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Formulir.html
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Formulir.html
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<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Days Parfum Bali</title>
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0-beta1/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-0evHe/X+R7YkIZDRvuzKMRqM+OrBnVFBL6DOitfPri4tjfHxaWutUpFmBp4vmVor" crossorigin="anonymous">
<link rel="stylesheet" href="css/style.css">
<script>
function fileValidation() {
var fileInput = document.getElementById('foto');
var filePath = fileInput.value;
var allowedExtensions = /(\.jpg|\.jpeg|\.png|\.gif)$/i;
if(!allowedExtensions.exec(filePath)){
alert('Silakan upload file dengan tipe .jpeg/.jpg/.png/.gif');
fileInput.value = '';
return false;
} else {
if (fileInput.files && fileInput.files[0]) {
var reader = new FileReader();
reader.onload = function(e) {
document.getElementById('upload_foto').src = e.target.result;
};
reader.readAsDataURL(fileInput.files[0]);
}
}
}
</script>
</head>
<body>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Toko Parfum</title>
<link rel="stylesheet" href="bootstrap-5.2.0-beta1-dist/css/bootstrap.min.css">
<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/bootstrap-icons@1.8.3/font/bootstrap-icons.css">
<link rel="stylesheet" href="css/style.css">
</head>
<body>
<nav class="navbar navbar-expand-lg bg-drak main-color">
<div class="container">
<button class="navbar-toggler" type="button" data-bs-toggle="collapse" data-bs-target="#navbarNav" aria-controls="navbarNav" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"></span>
</button>
<div class="collapse navbar-collapse" id="navbarNav">
<a class="navbar-brand me-auto" href="#">Days Parfum Bali</a>
<ul class="navbar-nav">
<li class="nav-item me-5">
<a class="nav-link active" aria-current="page" href="index.html">Home</a>
</li>
<li class="nav-item me-5">
<a class="nav-link" href="index.html">Produk</a>
</li>
<li class="nav-item me-5">
<a class="nav-link" href="index.html">Kontak Kami</a>
</li>
<li class="nav-item me-5">
<a class="nav-link" href="Formulir.html">Formulir</a>
</li>
</ul>
</div>
</div>
</nav>
<div class="container p-5">
<h3 class="text-center p-3">Formulir Pendaftaran Staff</h3>
<div class="text-center pb-3">
<img src="image/NEW RAHHA.png" alt="">
</div>
<form action="" method="get">
<div class="mb-3 row">
<label for="nama_mhs" class="col-sm-2 col-form-label">Nama Lengkap</label>
<div class="col-sm-10">
<input type="text" class="form-control" id="nama_mhs" name="nama_mhs" required placeholder="Tuliskan Nama Lengkap Anda">
</div>
</div>
<div class="mb-3 row">
<label for="email_mhs" class="col-sm-2 col-form-label">Email</label>
<div class="col-sm-10">
<input type="email" class="form-control" id="email_mhs" name="email_mhs" required placeholder="Tuliskan Email Aktif Anda">
</div>
</div>
<div class="mb-3 row">
<label for="tmpt_lahir" class="col-sm-2 col-form-label">Tempat Lahir</label>
<div class="col-sm-10">
<input type="text" class="form-control" id="tmpt_lahir" name="tmpt_lahir" required placeholder="Tuliskan Tempat Lahir Anda">
</div>
</div>
<div class="mb-3 row">
<label for="tgl_lahir" class="col-sm-2 col-form-label">Tanggal Lahir</label>
<div class="col-sm-10">
<input type="date" class="form-control" id="tgl_lahir" name="tgl_lahir">
</div>
</div>
<div class="mb-3 row">
<label for="jenis" class="col-sm-2 col-form-label">Jenis Kelamin</label>
<div class="col-sm-10">
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="jenis" id="laki" value="L">
<label class="form-check-label" for="laki">Laki-Laki</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="radio" name="jenis" id="Perempuan" value="P">
<label class="form-check-label" for="Perempuan">Perempuan</label>
</div>
</div>
</div>
<div class="mb-3 row">
<label for="alamat" class="col-sm-2 col-form-label">Alamat</label>
<div class="col-sm-10">
<textarea class="form-control" id="alamat" name="alamat" rows="3" placeholder="Tuliskan Alamat Lengkap Anda"></textarea>
</div>
</div>
<div class="mb-3 row">
<label for="foto" class=" col-sm-2 col-form-label" >foto</label>
<div class="col-sm-10">
<table> <img src="gambar/default.png" width="300px" height="200px" id="upload_foto" alt=""></table>
<input type="file" name="foto" id="foto" class="form input"
onchange="fileValidation()" required>
</div>
</div>
</div>
<div class="mb-3 row">
<label for="" class="col-sm-2 col-form-label"></label>
<div class="col-sm-10 pb-4">
<button type="submit" class="btn btn-outline-dark">Kirim</button>
<button type="reset" class="btn btn-outline-dark">Reset</button>
</div>
</div>
</form>
</div>
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0-beta1/dist/js/bootstrap.bundle.min.js" integrity="sha384-pprn3073KE6tl6bjs2QrFaJGz5/SUsLqktiwsUTF55Jfv3qYSDhgCecCxMW52nD2" crossorigin="anonymous"></script>
</body>
</html>