165 lines
6.9 KiB
PHP
165 lines
6.9 KiB
PHP
<div class="row p-t-20">
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Username</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="username" class="form-control" value="<?php echo @$user['username'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">jabatan</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="jabatan" class="form-control" value="<?php echo @$user['jabatan'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">password</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="password" name="password" class="form-control" value="" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Nama</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="nama" class="form-control" value="<?php echo @$user['nama'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Tanggal Lahir</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="tgl_lahir" class="form-control" id="mdate" value="<?php echo @$user['tgl_lahir'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Tinggi Badan ( cm )</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="tinggi_badan" class="form-control" value="<?php echo @$user['tinggi_badan'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Berat Badan ( kg )</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="berat_badan" class="form-control" value="<?php echo @$user['berat_badan'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Alamat</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="alamat" class="form-control" value="<?php echo @$user['alamat'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Kecamatan</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="kecamatan" class="form-control" value="<?php echo @$user['kecamatan'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Kabupaten</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="kabupaten" class="form-control" value="<?php echo @$user['kabupaten'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Provinsi</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="provinsi" class="form-control" value="<?php echo @$user['provinsi'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label class="">Jenis Kelamin</label>
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<select class="select2 custom-select" style="width: 100%; height:36px;" name="jekel" id="inlineFormCustomSelect">
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<option value="Laki-Laki">Laki-Laki</option>
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<option value="Perempuan">Perempuan</option>
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</select>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">No Telepon</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="no_telp" class="form-control" value="<?php echo @$user['no_telp'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Email</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="email" class="form-control" value="<?php echo @$user['email'] ?>" required>
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</div>
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</div>
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</div>
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<div class="col-md-12 col-xl-6">
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<div class="form-group animated flipIn">
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<label for="exampleInputuname">Umur ( tahun )</label>
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<div class="input-group mb-3">
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<div class="input-group-prepend">
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<span class="input-group-text" id="basic-addon1"><i class="ti-calendar"></i></span>
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</div>
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<input type="text" name="umur" class="form-control" value="<?php echo @$user['umur'] ?>" required>
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</div>
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</div>
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</div>
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</div> |