| <?php |
| include "../koneksi.php"; |
| |
| ?> |
| |
| |
| <html> |
| |
| <title>Input Hak Akses Lampid</title> |
| <link rel="stylesheet" href="../boostrap/css/bootstrap.min.css"> |
| |
| <script src="../js/jquery-2.1.3.min.js" type="text/javascript"></script> |
| </head> |
| |
| <body> |
| |
| |
| <form name="form1" method="post" action="pet_simpan.php"> |
| <div align="center">Data Hak Akses Lampid </div> |
| <table width="495" border="0" align="center"> |
| |
| <tr> |
| <td width="131"><div align="left">Nama Petugas </div></td> |
| <td width="12">:</td> |
| <td width="338"><label> |
| <input name="nama_petugas" type="text" id="nama_petugas" maxlength="30" size="30"/> |
| </label></td> |
| </tr> |
| <tr> |
| <td>NIP</td> |
| <td>:</td> |
| <td><label> |
| <input name="nip" type="text" id="nip" maxlength="18" size="30"/> |
| </label></td> |
| </tr> |
| <tr> |
| <td>Status</td> |
| <td>:</td> |
| <td><label> |
| <select name="status" > |
| <option selected>--- Pilih Status ---</option> |
| <option value="1"> Adb Dinas </option> |
| <option value="2">Kepala Kasi E-Monev</option> |
| <option value="3">Registrasi Kecamatan</option> |
| <option value="4">Registrasi Kelurahan</option> |
| </select> |
| </label></td> |
| </tr> |
| <tr> |
| <td>Kecamatan</td> |
| <td>:</td> |
| <td><label> |
| <select name="id_kec" id="id_kec"> |
| <option>--- Pilih Kecamatan ---</option> |
| <?php |
| include ('../koneksi.php'); |
| $sql=mysql_query ("select * from kecamatan order by id_kec asc"); |
| while ($row=mysql_fetch_assoc($sql)){ |
| echo"<option value='$row[id_kec]'> $row[nama_kec]</option>"; |
| |
| } |
| ?> |
| </select> |
| </label></td> |
| </tr> |
| |
| <tr> |
| <td>Kelurahan</td> |
| <td>:</td> |
| <td><label> |
| <select id="id_kel" name="id_kel"> |
| <option> -Pilih Kelurahan-</option> |
| <script type="text/javascript"> |
| $(document).ready(function() { |
| $("#id_kec").change(function(){ |
| var nama_kec=$("#id_kec").val(); |
| $.ajax({ |
| url:"cek_kel.php", |
| data:"id_kec="+id_kec, |
| success: function(data){ |
| $("#id_kel").html(data); |
| } |
| }); |
| }); |
| }); |
| </script> |
| </select> |
| |
| |
| </label></td> |
| </tr> |
| <tr> |
| <td>Username</td> |
| <td>:</td> |
| <td><label> |
| <input name="username" type="text" id="username" maxlength="20" size="30"> |
| </label></td> |
| </tr> |
| <tr> |
| <td>Password</td> |
| <td> </td> |
| <td><input type="password" name="password" size="30"></td> |
| </tr> |
| <tr> |
| <td colspan="3"><label> |
| <div align="center"> |
| <input type="submit" name="Submit" value="Simpan"> |
| <input type="reset" name="Submit2" value="Batal"> |
| </div> |
| </label></td> |
| </tr> |
| </table> |
| </form> |
| <script type="text/javascript" src="../boostrap/js/bootstrap.min.js"></script> |
| |
| |
| </html> |