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blackhat1337

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Feb 8th, 2024
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  1.  
  2. <h2>Pendaftaran untuk Kontributor Artikel</h2>
  3. </div>
  4. <div class="block-content">
  5. <div class="shortcode-content">
  6. <div class="column12">
  7. <div id="writecomment">
  8. <form action="" method="POST" enctype='multipart/form-data' onSubmit="return validasireg(this)">
  9. <p class="contact-form-user">
  10. <label for="c_name">Username<span class="required">*</span></label>
  11. <input type="text" placeholder="Nickname" name='a' style='width:40%' id="c_name" />
  12. </p>
  13. <p class="contact-form-user">
  14. <label for="c_name">Password<span class="required">*</span></label>
  15. <input type="text" placeholder="Password" name='b' style='width:40%' id="c_name" />
  16. </p>
  17. <p class="contact-form-user">
  18. <label for="c_name">Nama Lengkap<span class="required">*</span></label>
  19. <input type="text" placeholder="Nama Lengkap" name='c' style='width:90%' id="c_name" />
  20. </p>
  21. <p class="contact-form-email">
  22. <label for="c_email">E-mail<span class="required">*</span></label>
  23. <input type="text" placeholder="E-mail" name='d' style='width:90%' id="c_email" />
  24. </p>
  25. <p class="contact-form-email">
  26. <label for="c_email">No Telpon<span class="required">*</span></label>
  27. <input type="text" placeholder="No Telpon" name='e' id="c_email" />
  28. </p>
  29. <p class="contact-form-email">
  30. <label for="c_email">Foto<span class="required">*</span></label>
  31. <input type="file" name='fupload' id="c_email" />
  32. </p>
  33. <p><br><input type="submit" class="styled-button" name='daftar' value="Daftar Sekarang!" /></p>
  34. </form>
  35. </div>
  36. </div>
  37. </div><br>
  38.  
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