99 lines
4.8 KiB
Plaintext
99 lines
4.8 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-8">
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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 RW</legend>
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<input type="text" placeholder="Masukkan nama ketua RW" 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">Jumlah KK</legend>
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<input type="number" placeholder="0" 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">Jumlah RT</legend>
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<input type="number" placeholder="0" 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">Jumlah Jiwa</legend>
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<input type="number" placeholder="0" 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">Kota /Kabupaten</legend>
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<input type="text" placeholder="Masukkan kota/kabupaten" 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 Handphone Ketua RW</legend>
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<input type="tel" placeholder="Masukkan nomor handphone" 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">Jumlah Rumah</legend>
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<input type="number" placeholder="0" 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">Luas RW (m²)</legend>
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<input type="number" placeholder="0" 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">Timbulan Sampah per Hari (kg)</legend>
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<input type="number" placeholder="0" 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">Kecamatan</legend>
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<input type="text" placeholder="Masukkan kecamatan" 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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<!-- Bottom Row -->
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<div class="grid grid-cols-1 md:grid-cols-2 lg:grid-cols-4 gap-6 mt-8">
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<fieldset class="fieldset">
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<legend class="fieldset-legend font-medium text-gray-700">Kelurahan</legend>
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<input type="text" placeholder="Masukkan kelurahan" 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">RW</legend>
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<input type="text" placeholder="Masukkan RW" 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">No. SK RW</legend>
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<input type="text" placeholder="Masukkan No. SK RW" 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">Upload File</legend>
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<input type="file" accept=".pdf" class="file-input file-input-bordered w-full bg-white">
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<p class="label text-xs text-gray-500 mt-1">PDF Maksimal 10MB</p>
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</fieldset>
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</div>
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<!-- View SK Button -->
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<div class="mt-5">
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<button type="button" class="btn btn-outline btn-success rounded-full px-10">
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Lihat SK
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</button>
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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-primary 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> |