ÿþ<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" /> <title>IPAMSU - Registration Online</title> <link rel="stylesheet" href="css/site.css"> </head> <body leftmargin="0" topmargin="0" marginwidth="0" marginheight="0"> <table width="780" border="0" align="center" cellpadding="7" cellspacing="0" bgcolor="#FFFFFF"> <tr> <td><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="top"><table width="100%" border="0" cellpadding="0" cellspacing="0"> <tr> <td width="30%" align="left" valign="top" bgcolor="#1A3A77"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="150" align="center" valign="middle"><img src="http://www.ipamsu.com/utama/images/logoIPAMSUassociate.jpg" alt="logo IPAMSU Associate"></td> </tr> </table></td> <td width="33%" align="center" valign="middle" bgcolor="#E9E3E7" class="style5">IPAMSU ASSOCIATE<br><hr><b> <font size=2>Data Alumni</font></b></td> <td width="37%" align="left" valign="top"><img src="images/picAlumni.jpg" alt="" width="288" height="190"></td> </tr> <tr> <td colspan="3" align="left" valign="top" bgcolor="#939EBC"><img src="images/spacer.gif" alt="" width="1" height="4"></td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td><img src="images/box_top.jpg" width="769" height="2" alt=""></td> </tr> <tr> <td background="images/box_bg.jpg"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="230" align="center" valign="top"><table width="95%" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="center" valign="top"><table width="95%" border="0" cellspacing="4" cellpadding="0"> <tr> <td><table width="100%" border="0" cellpadding="0" cellspacing="0" style="border-collapse:collapse"> <tr> <td><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="28" align="center" class="style4">&raquo;</td> <td><span class="style1"><a href="http://www.ipamsu.com" target=_blank>Home</a></span></td> </tr> <tr> <td colspan="2" align="center" background="images/dots2.gif"><img src="images/spacer.gif" alt="" width="1" height="1"></td> </tr> <tr> <td width="28" align="center" class="style4">&raquo;</td> <td><span class="style1"><a href="http://ipamsu.com/utama/index.php?option=com_content&task=blogsection&id=8&Itemid=40" target=_blank>Senarai Alumni</a></span></td> </tr> <tr> <td colspan="2" align="center" background="images/dots2.gif"><img src="images/spacer.gif" alt="" width="1" height="1"></td> </tr> </table></td> </tr> </table></td> </tr> </table></td> </tr> </table></td> <td width="539" align="center" valign="top"><table width="92%" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="35"><span class="style10">Pengiriman Data Online</span></td> </tr> <tr> <td background="images/dots.gif"><img src="images/spacer.gif" alt="" width="1" height="1"></td> </tr> <tr> <td><img src="images/spacer.gif" alt="" width="1" height="6"></td> </tr> <tr> <td class="style3"><strong>&nbsp;</strong> <center> <p style="word-spacing: 0; margin-top: 0; margin-bottom: 0">&nbsp;</p> <form method="POST" action="http://www.ipamsu.com/KirimDataAlumni.php" enctype="multipart/form-data"> <table border="0" cellpadding="0" cellspacing="0" width="100%"> <tr> <td bgcolor="#DFE2E7"><img src="images/spacer.gif" alt="" width="1" height="1"></td> </tr> <tr> <td class="style5"><strong>DATA ALUMNI ANGGOTA IPAMSU ASSOCIATE</strong> <br> Data akan dikirim ke email <a href="mailto:ipamsu@yahoo.com"><font color=green>ipamsu@yahoo.com</font></a><br> <br></td> </tr> <tr> <td bgcolor="#DFE2E7"><img src="images/spacer.gif" alt="" width="1" height="1"></td> </tr> <tr> <td width="72%"> <table border="0" cellpadding="0" cellspacing="0" width="100%"> <tr> <td width="22%"><font face="Tahoma">Nama</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vname" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Titel</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vtitle" size="14" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Alamat Rumah</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vaddr1" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"></td> <td width="78%"><font face="Tahoma">&nbsp; <input type="text" name="vaddr2" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma"></font></td> <td width="78%"><font face="Tahoma">&nbsp; <input type="text" name="vaddr3" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Instansi</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vemploye" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Alamat Kantor</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vaddrk1" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"></td> <td width="78%"><font face="Tahoma">&nbsp; <input type="text" name="vaddrk2" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma"></font></td> <td width="78%"><font face="Tahoma">&nbsp; <input type="text" name="vaddrk3" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Telp.</font></td> <td width="78%"> <p style="word-spacing: 0; margin-top: 0; margin-bottom: 0"><font face="Tahoma">: <input type="text" name="vtel" size="20" style="font-family: Tahoma; font-size: 8pt"> HP : <input type="text" name="vfax" size="20" style="font-family: Tahoma; font-size: 8pt; text-transform: uppercase"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">PT di Malaysia</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vpt" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Tahun kuliah</font></td> <td width="78%"> <p style="word-spacing: 0; margin-top: 0; margin-bottom: 0"><font face="Tahoma">: <input type="text" name="vth1" size="10" style="font-family: Tahoma; font-size: 8pt"> s/d : <input type="text" name="vth2" size="10" style="font-family: Tahoma; font-size: 8pt; text-transform: uppercase"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Program (S1/S2/S3)</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vprog" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Jurusan</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vjur" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Bidang Kajian</font></td> <td width="78%"><font face="Tahoma">: <input type="text" name="vkaj" size="54" style="font-family: Tahoma; font-size: 8pt"></font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Email</font></td> <td width="78%"> <font face="Tahoma">: <input type="text" name="vemail" size="50" style="font-family: Tahoma; font-size: 8pt"> </font></td> </tr> <tr> <td width="22%"><font face="Tahoma">Website</font></td> <td width="78%"> <font face="Tahoma">: <input type="text" name="vweb" size="54" style="font-family: Tahoma; font-size: 8pt"> </font></td> </tr> <tr> <td width="10%"></td> <td width="90%"><br> <input TYPE="submit" VALUE=" Send "><input type="reset" value=" Reset "></font></td> </tr> </table> </td> </tr> </table> </center> </FORM> </span><br> <br></td> </tr> <tr> <td bgcolor="#DFE2E7"><img src="images/spacer.gif" alt="" width="1" height="1"></td> </tr> </table></td> </tr> </table></td> </tr> <tr> <td><img src="images/box_bottom.jpg" width="769" height="4" alt=""></td> </tr> </table></td> </tr> <tr> <td height="80" align="center" valign="middle" background="images/footerbg.jpg" bgcolor="#CCCFBC"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="42%">&nbsp;</td> <td width="58%"><span class="style12">Copyright &copy; 2007 IPAMSU Associate.<br> All rights reserved. </span></td> </tr> </table></td> </tr> </table></td> </tr> </table> </body> </html>