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index.html
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<!DOCTYPE html>
<html lang="en">
<meta charset="UTF-8">
<head>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="X-UA-Compatible" content="ie=edge">
<title>Register-Apply Member[Indonesian]</title>
<!-- Style CSS/ -->
<link rel="stylesheet" href="css/style.css" type="text/css">
<!-- Tooltipster Css -->
<link rel="stylesheet" href="css/tooltipster.bundle.min.css">
<link rel="stylesheet" href="css/tooltipster-sideTip-light.min.css">
<!-- Animate Css -->
<link rel="stylesheet" href="css/animate.css">
<!-- Google Fonts -->
<link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Quattrocento Sans:light,lightitalic,normal,italic,bold,bolditalic">
</head>
<body>
<form action="php/phpexcel.php" method="POST" enctype="multipart/form-data" target="_blank" class="myForm" name="vform" id="MyForm">
<div class="form-all">
<ul class="form-section page-section active" id="form1">
<li class="form-input-wide">
<div class="form-header-group">
<h3 id="header_1" class="form-header">
UPLOAD FOTO & DOKUMEN
</h3>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left swing animated" for="foto">
Foto Selfie Terbaru
<span class="form-required">
*
</span>
</label>
<div class="form-input" id="foto_selfie_container">
<label class="custom-file-upload rubberBand animated" id="foto">UPLOAD A FILE</label>
<input type="file" name="upl" id="foto_selfie" multiple>
<div class="validation"></div>
<div class="form-sub-label">
*File : JPG, max500KB, Tanpa topi & kacamata, mata kearah kamera, close up & baru
</div>
<ul class="file_upload_list" id="foto_list">
<span id="foto_name" class="filename"></span>
</ul>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left swing animated" for="ktp">
KTP (Wajib)
<span class="form-required">
*
</span>
</label>
<div class="form-input" id="ktp_container">
<label class="custom-file-upload rubberBand animated" id="ktp">UPLOAD A FILE</label>
<input type="file" name="ktp_wajib" id="ktp_wajib" multiple>
<div class="validation"></div>
<div class="form-sub-label">
*File : JPG, max500KB, Berwarna, Terbaca
</div>
<ul class="file_upload_list" id="ktp_list">
<span id="ktp_name" class="filename"></span>
</ul>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left swing animated" for="dokumen">
Dokumen Berharga Lainnya
<span class="form-required">
*
</span>
</label>
<div class="form-input" id="dok_container">
<label class="custom-file-upload rubberBand animated" id="dokumen">UPLOAD A FILE</label>
<input type="file" name="dokumen_berharga" id="dokumen_berharga" multiple>
<div class="validation"></div>
<div class="form-sub-label">
*File : JPG, max500KB, Berwarna, Terbaca
</div>
<ul class="file_upload_list" id="dokumen_list">
<span id="dokumen_name" class="filename"></span>
</ul>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
</div>
<div class="form-button-next">
<button type="button" id="nextbtn1" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif1"></div>
</li>
</ul>
<ul class="form-section page-section" id="form2">
<li class="form-input-wide">
<div class="form-header-group">
<h3 id="header_2" class="form-header">
DATA PRIBADI
</h3>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Lengkap
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox bounceIn animated" name="nama_lengkap" id="nama_lengkap" required>
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Panggilan
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox bounceIn animated" name="nama_panggilan" id="nama_panggilan" required>
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Telepon
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="telepon_1" id="telepon_1" title="isi (-) jika tidak ada, Telkom TIDAK wajib" required>
<div class="form-sub-label mb">
HP-1 (Diutamakan ada fitur Whats App)
</div>
<input type="text" class="form-textbox bounceIn animated" name="telepon_2" id="telepon_2" required>
<div class="form-sub-label">
Telpon Rumah Telkom di Utamakan / HP-2
</div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Email
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="email" class="form-textbox bounceIn animated" name="email" id="email" required>
<div class="validation"></div>
<div class="form-sub-label">
Email yang sering digunakan
</div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn2" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn2" class="next-button" >
Next
</button>
</div>
<div id="err_notif2"></div>
</div>
</li>
</ul>
<ul class="form-section page-section" id="form3">
<li class="form-input-wide">
<div class="form-header-group">
<h3 id="header_3" class="form-header tada animated">
MEDIA SOSIAL (MEDSOS)
</h3>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Facebook
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_facebook" id="nama_facebook" title="isi (-) jika tidak ada">
<div class="form-sub-label mb">
Nama Facebook
</div>
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="email_facebook" id="email_facebook" title="isi (-) jika tidak ada">
<div class="form-sub-label">
Email Facebook
</div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Instagram
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_instagram" id="nama_instagram" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Twitter
