<title>PPDB | Cetak Data Formulir</title>
<link rel="icon" href="../../images/logo-smk.png" type="image/x-icon"/>

<?php
      $id = $_SESSION['userid'];
      $data = $this->biodata_model->user2($id);
	  $menu2 = $this->biodata_model->menu2();

	  function tanggal_indonesia($tanggal){
        $bulan = array (
        1 =>   'Januari',
        'Februari',
        'Maret',
        'April',
        'Mei',
        'Juni',
        'Juli',
        'Agustus',
        'September',
        'Oktober',
        'November',
        'Desember'
        );
        $pecahkan = explode('-', $tanggal);
        return $pecahkan[2] . ' ' . $bulan[ (int)$pecahkan[1] ] . ' ' . $pecahkan[0];
    }
?>

<style>
table { border-collapse: collapse; }
.isi { font-family:tahoma; font-size:15px; }
</style>

<div style="width:1000px; margin:auto; border:2px solid #000; padding:9px;">
	<table width="100%" border="0">
		<tr>
			<td width="20%" align="center"><img src="../../images/logo-smk.png" width="100"></td>
			<td><br>
				<div style="text-align:left; font-size:20px; font-family:Arial; letter-spacing:1px">PANITIA PENERIMAAN PESERTA DIDIK BARU TP. <?php echo $data->tahun_pelajaran ?></div>
				<div style="text-align:left; font-size:55px; font-family:Bernard MT Condensed; letter-spacing:5px">SMK AL-MUHTADIN DEPOK</div>
				<div style="text-align:left; font-size:18px; font-family:Arial; letter-spacing:1px"><small>Website : www.smk-almuhtadin.sch.id - Tlp. : 021-77882517 / WA : 0878-4135-9219</small></div>
				
			</td>
			<td width="13%" align="center" width="50"></td>
			<!--<td width="15%"><canvas id="qr"></canvas></td>-->
		</tr>
	</table>

	<hr size="3px" color="#0000">

	<center><h2><u>FORMULIR DATA PESERTA</u></h2></center>
	<br>

	<table width="100%" border="0" class="isi">	
		<tr >
			<td valign="top" width="48%" >
				<table width="100%" border="0" cellpadding="8" rules="rows" >
				<tr bgcolor="#b3b2b2" >
				<td height="35" width="150" colspan="3"><b>I. DATA SISWA</b></td>
				</tr>
					<tr>
						<td width="150">No. Pendaftaran</td>
						<td width="5">:</td>
						<td><?php echo $data->no_pendaftaran ?></td>						
					</tr>
					
