<html>
<head>
<title>Pemasukan Data</title>
</head>
<body>
<center>
<form action="prosprid.php" method="post" name="formprib">
<h1>Data Pribadi</h1>
<table width="90%" border="0">
<tr bgcolor="#99CCF">
<td width="13">Nama</td>
<td width="87">:
<input name="text_nama" type="text" size="35" maxlenght="60"></td>
</tr>
<tr bgcolor="#99CCF">
<td>Alamat</td>
<td>:
<input name="text_alamat" type="text" size="60" maxlenght="60"></td>
</tr>
<tr bgcolor="#99CCF">
<td>Kota</td>
<td>:
<input name="text_kota" type="text" size="60" maxlenght="60"></td>
</tr>
<<tr bgcolor="#99CCF">
<td colspan="2" align="right">
<input name="tombol_simpan" type="sumbit" value="simpan"
</td>
</tr>
</table>
</form>
</center>
</body>
</html>
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