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files >> C:/SiakApp/apps/ddn/modules/CatatanSipilKematian/templates/ListCetakMatiSuratKeteranganSuccess.php
<?php for($j=0;$j<count($listCapilMati);$j++){ $rows=$listCapilMati[$j][0]; $rowKab=$listKab[$j][0]; $rowKec=$listKec[$j][0]; $NamaKab = $rowKab->getNamaKab(); $NamaKec = ($rowKec->getNamaKec) ? $rowKec->getNamaKec : "-"; $KodeWilayah = CapilSetAddZero($rows->getAdmNoProv()) . CapilSetAddZero($rows->getAdmNoKab()); $AdmAktaNo = $rows->getAdmAktaNo(); $namaKk = ($rows->getMatiNamaKk()) ? $rows->getMatiNamaKk() : "-"; $noKk = ($rows->getMatiNoKk()) ? $rows->getMatiNoKk() : "-"; //////////////////////////////////////////////////////////////// $matiNik = ($rows->getMatiNik()) ? $rows->getMatiNik() : "-"; $matiNamaLgkp = $rows->getMatiNamaLgkp(); $matiKelamin = ($rows->getMatiJnsKelamin() == 1) ? "LAKI-LAKI" : "PEREMPUAN"; $matiTglLahir = CapilDateFormat($rows->getMatiTglLahir(), false, true) . "</b> / <b>" . CapilDateGetAges($rows->getMatiTglLahir()) . " TAHUN"; if ($rows->getMatiTmptLahir()) { $tmptKlahir = $rows->getMatiTmptLahir() . " "; if ($rows->getMatiTmptLahirNoKab()) { $kabKlahir = CapilGetRegional($rows->getMatiTmptLahirNoProv(), $rows->getMatiTmptLahirNoKab()); $matiKAlamat= (!ereg("KOTA|KODYA", $kabKlahir)) ? "<b>KAB.</b> " . $kabKlahir : $kabKlahir; $tmptKlahir.= $matiKAlamat." "; } if ($rows->getMatiTmptLahirNoProv()) $tmptKlahir.= "PROV. " . CapilGetRegional($rows->getMatiTmptLahirNoProv()) . " "; } else $tmptKlahir = "-"; $matiAgama = ($rows->getMatiAgama()) ? CapilGetReference("501", $rows->getMatiAgama()) : "-"; $matiPkrjan = ($rows->getMatiPekerjaan()) ? CapilGetReference("201", $rows->getMatiPekerjaan()) : "-"; if ($rows->getMatiAlamat()) $alamat = explode(";", $rows->getMatiAlamat()); if ($alamat[0]) { $matiAlamat = "<b>" . $alamat[0] . "</b> "; if($rows->getMatiNoRt()) $matiAlamat.= "RT. <b>" . CapilSetAddZero($rows->getMatiNoRt(), 3) . "</b> "; if($rows->getMatiNoRw()) $matiAlamat.= "RW. <b>" .CapilSetAddZero($rows->getIbuNoRw(), 3) . "</b> "; if ($alamat[4]) $matiAlamat.= "KEL./DESA <b>" . CapilGetRegional($alamat[1], $alamat[2], $alamat[3], $alamat[4]) . "</b> "; if ($alamat[3]) $matiAlamat.= "KEC. <b>" . CapilGetRegional($alamat[1], $alamat[2], $alamat[3]) . "</b> "; $matiAlamat2 = ""; if ($alamat[2]) { $kab = CapilGetRegional($alamat[1], $alamat[2]); $matiAlamat2.= (!ereg("KOTA|KODYA", $kab)) ? "<b>KAB.</b> " . $kab : $kab; } if ($alamat[1]) $matiAlamat2.