Template type #02

<!--Mode HTML--> <head> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Form type #02</title> <link rel="stylesheet" href="css/normalize.css"> <link href='https://fonts.googleapis.com/css?family=Nunito:400,300' rel='stylesheet' type='text/css'> <link rel="stylesheet" href="css/main.css"> </head> <body> <form action="url" method="post"> <h1>Masukkan Data</h1> <fieldset> <label for="name">Nama Depan:</label> <input type="text" id="name" name="ID Name Google Form"> <label for="name">Nama Belakang:</label> <input type="text" id="name" name="ID Name Google Form"> <label for="job">Alamat :</label> <select id="job" name="user_job"> <optgroup label="WIB"> <option value="jawa barat">Jawa Barat</option> <option value="jawa tengah">Jawa Tengah</option> <option value="jawa timur">Jawa Timur</option> </optgroup> <optgroup label="WITA"> <option value="bali">Bali</option> <option value="sulawesi utara">Sulawesi Utara</option> <option value="sulawesi selatan">Sulawesi Selatan</option> </optgroup> <optgroup label="WIT"> <option value="maluku">Maluku</option> <option value="papua">Papua</option> </optgroup> </select> <label>Pekerjaan :</label> <input type="radio" id="guru" value="guru" name="guru"><label for="guru" class="light">Guru</label><br> <input type="radio" id="pengangguran" value="pengangguran" name="pengangguran"><label for="pengangguran" class="light">Pengangguran</label> </fieldset> <button type="submit">Input Data</button> </form> </body> </html> <style>.footer,.generic-footer{margin-bottom:98px}@media (min-width:374px){.footer,.generic-footer{margin-bottom:78px}}@media (min-width:546px){.footer,.generic-footer{margin-bottom:56px}}@media (min-width:1055px){.footer,.generic-footer{margin-bottom:0}}.disclaimer{position:fixed;z-index:9999999;bottom:0;right:0;border-top:2px solid #ff5c62;text-align:center;font-size:14px;font-weight:400;background-color:#fff;padding:5px 10px 5px 10px}.disclaimer a:hover{text-decoration:underline}@media (min-width:1052px){.disclaimer{text-align:right;border-left:2px solid red;border-top-left-radius:10px}}@media (min-width:1920px){.disclaimer{width:60%}}</style><div class="disclaimer">@Copyright <a title="https://www.javabitpro.com/" target="_blank" href="https://www.javabitpro.com/" style="color: black;"><b>www.javabitpro.com</b></a></div>
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