<form method="post" action="proses.php">
Nama:
<input type="text" name="nama" /><br>

Jenis Kelamin:
<input type="radio" name="kelamin" value="pria">Pria <input type="radio" name="kelamin" value="wanita">Wanita<br>

Status:
<select name="status">
<option value="Lajang">Lajang</option>
<option value="Menikah">Menikah</option>
</select><br>

Alamat:
<textarea name="alamat" cols=2 rows=3></textarea>

<input type="submit" value="Kirim"/>
</form>