| |
| <html><head> |
| <meta http-equiv="content-type" content="text/html; charset=ISO-8859-1"> |
| <link rel="stylesheet" href="" type="text/css"> |
| </head> |
| <body> |
| <center> |
| <div id="top"></div> |
| <div id="mid"></div> |
| <div id="form"> |
| <form action="" method="post"> |
| <font color="#FF9900"> </font> |
| <table width="625" border="0"> |
| <tbody><tr> |
| <td colspan="2" align="right"><img src="/registration/logo1.png" width="231" height="60"></td> |
| </tr> |
| <tr> |
| <td colspan="2" align="right"> </td> |
| </tr> |
| <tr> |
| <td width="20%"></td> |
| </tr><tr> |
| <td align="left"> </td> |
| <td width="80%">Struk Pembayaran Peserta Pelatihan </td> |
| </tr> |
| <tr> |
| <td align="right"><strong>Nama Peserta</strong></td> |
| <td align="left"><strong>:</strong> <input type="text" name="nama" id="nama"></td></tr> |
| <tr> |
| <td align="right"><strong>Nama Instansi</strong></td> |
| <td><strong>: |
| <label for="instansi"></label> |
| <input type="text" name="instansi" id="instansi"> |
| </strong></td> |
| </tr> |
| <tr> |
| <td align="right"> </td> |
| <td> </td> |
| </tr> |
| <tr> |
| <td align="right">Jumlah yang harus dibayar</td> |
| <td align="center"> RP.200.000</td> |
| </tr> |
| <tr> |
| <td align="right"> </td> |
| <td align="right">tgl</td> |
| </tr> |
| <tr> |
| <td align="right"> </td> |
| <td> </td> |
| </tr> |
| </tbody> |
| </table> |
| </form> |
| </div> |
| <div id="bottom"></div> |
| <div> |
| <table width="473" border="0"> |
| <tr> |
| <td>Catatan</td> |
| </tr> |
| <tr> |
| <td>1.Struk Dibawa saat melakukan pendaftaran</td> |
| </tr> |
| <tr> |
| <td>2.Sruk di gunakan untuk pengambilan sertifikat peserta pelatihan</td> |
| </tr> |
| </table> |
| </div> |
| </center> |
| |
| </body></html> |