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<?php include "header3.php";?>
<link rel="icon" href="idilogo.png">
<style type="text/css">
<!--
-->
html{
background-size: cover;
height:100%;
font-size:14px;
}
.merah {
color: red;
}
input:hover, textarea:hover,
input:focus, textarea:focus {
background-color:white;
}
#button-blue{
font-family: 'Montserrat', Arial, Helvetica, sans-serif;
float:left;
width: 100%;
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:100px;
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;
}
input[type=checkbox]
{
/* Double-sized Checkboxes */
-ms-transform: scale(1.5); /* IE */
-moz-transform: scale(1.5); /* FF */
-webkit-transform: scale(1.5); /* Safari and Chrome */
-o-transform: scale(1.5); /* Opera */
transform: scale(1.5);
padding : 10px;
margin-right: 20px;
margin-bottom: 10px;
}
.tengah {
padding-left:5px;
padding-right:5px;
padding-top:5px;
padding-bottom:5px;
width: 600px;
float: left;
margin-top:5px;
margin-left: 100px;
-moz-border-radius: 7px;
-webkit-border-radius: 7px;
font-size: 12px;
height: auto;
}
.row {
width: 1200px;
font-size: 12px;
}
@media only screen and (max-width: 580px) {
.tengah{
left: 3%;
margin-right: 3%;
width: 100%;
margin-left: 3%;
padding-left: 3%;
padding-right: 3%;
font-size: 14px;
height: auto;
float: left;
}
#button-blue{
width: 100%;
}
}
</style>
<link rel="stylesheet" href="//code.jquery.com/ui/1.12.1/themes/base/jquery-ui.css">
<title>Ikatan Dokter Indonesia</title>
<body>
<div class="tengah">
<strong>
<title>
<center><h4><strong>chek Persiapan Dokumen Rekomendasi</strong></h4>
</center>
</strong>
<ol>
<li><strong>
</title>
</strong>
<?php $code=$_GET['code']; ?>
<?php $npm=$_GET['npm']; ?>
<?php
//menampilkan data Pra registrasi
$code=$_GET['code'];
$sql=mysqli_query($konek,"SELECT * FROM chek_peserta where npm='$npm' order by id desc limit 1 ");
$data=mysqli_fetch_array($sql);
//data hobi dari tabel siswa
// $datahobi=explode(',', $data['dokumen']);
// $rs = isset($data['rs']) ? $data['rs'] : null;
// $klinik = isset($data['klinik']) ? $data['klinik'] : null;
// $puskesmas = isset($data['puskesmas']) ? $data['puskesmas'] : null;
// $pribadi = isset($data['pribadi']) ? $data['pribadi'] : null;
// $kota = isset($data['kota']) ? $data['kota'] : null;
//$npm = $data['npm'] ;
$perihal = $data['perihal'];
$anggota = $data['anggota'];
$ahli = $data['ahli'];
$jenisp = $data['jenisp'];
// $status = $data['status'];
?>
<title>Persiapan Dokumen Rekomendasi </title>
<div class="card-body">
<div class="row">
<div class="col-md-6">
<div class="form-group ">
<br>
<strong>Status Keanggotaan IDI Bandung:</strong><br>
<input type="radio" name="anggota" value="anggota_IDI"<?php if($anggota=='anggota_baru') echo 'checked'?> disabled> Registrasi Anggota Baru IDI Bandung
<br>
<br>
<strong>Keahlian : </strong><br>
<input type="radio" name="ahli" value="dokter_umum"<?php if($ahli=='dokter_umum') echo 'checked'?> disabled> Dokter Umum |
<input type="radio" name="ahli" value="spesialis"<?php if($ahli=='spesialis') echo 'checked' ?> disabled> Dokter Spesialis<br>
<br>
<strong>Tujuan :</strong><br>
<input type="radio" name="perihal" value="anggota_baru"<?php if($perihal=='anggota_baru') echo 'checked'?> disabled> Registrasi Anggota Baru <br>
<br>
<strong>Jenis Pengajuan Anggota Baru :</strong><br>
<strong>Jenis Pengajuan Anggota Baru :</strong><br>
<input type="radio" name="jenisp" value="1"<?php if($jenisp=='1') echo 'checked'?> disabled> Tanggal STR Sudah Expired <br>
<input type="radio" name="jenisp" value="2"<?php if($jenisp=='2') echo 'checked'?> disabled> STR Seumur Hidup <br>
<input type="radio" name="jenisp" value="3"<?php if($jenisp=='3') echo 'checked'?> disabled> Tanggal STR Belum Expired <br>
</div>
</div>
</div>
</div>
<div class="tengah">
<div class="card-body">
<center><strong><h4>Documen Yang Harus dipersiapkan :</h4> </strong></center><br><br>
<?php
if ($perihal=='anggota_baru'){
?>
<form action="" method="post">
<input type="checkbox" name="hobi[]" value="3" checked > 1. PAS FOTO BERWARNA BERLATAR BELAKANG MERAH 3 X 4.<br><br>
<input type="checkbox" name="hobi[]" value="4" checked > 2. Softcopy berwarna sesuai asli KTP. <br><br>
<input type="checkbox" name="hobi[]" value="5" checked > 3. Softcopy berwarna sesuai asli IJAZAH PROFESI:<br>
<p style="text-align:justify;text-indent:35px;"><b> - DOKTER UMUM : Ijazah Profesi Dokter Umum <br></p>
<p style="text-align:justify;text-indent:35px;">- DOKTER SPESIALIS: Ijazah Profesi Dokter Umum dan Dokter Spesialis.</b><br><br>
<input type="checkbox" name="hobi[]" value="6" checked > 4. FOTOCOPY STR .<br><br>
<input type="checkbox" name="hobi[]" value="7" checked > 5. Softcopy berwarna sesuai asli bukti Transfer Biaya Administrasi<br>
<br><br>
<input type="checkbox" name="hobi[]" value="8" checked > 6. SURAT KETERANGAN MUTASI BAGI ANGGOTA PINDAHAN.<br><br>
Dokumen harap disiapkan dalam bentuk softcopy berwarna sesuai asli.<br>
(scan dapat dalam format jpg, png, atau pdf), untuk mepermudah dan mempercepat proses Pengajuan.<br>
<?php
}
?>
</div>
<input type="submit" name="Pilih" id="button-blue" value="Proses Registrasi"/>
</form>
<!-- <a class='btn btn-warning btn-sm' href='anggotanew.php?npm='$npm'> Proses Registrasi </a><br> -->
</div>
<?php
//if($_SERVER['REQUEST_METHOD']=='POST'){
if(isset($_POST['Pilih'])) {
echo "Peserta: <br/>";
$hobi = $_POST['hobi'];
echo implode(", ", $hobi);
$hobi = implode(",", $hobi);
// mysqli_query($konek,"INSERT into peserta(dokumen) VALUES('".$hobi."')");
mysqli_query($konek,"UPDATE chek_peserta SET dokumen='".$hobi."' where npm='$npm' ");
header("location:anggotanew.php?npm=$npm");
}
?>
</body>
<!-- proses edit data -->