= " PROVINSI <b>" . CapilGetRegional($alamat[1]) . "</b> "; } $matiWrgNgr = CapilGetReference("615", $rows->getMatiWrgNgr()); $matiKtrn = ($rows->getMatiKeturunan()) ? CapilGetReference("616", $rows->getMatiKeturunan()) : "-"; $matiBangsa = ($rows->getMatiKebangsaan()) ? $rows->getMatiKebangsaan() : "-"; $matiAnakKe = ($rows->getMatiAnakKe()) ? $rows->getMatiAnakKe() : "-"; $matiTglMati = CapilDateFormat($rows->getMatiTglMati(), false, true); $matiWaktu = ($rows->getMatiWktMati()) ? $rows->getMatiWktMati() : "-"; $matiSebab = ($rows->getMatiSebab()) ? CapilGetReference("617", $rows->getMatiSebab()) : "-"; $matiTmpt = ($rows->getMatiTmptMati()) ? $rows->getMatiTmptMati() : "-"; $matiOleh = ($rows->getMatiYgMnrgkan()) ? CapilGetReference("618", $rows->getMatiYgMnrgkan()) . " " : "-"; ///////////////////////////////////////////////////////////////////////////////////////////////// $ayahNik = ($rows->getAyahNik()) ? $rows->getAyahNik() : "-"; $ayahNama = ($rows->getAyahNamaLgkp()) ? $rows->getAyahNamaLgkp() : "-"; $ayahTglLahir = ($rows->getAyahTglLahir()) ? CapilDateFormat($rows->getAyahTglLahir(), false, true) . "</b> / <b>" . CapilDateGetAges($rows->getAyahTglLahir()) . " TAHUN" : "-"; $ayahPkrjan = ($rows->getAyahPekerjaan()) ? CapilGetReference("201", $rows->getAyahPekerjaan()) : "-"; if ($rows->getAyahAlamat()) { $ayahAlamat = "<b>" . $rows->getAyahAlamat() . "</b> "; if($rows->getAyahNoRt()) $ayahAlamat.= "RT. <b>" . CapilSetAddZero($rows->getAyahNoRt(), 3) . "</b> "; if($rows->getAyahNoRw()) $ayahAlamat.= "RW. <b>" . CapilSetAddZero($rows->getAyahNoRt(), 3) . "</b> "; if ($rows->getAyahNoKel()) $ayahAlamat.= "KEL./DESA <b>" . CapilGetRegional($rows->getAyahNoProv(), $rows->getAyahNoKab(), $rows->getAyahNoKec(), $rows->getAyahNoKel()) . "</b> "; if ($rows->getAyahNoKec()) $ayahAlamat.= "KEC. <b>" . CapilGetRegional($rows->getAyahNoProv(), $rows->getAyahNoKab(), $rows->getAyahNoKec()) . "</b> "; $ayahAlamat2 = ""; if ($rows->getAyahNoKab()) { $kab = CapilGetRegional($rows->getAyahNoProv(), $rows->getAyahNoKab()); $ayahAlamat2.= (!ereg("KOTA|KODYA", $kab)) ? "<b>KAB.</b> " . $kab : $kab; } if ($rows->getAyahNoProv()) $ayahAlamat2.= " PROVINSI <b>" . CapilGetRegional($rows->getAyahNoProv()) . "</b> "; } else $ayahAlamat = "-"; $ayahWrgNgr = ($rows->getAyahWrgNgr() && (strlen($rows->getAyahNamaLgkp()) > 3)) ? CapilGetReference("615", $rows->getAyahWrgNgr()) : "-"; $ayahBangsa = ($rows->getAyahKebangsaan()) ? $rows->getAyahKebangsaan() : "-"; ////////////////////////////////////////////////////////////////////////////// $ibuNik = ($rows->getIbuNik()) ? $rows->getIbuNik() : "-"; $ibuNamaLgkp = ($rows->getIbuNamaLgkp()) ? $rows->getIbuNamaLgkp() : "-"; $ibuTglLahir = ($rows->getIbuTglLahir()) ? CapilDateFormat($rows->getIbuTglLahir(), false, true) . "</b> / <b>" . CapilDateGetAges($rows->getIbuTglLahir()) . " TAHUN" : "-"; $ibuPkrjan = ($rows->getIbuPekerjaan()) ? CapilGetReference("201", $rows->getIbuPekerjaan()) : "-"; if ($rows->getIbuAlamat()) { $ibuAlamat = "<b>" . $rows->getIbuAlamat() . "</b> "; if($rows->getIbuNoRt()) $ibuAlamat.= "RT. <b>" . CapilSetAddZero($rows->getIbuNoRt(), 3) . "</b> "; if($rows->getIbuNoRw()) $ibuAlamat.