					<tr>
						<td width="150">Nama Lengkap</td>
						<td width="5">:</td>
						<td><b><?php echo $data->nama_lengkap ?></b></td>
					</tr>
					<tr>
						<td width="150">Nama Panggilan</td>
						<td width="5">:</td>
						<td><?php echo $data->nama_panggilan ?></td>
					</tr>
					<tr>
						<td width="150">Jenis Kelamin</td>
						<td width="5">:</td>
						<td><?php echo $data->jkelamin ?></td>
					</tr>
					<tr>
						<td width="150">NIK</td>
						<td width="5">:</td>
						<td><?php echo $data->nik ?></td>						
					</tr>
					<tr>
						<td width="150">NISN</td>
						<td width="5">:</td>
						<td><?php echo $data->nisn ?></td>						
					</tr>
					<tr>
						<td width="150">Tempat/Tgl. Lahir</td>
						<td width="5">:</td>
						<td><?php echo $data->tempat_lahir ?>, <?php echo tanggal_indonesia(date($data->tgl_lahir)) ?></td>
					</tr>
					<tr>
						<td width="150">Agama</td>
						<td width="5">:</td>
						<td><?php echo $data->agama ?></td>						
					</tr>
					<tr>
						<td width="150">Kewarganegaraan</td>
						<td width="5">:</td>
						<td><?php echo $data->kewarganegaraan ?></td>						
					</tr>
					<tr>
						<td width="150">Anak Ke</td>
						<td width="5">:</td>
						<td><?php echo $data->anak_ke ?>, Jumlah Saudara : <?php echo $data->jml_saudara ?></td>						
					</tr>
					<tr>
						<td width="150">Saudara Kandung</td>
						<td width="5">:</td>
						<td><?php echo $data->kandung ?>, Saudara Tiri : <?php echo $data->tiri ?>, Saudara Angkat : <?php echo $data->angkat ?></td>						
					</tr>
					<tr>
						<td width="150">Status Keluarga</td>
						<td width="5">:</td>
						<td><?php echo $data->status_keluarga ?></td>						
					</tr>
					<tr>
						<td width="150">Bahasa di Rumah</td>
						<td width="5">:</td>
						<td><?php echo $data->bhs_dirumah ?></td>						
					</tr>
					<tr>
						<td width="150">Ukuran Kemeja</td>
						<td width="5">:</td>
						<td><?php echo $data->kemeja ?>, Ukuran Celana/Rok : <?php echo $data->celana ?></td>						
					</tr>
					<tr>
						<td width="150">Alamat Sekarang</td>
						<td width="5">:</td>
						<td><?php echo $data->alamat_siswa ?> No. <?php echo $data->no_rmh ?> RT/RW. <?php echo $data->rt ?>/<?php echo $data->rw ?>
							<?php echo $data->kelurahan ?> <?php echo $data->kecamatan ?> - <?php echo $data->kota ?> Provinsi <?php echo $data->provinsi ?>
						</td>						
					</tr>
					<tr>
						<td width="150">Email</td>
						<td width="5">:</td>
						<td><?php echo $data->email ?></td>						
					</tr>
					<tr>
						<td width="150">No. Tlp/HP</td>
						<td width="5">:</td>
						<td><?php echo $data->no_tlp_rmh ?> / <?php echo $data->no_hp ?></td>						
					</tr>
					<tr>
						<td width="150">Tinggal Dengan</td>
						<td width="5">:</td>
						<td><?php echo $data->tinggal_dengan ?></td>						
					</tr>
					<tr>
						<td width="150">Transportasi Ke Sekolah / Jarak</td>
						<td width="5">:</td>
						<td><?php echo $data->sekolah_dengan ?> / <?php echo $data->jarak_rmh_kesekolah ?> Km</td>						
					</tr>
					<tr>
						<td width="150">Berat Badan/Tinggi Badan/Golongan Darah</td>
						<td width="5">:</td>
