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Upload Nih Ges

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Michael Philliph
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6 views

Upload Nih Ges

Uploaded by

Michael Philliph
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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<style>

.c_0 {
width: 5%;
}
.c_1 {
width: 7%;
}
.c_2 {
width: 9%;
}
.c_3 {
width: 10%;
}
.c_4 {
width: 10%;
}
.c_5 {
width: 14%;
}
.c_6 {
width: 9%;
}
.c_7 {
width: 11%;
}
.c_8 {
width: 10%;
}
.c_9 {
width: 10%;
}
.c_10 {
width: 7%;
}
</style>
<!-- Content Wrapper. Contains page content -->
<body class="hold-transition skin-blue sidebar-collapse sidebar-mini"> <!--
fixed untuk responsive -->
<div class="wrapper">
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<h1>
Data Kependudukan
<!-- <small>Control panel</small> -->
</h1>
<!-- <ol class="breadcrumb">
<button type="button" class="btn btn-primary btn-sm" data-
toggle="modal" data-target="#tambah_redemption"><span class="fa
fa-plus"></span> Tambah Data Pembukaan Rekening</button>&nbsp;
</ol> -->
</section>
<!-- Main content -->
<section class="content">
<div class="box box-default"> <!--collapsed-box-->
<div class="box-header with-border">
<h3 class="box-title"></h3>
<div class="box-tools pull-right">
<button class="btn btn-box-tool" data-widget="collapse"><i
class="fa fa-minus"></i></button>
<!-- <button class="btn btn-box-tool" data-widget="remove"><i
class="fa fa-remove"></i></button> -->
</div>
</div><!-- /.box-header -->
<div class="box-body">
<form class="form-horizontal" action="<?php echo
site_url('web_service/filter_data_kependudukan')?>" method="post">
<div class="form-group ">
<label class="col-sm-2 control-label">NIK</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="nik"
placeholder="NIK">
</div>
<label class="col-sm-2 control-label">Nomor KK</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="nomor_kk"
placeholder="Nomor KK">
</div>
<div class="col-sm-2">
<button type="button" class="btn btn-primary" style="width:
100%">Search</button>
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Nama Lengkap</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="nama_lengkap"
placeholder="Nama Lengkap">
</div>
<label class="col-sm-2 control-label">Jenis Kelamin</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="jenis_kelamin"
placeholder="Jenis Kelamin">
</div>
</div>
<div class="form-group ">
<label class="col-sm-2 control-label">Tempat Lahir</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="tempat_lahir"
placeholder="Tempat Lahir">
</div>
<label class="col-sm-2 control-label">Tanggal Lahir</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="tanggal_lahir"
placeholder="Tanggal Lahir">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Agama</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="agama"
placeholder="Agama">
</div>
<label class="col-sm-2 control-label">Status
Perkawinan</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="status_perkawinan" placeholder="Status Perkawinan">
</div>
</div>
<div class="form-group ">
<label class="col-sm-2 control-label">Pendidikan
Terakhir</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="pendidikan_terakhir" placeholder="Pendidikan Terakhir">
</div>
<label class="col-sm-2 control-label">Jenis Pekerjaan</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="jenis_pekerjaan" placeholder="Jenis Pekerjaan">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Nama Ibu Kandung</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="nama_ibu_kandung" placeholder="Nama Ibu Kandung">
</div>
<label class="col-sm-2 control-label">Status Hubungan Dalam
Keluarga</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="status_hubungan_dalam_keluarga" placeholder="Status Hubungan Dalam
Keluarga">
</div>
</div>
<div class="form-group ">
<label class="col-sm-2 control-label">Alamat</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="alamat"
placeholder="Alamat">
</div>
<label class="col-sm-2 control-label">RT</label>
<div class="col-sm-1">
<input type="text" class="form-control" name="rt"
placeholder="RT">
</div>
<label class="col-sm-1 control-label">RW</label>
<div class="col-sm-1">
<input type="text" class="form-control" name="rw"
placeholder="RW">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label">Kecamatan</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="kecamatan"
placeholder="Kecamatan">
</div>
<label class="col-sm-2 control-label">Desa/Kelurahan</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="desa_kelurahan" placeholder="Desa/Kelurahan">
</div>
</div>
<div class="form-group ">
<label class="col-sm-2 control-label">Kota/Kabupaten</label>
<div class="col-sm-3">
<input type="text" class="form-control"
name="kota_kabupaten" placeholder="Kota/Kabupaten">
</div>
<label class="col-sm-2 control-label">Provinsi</label>
<div class="col-sm-3">
<input type="text" class="form-control" name="provinsi"
placeholder="Provinsi">
</div>
</div>
<div class="form-group">
<label class="col-sm-2 control-label"></label>
</div>
</form>
</div><!-- /.box-body -->
</div><!-- /.box -->
<div class="row">
<div class="col-xs-12">
<div class="box">
<div class="box-header">
</div><!-- /.box-header -->

<div class="box-body">

</div>

</div>
</div><!-- /.col -->
</div><!-- /.row (main row) -->
</section><!-- /.content -->
</div><!-- /.content-wrapper -->

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