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- <form class="form-horizontal" method="post" action="<?php echo $action;?>">
- <fieldset>
- <legend>Silahkan input data siswa dengan benar</legend>
- <div class="control-group">
- <label class="control-label" for="typeahead">Nama Lengkap </label>
- <div class="controls">
- <input type="text" class="span6" name="nama">
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="typeahead">Asal sekolah </label>
- <div class="controls">
- <input type="text" class="span6" name="sekolah">
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="selectError4">Jenis Kelamin</label>
- <div class="controls">
- <select id="selectError4" data-rel="chosen" name="kelamin">
- <option>--- Pilih ---</option>
- <option value="L">Laki - Laki</option>
- <option value="P">Perempuan</option>
- </select>
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="selectError5">Kelas</label>
- <div class="controls">
- <select id="selectError5" data-rel="chosen" name="kelas">
- <option>-- PILIH -- </option>
- <?php if ($kelas){
- foreach ($kelas as $kelas){
- ?>
- <option value="<?php echo $kelas->kelas;?>"><?php echo $kelas->kelas;?> (<?php echo $kelas->keterangan;?>)</option>
- <?php
- }
- }
- ?>
- </select>
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="typeahead">Tempat Lahir</label>
- <div class="controls">
- <input type="text" class="span3" name="tempatlahir">
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="date01">Tanggal Lahir</label>
- <div class="controls">
- <input type="text" class="span2 datepicker" id="date01" name="tanggallahir">
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" >No. tlp</label>
- <div class="controls">
- <input type="text" class="span2" name="telpon">
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="fileInput">Foto</label>
- <div class="controls">
- <input class="input-file uniform_on" id="fileInput" type="file" name="foto">
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="textarea2">Alamat lengkap</label>
- <div class="controls">
- <textarea class="cleditor" id="textarea2" rows="3" name="alamat"></textarea>
- </div>
- </div>
- <div class="control-group">
- <label class="control-label" for="selectError6">Keterangan</label>
- <div class="controls">
- <select id="selectError6" data-rel="chosen" name="status">
- <option>--- Pilih ---</option>
- <?php if ($status){
- foreach ($status as $status){
- ?>
- <option value="<?php echo $status->status;?>"> <?php echo $status->status;?>
- <?php
- }
- }?>
- </select>
- </div>
- </div>
- <div class="form-actions">
- <button type="submit" class="btn btn-primary">Save changes</button>
- <button type="reset" class="btn">Cancel</button>
- </div>
- </fieldset>
- </form>
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