form_signup.php

<div class="row">
<form class="form-horizontal" method="post" action="proses_signup.php" enctype="multipart/form-data">
<fieldset>
<div class="box">
			  
			  <hr>
                <h2 class="page-header"><center>REGISTER</center> </h2>
             <hr>
             <div class="col-lg-10"  style="margin-left:2%;">

				<div class="row">
	<div class="col-md-10">
	
	<br><br>
		<table class="table table-hover">
			<tr>
				<td width="200px">NIK</td>
				<td width="10px">:</td>
				<td><input type="text" name="nik" class="form-control input-md"></td>
			</tr>
			
			<tr>
				<td width="200px">User Name</td>
			 	<td width="10px">:</td>
				<td><input type="text" name="username" class="form-control input-md"> </td>
			</tr>
			<tr>
				<td width="200px">Password</td>
				<td width="10px">:</td>
				<td><input type="password" name="password" class="form-control input-md"></td>
			</tr>
			<tr>
				<td width="200px">Nama</td>
				<td width="10px">:</td>
				<td><input type="text" name="nama_klien" class="form-control input-md" value=""></td>
			</tr>
			<tr>
				<td width="200px">Alamat</td>
				<td width="10px">:</td>
				<td><input type="text" name="alamat" class="form-control input-md" value=""></td>
				<td><input type="hidden" name="hak_akses" class="form-control input-md" value="user"></td>
			</tr>




		</table>
		</form>
		<center><button type="submit" id="" name="simpan" class="btn btn-primary">Simpan</button></center>
  
	</div>
</div>