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ihsanfaisal/index.html

Created October 18, 2023 06:40
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index html pengaduan
Raw
index.html
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Form Pengaduan</title>
<link href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css" rel="stylesheet"
integrity="sha384-T3c6CoIi6uLrA9TneNEoa7RxnatzjcDSCmG1MXxSR1GAsXEV/Dwwykc2MPK8M2HN" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/[email protected]/dist/js/bootstrap.bundle.min.js"
integrity="sha384-C6RzsynM9kWDrMNeT87bh95OGNyZPhcTNXj1NW7RuBCsyN/o0jlpcV8Qyq46cDfL"
crossorigin="anonymous"></script>
</head>
<body>
<h1 class="text-center">Form Pengaduan</h1>
<div class="container">
<div class="row align-items-start">
<div class="col">
</div>
<div class="col">
<form action="simpanpengaduan.php">
<div class="mb-3">
<label for="exampleFormControlInput1" class="form-label">Nama</label>
<input name="nama" class="form-control" id="exampleFormControlInput1" placeholder="Tulis nama">
</div>
<div class="mb-3">
<label for="exampleFormControlInput1" class="form-label">No Hape</label>
<input name="nohape" class="form-control" id="exampleFormControlInput1" placeholder="Nomor Hape">
</div>
<div class="mb-3">
<label for="exampleFormControlTextarea1" class="form-label">Pengaduan</label>
<textarea name="pengaduan" class="form-control" id="exampleFormControlTextarea1" rows="3"></textarea>
</div>
<div class="mb-3">
<button type="submit" class="btn btn-primary">Simpan</button>
</div>
</form>
</div>
<div class="col">
</div>
</div>
</div>
</body>
</html>
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