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Current File : /home/u686484674/domains/idikotabandung.com/public_html/IDI/baru/chek_ang_baru.php
<?php include "header3.php";?>


 	<meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <!-- The above 3 meta tags *must* come first in the head; any other head content must come *after* these tags -->
    <meta name="description" content="">
    <meta name="author" content="">
    <link rel="icon" href="idilogo.png">

    <title>Ikatan Dokter Indonesia</title>
 <link rel="icon" href="idilogo.png">


<style type="text/css">
<!--
-->


.merah {
	
	color: red;
}
#button-blue{
	font-family: 'Montserrat', Arial, Helvetica, sans-serif;
	float:left;
	width: 50%;
	border: #fbfbfb solid 4px;
	cursor:pointer;
	background-color: #3498db;
	color:white;
	font-size:18px;
	padding:5px;
	
	-webkit-transition: all 0.3s;
	-moz-transition: all 0.3s;
	transition: all 0.3s;
  margin-top:-4px;
   margin-left:5px;
  font-weight:700;
}
#button-blue:hover{
	background-color: rgba(0,0,0,0);
	color: #0493bd;
}
	
.submit:hover {
	color: #3498db;
}
	
.ease {
	width: 0px;
	height: 74px;
	background-color: #fbfbfb;
	-webkit-transition: .3s ease;
	-moz-transition: .3s ease;
	-o-transition: .3s ease;
	-ms-transition: .3s ease;
	transition: .3s ease;
}

.submit:hover .ease{
  width:25%;
  background-color:#EEE;
}
.tengah {
	background-image: linear-gradient(to right, #4682B4, #00FFFF, #00FA9A);
	background:url(image/tdoc.jpg) no-repeat;
	padding-left:5px;
	padding-right:5px;
	padding-top:5px;
	padding-bottom:5px;
	 width: 950px;
	float: left;
    margin-top:5px;
	margin-left: 100px;
    -moz-border-radius: 7px;
   -webkit-border-radius: 7px;
	font-size:14px;
	height: auto;
}

@media only screen and (max-width: 580px) {
	.tengah{
		left: 3%;
		margin-right: 3%;
		width: 88%;
		margin-left: 3%;
		padding-left: 3%;
		padding-right: 3%;
		font-size: 14px;
	}
	}
</style>

<link rel="stylesheet" href="//code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">
<?php
 function acakCaptcha() {
        $kode = "0123456789";
    
        $passc = array(); 

        $panjangkode = strlen($kode) - 2; 
        for ($i = 0; $i < 5; $i++) {
            $n = rand(0, $panjangkode);
            $passc[] = $kode[$n];
        }
         return implode($passc); 
    }
    
    //hasil kode acak disimpan di $code
    $code = acakCaptcha();
?> 
 
 <title>Ikatan Dokter Indonesia</title>
<body id="page-top">
<body>
 
 <div class="tengah">

	  <strong>
	  <title>
	 
	  <center><h4><strong>chek Syarat Persiapan Pengajuan Anggota Baru</strong></h4>
	  </center> 
	 
	  </title>
	  </strong>

	 <div class="card-body">
                  <div class="row">
                  <div class="col-md-8">
                  <div class="form-group" align="left"> 
	 
	 <form action="<?php echo $_SERVER["PHP_SELF"];?>" method="post">				
   
       <strong>Tujuan :</strong><br>
	<input type="radio" name="anggota" value="anggota_baru" checked > Registrasi Anggota baru IDI Bandung	 <br>

		 <br>     
	<strong>Keahlian : </strong><br>
	<input type="radio" name="ahli" value="dokter_umum" checked > Dokter Umum  <br> 
	<input type="radio" name="ahli" value="spesialis"> Dokter Spesialis<br>    
	  
		 <br>	
 
	<strong>Status :</strong><br> 
	  <input type="radio" name="perihal" value="anggota_baru" checked> Anggota Baru  <br>  
	  	 
		 <br>				  
		 <strong><h4><b>Jenis Pengajuan :</h4> 
		 <span class='merah'>(Mohon Pilih/Click dengan teliti)</span></b></strong><br> <br> 
		 
		 <strong><b>Jika Tanggal/Masa berlaku STR Belum Expired :</b></strong><br> 
	  <input type="radio" name="jenisp" value="3" checked> Tanggal STR Belum Expired <br>  <br>
		 
		 
		 	 	 <strong><b>Jika Tanggal/Masa berlaku STR Sudah Seumur Hidup :</b></strong><br> 
	  <input type="radio" name="jenisp" value="2" > STR Berlaku Seumur Hidup <br>  <br>
		 
		 
		 
		<strong><b>Jika Tanggal/Masa berlaku STR Sudah Expired </b></strong><br>  
	  <input type="radio" name="jenisp" value="1" > Tanggal STR Sudah Expired <br>  	 <br>  
		 
		 
		 
		 
	
		 
		 
	
		 
		 
		 
		 
	 
		 <br>



   <p class="name"><input name="code" type ="hidden" readonly   value="<?php echo $code  ?>"  />
   <p class="name"><input name="npm" type ="hidden" readonly   value="<?php echo $_GET['npm']  ?>"  />
	<br> 
	<br> 

 </div>
  </div>	   
</div>	   
	   <input type="submit" id="button-blue" name="pilih" value="Proses">
 		
					  
					  
					  </form>
  

	
	      <?php
	 
		if($_SERVER['REQUEST_METHOD']=='POST'){ 
	 // cara satu satu
        if (isset($_POST['pilih'])) {
          //   $nama = $_POST['hobi'];
			
			//$rs = isset($_POST['rs']) ? $_POST['rs'] : null;
//			$klinik = isset($_POST['klinik']) ? $_POST['klinik'] : null;
//		    $puskesmas = isset($_POST['puskesmas']) ? $_POST['puskesmas'] : null;
//			$pribadi = isset($_POST['pribadi']) ? $_POST['pribadi'] : null;
			
			//$kota = isset($_POST['kota']) ? $_POST['kota'] : null;
			
			 $code = $_POST['code'] ;
			
			// $rs= $_POST['rs'];
			 $npm= $_POST['npm'];
//			 $puskesmas= $_POST['puskesmas'];
//			 $pribadi= $_POST['pribadi'];
			 $anggota = $_POST['anggota'];
			 $ahli = $_POST['ahli'];
			 $perihal = $_POST['perihal'];
			 $jenisp = $_POST['jenisp'];
			// $kota = $_POST['kota'];
			
			 
			// $status = $_POST['status'];
	
      //    $hobi = implode(",", $_POST['hobi']);
        //  $query=mysql_query("INSERT INTO siswa(nama, hobi) VALUES('$nama','$hobi')"); 
			
			mysqli_query($konek, "DELETE FROM chek_peserta WHERE npm='$npm' AND noreg='' ");	
			
	mysqli_query($konek,"INSERT into chek_peserta(anggota,perihal,npm,ahli,code,validasi,jenisp) VALUES('".$anggota."','".$perihal."','$npm','$ahli','$code','proses','$jenisp')");  
         
			
			header("location:syarat_anggota_chek.php?code=$code&npm=$npm");
        }
		}
       ?> 
	 
</div>

</body>


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