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register.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<title>Metro Business Template</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="description" content="Twitter Bootstrap Template. This starter template is a great place to start your Bootstrap Projects.">
<meta name="author" content="LittleSparkVT">
<!-- Style sheets -->
<link href="css/bootstrap.css" rel="stylesheet">
<link href="css/bootstrap-responsive.css" rel="stylesheet">
<link href="css/font-awesome.css" rel="stylesheet" type="application/x-font-woff">
<link href="css/m-forms.min.css" rel="stylesheet">
<link href="css/m-buttons.css" rel="stylesheet">
<link href="css/custom.css" rel="stylesheet">
<link href='http://fonts.googleapis.com/css?family=Open+Sans:400,300' rel='stylesheet' type='text/css'>
<!-- Le HTML5 shim, for IE6-8 support of HTML5 elements -->
<!--[if lt IE 9]>
<script src="http://html5shim.googlecode.com/svn/trunk/html5.js"></script>
<![endif]-->
<!-- fav and touch icons -->
<link rel="shortcut icon" href="img/favicon.ico">
<link rel="apple-touch-icon-precomposed" sizes="144x144" href="ico/apple-touch-icon-144-precomposed.png">
<link rel="apple-touch-icon-precomposed" sizes="114x114" href="ico/apple-touch-icon-114-precomposed.png">
<link rel="apple-touch-icon-precomposed" sizes="72x72" href="ico/apple-touch-icon-72-precomposed.png">
<link rel="apple-touch-icon-precomposed" href="ico/apple-touch-icon-57-precomposed.png">
</head>
<body>
<!-- HEADER CONTAINER -->
<div class="row header">
<!-- NAV -->
<nav class="navbar navbar-fixed-top">
<div class="navbar-inner">
<div class="container">
<a class="btn btn-navbar btntop" data-toggle="collapse" data-target=".nav-collapse">NAVIGATION</a>
<h1 class="brand hidden-phone hidden-tablet">
<a href="index.html">
<img src="img/logo.png" alt="">
</a>
</h1>
<div class="nav-collapse">
<ul class="nav pull-right">
<li><a href="index.html" class="active">Home</a></li>
<li><a href="about.html">About</a></li>
<li><a href="profiles.html">Profiles</a></li>
<li><a href="register.html">Register</a></li>
</ul>
</div>
</div>
</div>
</nav>
</div>
<div class="pagination-centered mobilelogo hidden-desktop">
<a href="index.html">
<img src="img/logo.png" alt="">
</a>
</div>
<!-- Start About -->
<div class="row-fluid">
<div class="container">
<div id="register-form" class="span10">
<form>
<fieldset>
<legend>Biodata</legend>
<label>Nama lengkap</label>
<input type="text" class="span5" placeholder="John Doe">
<div class="birth-date-form">
<label>Tanggal lahir</label>
<input type="text" class="span1" size="2" placeholder="30">
<input type="text" class="span1" size"2" placeholder="12">
<input type="text" class="span2" size"4" placeholder="1983">
</div>
<label>Tempat lahir</label>
<input type="text" placeholder="Jakarta">
<label>Jenis kelamin</label>
<label class="radio inline">
<input type="radio" name="gender" id="optionsRadios1" value="option2">
Pria
</label>
<label class="radio inline">
<input type="radio" name="gender" id="optionsRadios2" value="option2">
Wanita
</label>
<label style="margin-top:5px;">Agama</label>
<label class="radio inline">
<input type="radio" name="religion" id="optionsRadios1" value="option2">
Islam
</label>
<label class="radio inline">
<input type="radio" name="religion" id="optionsRadios2" value="option2">
Kristen
</label>
<label class="radio inline">
<input type="radio" name="religion" id="optionsRadios2" value="option2">
Hindu
</label>
<label class="radio inline">
<input type="radio" name="religion" id="optionsRadios2" value="option2">
Budha
</label>
<label style="margin-top:5px;">Alamat</label>
<input type="text" class="span8" placeholder="Jl. Setra duta raya E1-18">
<label> Telepon</label>
<input type="text" class="span4" placeholder="021-200000 atau 0821111111">
<label>E-Mail</label>
<input type="text" class="span4" placeholder="johndoe@mail.com">
</fieldset>
<fieldset>
<legend>Data Kantor dan Kampus</legend>
<label>Departemen/Kantor/Kampus</label>
<input type="text" class="span4" placeholder="Departemen Kalang kabut">
<label>Alamat Departemen/Kantor</label>
<input type="text" class="span8" placeholder="Departemen Kalang kabut">
<label>Telepon</label>
<input type="text" class="span4" placeholder="021-200000 atau 0821111111">
<label>Jabatan</label>
<input type="text" class="span4" placeholder="Jabatan">
</fieldset>
<div class="span10 pagination-centered">
<button class="btn btn-large btn-primary pull-center" type="button">Daftar</button>
</div>
</form>
</div>
</div>
</div>
<!-- FOOTER -->
<div class="row-fluid">
<div class="container footer">
<!-- Copyright and contact -->
<div class="span4 address">
©2012 Metro Business Template by <a href="http://www.littlesparkvt.com">LittleSparkVT</a>
<br>555 Silverado Trail
<br>Burlington Vermont 05477
</div>
<!-- newsletter form -->
<div class="span5 pull-right footer-newsletter">
<h2>Newsletter</h2>
<p>Subscribe to our newsletter and get the latest news!</p>
<form action="mail.php" id="subscribe-form" method="post">
<input type="text" name="email" id="email" placeholder="Your Email Address" class="input-text m-wrap m-ctrl">
<button type="submit" class="m-btn blue">Sign Up</button>
</form>
</div>
</div>
</div>
<!-- Javascripts -->
<script src="js/jquery.js"></script>
<script src="js/bootstrap.js"></script>
</body>
</html>