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Pusdatin BPKD Jkt
2022-07-07 16:29:51 +07:00
commit 886e2d5002
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resources/views/salurdana/frm_sk.blade.php
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<div class="row justify-content-center">
<div class="col-6">
<span class="section">Berdasarkan Keputusan</span>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="opt_keputusan">Keputusan <span class="required">*</span>
</label>
<div class="col-md-9 col-sm-9 ">
<select id="opt_keputusan" name="keputusan[keputusan_id]" class="form-control" required></select>
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_keputusan_nomor">Nomor <span class="required">*</span>
</label>
<div class="col-md-9 col-sm-9 ">
<input type="text" id="txt_keputusan_nomor" name="keputusan[nomor]" class="form-control " required>
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_keputusan_tgl">Tanggal <span class="required">*</span>
</label>
<div class="col-md-9 col-sm-9 ">
<div class="input-group date" id="txt_keputusan_tgl" data-target-input="nearest">
<input id="tgl_keputusan" type="text" name="keputusan[tgl]" class="form-control indo_date" required data-target="#txt_keputusan_tgl">
<div class="input-group-append" data-target="#txt_keputusan_tgl" data-toggle="datetimepicker">
<div class="input-group-text"><i class="fa fa-calendar"></i></div>
</div>
</div>
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="opt_hak">Hak <span class="required">*</span>
</label>
<div class="col-md-9 col-sm-9 ">
<select id="opt_hak" name="keputusan[hak_id]" class="form-control" required></select>
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_tmt">T.M.T <span class="required">*</span>
</label>
<div class="col-md-9 col-sm-9 ">
<div class="input-group date" id="txt_tmt" data-target-input="nearest">
<input id="tgl_tmt" type="text" name="keputusan[tmt]" class="form-control indo_date" required data-target="#txt_tmt">
<div class="input-group-append" data-target="#txt_tmt" data-toggle="datetimepicker">
<div class="input-group-text"><i class="fa fa-calendar"></i></div>
</div>
</div>
</div>
</div>
</div>
<div class="col-6">
<span class="section">* Diisi bila Hak Pensiun pindah Tugas</span>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_nama_kantor">Nama Kantor 1
</label>
<div class="col-md-9 col-sm-9 ">
<input type="text" id="txt_nama_kantor1" name="keputusan[nama_kantor1]" class="form-control ">
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_nama_kantor">Nama Kantor 2
</label>
<div class="col-md-9 col-sm-9 ">
<input type="text" id="txt_nama_kantor2" name="keputusan[nama_kantor2]" class="form-control ">
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_wilayah_kantor">Wilayah
</label>
<div class="col-md-9 col-sm-9 ">
<input type="text" id="txt_wilayah_kantor" name="keputusan[wilayah_kantor]" class="form-control ">
</div>
</div>
<div class="form-group row">
<label class="col-form-label col-md-3 col-sm-3 label-align" for="txt_keterangan_kantor">Keterangan
</label>
<div class="col-md-9 col-sm-9 ">
<input type="text" id="txt_keterangan_kantor" name="keputusan[keterangan_kantor]" class="form-control ">
</div>
</div>
</div>
</div>