= "RW. <b>" . CapilSetAddZero($rows->getIbuNoRt(), 3) . "</b> "; if ($rows->getIbuNoKel()) $ibuAlamat.= "KEL./DESA <b>" . CapilGetRegional($rows->getIbuNoProv(), $rows->getIbuNoKab(), $rows->getIbuNoKec(), $rows->getIbuNoKel()) . "</b> "; if ($rows->getIbuNoKec()) $ibuAlamat.= "KEC. <b>" . CapilGetRegional($rows->getIbuNoProv(), $rows->getIbuNoKab(), $rows->getIbuNoKec()) . "</b> "; $ibuAlamat2 = ""; if ($rows->getIbuNoKab()) { $kab = CapilGetRegional($rows->getIbuNoProv(), $rows->getIbuNoKab()); $ibuAlamat2.= (!ereg("KOTA|KODYA", $kab)) ? "<b>KAB.</b> " . $kab : $kab; } if ($rows->getIbuNoProv()) $ibuAlamat2.= " PROVINSI <b>" . CapilGetRegional($rows->getIbuNoProv()) . "</b> "; } else $ibuAlamat = "-"; $ibuWrgNgr = ($rows->getIbuWrgNgr() && (strlen($rows->getIbuNamaLgkp()) > 3)) ? CapilGetReference("615", $rows->getIbuWrgNgr()) : "-"; $ibuBangsa = ($rows->getIbuKebangsaan()) ? $rows->getIbuKebangsaan() : "-"; ////////////////////////////////////////////////////////////////////// $plprNik = ($rows->getPlprNik()) ? $rows->getPlprNik() : "-"; $plprNamaLgkp = ($rows->getPlprNamaLgkp()) ? $rows->getPlprNamaLgkp() : "-"; $plprUmur = ($rows->getPlprUmur()) ? $rows->getPlprUmur() . " TAHUN" : "-"; $plprKelamin = ($rows->getPlprKelamin() == 1) ? "LAKI-LAKI" : "PEREMPUAN"; $plprPkrjan = ($rows->getPlprPekerjaan()) ? CapilGetReference("201", $rows->getPlprPekerjaan()) : "-"; if ($rows->getPlprAlamat()) { $plprAlamat = "<b>" . $rows->getPlprAlamat() . "</b> "; if($rows->getPlprNoRt()) $plprAlamat.= "RT. <b>" . CapilSetAddZero($rows->getPlprNoRt(), 3) . "</b> "; if($rows->getPlprNoRw()) $plprAlamat.= "RW. <b>" . CapilSetAddZero($rows->getPlprNoRt(), 3) . "</b> "; if ($rows->getPlprNoKel()) $plprAlamat.= "KEL./DESA <b>" . CapilGetRegional($rows->getPlprNoProv(), $rows->getPlprNoKab(), $rows->getPlprNoKec(), $rows->getPlprNoKel()) . "</b> "; if ($rows->getPlprNoKec()) $plprAlamat.= "KEC. <b>" . CapilGetRegional($rows->getPlprNoProv(), $rows->getPlprNoKab(), $rows->getPlprNoKec()) . "</b> "; $plprAlamat2 = ""; if ($rows->getPlprNoKab()) { $kab = CapilGetRegional($rows->getPlprNoProv(), $rows->getPlprNoKab()); $plprAlamat2.= (!ereg("KOTA|KODYA", $kab)) ? "<b>KAB.</b> " . $kab : $kab; } if ($rows->getPlprNoProv()) $plprAlamat2.= " PROVINSI <b>" . CapilGetRegional($rows->getPlprNoProv()) . "</b> "; } else $plprAlamat = "-"; ///////////////////////////////////////////////////////// $s1Nik = ($rows->getSaksi1Nik()) ? $rows->getSaksi1Nik() : "-"; $s1NamaLgkp = ($rows->getSaksi1NamaLgkp()) ? $rows->getSaksi1NamaLgkp() : "-"; $s1Umur = ($rows->getSaksi1Umur()) ? $rows->getSaksi1Umur() . " TAHUN" : "-"; $s1Kelamin = ($rows->getSaksi1Kelamin() == 1) ? "LAKI-LAKI" : "PEREMPUAN"; if (!$rows->getSaksi1NamaLgkp()) $s1Kelamin = "-"; $s1Pkrjan = ($rows->getSaksi1Pekerjaan()) ? CapilGetReference("201", $rows->getSaksi1Pekerjaan()) : "-"; if ($rows->getSaksi1Alamat()) { $s1Alamat = "<b>" . $rows->getSaksi1Alamat() . "</b> "; if($rows->getSaksi1NoRt()) $s1Alamat.