<style type="text/css">
<!--
.style1 {color: #FFFFFF}
-->
</style>
</head>

<body>
<form action="inc/pidsus_laporanpostadd.php" method="post" enctype="multipart/form-data" name="form1">
  <table width="100%"  border="0" align="center" cellpadding="2" cellspacing="2">
    <tr>
      <td><table width="100%"  border="0" align="center" cellpadding="4" cellspacing="4">
        <tr bgcolor="#FF6600">
          <td colspan="3">
            <div align="left">
              <table width="100%"  border="0" cellspacing="4" cellpadding="4">
                <tr>
                  <td width="78%"><strong>SUMBER LAPORAN TINDAK PIDANA KORUPSI </strong></td>
                  <td width="22%"><input name="p_noagenda" type="hidden" id="p_noagenda"  size="5" readonly></td>
                </tr>
              </table>
          </div></td>
        </tr>
        <tr>
          <td colspan="3"><table width="100%"  border="0" cellspacing="2" cellpadding="2">
              <tr>
                <td>Disini akan dicatat semua bentuk surat laporan dari masyarakat, informasi internal telah terjadinya indikasi perbuatan melanggar hukum dalam Tindak Pidana Korupsi yang akan segera diketahui atasan.</td>
              </tr>
          </table></td>
        </tr>
        <tr>
          <td colspan="3">&nbsp;</td>
        </tr>
        <tr>
          <td width="24%">Tanggal Laporan </td>
          <td width="3%">:</td>
          <td width="73%"><select name="day" id="day">
            <option value="01" <? IF($day == "1"){ echo "selected"; } ?>>01</option>
            <option value="02" <? IF($day == "2"){ echo "selected"; } ?>>02</option>
            <option value="03" <? IF($day == "3"){ echo "selected"; } ?>>03</option>
            <option value="04" <? IF($day == "4"){ echo "selected"; } ?>>04</option>
            <option value="05" <? IF($day == "5"){ echo "selected"; } ?>>05</option>
            <option value="06" <? IF($day == "6"){ echo "selected"; } ?>>06</option>
            <option value="07" <? IF($day == "7"){ echo "selected"; } ?>>07</option>
            <option value="08" <? IF($day == "8"){ echo "selected"; } ?>>08</option>
            <option value="09" <? IF($day == "9"){ echo "selected"; } ?>>09</option>
            <option value="10" <? IF($day == "10"){ echo "selected"; } ?>>10</option>
            <option value="11" <? IF($day == "11"){ echo "selected"; } ?>>11</option>
            <option value="12" <? IF($day == "12"){ echo "selected"; } ?>>12</option>
            <option value="13" <? IF($day == "13"){ echo "selected"; } ?>>13</option>
            <option value="14" <? IF($day == "14"){ echo "selected"; } ?>>14</option>
            <option value="15" <? IF($day == "15"){ echo "selected"; } ?>>15</option>
            <option value="16" <? IF($day == "16"){ echo "selected"; } ?>>16</option>
            <option value="17" <? IF($day == "17"){ echo "selected"; } ?>>17</option>
            <option value="18" <? IF($day == "18"){ echo "selected"; } ?>>18</option>
            <option value="19" <? IF($day == "19"){ echo "selected"; } ?>>19</option>
            <option value="20" <? IF($day == "20"){ echo "selected"; } ?>>20</option>
            <option value="21" <? IF($day == "21"){ echo "selected"; } ?>>21</option>
            <option value="22" <? IF($day == "22"){ echo "selected"; } ?>>22</option>
            <option value="23" <? IF($day == "23"){ echo "selected"; } ?>>23</option>
            <option value="24" <? IF($day == "24"){ echo "selected"; } ?>>24</option>
            <option value="25" <? IF($day == "25"){ echo "selected"; } ?>>25</option>
            <option value="26" <? IF($day == "26"){ echo "selected"; } ?>>26</option>
            <option value="27" <? IF($day == "27"){ echo "selected"; } ?>>27</option>
            <option value="28" <? IF($day == "28"){ echo "selected"; } ?>>28</option>
            <option value="29" <? IF($day == "29"){ echo "selected"; } ?>>29</option>
            <option value="30" <? IF($day == "30"){ echo "selected"; } ?>>30</option>
            <option value="31" <? IF($day == "31"){ echo "selected"; } ?>>31</option>
          </select>
            <select name="month" id="month">
