82 lines
3.4 KiB
PHP
82 lines
3.4 KiB
PHP
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<!-- Extend Layout -->
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@extends('layout.app_guest',['title' => $title])
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@section('content')
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<!-- Main content -->
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<section class="content">
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<div class="container-fluid">
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<!-- SELECT2 EXAMPLE -->
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<div class="card card-default">
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<div class="card-header">
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<h3 class="card-title">{{ $title }} </h3>
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</div>
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<!-- /.card-header -->
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<div class="card-body">
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@if($errors->any())
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<div class="alert alert-danger">
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<ul>
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@foreach ($errors->all() as $error )
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<li>{{ $error }}</li>
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@endforeach
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</ul>
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</div>
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@endif
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@if(session('success'))
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<div class="alert alert-success">
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<ul>
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<li>{{ session('success') }}</li>
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</ul>
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</div>
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@endif
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@if(session('error'))
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<div class="alert alert-danger">
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<ul>
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<li>{{ session('error') }}</li>
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</ul>
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</div>
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@endif
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<form action="{{ route('layanan-aduan.store') }}" method="post" enctype="multipart/form-data">
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@csrf
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<div class="row">
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<div class="col">
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<label for="nama">Nama</label>
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<input type="text" name="nama" id="nama" class="form-control" placeholder="Masukkan Nama Pelapor" value="{{old('nama')}}" required>
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<label for="nomor_telepon">Nomor telepon yang dapat dihubungi</label>
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<input type="text" name="nomor_telepon" id="nomor_telepon" class="form-control" placeholder="Masukkan Nomor Telepon, Contoh 085xxxxx" value="{{old('nomor_telepon')}}" required>
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<label for="subjek">Subjek Laporan</label>
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<input type="text" name="subjek" id="subjek" class="form-control" placeholder="Masukkan Subjek Laporan" value="{{old('subjek')}}" required>
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<label for="lokasi">Lokasi permasalahan</label>
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<input type="text" name="lokasi" id="lokasi" class="form-control" placeholder="Masukkan Lokasi Laporan" value="{{old('lokasi')}}" required>
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<label for="kategori">Kategori</label>
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<select name="kategori" id="kategori" class="form-control select2">
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<option value="" disabled selected>Pilih Disini</option>
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<option value="Umum / Perlengkapan">Umum / Perlengkapan</option>
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<option value="Keuangan">Keuangan</option>
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<option value="Kemahasiswaan">Kemahasiswaan</option>
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<option value="Kepegawaian">Kepegawaian</option>
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</select>
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<label for="bukti_laporan">Masukkan Bukti laporan</label>
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<input type="file" name="bukti_laporan" id="bukti_laporan" class="form-control" value="{{old('bukti_laporan')}}" required>
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<label for="deskripsi_laporan">Deskripsi laporan</label>
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<textarea name="deskripsi_laporan" id="deskripsi_laporan" class="form-control"
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placeholder="Masukkan Deskripsi Laporan disini"></textarea>
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</div>
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<!-- /.col -->
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</div>
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<!-- /.row -->
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<div class="row">
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<div class="col py-3">
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<button type="submit" class="btn btn-primary">Submit</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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<!-- /.card -->
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</div>
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<!-- /.container-fluid -->
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</section>
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<!-- /.content -->
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@endsection
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