<html>
<head>
<title> Nuez </title>
</head>
<body background="a.jpg" text="green">
<div Align="Center"> <h1> Create New E-mail </h1> <div>
<hr>
<form method="post" Action="http://Nuez_aza.com">
<pre>
<div align="center"> <img src="ab.jpg"> </div>
<div align="left">
Nama :<input type=text name="nama">
Jenis kelamin :<input type=radio name="sex" value="laki" checked> laki-laki <input type=radio name="sex" value="perempuan"> Perempuan
Tempat Tanggal Lahir :<input type=text name="TTL">
Alamat :<input type=text name="AlaMAT">
e-mail Pemulihan :<input type=text name="email">
Telepon :<input type=text name="telepon">
Negara :<input type=text name="Nama Sekolah">
Email :<input type=text name="email"> @ <select name="email"> <option value="nuez.co.id">nuez.co.id <option value="Nuez.com">Nuez.com <Option value="Spect.id">Spect.id <Option value="Ato.com">Ato.com</select>
hobi :<select name="Hobi"> <option value="Bola voli">Bola voli <option value="Bulu tangkis">Bulu tangkis <Option value="Renang">renang <Option value="Nonton TV">Nonton TV</select>
Pertanyaan keamanan :<input type=text name="pertanyaan">
Jawaban :<input type=text name="jawaban">
Upload File :</b></td><input type="file" name="f1" size="12"></td>
Komentar :<textarea name="komentar"> </textarea>
<input type=submit value="OK"> <input type="reset" value"Reset">
<div style="text-align:center;</br><td align="right">
</div>
</body>
</html>