						<td><?php echo $data->berat_badan?> Kg / <?php echo $data->tinggi_badan ?> Cm / <?php echo $data->gol_darah ?></td>						
					</tr>
					<tr>
						<td width="150">Penyakit Yg Diderita</td>
						<td width="5">:</td>
						<td><?php echo $data->penyakit ?></td>						
					</tr>
					<tr>
						<td width="150">Kelainan Jasmani</td>
						<td width="5">:</td>
						<td><?php echo $data->kelainan_jasmani ?></td>						
					</tr>
					<tr>
						<td width="150">Usia Juli</td>
						<td width="5">:</td>
						<td><?php echo $data->usia_tahun ?> Tahun, <?php echo $data->usia_bulan ?> Bulan</td>						
					</tr>
					<tr bgcolor="#b3b2b2" >
						<td height="35" width="150" colspan="3"><b>II. PENDIDIKAN SMP/MTs</b></td>
					</tr>
					<tr>
						<td width="150">Sekolah Asal</td>
						<td width="5">:</td>
						<td><?php echo $data->sekolah_asal ?></td>						
					</tr>
					<tr>
						<td width="150">NPSN/NISN</td>
						<td width="5">:</td>
						<td><?php echo $data->npsn2 ?> / <?php echo $data->nisn2 ?></td>						
					</tr>
					<tr>
						<td width="150">Alamat Sekolah</td>
						<td width="5">:</td>
						<td><?php echo $data->sekolah_jln ?> 
							Kel. <?php echo $data->sekolah_kel ?> <?php echo $data->sekolah_kec ?> <?php echo $data->sekolah_kota ?> Provinsi <?php echo $data->sekolah_prov ?>
						</td>							
					</tr>
					<tr>
						<td width="150">Nomor Ijazah</td>
						<td width="5">:</td>
						<td><?php echo $data->Ijazah_no ?> </td>						
					</tr>
					<?php if($menu2->pengaturan_value == 1) { ?>
					<tr>
						<td width="150">Tanggal Ijazah</td>
						<td width="5">:</td>
						<td><?php echo tanggal_indonesia(date($data->Ijazah_tgl)) ?> </td>						
					</tr>
					<?php } ?>
					<tr bgcolor="#b3b2b2" >
						<td height="35" width="150" colspan="3"><b>III. PILIHAN PROGRAM KEAHLIAN</b></td>
					</tr>
					<tr>
						<td width="150">Program Keahlian</td>
						<td width="5">:</td>
						<td><?php echo $data->kompetensi ?></td>						
					</tr>
					<tr bgcolor="#b3b2b2" >
						<td height="35" width="150" colspan="3"><b>IV. DATA ORANG TUA/WALI</b></td>
					</tr>
					<tr>
						<td width="150"><b>A. Identitas Ayah</b></td>
					</tr>
					<tr>
						<td width="150">Nama Ayah</td>
						<td width="5">:</td>
						<td><?php echo $data->nama_ayah ?></td>						
					</tr>
					<?php if($menu2->pengaturan_value == 1) { ?>
					<tr>
						<td width="150">Tempat/Tgl. Lahir</td>
						<td width="5">:</td>
						<td><?php echo $data->tmpt_lahir_ayah ?>, <?php echo tanggal_indonesia(date($data->tgl_lahir_ayah)) ?></td>
					</tr>
					<?php } ?>
					<tr>
						<td width="150">Agama</td>
						<td width="5">:</td>
						<td><?php echo $data->agama_ayah ?></td>						
					</tr>
					<tr>
						<td width="150">Kewarganegaraan/Pendidikan</td>
						<td width="5">:</td>
						<td><?php echo $data->kewarganegaraan_ayah ?> / <?php echo $data->pendidikan_ayah ?> </td>						
					</tr>
					<tr>
						<td width="150">Pekerjaan/Penghasilan</td>
						<td width="5">:</td>
						<td><?php echo $data->pekerjaan_ayah ?> / Rp. <?php echo number_format($data->penghasilan_ayah) ?></td>						
					</tr>
					