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_twitter" id="nama_twitter" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn3" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn3" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif3"></div>
</li>
</ul>
<ul class="form-section page-section" id="form4">
<li class="form-input-wide">
<div class="form-header-group">
<h3 id="header_4" class="form-header tada animated">
RENCANA SEWA
</h3>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Jenis Alat
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="jenis_alat" id="jenis_alat" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Tanggal
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="tanggal" id="tanggal" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Acara
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="acara" id="acara" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Cabang Zenon
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<select class="form-dropdown bounceIn animated" name="cabang_zenon" id="cabang_zenon">
<option selected="" value="Pilih salah satu:"> Pilih salah satu: </option>
<option value="Tebet, Jakarta"> Tebet, Jakarta </option>
<option value="Dago, Bandung"> Dago, Bandung </option>
<option value="Kraton, Jogja"> Kraton, Jogja </option>
<option value="Denpasar, Bali"> Denpasar, Bali </option>
</select>
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn4" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn4" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif4"></div>
</li>
</ul>
<ul class="form-section page-section" id="form5">
<li class="form-input-wide">
<div class="form-header-group">
<h3 id="header_5" class="form-header tada animated">
DATA PENUNJANG
</h3>
</div>
</li>
<li class="form-line">
<div class="form-html">
<p class="tada animated">
<span>
<strong>
#Umum
</strong>
</span>
</p>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Mengetahui Zenon darimana?
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="mengetahui_zenon" id="mengetahui_zenon" title="isi (-) jika tidak ada">
<div class="validation"></div>
<div class="form-sub-label">
jika dari teman, tulis nama teman, jika teman anda member Zenon maka infokan ke-kami (agar cepat approve)
</div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Sebelumnnya Sewa dimana?
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="sewa" id="sewa" title="isi (-) jika tidak ada">
<div class="form-sub-label mb">
Nama tempat sewa Sebelumnnya
</div>
<input type="text" class="form-textbox bounceIn animated" name="sewa_atas_nama" id="sewa_atas_nama">
<div class="form-sub-label">
Atas Nama Siapa..?
</div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn5" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn5" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif5"></div>
</li>
</ul>
<ul class="form-section page-section" id="form6">
<li class="form-line">
<div class="form-html">
<p class="tada animated">
<span>
<strong>
#Keluarga Yang Se-Rumah
</strong>
</span>
</p>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Keluarga
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_keluarga" id="nama_keluarga" title="isi (-) jika tidak ada">
<div class="validation"></div>
<div class="form-sub-label">
Keluarga yang dapat dan atau bersedia menjamin nama baik anda dan siap diminta bantuan saat ada masalah dengan anda
</div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Hubungan dengan pemyewa
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="hubungan_penyewa" id="hubungan_penyewa" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Telepon (HP)
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="hp" id="hp" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Alamat Keluarga
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="alamat_keluarga" id="alamat_keluarga" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn6" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn6" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif6"></div>
</li>
</ul>
<ul class="form-section page-section" id="form7">
<li class="form-line">
<div class="form-html">
<p class="tada animated">
<span>
<strong>
#Pekerjaan
</strong>
</span>
</p>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Pekerjaan Sekarang
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="pekerjaan_sekarang" id="pekerjaan_sekarang" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Tempat Kerja
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_tmpt_kerja" id="nama_tmpt_kerja" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Jabatan Kerja
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="jabatan_kerja" id="jabatan_kerja" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Alamat Tempat Kerja
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="alamat_tmpt_kerja" id="alamat_tmpt_kerja" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Telepon Tempat Kerja
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="telepon_tmpt_kerja" id="telepon_tmpt_kerja" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn7" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn7" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif7"></div>
</li>
</ul>
<ul class="form-section page-section" id="form8">
<li class="form-line">
<div class="form-html">
<p class="tada animated">
<span>
