hafifierahman
54 lines
2.1 KiB
PHP
54 lines
2.1 KiB
PHP
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<div class="modal fade" id="CITModal" tabindex="-1" role="dialog" aria-labelledby="ModalCenterTitle" aria-hidden="true">
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<div class="modal-dialog modal-lg modal-dialog-centered" role="document">
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<div class="modal-content">
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<div class="modal-header">
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<h5 class="modal-title text-center" id="ModalTitle">Cash In Transit (CIT)</h5>
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<button type="button" class="close" data-dismiss="modal" aria-label="Close">
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<span aria-hidden="true">×</span>
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</button>
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</div>
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<div class="modal-body">
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<div class="container">
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<form method="post" action="{{ route('permohonan.cit') }}" enctype="multipart/form-data" onsubmit="verifyCIT()">
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@csrf
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<input type="hidden" id="mohonid" name="mohonid" value=""/>
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<div class="d-flex mb-2">
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<label class="col-4">Bank</label>
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<select name="selectedbank" class="form-control col-8">
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@foreach($bank as $b)
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<option value="{{ $b['abbreviation'] }}">{{ $b['name'] }}</option>
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@endforeach
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</select>
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</div>
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<div class="d-flex mb-2">
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<label class="col-4">No Invoice (CIT)</label>
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<input type="text" name="noresit" class="form-control"/>
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</div>
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<div class="d-flex mb-2">
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<label class="col-4">Slip Bank</label>
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<input type="file" name="resit"/>
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</div>
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<div class="d-flex mb-2">
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<label class="col-4">Invoice (CIT)</label>
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<input type="file" name="invoice"/>
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</div>
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</div>
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</div>
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<div class="modal-footer">
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<button type="button" class="btn btn-danger" data-dismiss="modal">Batal</button>
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<button type="submit" class="btn btn-success" id="terimahantar">Hantar</button>
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</div>
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</form>
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</div>
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</div>
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</div>
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