<section class="content-header">
<h1>Form<small>input drm</small></h1>
<ol class="breadcrumb">
<li><a href="home-pegawai.php"><i class="fa fa-dashboard"></i>Dashboard</a></li>
<li class="active">Form input drm</li>
</ol>
</section>
<section class="content">
<div class="row">
<div class="col-md-12">
<div class="box box-primary">
<form action="home-pegawai.php?page=permohonan-drm" class="form-horizontal" method="POST" enctype="multipart/form-data">
<div class="box-body">
<div class="form-group">
<label class="col-sm-5 control-label">Hari</label>
<div class="col-sm-4">
<input type="text" name="Hari" class="form-control" maxlength="64">
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Tanggal</label>
<div class="col-sm-4">
<div class="input-group date form_date col-sm-12" data-date="" data-date-format="yyyy-mm-dd" data-link-field="dtp_input2" data-link-format="yyyy-mm-dd">
<input type="text" name="Tanggal" class="form-control"><span class="input-group-addon"><span class="glyphicon glyphicon-calendar"></span></span>
</div>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Jam Masuk Kantor</label>
<div class="col-sm-4">
<input type="time" name="Jm_msk" class="form-control" maxlength="64">
</div><p class="col-sm-3">cth 09:00</p>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Jam Mulai Drm</label>
<div class="col-sm-4">
<input type="time" name="Jm_mulai" class="form-control" maxlength="64">
</div><p class="col-sm-3">cth 09:00</p>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Jam Selesai Drm</label>
<div class="col-sm-4">
<input type="time" name="Jm_selesai" class="form-control" maxlength="64">
</div><p class="col-sm-3">cth 09:00</p>
</div>
<div class="form-group has-feedback">
<label class="col-sm-5 control-label">Kantor</label>
<div class="col-sm-4">
<select name="Kantor" class="form-control">
<option value="">Pilih</option>
<option value="Pusat">Pusat</option>
<option value="Cab Pandeglang">Cabang Pandeglang</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Divisi</label>
<div class="col-sm-4">
<select name="Divisi" class="form-control">
<option value="">Pilih</option>
<option value="Media">Media</option>
<option value="Fundraising">Fundraising</option>
<option value="Humas dan Crm">Humas dan Crm</option>
<option value="Keuangan">Keuangan</option>
<option value="SDM">SDM</option>
<option value="Pendayagunaan">Pendayagunaan</option>
<option value="Pendistribusian">Pendistribusian</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Pembacaan Visi & Misi</label>
<div class="col-sm-4">
<select name="Pembacaan_visi_misi" class="form-control">
<option value="">Pilih</option>
<option value="sudah">sudah</option>
<option value="belum">belum</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Pembacaan Qs attaubah ayat 60 & 103</label>
<div class="col-sm-4">
<select name="Pembacaan_attaubah" class="form-control">
<option value="">Pilih</option>
<option value="sudah">sudah</option>
<option value="belum">belum</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Share, like & Comment Medsos</label>
<div class="col-sm-4">
<select name="Share_medsos" class="form-control">
<option value="">Pilih</option>
<option value="sudah">sudah</option>
<option value="belum">belum</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Input Muthabaah Yaumiah</label>
<div class="col-sm-4">
<select name="Input_muthabaah" class="form-control">
<option value="">Pilih</option>
<option value="sudah">sudah</option>
<option value="belum">belum</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Jam Pulang Hari Sebelumnya</label>
<div class="col-sm-4">
<input type="time" name="Jm_plg_sblm" class="form-control" maxlength="64">
</div><p class="col-sm-3">cth 09:00</p>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Aktivitas Pada Hari Sebelumnya</label>
<div class="col-sm-4">
<input type="text" name="Aktivitas_sblm" class="form-control" maxlength="64">
</div>
</div>
<div class="form-group">
<label class="col-sm-5 control-label">Pembahasan Drm</label>
<div class="col-sm-4">
<input type="text" name="Pembahansan_drm" class="form-control" maxlength="64">
</div>
</div>
<br /><br /><br />
<div class="form-group">
<div class="col-sm-offset-5 col-sm-5">
<button type="submit" name="save" value="save" class="btn btn-danger">Kirim</button>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
</section>
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<script type="text/javascript" src="plugins/datepicker/js/locales/bootstrap-datetimepicker.id.js" charset="UTF-8"></script>
<script type="text/javascript">
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