This is my code :
<body class='default'><fieldset> <legend><b>Pelanggan Baru</b></legend><br> <table border="0" > <tr> <td width="110">No Mutasi</td> <td><label for="txtNoMutasi"></label> <input type="text" name="txtNoMutasi" id="txtNoMutasi" > NO SPL <input type="text" name="txtSPL" id="txtSPL"> <input name="txtSPL2" type="text" id="txtSPL2" size="5"></td> </tr> </table> <table> <tr> <td width="110">Cabang</td> <td name="cboCabang" id="cboCabang"> </td> <td name="cboWilayah" id="cboWilayah"></td> <td name="cboJalan" id="cboJalan"></td> </tr> </table> <table> <tr> <td width="110">No Pelanggan</td> <td><label for="txtNo"></label> <input type="text" name="txtNo" id="txtNo" /> <input type="text" name="txtNopel" id="txtNopel" /> Nama <input type="text" name="txtNama" id="txtNama" /></td> </tr> </table></fieldset></body></html>