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v_generatepembayaran.php
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47 lines (44 loc) · 2.07 KB
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<div class="page page-hide" id="v_generateform" visibility="close">
<span class="page-title">Generate Pembayaran</span>
<div class="form-container">
<form action="Backend/generateform.php" method="post">
<table class="tab-gen">
<tr>
<td><label>Nama Form</label></td>
<td><input type="text" name="nama" autocomplete="off"></td>
</tr>
<tr>
<td><label>Jenis Form</label></td>
<td>
<input class="radio-btn" type="radio" name="jenis" value="Event">Event
<input class="radio-btn" type="radio" name="jenis" value="Kas">Kas
<input class="radio-btn" type="radio" name="jenis" value="Tabungan">Tabungan
</td>
</tr>
<tr>
<td><label>Nominal lunas</label></td>
<td><input type="text" name="nominal-l"></td>
</tr>
<tr>
<td><label>Tanggal Pelunasan</label></td>
<td><input type="date" name="tanggal-l"></td>
</tr>
<tr>
<td><label>Bayar Per/</label></td>
<td>
<input class="radio-btn" type="radio" name="pra-bayar" value="Harian"> Harian
<input class="radio-btn" type="radio" name="pra-bayar" value="Minggu"> Minggu
<input class="radio-btn" type="radio" name="pra-bayar" value="Bulan"> Bulan
<input class="radio-btn" type="radio" name="pra-bayar" value="Minggu"> Cicil
<input class="radio-btn" type="radio" name="pra-bayar" value="Sekali Bayar"> Sekali bayar
</td>
</tr>
<tr>
<td><input class="btn btn-input float-right" name="submit" type="submit" value="Generate Form"></td>
</tr>
</table>
</form>
</div>
</div>
<script>
</script>