<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>