					
					<!--
					<tr > 
						<td width="150">Jurusan 2</td>
						<td width="5">:</td>
						<td><?php echo $row4['nama_jurusan']; ?></td>
					</tr>
					<tr>
						<td width="150">&nbsp;</td>
						<td width="5"></td>
						<td></td>
					</tr>
					
					<tr height="35" bgcolor="#b3b2b2" border="3" >					
						<td width="150" colspan="3" align="left"><b>PILIHAN JURUSAN</b></td>
					</tr>
					
					<tr>
						<td width="150" colspan="3"><ul type="circle">
							<li>Teknik Kendaraan Ringan Otomotif</li>
							<li>Teknik Bisnis & Sepeda Motor</li>
							<li>Teknik Komputer & Jaringan</li>
							<li>Multimedia</li>
							<li>Bisnis Daring & Pemasaran</li>				
							<li>Akuntansi & Keuangan Lembaga</li>				
							<li>Perbankan & Keuangan Mikro</li>				
						</td>
					</tr>	-->			
	
				</table>
			</td>			
				
<!-- kanan -->			
			<td valign="top" width="2%" >
			</td>

			<td valign="top" width="48%">
				<table width="100%" border="0"  cellpadding="8" rules="rows" >
					<tr>
						<td width="150">No. HP</td>
						<td width="5">:</td>
						<td><?php echo $data->tlp_ayah ?></td>						
					</tr>
					<tr>
						<td width="150">Alamat Rumah</td>
						<td width="5">:</td>
						<td><?php echo $data->alamat_ayah ?></td>						
					</tr>
					<tr>
						<td width="150"><b>B. Identitas Ibu</b></td>
					</tr>
					<tr>
						<td width="150">Nama Ibu</td>
						<td width="5">:</td>
						<td><?php echo $data->nama_ibu ?></td>						
					</tr>
					<?php if($menu2->pengaturan_value == 1) { ?>
					<tr>
						<td width="150">Tempat/Tgl. Lahir</td>
						<td width="5">:</td>
						<td><?php echo $data->tmpt_lahir_ibu ?>, <?php echo tanggal_indonesia(date($data->tgl_lahir_ibu)) ?></td>
					</tr>
					<?php } ?>
					<tr>
						<td width="150">Agama</td>
						<td width="5">:</td>
						<td><?php echo $data->agama_ibu ?></td>						
					</tr>
					<tr>
						<td width="150">Kewarganegaraan/Pendidikan</td>
						<td width="5">:</td>
						<td><?php echo $data->kewarganegaraan_ibu ?> / <?php echo $data->pendidikan_ibu ?> </td>						
					</tr>
					<tr>
						<td width="150">Pekerjaan/Penghasilan</td>
						<td width="5">:</td>
						<td><?php echo $data->pekerjaan_ibu ?> / Rp. <?php echo number_format($data->penghasilan_ibu) ?></td>						
					</tr>
					<tr>
						<td width="150">No. HP</td>
						<td width="5">:</td>
						<td><?php echo $data->tlp_ibu ?></td>						
					</tr>
					<tr>
						<td width="150">Alamat Rumah</td>
						<td width="5">:</td>
						<td><?php echo $data->alamat_ibu ?></td>						
					</tr>
					<tr>
						<td width="150"><b>C. Identitas Wali</b></td>
					</tr>
					<tr>
						<td width="150">Nama Wali</td>
						<td width="5">:</td>
						<td><?php echo $data->nama_wali ?></td>						
					</tr>
					<?php if($menu2->pengaturan_value == 1) { ?>
					<tr>
						<td width="150">Tempat/Tgl. Lahir</td>
						<td width="5">:</td>
						<td><?php echo $data->tmpt_lahir_wali ?>, <?php echo tanggal_indonesia(date($data->tgl_lahir_wali)) ?></td>
					</tr>
					<?php } ?>
					<tr>
						<td width="150">Agama</td>
						<td width="5">:</td>
						<td><?php echo $data->agama_wali ?></td>						
					</tr>
					<tr>
						<td width="150">Kewarganegaraan/Pendidikan</td>
						<td width="5">:</td>
						<td><?php echo $data->kewarganegaraan_wali ?> / <?php echo $data->pendidikan_wali ?> </td>						
					</tr>
					<tr>
						<td width="150">Pekerjaan/Penghasilan</td>
						<td width="5">:</td>
						<td><?php echo $data->pekerjaan_wali ?> / Rp. <?php echo number_format($data->penghasilan_wali) ?></td>						
					</tr>
					<tr>
						<td width="150">No. HP</td>
						<td width="5">:</td>
						<td><?php echo $data->tlp_wali ?></td>						
					</tr>
					<tr>
						<td width="150">Alamat Rumah</td>
						<td width="5">:</td>
