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File: bg_tambah_rekomendasi.php
<table width="100%" border="0" class="table full1"> <tbody><tr> <td width="150" align="right" valign="top">Program Studi<font color="red"> *</font></td> <td> <select name="jurusan" class="required full"><option value="">..::Pilih Kode::..</option><option value="01">PBA</option><option value="14901">Profesi Ners</option><option value="14401">Keperawatan</option><option value="15401">Kebidanan</option></select> </td> </tr> <tr> <td width="150" align="right" valign="top">Kode Tagihan<font color="red"> *</font></td> <td> <input name="kodep" type="text" class="required full" id="" value=""> </td> </tr> <tr> <td width="150" align="right" valign="top">Tagihan<font color="red"> *</font></td> <td> <input name="namap" type="text" class="required full" id="" value=""> </td> </tr> <tr> <td width="150" align="right" valign="top">Tahun Akademik<font color="red"> *</font></td> <td> <input name="ta" type="text" class="required number" id="" value=""> </td> </tr> <tr> <td width="150" align="right" valign="top">Jumlah<font color="red"> *</font></td> <td> <input name="jumlah" type="text" class="required number" id="" value=""> </td> </tr> <tr> <td width="150" align="right" valign="top">Semester<font color="red"> *</font></td> <td> <input name="semester" type="text" class="required number" id="" value=""> </td> </tr> <tr> <td width="150" align="right" valign="top">Batas Pembayaran<font color="red"> *</font></td> <td> <input name="batas" type="text" class="required number" id="" value=""> </td> </tr> <tr> <td width="150" align="right" valign="top">Syarat KRS<font color="red"> *</font></td> <td> <select name="syarat"><option value="1" size="4">Ya</option> <option value="0" size="4">Tidak</option> <option value="1" size="4">Ya</option> </select> </td> </tr> </tbody></table>