= "RT. <b>" . CapilSetAddZero($rows->getSaksi1NoRt(), 3) . "</b> "; if($rows->getSaksi1NoRw()) $s1Alamat.= "RW. <b>" . CapilSetAddZero($rows->getSaksi1NoRt(), 3) . "</b> "; if ($rows->getSaksi1NoKel()) $s1Alamat.= "KEL./DESA <b>" . CapilGetRegional($rows->getSaksi1NoProv(), $rows->getSaksi1NoKab(), $rows->getSaksi1NoKec(), $rows->getSaksi1NoKel()) . "</b> "; if ($rows->getSaksi1NoKec()) $s1Alamat.= "KEC. <b>" . CapilGetRegional($rows->getSaksi1NoProv(), $rows->getSaksi1NoKab(), $rows->getSaksi1NoKec()) . "</b> "; $s1Alamat2 = ""; if ($rows->getSaksi1NoKab()) { $kab = CapilGetRegional($rows->getSaksi1NoProv(), $rows->getSaksi1NoKab()); $s1Alamat2.= (!ereg("KOTA|KODYA", $kab)) ? "<b>KAB.</b> " . $kab : $kab; } if ($rows->getSaksi1NoProv()) $s1Alamat2.= " PROVINSI <b>" . CapilGetRegional($rows->getSaksi1NoProv()) . "</b> "; } else $s1Alamat = "-"; //////////////////////////////////////////// $s2Nik = ($rows->getSaksi2Nik()) ? $rows->getSaksi2Nik() : "-"; $s2NamaLgkp = ($rows->getSaksi2NamaLgkp()) ? $rows->getSaksi2NamaLgkp() : "-"; $s2Umur = ($rows->getSaksi2Umur()) ? $rows->getSaksi2Umur() . " TAHUN" : "-"; $s2Kelamin = ($rows->getSaksi2Kelamin() == 1) ? "LAKI-LAKI" : "PEREMPUAN"; if (!$rows->getSaksi2NamaLgkp()) $s2Kelamin = "-"; $s2Pkrjan = ($rows->getSaksi2Pekerjaan()) ? CapilGetReference("201", $rows->getSaksi2Pekerjaan()) : "-"; if ($rows->getSaksi2Alamat()) { $s2Alamat = "<b>" . $rows->getSaksi2Alamat() . "</b> "; if($rows->getSaksi2NoRt()) $s2Alamat.= "RT. <b>" . CapilSetAddZero($rows->getSaksi2NoRt(), 3) . "</b> "; if($rows->getSaksi2NoRw()) $s2Alamat.= "RW. <b>" . CapilSetAddZero($rows->getSaksi2NoRt(), 3) . "</b> "; if ($rows->getSaksi2NoKel()) $s2Alamat.= "KEL./DESA <b>" . CapilGetRegional($rows->getSaksi2NoProv(), $rows->getSaksi2NoKab(), $rows->getSaksi2NoKec(), $rows->getSaksi2NoKel()) . "</b> "; if ($rows->getSaksi2NoKec()) $s2Alamat.= "KEC. <b>" . CapilGetRegional($rows->getSaksi2NoProv(), $rows->getSaksi2NoKab(), $rows->getSaksi2NoKec()) . "</b> "; $s2Alamat2 = ""; if ($rows->getSaksi2NoKab()) { $kab = CapilGetRegional($rows->getSaksi2NoProv(), $rows->getSaksi2NoKab()); $s2Alamat2.= (!ereg("KOTA|KODYA", $kab)) ? "<b>KAB.</b> " . $kab : $kab; } if ($rows->getSaksi2NoProv()) $s2Alamat2.= " PROVINSI <b>" . CapilGetRegional($rows->getSaksi2NoProv()) . "</b> "; } else $s2Alamat = "-"; //////////////////////////////////////////// $tempatdanTanggal = $rowKab->getNamaKab() . ", " . CapilDateFormat($rows->getPlprTglLapor(), false, true); $jabatan = $rowKab->getCapilJabatan(); $namaPejabat = $rowKab->getCapilNamaPejabat(); $nipPejabat = $rowKab->getCapilNipPejabat(); ?> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <title>Surat Keterangan Kematian</title> </head> <body> <table width="100%" border="0" cellpadding="0" cellspacing="0" style="font:Arial; font-size:11px"> <tr><td valign="top"> <table width="100%" border="0" align="center" cellpadding="0" cellspacing="0"> <tr><td align="right" valign="middle"> <table border="1" cellpadding="3" cellspacing="0"> <tr> <td bordercolor="#000000" bordercolorlight="#000000" bordercolordark="#000000" style="font-size:16px" >KODE. F-2.<?php echo $formulir;?></td> </tr> </table> </td> </tr> <tr><td> <?php switch($formulir) { case "32" : ?> <table width="100%" cellpadding="0" cellspacing="0" border="0" style="font-size:12px"> <tr><td width="200"> Pemerintah Desa/Kelurahan</td><td>:</td><td width="200"><b> <?php echo "-";?></b></td><td>Ket</td><td>:</td><td>Lembar 1</td><td>:</td><td>Untuk Yang Bersangkutan</td></tr> <tr><td> Kecamatan</td><td>:</td><td><b> <?php echo $NamaKec;?></b></td><td colspan="2"> </td><td>Lembar 2</td><td>:</td><td>Untuk UPTD/Instansi Pelaksana</td></tr> <tr><td> Kabupaten/Kota</td><td>:</td><td><b> <?php echo $NamaKab;?></b></td><td colspan="2"> </td><td>Lembar 3</td><td>:</td><td>Desa/Kelurahan</td></tr> <tr><td> </td><td> </td><td> </td><td colspan="2"> </td><td>Lembar 4</td><td>:</td><td>Kecamatan</td></tr> <tr><td> Kode Wilayah</td><td>:</td><td><b> <?php echo $KodeWilayah;?></b></td><td colspan="2"> </td><td> </td><td> </td><td> </td></tr> </table> <?php break; case "34" : ?> <table width="100%" cellpadding="0" cellspacing="0" border="0" style="font-size:12px"> <tr><td width="200"> Pemerintah Kabupaten/Kota</td><td>:</td><td width="200"><b> <?php echo $NamaKab;?></b></td><td>Ket</td><td>:</td><td>Lembar 1</td><td>:</td><td>Untuk yang bersangkutan</td></tr> <tr><td> </td><td> </td><td> </td><td colspan="2"> </td><td>Lembar 3</td><td>:</td><td>Untuk UPTD/Instansi Pelaksana</td></tr> <tr><td> Kode Wilayah</td><td>:</td><td><b> <?php echo $KodeWilayah;?></b></td><td colspan="2"> </td><td> </td><td> </td><td> </td></tr> </table> <?php break; case "16" : ?> <table width="100%" cellpadding="0" cellspacing="0" border="0" style="font-size:12px"> <tr><td width="200"> Pemerintah Kabupaten/Kota</td><td>:</td><td width="200"><b> <?php echo $NamaKab;?></b></td><td>Ket</td><td>:</td><td>Lembar 1</td><td>:</td><td>Untuk yang bersangkutan</td></tr> <tr><td> </td><td> </td><td> </td><td colspan="2"> </td><td>Lembar 3</td><td>:</td><td>Untuk UPTD/Instansi Pelaksana</td></tr> <tr><td> Kode Wilayah</td><td>:</td><td><b> <?php echo $KodeWilayah;?></b></td><td colspan="2"> </td><td> </td><td> </td><td> </td></tr> </table> <?php break; default : ?> <table width="100%" cellpadding="0" cellspacing="0" border="0" style="font-size:12px"> <tr><td width="200"> Pemerintah Desa/Kelurahan</td><td>:</td><td width="200"><b> <?php echo "-";?></b></td><td>Ket</td><td>:</td><td>Lembar 1 Warna Putih</td><td>:</td><td>UPTD/Instansi Pelaksana</td></tr> <tr><td> Kecamatan</td><td>:</td><td><b> <?php echo $NamaKec;?