              <option value="01" <? IF($month == "1"){ echo "selected"; } ?>>01</option>
              <option value="02" <? IF($month == "2"){ echo "selected"; } ?>>02</option>
              <option value="03" <? IF($month == "3"){ echo "selected"; } ?>>03</option>
              <option value="04" <? IF($month == "4"){ echo "selected"; } ?>>04</option>
              <option value="05" <? IF($month == "5"){ echo "selected"; } ?>>05</option>
              <option value="06" <? IF($month == "6"){ echo "selected"; } ?>>06</option>
              <option value="07" <? IF($month == "7"){ echo "selected"; } ?>>07</option>
              <option value="08" <? IF($month == "8"){ echo "selected"; } ?>>08</option>
              <option value="09" <? IF($month == "9"){ echo "selected"; } ?>>09</option>
              <option value="10" <? IF($month == "10"){ echo "selected"; } ?>>10</option>
              <option value="11" <? IF($month == "11"){ echo "selected"; } ?>>11</option>
              <option value="12" <? IF($month == "12"){ echo "selected"; } ?>>12</option>
            </select>
            <select name="year" id="year">
              <option value="2016" <? IF($year == "2016"){ echo "selected"; } ?>>2016</option>
              <option value="2017" <? IF($year == "2017"){ echo "selected"; } ?>>2017</option>
              <option value="2018" <? IF($year == "2018"){ echo "selected"; } ?>>2018</option>
              <option value="2019" <? IF($year == "2019"){ echo "selected"; } ?>>2019</option>
              <option value="2020" <? IF($year == "2020"){ echo "selected"; } ?>>2020</option>
            </select>
            * Tanggal Surat </td>
        </tr>
        <tr>
          <td>Asal Surat Laporan </td>
          <td width="3%">:</td>
          <td><input name="p_asalsrt" type="text" id="p_asalsrt2" size="40"> 
          *Sebutkan sumber laporan ini. (LSM, Perseorangan dsb) </td>
        </tr>
        <tr>
          <td>No Surat</td>
          <td width="3%">:</td>
          <td><input name="p_nosrt" type="text" id="p_nosrt2" size="50">
            *isikan nomor jika ada</td>
        </tr>
        <tr>
          <td>Tanggal Terima Surat </td>
          <td width="3%">:</td>
          <td><select name="day2" id="day2">
            <option value="01" <? IF($day == "1"){ echo "selected"; } ?>>01</option>
            <option value="02" <? IF($day == "2"){ echo "selected"; } ?>>02</option>
            <option value="03" <? IF($day == "3"){ echo "selected"; } ?>>03</option>
            <option value="04" <? IF($day == "4"){ echo "selected"; } ?>>04</option>
            <option value="05" <? IF($day == "5"){ echo "selected"; } ?>>05</option>
            <option value="06" <? IF($day == "6"){ echo "selected"; } ?>>06</option>
            <option value="07" <? IF($day == "7"){ echo "selected"; } ?>>07</option>
            <option value="08" <? IF($day == "8"){ echo "selected"; } ?>>08</option>
            <option value="09" <? IF($day == "9"){ echo "selected"; } ?>>09</option>
            <option value="10" <? IF($day == "10"){ echo "selected"; } ?>>10</option>
            <option value="11" <? IF($day == "11"){ echo "selected"; } ?>>11</option>
            <option value="12" <? IF($day == "12"){ echo "selected"; } ?>>12</option>
            <option value="13" <? IF($day == "13"){ echo "selected"; } ?>>13</option>
            <option value="14" <? IF($day == "14"){ echo "selected"; } ?>>14</option>
            <option value="15" <? IF($day == "15"){ echo "selected"; } ?>>15</option>
            <option value="16" <? IF($day == "16"){ echo "selected"; } ?>>16</option>
            <option value="17" <? IF($day == "17"){ echo "selected"; } ?>>17</option>
            <option value="18" <? IF($day == "18"){ echo "selected"; } ?>>18</option>
            <option value="19" <? IF($day == "19"){ echo "selected"; } ?>>19</option>
            <option value="20" <? IF($day == "20"){ echo "selected"; } ?>>20</option>
            <option value="21" <? IF($day == "21"){ echo "selected"; } ?>>21</option>
            <option value="22" <? IF($day == "22"){ echo "selected"; } ?>>22</option>
            <option value="23" <? IF($day == "23"){ echo "selected"; } ?>>23</option>