						<td><?php echo $data->alamat_wali ?></td>						
					</tr>
					<tr bgcolor="#b3b2b2" >
						<td height="35" width="150" colspan="3"><b>V. INTELEGENSI, KEPRIBADIAN & PRESTASI</b></td>
					</tr>
					<?php if($menu2->pengaturan_value == 1) { ?>
					<tr>
						<td width="150">Intelegensi (IQ)/Tanggal Tes</td>
						<td width="5">:</td>
						<td><?php echo $data->iq ?> / <?php echo tanggal_indonesia(date($data->tgl_tes_iq)) ?></td>						
					</tr>
					<?php } ?>
					<tr>
						<td width="150">Disiplin/Kreatifitas/Tanggung Jawab</td>
						<td width="5">:</td>
						<td><?php echo $data->disiplin ?> / <?php echo $data->prakarsa ?> / <?php echo $data->tanggung_jwb ?> </td>						
					</tr>
					<tr>
						<td width="150">Penyesuaian Diri/Kemantapan Emosi/Kerjasama</td>
						<td width="5">:</td>
						<td><?php echo $data->penyesuaian_diri ?> / <?php echo $data->kemantapan_emosi ?> / <?php echo $data->kerjasama ?> </td>						
					</tr>
					<tr>
						<td width="150" colspan="3"><b>Prestasi <small>(Diisi jika pernah mendapatkan)</small></b></td>
					</tr>
					<tr>
						<td width="150">IPTEK/Tingkat</td>
						<td width="5">:</td>
						<td><?php echo $data->iptek ?> / <?php echo $data->iptek_tingkat ?></td>						
					</tr>
					<tr>
						<td width="150">Olahraga/Tingkat</td>
						<td width="5">:</td>
						<td><?php echo $data->olahraga ?> / <?php echo $data->olahraga_tingkat ?></td>						
					</tr>
					<tr>
						<td width="150">Kesenian/Tingkat</td>
						<td width="5">:</td>
						<td><?php echo $data->kesenian ?> / <?php echo $data->kesenian_tingkat ?></td>						
					</tr>
					<tr>
						<td width="150">Keagamaan/Tingkat</td>
						<td width="5">:</td>
						<td><?php echo $data->keagamaan ?> / <?php echo $data->keagamaan_tingkat ?></td>						
					</tr>
					<tr>
						<td width="150">Keterampilan/Tingkat</td>
						<td width="5">:</td>
						<td><?php echo $data->keterampilan ?> / <?php echo $data->keterampilan_tingkat ?></td>						
					</tr>
					<tr>
						<td width="150">Bidang Lain/Tingkat</td>
						<td width="5">:</td>
						<td><?php echo $data->lainnya ?> / <?php echo $data->lainnya_tingkat ?></td>						
					</tr>
					<tr>
						<td width="150" colspan="3"><b>Beasiswa <small>(Diisi jika pernah mendapatkan)</small></b></td>
					</tr>
					<tr>
						<td width="150">Pertama Tahun/Dari</td>
						<td width="5">:</td>
						<td><?php echo $data->beasiswa1_thn ?> / <?php echo $data->beasiswa1_dari ?></td>						
					</tr>
					<tr>
						<td width="150">Kedua Tahun/Dari</td>
						<td width="5">:</td>
						<td><?php echo $data->beasiswa2_thn ?> / <?php echo $data->beasiswa2_dari ?></td>						
					</tr>




					<!--isi-->

					<table width="100%" border="3"  cellpadding="5">
					</table>
					<br>
					<table width="100%" border="2"  cellpadding="5">
					<td width="150" colspan="3" align="justify"><i><b><small>Keterangan :</b> Saya menyatakan pengisian data formulir sudah benar berdasarkan berkas saya,
						jika data yang saya berikan berisi palsu/tidak benar saya siap menerima sangksi pembatalan sebagai calon peserta didik.
					</small></i></td>
					</table>
				<br>
				<br>
					<table  align="reight" width="100%" border="0"  cellpadding="6" >
					<td><center>&nbsp;........................., ..................... 20.....</center>
					<br><center>Pendaftar,&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
					&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Orang Tua/Wali,</center><br>
					<br>
					<br>
					<br>
					
										
					<center><b>.......................&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;........................</b></center>
				</tr>
					</table>
			</td>
		</tr>
	</table>

</div>
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