></b></td><td colspan="2"> </td><td>Lembar 2 Warna Merah</td><td>:</td><td>Untuk Yang Bersangkutan</td></tr> <tr><td> Kabupaten/Kota</td><td>:</td><td><b> <?php echo $NamaKab;?></b></td><td colspan="2"> </td><td>Lembar 3 Warna Kuning</td><td>:</td><td>Desa/Kelurahan</td></tr> <tr><td> </td><td> </td><td> </td><td colspan="2"> </td><td>Lembar 4 Warna Biru</td><td>:</td><td>Kecamatan</td></tr> <tr><td> Kode Wilayah</td><td>:</td><td><b> <?php echo $KodeWilayah;?></b></td><td colspan="2"> </td><td> </td><td> </td><td> </td></tr> </table> <?php break; } ?> </td></tr> <tr><td align="center" valign="top"> <b style="font-size:16px">SURAT KETERANGAN KEMATIAN</b><br /> NO. : <?php echo $AdmAktaNo;?> </td></tr> <tr><td> <table width="63%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="255"> Nama Kepala Keluarga</td><td width="10">:</td><td width="400"> <?php echo $namaKk;?></td></tr> <tr><td> No. Kartu Keluarga</td><td>:</td><td> <?php echo $noKk;?></td></tr> </table> </td></tr> <tr><td> <table width="90%" border="1" bordercolor="#000000" cellpadding="0" cellspacing="0"> <tr><td> <b>J E N A Z A H</b> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="50"> 1.</td><td width="200">NIK</td><td width="10">:</td><td width="700"><b><?php echo $matiNik;?></b></td></tr> <tr><td> 2.</td><td>Nama</td><td>:</td><td><b><?php echo $matiNamaLgkp;?></b></td></tr> <tr><td> 3.</td><td>Jenis Kelamin</td><td>:</td><td><b><?php echo $matiKelamin;?></b></td></tr> <tr><td> 4.</td><td>Tanggal Lahir / Umur</td><td>:</td><td><b><?php echo $matiTglLahir;?></b></td></tr> <tr><td> 5.</td><td>Tempat Lahir</td><td>:</td><td><b><?php echo $tmptKlahir;?></b></td></tr> <tr><td> 6.</td><td>Agama</td><td>:</td><td><b><?php echo $matiAgama;?></b></td></tr> <tr><td> 7.</td><td>Pekerjaan</td><td>:</td><td><b><?php echo $matiPkrjan;?></b></td></tr> <tr><td> 8.</td><td>Alamat</td><td>:</td><td><b><?php echo $matiAlamat;?></b></td></tr> <?php if ($matiAlamat2){?> <tr><td> </td><td> </td><td></td><td><b><?php echo $matiAlamat2;?></b></td></tr> <?php }?> <tr><td> 9.</td><td>Kewarganegaraan</td><td>:</td><td><b><?php echo $matiWrgNgr;?></b></td></tr> <tr><td> 10.</td><td>Keturunan</td><td>:</td><td><b><?php echo $matiKtrn;?></b></td></tr> <tr><td> 11.</td><td>Kebangsaan</td><td>:</td><td><b><?php echo $matiBangsa;?></b></td></tr> <tr><td> 12.</td><td>Anak Ke</td><td>:</td><td><b><?php echo $matiAnakKe;?></b></td></tr> <tr><td> 13.</td><td>Tanggal Kematian</td><td>:</td><td><b><?php echo $matiTglMati;?></b></td></tr> <tr><td> 14.</td><td>Pukul</td><td>:</td><td><b><?php echo $matiWaktu;?></b></td></tr> <tr><td> 15.</td><td>Sebab Kematian</td><td>:</td><td><b><?php echo $matiSebab;?></b></td></tr> <tr><td> 16.</td><td>Tempat Kematian</td><td>:</td><td><b><?php echo $matiTmpt;?></b></td></tr> <tr><td> 17.</td><td>Yang Menerangkan</td><td>:</td><td><b><?php echo $matiOleh;?