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<div align=”center”><font size=”5″ font face=”Goudy Stout” font color=”green”> BIODATA PRIBADI
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>NPM</font></td>
<td>:</td>
<td><input size=”20″ type=text” /></td><br>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>NPM</font></td>
<td>:</td>
<td><input size=”20″ type=text” /></td><br>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”> Nama</font></td>
<td>:</td>
<td><input size=”35″ type=text” /></td><br>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Jurusan / Semester</font></td>
<td>:</td>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”> Nama</font></td>
<td>:</td>
<td><input size=”35″ type=text” /></td><br>
</tr>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Jurusan / Semester</font></td>
<td>:</td>
<td><input size=”25″ type=text” /> / <input size=”15″ type=text” /></td><br>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”> Agama</font></td>
<td>:</td>
<td><select><option> Agama</options>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”> Agama</font></td>
<td>:</td>
<td><select><option> Agama</options>
<option>Islam</options>
<option>Kristen Protestan</options>
<option>Kristen Katolik</options>
<option>Hindu</options>
<option>Budha</options>
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<option>Kristen Protestan</options>
<option>Kristen Katolik</options>
<option>Hindu</options>
<option>Budha</options>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Gender</font></td>
<td>:</td>
<td><input type=”Radio”name=”kelamin” value=”Male” />Male
<input type=”Radio”name=”kelamin” value=”Female” />Female
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Alamat</font></td>
<td>:</td>
<td><input size=”50″ type=”text” /></td>
<td>:</td>
<td><input type=”Radio”name=”kelamin” value=”Male” />Male
<input type=”Radio”name=”kelamin” value=”Female” />Female
<tr>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Alamat</font></td>
<td>:</td>
<td><input size=”50″ type=”text” /></td>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>TTL</font></td>
<td>:</td>
<td><input size=”20′ type=”text” />
<select> <option>-Tanggal-</options>
<option>1</options>
<option>2</options>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>TTL</font></td>
<td>:</td>
<td><input size=”20′ type=”text” />
<select> <option>-Tanggal-</options>
<option>1</options>
<option>2</options>
<option>3</options>
<option>4</options>
<option>5</options>
<option>6</options>
<option>7</options>
<option>8</options>
<option>4</options>
<option>5</options>
<option>6</options>
<option>7</options>
<option>8</options>
<option>9</options>
<option>10</options>
<option>11</options>
<option>12</options>
<option>13</options>
<option>14</options>
<option>10</options>
<option>11</options>
<option>12</options>
<option>13</options>
<option>14</options>
<option>15</options>
<select> <option>-Bulan-</options>
<option>January</options>
<option>February</options>
<option>March</options>
<option>April</options>
<select> <option>-Bulan-</options>
<option>January</options>
<option>February</options>
<option>March</options>
<option>April</options>
<option>May</options>
<option>June</options>
<option>July</options>
<option>August</options>
<option>September</options>
<option>October</options>
<option>June</options>
<option>July</options>
<option>August</options>
<option>September</options>
<option>October</options>
<option>November</options>
<option>December</options>
<select> <option>-Tahun-</options>
<option>2011</options>
<option>2010</options>
<option>2009</options>
<option>December</options>
<select> <option>-Tahun-</options>
<option>2011</options>
<option>2010</options>
<option>2009</options>
<option>2008</options>
<option>2007</options>
<option>2006</options>
<option>2005</options>
<option>2004</options>
<option>2003</options>
<option>2007</options>
<option>2006</options>
<option>2005</options>
<option>2004</options>
<option>2003</options>
<option>2002</options>
<option>2001</options>
<option>2000</options>
<option>1999</options>
<option>1998</options>
<option>1997</options>
<option>2001</options>
<option>2000</options>
<option>1999</options>
<option>1998</options>
<option>1997</options>
<option>1996</options>
<option>1995</options>
<option>1994</options>
<option>1993</options>
<option>1992</options>
<option>1991</options>
<option>1995</options>
<option>1994</options>
<option>1993</options>
<option>1992</options>
<option>1991</options>
<option>1990</options>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Hobby</font></td>
<td>:</td>
<td><input type=”Checkbox”name=”Hobby” value=”Reading” />Reading
<input type=”Checkbox”name=”Hobby” value=”Singing” />Singing
<input type=”Checkbox”name=”Hobby” value=”Cooking” />Cooking
<input type=”Checkbox”name=”Hobby” value=”Sport” />Sport
<input type=”Checkbox”name=”Hobby”<input type= “15″ value=”lainnya…”></td>
</tr>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>Hobby</font></td>
<td>:</td>
<td><input type=”Checkbox”name=”Hobby” value=”Reading” />Reading
<input type=”Checkbox”name=”Hobby” value=”Singing” />Singing
<input type=”Checkbox”name=”Hobby” value=”Cooking” />Cooking
<input type=”Checkbox”name=”Hobby” value=”Sport” />Sport
<input type=”Checkbox”name=”Hobby”<input type= “15″ value=”lainnya…”></td>
</tr>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>No Telp</font></td>
<td>:</td>
<td><input size=”20″ type=text” /></td><br>
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<td><font face=”Berlin Sans FB Demi” font color=”Purple”>E-mail</font></td>
<td>:</td>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>No Telp</font></td>
<td>:</td>
<td><input size=”20″ type=text” /></td><br>
</tr>
<td><font face=”Berlin Sans FB Demi” font color=”Purple”>E-mail</font></td>
<td>:</td>
<td><input size=”25″ type=text” /></td><br>
</tr>
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<td valign=”Top”><font face=”Berlin Sans FB Demi” font color=”Purple”> comment</font> </td>
<td valign=”top”>:</td>
<td><textarea cols=”25″ rows=”5″> isikan komentar anda di sini</textarea></td>
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<td valign=”Top”><font face=”Berlin Sans FB Demi” font color=”Purple”> comment</font> </td>
<td valign=”top”>:</td>
<td><textarea cols=”25″ rows=”5″> isikan komentar anda di sini</textarea></td>
</tr>
<tr>
<td><cosplan=”2″></td>
<td><input type=”Reset” Name=”Reset”/></td>
<td><input type=”Submit” Name=”Submit”/></td>
</tr>
<td><cosplan=”2″></td>
<td><input type=”Reset” Name=”Reset”/></td>
<td><input type=”Submit” Name=”Submit”/></td>
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