www.30persen.sitecloud.my.id Open in urlscan Pro
103.219.251.244  Public Scan

URL: https://www.30persen.sitecloud.my.id/
Submission: On December 19 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST 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