></b></td></tr> </table> </td></tr> <tr><td> <b>A Y A H</b> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="50"> 1.</td><td width="200">NIK</td><td width="10">:</td><td width="700"><b><?php echo $ayahNik;?></b></td></tr> <tr><td> 2.</td><td>Nama Lengkap</td><td>:</td><td><b><?php echo $ayahNama;?></b></td></tr> <tr><td> 3.</td><td>Tanggal Lahir / Umur</td><td>:</td><td><b><?php echo $ayahTglLahir;?></b></td></tr> <tr><td> 4.</td><td>Pekerjaan</td><td>:</td><td><b><?php echo $ayahPkrjan;?></b></td></tr> <tr><td> 5.</td><td>Alamat</td><td>:</td><td><b><?php echo $ayahAlamat;?></b></td></tr> <?php if ($ayahAlamat2){?> <tr><td> </td><td> </td><td> </td><td><b><?php echo $ayahAlamat2;?></b></td></tr> <?php }?> <tr><td> 6.</td><td>Kewarganegaraan</td><td>:</td><td><b><?php echo $ayahWrgNgr;?></b></td></tr> <tr><td> 7.</td><td>Kebangsaan</td><td>:</td><td><b><?php echo $ayahBangsa;?></b></td></tr> </table> </td></tr> <tr><td> <b>I B U</b> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="50"> 1.</td><td width="200">NIK</td><td width="10">:</td><td width="700"><b><?php echo $ibuNik;?></b></td></tr> <tr><td> 2.</td><td>Nama Lengkap</td><td>:</td><td><b><?php echo $ibuNamaLgkp;?></b></td></tr> <tr><td> 3.</td><td>Tanggal Lahir / Umur</td><td>:</td><td><b><?php echo "<b>".$ibuTglLahir."</b>";?></b></td></tr> <tr><td> 4.</td><td>Pekerjaan</td><td>:</td><td><b><?php echo $ibuPkrjan;?></b></td></tr> <tr><td> 5.</td><td>Alamat</td><td>:</td><td><b><?php echo $ibuAlamat;?></b></td></tr> <?php if ($ibuAlamat2){?> <tr><td> </td><td> </td><td> </td><td><b><?php echo $ibuAlamat2;?></b></td></tr> <?php }?> <tr><td> 6.</td><td>Kewarganegaraan</td><td>:</td><td><b><?php echo $ibuWrgNgr;?></b></td></tr> <tr><td> 7.</td><td>Kebangsaan</td><td>:</td><td><b><?php echo $ibuBangsa;?></b></td></tr> </table> </td></tr> <tr><td> <b>PELAPOR</b> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="50"> 1.</td><td width="200">NIK</td><td width="10">:</td><td width="700"><b><?php echo $plprNik;?></b></td></tr> <tr><td> 2.</td><td>Nama Lengkap</td><td>:</td><td><b><?php echo $plprNamaLgkp;?></b></td></tr> <tr><td> 3.</td><td>Umur</td><td>:</td><td><b><?php echo $plprUmur;?></b></td></tr> <tr><td> 4.</td><td>Jenis Kelamin</td><td>:</td><td><b><?php echo $plprKelamin;?></b></td></tr> <tr><td> 5.</td><td>Pekerjaan</td><td>:</td><td><b><?php echo $plprPkrjan;?></b></td></tr> <tr><td> 6.</td><td>Alamat</td><td>:</td><td><b><?php echo $plprAlamat;?></b></td></tr> </table> </td></tr> <tr><td> <b>SAKSI I</b> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="50"> 1.</td><td width="200">NIK</td><td width="10">:</td><td width="700"><b><?php echo $s1Nik;?></b></td></tr> <tr><td> 2.</td><td>Nama Lengkap</td><td>:</td><td><b><?php echo $s1NamaLgkp;?></b></td></tr> <tr><td> 3.</td><td>Umur</td><td>:</td><td><b><?php echo $s1Umur;?