[ Mini Kiebo ]
Server: Windows NT AKFAR_SERVER 10.0 build 26200 (Windows 10) AMD64
Path:
D:
/
xampp
/
htdocs
/
pmb
/
[
Home
]
File: formdaftarawal.php
<!DOCTYPE html> <html lang="zxx"> <head> <title>PMB Akfar Bumsil</title> <meta charset="UTF-8"> <meta name="description" content="PMB Akfar Bumsil"> <meta name="keywords" content="PMB, bumsil"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <!-- Favicon --> <link href="img/logo_ico.ico" rel="shortcut icon"/> <!-- Google font --> <link href="https://fonts.googleapis.com/css?family=Montserrat:300,300i,400,400i,500,500i,600,600i,700,700i&display=swap" rel="stylesheet"> <!-- Stylesheets --> <link rel="stylesheet" href="css/bootstrap.min.css"/> <link rel="stylesheet" href="css/font-awesome.min.css"/> <link rel="stylesheet" href="css/owl.carousel.min.css"/> <link rel="stylesheet" href="css/slicknav.min.css"/> <!-- Main Stylesheets --> <link rel="stylesheet" href="css/style.css"/> <!--[if lt IE 9]> <script src="https://oss.maxcdn.com/html5shiv/3.7.2/html5shiv.min.js"></script> <script src="https://oss.maxcdn.com/respond/1.4.2/respond.min.js"></script> <![endif]--> </head> <body> <!-- Page Preloder --> <div id="preloder"> <div class="loader"></div> </div> <!-- Header section --> <header class="header-section clearfix"> <a href="home.php" class="site-logo"> <img src="img/logokecil.png" alt=""> </a> <div class="header-right"> <div class="user-panel"> <a href="admin.php" class="login"> <img src="img/premium/admin_29358_32px.ico" alt=""> </a> </div> </div> <ul class="main-menu"> <li><a href="home.php">Home</a></li> <li><a href="profil.php">Profil</a></li> <li><a href="info.php">Informasi</a> <ul class="sub-menu"> <li><a href="gelombang.php">Gelombang Pembukaan PMB</a></li> <li><a href="biayapmb.php">Biaya Pendaftaran PMB</a></li> <li><a href="biayakul.php">Biaya Perkuliahan</a></li> <li><a href="carapmb.php">Cara dan Persyaratan Pendaftaran PMB</a></li> <li><a href="contact.php">Kontak Panitia</a></li> </ul> </li> <li><a href="formdaftarawal.php">Pendaftaran PMB</a></li> <li><a href="brosur.php">Brosur PMB</a></li> </ul> </header> <!-- Header section end --> <!-- Premium section end --> <section class="premium-section spad"> <div class="container"> <div class="row"> <form action="daftarawal2.php" method="POST" enctype="multipart/form-data"> <fieldset> <legend>Identitas Peserta PMB </legend> <table cellpadding="8"> <tr> <td>Nama Lengkap:</td> <td><input type="text" name="nama" placeholder="nama lengkap" /></td> </tr> <tr> <td>Email:</td> <td><input type="email" name="email" placeholder="email" /></td> </tr> <tr> <td>Nomor Telepon / Handphone:</td> <td><input type="text" name="telepon" placeholder="nomor telepon / handphone" /></td> </tr> <tr> <td>Bukti Pembayaran:</td> <td><input type="file" name="bukti"></td> </tr> </table> <hr> <input type="submit" value="Submit" name="daftar"> </form> </div> </div> </section> <!-- Premium section end --> <!-- Footer section --> <footer class="footer-section"> <div class="container"> <div class="row"> <div class="col-xl-6 col-lg-5 order-lg-1"> <img src="img/logokecil.png" alt=""> <div class="copyright"><!-- Link back to Colorlib can't be removed. Template is licensed under CC BY 3.0. --> Copyright ©<script>document.write(new Date().getFullYear());</script> All rights reserved | ICT Akfar Bumsil <!-- Link back to Colorlib can't be removed. Template is licensed under CC BY 3.0. --></div> <div class="social-links"> <a href="https://www.instagram.com/akfarbumsil/" target="_blank"><i class="fa fa-instagram"></i></a> <a href=""><i class="fa fa-facebook"></i></a> <a href="https://www.youtube.com/channel/UCH977lptXXP3PuNoOrJSbiQ" target="_blank"><i class="fa fa-youtube"></i></a> </div> </div> </div> </div> </footer> <!-- Footer section end --> <!--====== Javascripts & Jquery ======--> <script src="js/jquery-3.2.1.min.js"></script> <script src="js/bootstrap.min.js"></script> <script src="js/jquery.slicknav.min.js"></script> <script src="js/owl.carousel.min.js"></script> <script src="js/mixitup.min.js"></script> <script src="js/main.js"></script> </body> </html>