203 lines
8.1 KiB
PHP
203 lines
8.1 KiB
PHP
<!DOCTYPE html>
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<html>
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<head>
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<!-- Basic -->
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<meta charset="utf-8" />
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<meta http-equiv="X-UA-Compatible" content="IE=edge" />
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<!-- Mobile Metas -->
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<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" />
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<!-- Site Metas -->
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<meta name="keywords" content="" />
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<meta name="description" content="" />
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<meta name="author" content="" />
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<title>NutriPosy</title>
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<link rel="icon" type="image/png" href="images/nutriposy.png">
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<!-- bootstrap core css -->
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<link rel="stylesheet" type="text/css" href="css/bootstrap.css" />
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<!-- fonts style -->
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<link href="https://fonts.googleapis.com/css2?family=Roboto:wght@400;500;700;900&display=swap" rel="stylesheet">
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<!-- owl slider stylesheet -->
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<link rel="stylesheet" type="text/css"
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href="https://cdnjs.cloudflare.com/ajax/libs/OwlCarousel2/2.3.4/assets/owl.carousel.min.css" />
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<!-- font awesome style -->
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<link href="css/font-awesome.min.css" rel="stylesheet" />
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<!-- nice select -->
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<link rel="stylesheet"
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href="https://cdnjs.cloudflare.com/ajax/libs/jquery-nice-select/1.1.0/css/nice-select.min.css"
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integrity="sha256-mLBIhmBvigTFWPSCtvdu6a76T+3Xyt+K571hupeFLg4=" crossorigin="anonymous" />
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<!-- datepicker -->
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<link rel="stylesheet"
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href="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-datepicker/1.3.0/css/datepicker.css">
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<!-- Custom styles for this template -->
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<link href="css/style.css" rel="stylesheet" />
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<!-- responsive style -->
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<link href="css/responsive.css" rel="stylesheet" />
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</head>
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<body>
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<div class="hero_area">
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<!-- header section starts -->
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<header class="header_section">
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<div class="header_bottom">
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<div class="container-fluid">
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<nav class="navbar navbar-expand-lg custom_nav-container">
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<a class="navbar-brand" href="#">
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<img src="images/nutriposy.png" alt="">
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</a>
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<!-- ✅ PERBAIKAN tombol hamburger -->
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<button class="navbar-toggler" type="button" data-toggle="collapse"
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data-target="#navbarSupportedContent" aria-controls="navbarSupportedContent" aria-expanded="false"
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aria-label="Toggle navigation">
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<span class="navbar-toggler-icon"></span>
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</button>
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<div class="collapse navbar-collapse" id="navbarSupportedContent">
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<div class="d-flex mr-auto flex-column flex-lg-row align-items-center">
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<ul class="navbar-nav">
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<li class="nav-item active">
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<a class="nav-link" href="{{ route('dashboard') }}">Beranda</a>
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</li>
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</ul>
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</div>
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</div>
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</nav>
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</div>
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</div>
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</header>
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<!-- end header section -->
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<section class="book_section layout_padding">
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<div class="container">
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<h4>Pendaftaran <span>Balita</span></h4>
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<!-- ✅ ALERT BERHASIL -->
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@if(session('success'))
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<div class="alert alert-success alert-dismissible fade show" role="alert">
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{{ session('success') }}
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<button type="button" class="close" data-dismiss="alert" aria-label="Close">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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@endif
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<form action="{{ route('balita.store') }}" method="POST">
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@csrf
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<div class="form-row">
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<div class="form-group col-lg-4">
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<label for="nik">NIK</label>
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<input type="text" name="nik" class="form-control @error('nik') is-invalid @enderror" id="nik"
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value="{{ old('nik') }}" placeholder="Masukkan NIK">
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@error('nik')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="form-group col-lg-4">
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<label for="nama_anak">Nama Anak</label>
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<input type="text" name="nama_anak" class="form-control @error('nama_anak') is-invalid @enderror"
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id="nama_anak" value="{{ old('nama_anak') }}" placeholder="Masukkan nama anak">
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@error('nama_anak')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="form-group col-lg-4">
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<label for="jenis_kelamin">Jenis Kelamin</label>
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<select name="jenis_kelamin" class="form-control @error('jenis_kelamin') is-invalid @enderror"
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id="jenis_kelamin">
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<option value="">-- Pilih Jenis Kelamin --</option>
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<option value="Laki-laki" {{ old('jenis_kelamin') == 'Laki-laki' ? 'selected' : '' }}>Laki-laki</option>
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<option value="Perempuan" {{ old('jenis_kelamin') == 'Perempuan' ? 'selected' : '' }}>Perempuan</option>
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</select>
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@error('jenis_kelamin')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-lg-4">
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<label for="tanggal_lahir">Tanggal Lahir</label>
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<input type="date" name="tanggal_lahir"
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class="form-control @error('tanggal_lahir') is-invalid @enderror" id="tanggal_lahir"
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value="{{ old('tanggal_lahir') }}">
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@error('tanggal_lahir')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="form-group col-lg-4">
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<label for="tempat_lahir">Tempat Lahir</label>
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<input type="text" name="tempat_lahir"
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class="form-control @error('tempat_lahir') is-invalid @enderror" id="tempat_lahir"
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value="{{ old('tempat_lahir') }}" placeholder="Masukkan tempat lahir">
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@error('tempat_lahir')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="form-group col-lg-4">
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<label for="ibu_kandung">Nama Ibu Kandung</label>
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<input type="text" name="ibu_kandung"
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class="form-control @error('ibu_kandung') is-invalid @enderror" id="ibu_kandung"
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value="{{ old('ibu_kandung') }}" placeholder="Masukkan nama ibu">
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@error('ibu_kandung')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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</div>
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<div class="form-row">
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<div class="form-group col-lg-4">
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<label for="nama_ayah">Nama Ayah</label>
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<input type="text" name="nama_ayah" class="form-control @error('nama_ayah') is-invalid @enderror"
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id="nama_ayah" value="{{ old('nama_ayah') }}" placeholder="Masukkan nama ayah">
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@error('nama_ayah')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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<div class="form-group col-lg-8">
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<label for="alamat">Alamat</label>
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<textarea name="alamat" class="form-control @error('alamat') is-invalid @enderror" id="alamat" rows="2"
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placeholder="Masukkan alamat lengkap">{{ old('alamat') }}</textarea>
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@error('alamat')
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<div class="invalid-feedback">{{ $message }}</div>
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@enderror
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</div>
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</div>
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<div class="btn-box">
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<button type="submit" class="btn btn-primary">Simpan Data</button>
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</div>
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</form>
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</div>
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</section>
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<!-- footer section -->
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<footer class="footer_section">
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<div class="container">
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<p>
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© <span id="displayYear"></span> All Rights Reserved By
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<a href="#">NutriPosy</a>
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</p>
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</div>
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</footer>
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</div>
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<!-- ✅ Tambahkan jQuery & Bootstrap JS sebelum </body> -->
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<script src="https://code.jquery.com/jquery-3.6.0.min.js"></script>
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<script src="https://cdn.jsdelivr.net/npm/bootstrap@4.6.2/dist/js/bootstrap.bundle.min.js"></script>
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<!-- ✅ Script untuk auto-close alert -->
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<script>
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setTimeout(function () {
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$('.alert').alert('close');
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}, 3000); // hilang setelah 3 detik
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</script>
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</body>
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</html>
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