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pendaftaran.html
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pendaftaran.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<!-- BOOTSRAP -->
<link
href="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0-beta1/dist/css/bootstrap.min.css"
rel="stylesheet"
integrity="sha384-0evHe/X+R7YkIZDRvuzKMRqM+OrBnVFBL6DOitfPri4tjfHxaWutUpFmBp4vmVor"
crossorigin="anonymous"
/>
<!-- CSS -->
<link rel="stylesheet" href="src/style/index.css" />
<title>SIMTARU</title>
<!-- Favicons -->
<link href="./src/images/logo-40px.png" rel="icon" />
<!-- CSS only -->
<link
href="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0-beta1/dist/css/bootstrap.min.css"
rel="stylesheet"
integrity="sha384-0evHe/X+R7YkIZDRvuzKMRqM+OrBnVFBL6DOitfPri4tjfHxaWutUpFmBp4vmVor"
crossorigin="anonymous"
/>
<!-- <link rel="stylesheet" href="https://unicons.iconscout.com/release/v4.0.0/css/unicons.css"> -->
<title>Pendaftaran</title>
</head>
<body>
<nav>
<div class="col-md-9 nav-child-wrapper">
<ul class="nav-menu">
<li class="links"><a href="#">Home</a></li>
<li class="links"><a class="active" href="#">Tata Ruang</a></li>
<li class="links"><a href="#">Regulasi</a></li>
<li class="links"><a href="#">Publikasi</a></li>
<li class="links"><a href="#">Tanggapan</a></li>
</ul>
</div>
<div class="col-md-3 button">
<button>Pendaftaran</button>
</div>
</nav>
<main>
<div id="header">
<h1>Pendaftaran</h1>
</div>
<div class="container">
<div id="pendaftaran-box">
<div class="row justify-content-evenly">
<!--Column 1-->
<div class="col-6 pt-3">
<div class="col pb-3">
<label for="inputEmail4" class="form-label">Nomor KTP</label>
<input
type="text"
class="form-control"
id="input-pendaftaran"
placeholder="Masukkan nomor KTP anda"
/>
</div>
<div class="col pb-3">
<label for="inputAddress" class="form-label"
>Nama Lengkap</label
>
<input
type="text"
class="form-control"
id="input-pendaftaran"
placeholder="Masukkan nama lengkap anda"
/>
</div>
<label for="inputAddress" class="form-label">Jenis Kelamin</label>
<div class="col pb-3">
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="inlineRadio1"
value="option1"
/>
<label class="form-check-label" for="inlineRadio1"
>Laki-laki</label
>
</div>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="inlineRadio2"
value="option2"
/>
<label class="form-check-label" for="inlineRadio2"
>Perempuan</label
>
</div>
<div class="col pt-3">
<label for="inputAddress" class="form-label">Alamat</label>
<input
type="text"
class="form-control"
id="input-pendaftaran-alamat"
placeholder="Masukkan alamat anda"
/>
</div>
<label for="inputEmail4" class="form-label pt-3"
>Asal Provinsi</label
>
<div class="input-group">
<select
class="form-select"
id="input-pendaftaran"
aria-label="Example select with button addon"
>
<option selected>Pilih Provinsi</option>
<option value="1">Nanggroe Aceh Darussalam</option>
<option value="2">Sumatera Utara</option>
<option value="3">Suatera Selatan</option>
</select>
</div>
<label for="inputEmail4" class="form-label pt-3"
>Asal Kota/Kabupaten</label
>
<div class="input-group">
<select
class="form-select"
id="input-pendaftaran"
aria-label="Example select with button addon"
>
<option selected>Pilih Kabupaten</option>
<option value="1">Nanggroe Aceh Darussalam</option>
<option value="2">Sumatera Utara</option>
<option value="3">Suatera Selatan</option>
</select>
</div>
<label for="inputEmail4" class="form-label pt-3"
>Asal Kecamatan</label
>
<div class="input-group">
<select
class="form-select"
id="input-pendaftaran"
aria-label="Example select with button addon"
>
<option selected>Pilih Kabupaten</option>
<option value="1">Nanggroe Aceh Darussalam</option>
<option value="2">Sumatera Utara</option>
<option value="3">Suatera Selatan</option>
</select>
</div>
<div class="col pt-3">
<label for="inputAddress" class="form-label">Kode Pos</label>
<input
type="text"
class="form-control"
id="input-pendaftaran"
placeholder="Masukkan kode pos anda"
/>
</div>
<div class="col pt-3">
<label for="inputAddress" class="form-label">Pekerjaan</label>
<input
type="text"
class="form-control"
id="input-pendaftaran"
placeholder="Masukkan pekerjaan anda"
/>
</div>
<label for="inputAddress" class="form-label pt-3">Status</label>
<div class="col">
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="inlineRadio1"
value="option1"
/>
<label class="form-check-label" for="inlineRadio1"
>WNI</label
>
</div>
<div class="form-check form-check-inline">
<input
class="form-check-input"
type="radio"
name="inlineRadioOptions"
id="inlineRadio2"
value="option2"
/>
<label class="form-check-label" for="inlineRadio2"
>WNA</label
>
</div>
</div>
</br>
</div>
</div>
<!--Column 2-->
<div class="col-6 pt-3">
<div class="col pb-3">
<label for="inputAddress" class="form-label">Email</label>
<input
type="Email"
class="form-control"
id="input-pendaftaran"
placeholder="Masukkan alamat email anda"
/>
</div>
<div class="col pb-3">
<label for="inputAddress" class="form-label"
>Nomor Handphone</label
>
<input
type="text"
class="form-control"
id="input-pendaftaran"
placeholder="Masukkan nomor telepon anda"
/>
</div>
<div class="d-grid gap-2">
<button class="btn btn-primary" type="button" id="tomboldaftar">
Daftar
</button>
</div>
</div>
</div>
</div>
</div>
<div class="footer" id="footer">
<!-- <div class="row "> -->
<div class="col d-flex justify-content-center footer-information">
<div class="footer-title">
<div class="footer-title-img">
<img src="src/images/Logo-Sulsel.png" alt="" />
<img src="src/images/Logo-PLN.png" alt="" />
</div>
<h1>SIMTARU</h1>
<h3>
Website Resmi Bidang Tata Ruang Dinas Pekerjaan Umum dan Tata
Ruang Provinsi Sulawesi Selatan
</h3>
</div>
<div class="footer-contact">
<div class="alamat">
<i class="uil uil-comments"></i>
<h4><b>Alamat</b></h4>
<p>
Jalan A. Pangerang Pettarani <br />
No. 88-90 Makassar
</p>
</div>
<div class="kontak">
<i class="uil uil-comments"></i>
<h4><b>Hubungi Kami</b></h4>
<p>
Jalan A. Pangerang Pettarani <br />
No. 88-90 Makassar
</p>
</div>
</div>
<div class="footer-license">
<h4><b>Made Possible by</b></h4>
<p>ABRIADR 2022</p>
<h4>
<b
>Hak Cipta 2022 @ Bidang Tata Ruang Dinas Pekerjaan Umum Dan
Tata Ruang Provinsi Sulawesi Selatan
</b>
</h4>
</div>
<!-- </div> -->
</div>
</div>
</main>
<!-- built files will be auto injected -->
<!-- JavaScript Bundle with Popper -->
<script
src="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0-beta1/dist/js/bootstrap.bundle.min.js"
integrity="sha384-pprn3073KE6tl6bjs2QrFaJGz5/SUsLqktiwsUTF55Jfv3qYSDhgCecCxMW52nD2"
crossorigin="anonymous"
></script>
</body>
</html>