www.30persen.sitecloud.my.id
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URL:
https://www.30persen.sitecloud.my.id/
Submission: On December 19 via api from US — Scanned from DE
Submission: On December 19 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST cetak_dokumen.php
<form method="POST" action="cetak_dokumen.php">
<div class="mb-3 position-relative">
<label for="nama" class="form-label">Nama</label>
<input type="text" id="nama" name="nama" class="form-control" autocomplete="off" required="">
<div id="suggestions-box" class="autocomplete-suggestions"></div>
</div>
<div class="mb-3">
<label for="nip" class="form-label">NIP</label>
<input type="text" id="nip" name="nip" class="form-control" readonly="">
</div>
<div class="mb-3">
<label for="jabatan" class="form-label">Jabatan</label>
<input type="text" id="jabatan" name="jabatan" class="form-control" readonly="">
</div>
<div class="mb-3">
<label for="nomor_sppd" class="form-label">Nomor SPPD</label>
<input type="text" id="nomor_sppd" name="nomor_sppd" class="form-control" readonly="">
</div>
<div class="mb-3">
<label for="tanggal_sppd" class="form-label">Tanggal SPPD</label>
<input type="text" id="tanggal_sppd" name="tanggal_sppd" class="form-control" readonly="">
</div>
<!-- Lokasi Menginap, Jumlah Malam, dan Harga per Malam -->
<div id="location-group">
<div class="location-input-group">
<input type="text" class="form-control" name="lokasi_menginap[]" placeholder="Lokasi Menginap" required="">
<input type="number" class="form-control" name="jumlah_malam[]" placeholder="Jumlah Malam" required="">
<input type="number" class="form-control" name="harga_per_malam[]" placeholder="Harga per Malam (Rp)" required="">
<button type="button" class="remove-location-btn" onclick="removeLocation(this)">Hapus</button>
</div>
</div>
<button type="button" class="btn btn-success mb-3" onclick="addLocation()">Tambah Lokasi</button>
<button type="submit" class="btn btn-primary">Submit</button>
</form>
Text Content
FORM PENGELUARAN RIIL Nama NIP Jabatan Nomor SPPD Tanggal SPPD Hapus Tambah Lokasi Submit