dev.pkbra.telanusa.id Open in urlscan Pro
209.97.160.128  Public Scan

Form analysis
1 forms found in the DOM

POST

<form method="post" novalidate="">
  <div class="form-outer">
    <div class="form-header stuck-header">
      <div class="form-header-inner"></div>
      <div class="form-body">
        <div class="field has-text-left"><label class="label" for="nama">Nama Anda</label>
          <div data-v-9a5a2f3f="" class="control has-icon"><input id="nama" class="input v-input" name="nama" true-value="true" false-value="false" type="text" placeholder="Nama Anda"><!----><iconify-icon data-v-9a5a2f3f="" class="iconify form-icon"
              icon="lucide:user"></iconify-icon><!----></div>
        </div>
        <div class="field has-text-left"><label class="label" for="telepon">Telepon Anda</label>
          <div data-v-9a5a2f3f="" class="control has-icon"><input id="telepon" class="input v-input" name="telepon" true-value="true" false-value="false" type="number" placeholder="Telepon Anda"><!----><iconify-icon data-v-9a5a2f3f=""
              class="iconify form-icon" icon="lucide:phone"></iconify-icon><!----></div>
        </div>
        <div class="field is-autocomplete-select has-text-left"><label class="label" for="id_jenjang">Jenjang Pendidikan</label>
          <div data-v-9a5a2f3f="" class="control has-icon">
            <div class="multiselect">
              <div class="multiselect-wrapper" tabindex="-1"><!-- Search --><input type="text" class="multiselect-search" aria-controls="multiselect-options" aria-placeholder="Pilih Jenjang Pendidikan" aria-expanded="false"
                  aria-multiselectable="false" role="combobox" aria-labelledby="assist"><!-- Tags (with search) --><!--v-if--><!-- Single label --><!--v-if--><!-- Multiple label --><!--v-if--><!-- Placeholder -->
                <div class="multiselect-placeholder" aria-hidden="true">Pilih Jenjang Pendidikan</div><!-- Spinner --><!--v-if--><!-- Clear --><!--v-if--><!-- Caret --><span class="multiselect-caret" aria-hidden="true"></span>
              </div><!-- Options -->
              <div class="multiselect-dropdown is-hidden" tabindex="-1">
                <ul class="multiselect-options" id="multiselect-options" role="listbox">
                  <li class="multiselect-option" id="multiselect-option-1" aria-selected="false" aria-label="Kelompok Bermain" role="option"><span>Kelompok Bermain</span></li>
                  <li class="multiselect-option" id="multiselect-option-2" aria-selected="false" aria-label="Raudhatul Athfal" role="option"><span>Raudhatul Athfal</span></li>
                </ul><!--v-if--><!--v-if--><!--v-if-->
              </div><!-- Hacky input element to show HTML5 required warning --><!--v-if--><!-- Native input support --><!--v-if--><!-- Screen reader assistive text --><!--v-if--><!-- Create height for empty input -->
              <div class="multiselect-spacer"></div>
            </div><!----><iconify-icon data-v-9a5a2f3f="" class="iconify form-icon" icon="lucide:search"></iconify-icon><!---->
          </div>
        </div><button class="button is-block is-primary is-fullwidth is-medium"> Beli Formulir </button><br>
      </div>
    </div>
  </div>
</form>

Text Content

Pendaftaran Formulir KBRA Baipas


ISI DATA FORMULIR

Nama Anda

Telepon Anda

Jenjang Pendidikan
Pilih Jenjang Pendidikan
 * Kelompok Bermain
 * Raudhatul Athfal


Beli Formulir

Langkah Pendaftaran Siswa KBRA Baipas
 1. Sanggup membayar formulir dengan biaya Rp. 250.000
 2. Sanggup membayar SPP bulanan Rp. 300.000, paling lambat tanggal 10 tiap
    bulan
 3. Sanggup melunasi biaya pendidikan sejumlah Rp. 8.000.000



       
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