<!

--
Data
Wali
-->
<div class="col-md-12">
<span class="badge"
style="background-color: #4ECB71; width: 100%; float: left; font-size: 16px;">Data
Wali (Isi Jika Ada / Jika Tidak Ada Isi "-")</span>
</div>
<div class="col-md-12">
<label for=""><b>Nama Lengkap</b></label>
<input type="text" class="form-control" name="nama_wali"
value="" required>
</div>
<div class="col-md-12">
<label for=""><b>Kewarganegaraan</b></label>
<select class="form-select" aria-label="Default select example" name="warga_wali"
required>
<option value='0' selected>WNA (Warga Negara Asing)</option><option
value='1'>WNI (Warga Negara Indonesia)</option> </select>
</div>
<div class="col-md-12">
<label for=""><b>NIK</b></label>
<input type="text" class="form-control" name="nik_wali"
value="" required>
</div>
<div class="col-md-12">
<label for=""><b>Tempat Lahir</b></label>
<input type="text" class="form-control" name="lahir_wali"
value="" required>
</div>
<div class="col-sm-12">
<label for=""><b>Tanggal Lahir</b></label>
<input type="date" class="form-control" name="tanggal_wali"
value="" required>
<label style="font-style: italic; color: grey;">NB : Pastikan Tanggal Lahir Sesuai
Dengan KK Dengan Format Tanggal/Bulan/Tahun (Jika tidak ada wali, isi
01/01/0001)</label>
</div>
<div class="col-md-12">
<label for=""><b>Pendidikan Terakhir</b></label>
<select class="form-select" aria-label="Default select example"
name="pendidikan_wali" required>
<option value='-'>-</option><option value='SD'>SD</option><option
value='SLTP'>SLTP</option><option value='SLTA'>SLTA</option><option
value='D3'>D3</option><option value='S1/D4'>S1/D4</option><option
value='S2'>S2</option><option value='S3'>S3</option> </select>
</div>
<div class="col-md-12">
<label for=""><b>Pekerjaan Utama</b></label>
<select class="form-select" aria-label="Default select example"
name="pekerjaan_wali" required>
<option value='-' selected>-</option><option value='TIDAK BEKERJA'>TIDAK
BEKERJA</option><option value='PENSIUNAN'>PENSIUNAN</option><option
value='PNS'>PNS</option><option value='TNI/POLRI'>TNI / Polri</option><option
value='DOSEN/GURU'>Dosen / Guru</option><option value='PEGAWAI
SWASTA'>PEGAWAI SWASTA</option><option
value='WIRASWASTA'>WIRASWASTA</option><option value='BURUH
(TANI/PABRIK/BANGUNAN)'>Buruh (Tani / Pabrik / Bangunan)
</option><option value='LAINNYA'>LAINNYA</option> </select>
</div>
<div class="col-md-12">
<label for=""><b>Penghasilan Rata - Rata</b></label>
<select class="form-select" aria-label="Default select example"
name="penghasilan_wali" required>
<option value='-' selected>-</option><option value='KURANG DARI
500000'>Kurang Dari Rp 500.000</option><option value='500000-1000000'>Rp
500.000 - Rp 1.000.000
</option><option value='1000000-2000000'>Rp 1.000.000 - Rp 2.000.000
</option><option value='2000000-3000000'>Rp 2.000.000 - Rp 3.000.000
</option><option value='3000000-5000000'>Rp 3.000.000 - Rp 5.000.000
</option><option value='DIATAS 5000000'>Lebih Dari Rp 5.000.000</option>
</select>
<label style="font-style: italic; color: grey;">NB : Penghasilan Dalam 1
Bulan</label>
</div>
<div class="col-md-12">
<label for=""><b>Nomor HP</b></label>
<input type="text" class="form-control" name="hp_wali"
value="" required>
<label style="font-style: italic; color: grey;">NB : Isi "-" Jika Wali Tidak Punya
Nomor Hp</label>
</div><br>
<!-- End Data Wali -->
<div class="text-center">
<button type="submit" class="btn btn-primary btn-lg" name="data_ortu_wali"
style="background-color: #4ECB71; border-color: #4ECB71; width:
100%;">SIMPAN</button>
</div>
</form>
</div>
<!-- End Data Diri Orang Tua / Wali -->