fahmihilmansyah

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May 7th, 2020
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  1. <?php
  2. /**
  3. * Created by PhpStorm.
  4. * Project : jmstar07022020
  5. * User: fahmihilmansyah
  6. * Date: 06/05/20
  7. * Telp : 0817170820
  8. * Time: 13.11
  9. * Dilarang Keras Mengubah atau Mendistribusikan ulang code ini tanpa sepengetahuan.
  10. */
  11. ?>
  12. <div class="row">
  13.     <div class="col-md-12">
  14.         <div class="form-check">
  15.             <input class="form-check-input" type="radio" name="nilai" id="exampleRadios1" value="Significantly Improved" checked>
  16.             <label class="form-check-label" for="exampleRadios1">
  17.                 Significantly Improved
  18.             </label>
  19.         </div>
  20.         <div class="form-check">
  21.             <input class="form-check-input" type="radio" name="nilai" id="exampleRadios2" value="Improved" checked>
  22.             <label class="form-check-label" for="exampleRadios2">
  23.                 Improved
  24.             </label>
  25.         </div>
  26.         <div class="form-check">
  27.             <input class="form-check-input" type="radio" name="nilai" id="exampleRadios3" value="Slightly Improved" checked>
  28.             <label class="form-check-label" for="exampleRadios3">
  29.                 Slightly Improved
  30.             </label>
  31.         </div>
  32.         <div class="form-check">
  33.             <input class="form-check-input" type="radio" name="nilai" id="exampleRadios4" value="Not Improved" checked>
  34.             <label class="form-check-label" for="exampleRadios4">
  35.                 Not Improved
  36.             </label>
  37.         </div>
  38.     </div>
  39.     <div class="col-md-12">
  40.         <textarea class="form-control" name="keterangan"></textarea>
  41.     </div>
  42. </div>
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