            <option value="24" <? IF($day == "24"){ echo "selected"; } ?>>24</option>
            <option value="25" <? IF($day == "25"){ echo "selected"; } ?>>25</option>
            <option value="26" <? IF($day == "26"){ echo "selected"; } ?>>26</option>
            <option value="27" <? IF($day == "27"){ echo "selected"; } ?>>27</option>
            <option value="28" <? IF($day == "28"){ echo "selected"; } ?>>28</option>
            <option value="29" <? IF($day == "29"){ echo "selected"; } ?>>29</option>
            <option value="30" <? IF($day == "30"){ echo "selected"; } ?>>30</option>
            <option value="31" <? IF($day == "31"){ echo "selected"; } ?>>31</option>
          </select>
            <select name="month2" id="select2">
              <option value="01" <? IF($month == "1"){ echo "selected"; } ?>>01</option>
              <option value="02" <? IF($month == "2"){ echo "selected"; } ?>>02</option>
              <option value="03" <? IF($month == "3"){ echo "selected"; } ?>>03</option>
              <option value="04" <? IF($month == "4"){ echo "selected"; } ?>>04</option>
              <option value="05" <? IF($month == "5"){ echo "selected"; } ?>>05</option>
              <option value="06" <? IF($month == "6"){ echo "selected"; } ?>>06</option>
              <option value="07" <? IF($month == "7"){ echo "selected"; } ?>>07</option>
              <option value="08" <? IF($month == "8"){ echo "selected"; } ?>>08</option>
              <option value="09" <? IF($month == "9"){ echo "selected"; } ?>>09</option>
              <option value="10" <? IF($month == "10"){ echo "selected"; } ?>>10</option>
              <option value="11" <? IF($month == "11"){ echo "selected"; } ?>>11</option>
              <option value="12" <? IF($month == "12"){ echo "selected"; } ?>>12</option>
            </select>
            <select name="year2" id="select3">
              <option value="2016" <? IF($year == "2016"){ echo "selected"; } ?>>2016</option>
              <option value="2017" <? IF($year == "2017"){ echo "selected"; } ?>>2017</option>
              <option value="2018" <? IF($year == "2018"){ echo "selected"; } ?>>2018</option>
              <option value="2019" <? IF($year == "2019"){ echo "selected"; } ?>>2019</option>
              <option value="2020" <? IF($year == "2020"){ echo "selected"; } ?>>2020</option>
            </select>
            *Tanggal Terima Surat </td>
        </tr>
        <tr>
          <td rowspan="2">Kasus Posisi Singkat </td>
          <td width="3%" rowspan="2">:</td>
          <td>Jelaskan Kasus Posisi laporan tersebut secara singkat sebagai tinjauan perihal aplikasi </td>
        </tr>
        <tr>
          <td><textarea name="p_perihal" cols="70" rows="5" wrap="VIRTUAL" id="textarea"></textarea></td>
        </tr>
        <tr>
          <td>Kode bundel pengaduan </td>
          <td>:</td>
          <td bgcolor="#FF3300"><input name="p_bundel" type="text" id="p_bundel" size="8">
              <span class="style1">(MASUKKAN DENGAN NOMOR BENDEL FILE) </span></td>
        </tr>
        <tr>
          <td rowspan="3">&nbsp;</td>
          <td rowspan="3">&nbsp;</td>
          <td>Kode bendel adalah kode penamaan bukti-bukti pendukung yang disimpan secara paper dan diberi kode. apabila diubah dengan paperless tetap gunakan kode bukti dan upload dalam folder apabila sudah diubah dalam bentuk digital. </td>
        </tr>
        <tr>
          <td>Sehingga apabila bendel laporan tersebut disimpan dalam MAP diberi kode Bundel tanpa identitas lain agar terjaga kerahasiaannya dan disimpan dalam lemari terkunci/brangkas Data </td>
        </tr>
        <tr>
          <td><input name="key" type="hidden" id="key" value="laporanpost"></td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
          <td><input type="reset" name="Submit2" value="Reset">
          <input type="submit" name="Submit" value="Simpan">
      * Cukup Sekali Tekan tombol simpan dan tunggu proses </td>
        </tr>
        <tr>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
          <td>&nbsp;</td>
        </tr>
      </table></td>
    </tr>
  </table>
</form>