></b></td></tr> <tr><td> 4.</td><td>Jenis Kelamin</td><td>:</td><td><b><?php echo $s1Kelamin;?></b></td></tr> <tr><td> 5.</td><td>Pekerjaan</td><td>:</td><td><b><?php echo $s1Pkrjan;?></b></td></tr> <tr><td> 6.</td><td>Alamat</td><td>:</td><td><b><?php echo $s1Alamat;?></b></td></tr> </table> </td></tr> <tr><td> <b>SAKSI II</b> <table width="100%" cellpadding="0" cellspacing="0" border="0"> <tr><td width="50"> 1.</td><td width="200">NIK</td><td width="10">:</td><td width="700"><b><?php echo $s2Nik;?></b></td></tr> <tr><td> 2.</td><td>Nama Lengkap</td><td>:</td><td><b><?php echo $s2NamaLgkp;?></b></td></tr> <tr><td> 3.</td><td>Umur</td><td>:</td><td><b><?php echo $s2Umur;?></b></td></tr> <tr><td> 4.</td><td>Jenis Kelamin</td><td>:</td><td><b><?php echo $s2Kelamin;?></b></td></tr> <tr><td> 5.</td><td>Pekerjaan</td><td>:</td><td><b><?php echo $s2Pkrjan;?></b></td></tr> <tr><td> 6.</td><td>Alamat</td><td>:</td><td><b><?php echo $s2Alamat;?></b></td></tr> </table> </td></tr> </table> </td></tr> <tr><td> <?php switch($formulir) { case "34" : ?><table align="right" border="0" cellpadding="0" cellspacing="0"> <tr><td align="center"><b><?php echo $tempatdanTanggal; ?></b></td><td width="80"> </td></tr> <tr><td align="center"><b><?php echo $jabatan;?></b></td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center">( <b><?php echo $namaPejabat;?></b> )</td><td width="80"> </td></tr> <tr><td align="center">NIP.: <?php echo $nipPejabat;?></td><td width="80"> </td></tr> </table> <?php break; case "32" : ?><table align="right" border="0" cellpadding="0" cellspacing="0"> <tr><td align="center"><b><?php echo $tempatdanTanggal; ?></b></td><td width="80"> </td></tr> <tr><td align="center">Kepala Desa/Lurah</td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center">( <b> </b> )</td><td width="80"> </td></tr> </table> <?php break; case "16" : ?><table align="right" border="0" cellpadding="0" cellspacing="0"> <tr><td align="center"><b><?php echo $tempatdanTanggal; ?></b></td><td width="80"> </td></tr> <tr><td align="center"><b><?php echo $jabatan;?></b></td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center">(<b><?php echo $namaPejabat;?></b>)</td> <td width="80"> </td></tr> <tr><td align="center">NIP.: <?php echo $nipPejabat;?></td><td width="80"> </td></tr> </table> <?php break; default : ?> <table align="right" border="0" cellpadding="0" cellspacing="0"> <tr><td align="center"><b><?php echo $tempatdanTanggal; ?></b></td><td width="80"> </td></tr> <tr><td align="center">Kepala Desa/Lurah</td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center"> </td><td width="50"> </td></tr> <tr><td align="center">( <b> </b> )</td><td width="80"> </td></tr> </table> <?php break; }?> </td></tr> </table></td></tr> </table> </body> </html> <?php } ?>
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