<TD WIDTH="60%"><INPUT TYPE="TEXT"></TD>
</TR>
<TR>
<TD WIDTH="35%">E-MAIL</TD>
<TD WIDTH="5%" ALIGN="CENTER">:</TD>
<TD WIDTH="60%"><INPUT TYPE="TEXT"></TD>
</TR>
<TR>
<TD WIDTH="35%">PASSWORD</TD>
<TD WIDTH="5%" ALIGN="CENTER">:</TD>
<TD WIDTH="60%"><INPUT TYPE="PASSWORD"></TD>
</TR>
<TR>
<TD WIDTH="35%">BIRTHDAY</TD>
<TD WIDTH="5%" ALIGN="CENTER">:</TD>
<TD WIDTH="60%">
DATE <SELECT NAME="TANGGAL">
<OPTION VALUE="TANGGAL">-DATE-</OPTION>
<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>
MONTH <SELECT NAME="BULAN">
<OPTION VALUE="BULAN">-MONTH-</OPTION>
<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>
YEAR <SELECT NAME="TAHUN">
<OPTION VALUE="TAHUN">-YEAR-</OPTION>
<OPTION VALUE="1997">1997</OPTION>
<OPTION VALUE="1998">1998</OPTION>
<OPTION VALUE="1999">1999</OPTION>
<OPTION VALUE="2000">2000</OPTION>
<OPTION VALUE="2001">2001</OPTION>
<OPTION VALUE="2002">2002</OPTION>
<OPTION VALUE="2003">3003</OPTION>
<OPTION VALUE="2004">2004</OPTION>
<OPTION VALUE="2005">2005</OPTION>
<OPTION VALUE="2006">2006</OPTION>
<OPTION VALUE="2007">2007</OPTION>
<OPTION VALUE="2008">2008</OPTION>
<OPTION VALUE="2009">2009</OPTION>
<OPTION VALUE="2010">2010</OPTION>
<OPTION VALUE="2011">2011</OPTION>
<OPTION VALUE="2012">2012</OPTION>
<OPTION VALUE="2013">2013</OPTION>
<OPTION VALUE="2014">2014</OPTION>
</SELECT>
</TR>
<TR>
<TD WIDTH="35%" ROWSPAN="4">HOBBY</TD>
<TD WIDTH="5%" ALIGN="CENTER" ROWSPAN="4">:</TD>
<TD WIDTH="60%"><INPUT TYPE="CHECKBOX">MUSIC</TD>
</TR>
<TR>
<TD WIDTH="60%"><INPUT TYPE="CHECKBOX">SINGING</TD>
</TR>
<TR>
<TD WIDTH="60%"><INPUT TYPE="CHECKBOX">TRAVELING</TD>
</TR>
<TR>
<TD WIDTH="60%"><INPUT TYPE="CHECKBOX">SPORT</TD>
</TR>
<TR>
<TD WIDTH="35%" ROWSPAN="2">GENDER</TD>
<TD WIDTH="5%" ALIGN="CENTER" ROWSPAN="2">:</TD>
<TD WIDTH="60%"><INPUT TYPE="RADIO">MALE</TD>
</TR>
<TR>
<TD WIDTH="60%"><INPUT TYPE="RADIO">FEMALE</TD>
</TR>
<TD COLSPAN="3" ALIGN="CENTER">
<INPUT TYPE="SUBMIT" VALUE="SUBMIT"/>
<INPUT TYPE="RESET" VALUE="CANCEL"/>
</TD>
</BODY>
</HTML>
Dan ini hasil nya....