[ Mini Kiebo ]

Server: Windows NT AKFAR_SERVER 10.0 build 26200 (Windows 10) AMD64 Path: D:/xampp/htdocs/pmbafbs/application/views/web/step/ [ Home ]
File: 4.php
<div class="panel">
  <div class="panel-heading" style="background: #275555ff; color: honeydew;">
    <h2 align="center" style="margin-top: 10px;">FORM ISIAN<br><b>ORANG TUA/WALI CALON MAHASISWA</b> </h2>
    <!-- <hr> -->
  </div>
  <div class="panel-body">
   
    <hr>
    <h2><strong class="text-success" style="color:#000000;">
        <center>DATA AYAH KANDUNG</center>
      </strong></h2>
    <hr>
    <div class="form-group" style="padding-bottom:30px;">
      <label class="col-sm-3 control-label" style="text-align:right; margin-top:6px">Nama Ayah Kandung <span class="text-danger">*</span></label>
      <div class="col-sm-9 prepend-icon">
        <input type="text" name="nama_ayah" class="form-control bg-blue" placeholder="Nama Ayah Kandung" maxlength="100" data-parsley-group="block3" data-radio="iradio_square-blue" data-parsley-errors-container='div[id="error-nama_ayah"]' required>
        <i class="fa fa-male" style="margin-left:15px;"></i>
        <div id="error-nama_ayah" style=" background:#FFBABA;color: #D8000C; width:auto;border-radius:5px;padding-left:10px;"></div>
      </div>
    </div>
   
    <hr>
    <h2><strong class="text-success" style="color:#000000;">
        <center>DATA IBU</center>
      </strong></h2>
    <hr>
    <div class="form-group" style="padding-bottom:30px;">
      <label class="col-sm-3 control-label" style="text-align:right; margin-top:6px">Nama Ibu<span class="text-danger">*</span></label>
      <div class="col-sm-9 prepend-icon">
        <input type="text" name="nama_ibu" class="form-control bg-blue" placeholder="Nama Ibu Kandung" maxlength="100" data-parsley-group="block3" data-radio="iradio_square-blue" data-parsley-errors-container='div[id="error-nama_ibu"]' required>
        <i class="fa fa-female" style="margin-left:15px;"></i>
        <div id="error-nama_ibu" style=" background:#FFBABA;color: #D8000C; width:auto;border-radius:5px;padding-left:10px;"></div>
      </div>
    </div>
 
    <hr>
    <h2><strong class="text-success" style="color:#000000;">
        <center>DATA WALI</center>
      </strong></h2>
    <hr>
    <div class="form-group" style="padding-bottom:30px;">
      <label class="col-sm-3 control-label" style="text-align:right; margin-top:6px">Nama wali <span class="text-danger"></span></label>
      <div class="col-sm-9 prepend-icon">
        <input type="text" name="nama_wali" class="form-control bg-blue" placeholder="Nama wali " maxlength="100" data-parsley-group="block3" data-radio="iradio_square-blue" data-parsley-errors-container='div[id="error-nama_wali"]'>
        <i class="fa fa-user" style="margin-left:15px;"></i>
        <div id="error-nama_wali" style=" background:#FFBABA;color: #D8000C; width:auto;border-radius:5px;padding-left:10px;"></div>
      </div>
    </div>

   <div class="form-group">
      <label class="col-sm-3 control-label" style="text-align:right; margin-top:6px">No. Handphone Ortu/Wali <span class="text-danger">*</span></label>
      <div class="col-sm-9 prepend-icon" style="margin-top:3px;">
        <input type="text" name="no_hp_ortu" class="form-control bg-blue class" maxlength="14" onkeypress="return hanyaAngka(this);" placeholder="No. Handphone Orangtua/Wali" data-parsley-group="block3" data-parsley-errors-container='div[id="error-no_hp_ortu"]'>
        <i class="fa fa-phone" style="margin-left:15px;"></i>
        <div id="error-no_hp_ortu" style=" background:#FFBABA;color: #D8000C; width:auto;border-radius:5px;padding-left:10px;"></div>
      </div>
    </div>


<div class="col-md-12">
  <div>