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alumni-form.php
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alumni-form.php
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<?php defined('BASEPATH') OR exit('No direct script access allowed') ?>
<script>
$(document).ready(function () {
$('[data-toggle="datepicker"]').datepicker({
format: 'yyyy-mm-dd'
});
})
</script>
<main class="container space-y-5 my-5 flex-1">
<h1 class="text-title text-2xl font-bold font-heading"><?= ucwords($page_title) ?></h1>
<form class="space-y-3">
<div class="flex flex-col lg:flex-row">
<label for="full_name" class="lg:w-1/4 pt-1">Nama Lengkap <span style="color: red">*</span></label>
<div class="lg:w-3/4">
<input type="text" class="form-input w-full" id="full_name" name="full_name">
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="gender" class="lg:w-1/4 pt-1">Jenis Kelamin <span style="color: red">*</span></label>
<div class="lg:w-3/4">
<?= form_dropdown('gender', ['' => 'Pilih :', 'M' => 'Laki-laki', 'F' => 'Perempuan'], '', 'class="form-select w-full" id="gender"') ?>
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="birth_date" class="lg:w-1/4 pt-1">Tanggal Lahir <span style="color: red">*</span></label>
<div class="lg:w-3/4">
<div class="relative">
<input type="text" readonly class="form-input w-full date" id="birth_date" name="birth_date" data-toggle="datepicker">
<div class="absolute top-1/2 right-0 mr-3 transform -translate-y-1/2">
<span class="btn btn-sm btn-outline-secondary rounded-0"><i class="fa fa-calendar text-dark"></i></span>
</div>
</div>
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="end_date" class="lg:w-1/4 pt-1">Tahun Lulus <span style="color: red">*</span></label>
<div class="lg:w-3/4">
<input type="text" class="form-input w-full" id="end_date" name="end_date">
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="identity_number" class="lg:w-1/4 pt-1"><?= __session('_identity_number') ?></label>
<div class="lg:w-3/4">
<input type="text" class="form-input w-full" id="identity_number" name="identity_number">
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="street_address" class="lg:w-1/4 pt-1">Alamat <span style="color: red">*</span></label>
<div class="lg:w-3/4">
<textarea rows="5" class="form-textarea w-full" id="street_address" name="street_address"></textarea>
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="email" class="lg:w-1/4 pt-1">Email <span style="color: red">*</span></label>
<div class="lg:w-3/4">
<input type="text" class="form-input w-full" id="email" name="email">
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="phone" class="lg:w-1/4 pt-1">Telepon</label>
<div class="lg:w-3/4">
<input type="text" class="form-input w-full" id="phone" name="phone">
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="mobile_phone" class="lg:w-1/4 pt-1">Handphone</label>
<div class="lg:w-3/4">
<input type="text" class="form-input w-full" id="mobile_phone" name="mobile_phone">
</div>
</div>
<div class="flex flex-col lg:flex-row">
<label for="file" class="lg:w-1/4 pt-1">Foto</label>
<div class="lg:w-3/4">
<input type="file" id="photo" name="photo">
<small class="form-text text-muted">Foto harus JPG dan ukuran file maksimal 1 Mb</small>
</div>
</div>
<?php if (NULL !== __session('recaptcha_status') && __session('recaptcha_status') == 'enable') : ?>
<div class="flex flex-col lg:flex-row">
<label class="lg:w-1/4 pt-1"></label>
<div class="lg:w-3/4">
<div class="g-recaptcha" data-sitekey="<?= $recaptcha_site_key ?>"></div>
</div>
</div>
<?php endif ?>
<div class="flex flex-col lg:flex-row pt-3">
<span class="lg:w-1/4"></span>
<button type="button" onclick="alumni_registration(); return false;" class="bg-secondary opacity-80 transition duration-100 hover:opacity-100 text-white rounded py-2 px-5"><i class="fa fa-send"></i> Kirim</button>
</div>
</form>
</main>