88 lines
5.0 KiB
Plaintext
88 lines
5.0 KiB
Plaintext
<div class="p-8">
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<form class="w-full">
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<div class="grid grid-cols-1 lg:grid-cols-2 gap-6">
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<!-- Left Column -->
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<div class="space-y-5">
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama Ketua Bidang</legend>
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<input type="text" placeholder="Masukkan nama ketua bidang" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama Seksi Operasional 1</legend>
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<input type="text" placeholder="Masukkan nama seksi operasional 1" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama Seksi Operasional 2</legend>
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<input type="text" placeholder="Masukkan nama seksi operasional 2" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama Seksi Sosialisasi & Pengawasan 1</legend>
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<input type="text" placeholder="Masukkan nama seksi sosialisasi & pengawasan 1" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama Seksi Sosialisasi & Pengawasan 2</legend>
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<input type="text" placeholder="Masukkan nama seksi sosialisasi & pengawasan 2" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama PJLP Pendamping</legend>
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<input type="text" placeholder="Masukkan nama PJLP pendamping" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nama Supervisor Pendamping</legend>
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<input type="text" placeholder="Masukkan nama supervisor pendamping" class="input input-bordered w-full bg-white">
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</fieldset>
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</div>
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<!-- Right Column -->
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<div class="space-y-5">
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor WA Ketua Bidang</legend>
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<input type="tel" placeholder="Masukkan nomor WA" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor Seksi Operasional 1</legend>
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<input type="tel" placeholder="Masukkan nomor seksi operasional 1" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor WA Seksi Operasional 2</legend>
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<input type="tel" placeholder="Masukkan nomor WA seksi operasional 2" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor WA Seksi Sosialisasi & Pengawasan 1</legend>
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<input type="tel" placeholder="Masukkan nomor WA seksi sosialisasi & pengawasan 1" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor WA Seksi Sosialisasi & Pengawasan 2</legend>
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<input type="tel" placeholder="Masukkan nomor WA seksi sosialisasi & pengawasan 2" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor WA PJLP Pendamping</legend>
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<input type="tel" placeholder="Masukkan nomor WA PJLP pendamping" class="input input-bordered w-full bg-white">
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</fieldset>
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Nomor WA Supervisor Pendamping</legend>
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<input type="tel" placeholder="Masukkan nomor WA supervisor pendamping" class="input input-bordered w-full bg-white">
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</fieldset>
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</div>
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</div>
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<!-- Submit Button -->
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<div class="flex justify-end mt-10">
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<button type="submit" class="btn btn-success text-white rounded-full px-16">
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Simpan
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</button>
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</div>
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</form>
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</div> |