<strong>
#Alamat tinggal sekarang
</strong>
</span>
</p>
<p class="tada animated">
<span>
<strong>
(jika berbeda dengan KTP)
</strong>
</span>
</p>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Alamat Tinggal Sekarang
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="alamat_tinggal_skrng" id="alamat_tinggal_skrng" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Status alamat tinggal sekarang
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<select class="form-dropdown bounceIn animated" id="status_tinggal" name="status_tinggal">
<option selected="" value="Pilih salah satu:"> Pilih salah satu: </option>
<option value="Kos"> Kos </option>
<option value="Kontrak"> Kontrak </option>
<option value="Milik Sendiri"> Milik Sendiri </option>
<option value="Lainnya"> Lainnya </option>
</select>
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Pemilik
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_pemilik" id="nama_pemilik" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Telepon Pemilik
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="telepon_pemilik" id="telepon_pemilik" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn8" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn8" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif8"></div>
</li>
</ul>
<ul class="form-section page-section" id="form9">
<li class="form-line">
<div class="form-html">
<p class="tada animated">
<span>
<strong>
#Pendidikan
</strong>
</span>
</p>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Pendidikan Sedang Berjalan / Terakhir
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<select class="form-dropdown bounceIn animated" id="pendidikan_sekarang" name="pendidikan_sekarang">
<option selected="" value="Pilih salah satu:"> Pilih salah satu: </option>
<option value="SMA/SMMK/Sederajat"> SMA/SMMK/Sederajat </option>
<option value="Diploma"> Diploma </option>
<option value="Sarjana"> Sarjana </option>
<option value="Lainnya"> Lainnya </option>
</select>
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Nama Lembaga Pendidikan
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="nama_lembaga" id="nama_lembaga" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Alamat Lembaga Pendidikan
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom bounceIn animated" name="alamat_lembaga" id="alamat_lembaga" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Info Tamabahan (Angkatan Masuk)
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<input type="text" class="form-textbox tooltipster-custom tada animated" name="info_tambahan" id="info_tambahan" title="isi (-) jika tidak ada">
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn9" class="back-button">
Back
</button>
</div>
<div class="form-button-next">
<button type="button" id="nextbtn9" class="next-button">
Next
</button>
</div>
</div>
<div id="err_notif9"></div>
</li>
</ul>
<ul class="form-section page-section" id="form10">
<li class="form-line">
<div class="form-html">
<p class="tada animated">
<span>
<strong>
#Pesan Khusus
</strong>
</span>
</p>
</div>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Pesan
</label>
<div class="form-input">
<textarea id="pesan" name="pesan" class="form-textarea bounceIn animated" cols="30" rows="10"></textarea>
<div class="validation"></div>
</div>
</li>
<li class="form-line">
<span class="red">
<em>
Saya Telah membaca dan tunduk pada
<a href="http://www.zenonrental.com/tos" class="red">
TOS (Terms of Service) / Ketentuan Layanan Zenon Rental
</a>
</em>
</span>
</li>
<li class="form-line">
<label class="form-label form-label-left tada animated">
Persetujuan TOS
<span class="form-required">
*
</span>
</label>
<div class="form-input">
<div class="form-checkbox-item">
<label class="setuju tada animated">
<input type="checkbox" class="form-checkbox" name="pertos" value="Setuju">
<span class="bounceIn animated"></span>
Setuju
</label>
</div>
</div>
</li>
<li class="form-line">
<div class="form-buttons-wrapper">
<input class="form-submit-button bounceIn animated" type="submit" value="Submit" name="submit" id="submit" />
</div>
</li>
<li class="form-line">
<div class="form-button">
<div class="form-button-back">
<button type="button" id="backbtn10" class="back-button">
Back
</button>
</div>
</div>
<div id="err_notif10"></div>
</li>
</ul>
</div>
</form>
<!-- Jquery -->
<script src="js/jquery.min.js"></script>
<!-- Tooltipster JS -->
<script src="js/tooltipster.bundle.min.js"></script>
<!-- Main Js -->
<script src="js/main.js" charset="utf-8"></script>
<script type="text/javascript">
$('#foto_selfie').change(function() {
var filename = $('#foto_selfie').val().replace(/C:\\fakepath\\/i, '');
$('#foto_list').addClass("success");
$('#foto_name').text(filename);
});
$('#ktp_wajib').change(function() {
var filename = $('#ktp_wajib').val().replace(/C:\\fakepath\\/i, '');
$('#ktp_list').addClass("success");
$('#ktp_name').text(filename);
});
$('#dokumen_berharga').change(function() {
var filename = $('#dokumen_berharga').val().replace(/C:\\fakepath\\/i, '');
$('#dokumen_list').addClass("success");
$('#dokumen_name').text(filename);
});
$('#foto').click(function() {
$('#foto_selfie').click();
});
$('#ktp').click(function() {
$('#ktp_wajib').click();
});
$('#dokumen').click(function() {
$('#dokumen_berharga').click();
});
</script>
</body>
</html>