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FrameBuilder.get=qsProxy||[];var i213243466154452=new FrameBuilder("213243466154452",false,"","<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html lang=\"en-US\"  class=\"supernova\"><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<link rel=\"alternate\" type=\"application\/json+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=json&amp;url=https%3A%2F%2Fform.jotform.com%2F213243466154452\" title=\"oEmbed Form\">\n<link rel=\"alternate\" type=\"text\/xml+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=xml&amp;url=https%3A%2F%2Fform.jotform.com%2F213243466154452\" title=\"oEmbed Form\">\n<meta property=\"og:title\" content=\"FORMULIR PPDB RAJ YAMUNA SCHOOL\" >\n<meta property=\"og:url\" content=\"https:\/\/form.jotform.com\/213243466154452\" >\n<meta property=\"og:description\" content=\"Please click the link to complete this form.\" >\n<meta name=\"slack-app-id\" 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content=\"true\" \/>\n<title>FORMULIR PPDB RAJ YAMUNA SCHOOL<\/title>\n<link href=\"https:\/\/cdn01.jotfor.ms\/static\/formCss.css?3.3.46697\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn02.jotfor.ms\/themes\/CSS\/form-common.css?v=abbe53d\n\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn03.jotfor.ms\/css\/styles\/nova.css?3.3.46697\" \/>\n<style type=\"text\/css\">@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn01.jotfor.ms\/themes\/CSS\/566a91c2977cdfcd478b4567.css?v=3.3.46697&themeRevisionID=56f6e67c977cdf2e558b4567\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn02.jotfor.ms\/css\/styles\/payment\/payment_feature.css?3.3.46697\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" 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center top;\n  background-repeat: repeat;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.form-line {\n  margin-top: 0px;\n  margin-bottom: 0px;\n}\n.form-line {\n  padding: 0px 48px;\n}\n.form-all {\n  -webkit-border-radius: 6px;\n  -moz-border-radius: 6px;\n  border-radius: 6px;\n}\n.form-section:first-child {\n  -webkit-border-radius: 6px 6px 0 0;\n  -moz-border-radius: 6px 6px 0 0;\n  border-radius: 6px 6px 0 0;\n}\n.form-section:last-child {\n  -webkit-border-radius: 0 0 6px 6px;\n  -moz-border-radius: 0 0 6px 6px;\n  border-radius: 0 0 6px 6px;\n}\n.form-all .qq-upload-button,\n.form-all .form-submit-button,\n.form-all .form-submit-reset,\n.form-all .form-submit-print {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Tahoma\", sans-serif;\n  font-size: 13px;\n  font-weight: normal;\n}\n.form-all .form-pagebreak-back,\n.form-all .form-pagebreak-next {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Tahoma\", sans-serif;\n  font-size: 13px;\n  font-weight: normal;\n}\n\/*\n& when ( @buttonFontType = google ) {\n\t\n}\n*\/\nh2.form-header {\n  line-height: 1.618em;\n  font-size: 1.714em;\n}\nh2 ~ .form-subHeader {\n  line-height: 1.5em;\n  font-size: 1.071em;\n}\n.form-header-group {\n  text-align: left;\n}\n\/*.form-dropdown,\n.form-radio-item,\n.form-checkbox-item,\n.form-radio-other-input,\n.form-checkbox-other-input,*\/\n.form-captcha input,\n.form-spinner input,\n.form-error-message {\n  padding: 4px 3px 2px 3px;\n}\n.form-header-group {\n  font-family: \"Tahoma\", sans-serif;\n}\n.form-section {\n  padding: 0px 56px 0px 56px;\n}\n.form-header-group {\n  margin: 12px 36px 12px 36px;\n}\n.form-header-group {\n  padding: 24px 0px 24px 0px;\n}\n.form-textbox,\n.form-textarea {\n  border-color: #171f4a;\n  color: #171f4a;\n  padding: 4px 3px 2px 3px;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: inherit;\n}\n[data-type=\"control_dropdown\"] .form-input,\n[data-type=\"control_dropdown\"] .form-input-wide {\n  width: 150px;\n}\n.form-label {\n  font-family: \"Tahoma\", sans-serif;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.form-line-column {\n  width: auto;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-line-error .form-error-message {\n  background-color: #ff3200;\n  clear: both;\n  float: none;\n}\n.form-line-error .form-error-message .form-error-arrow {\n  border-bottom-color: #ff3200;\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n  border: 1px solid #ff3200;\n  -webkit-box-shadow: 0 0 3px #ff3200;\n  -moz-box-shadow: 0 0 3px #ff3200;\n  box-shadow: 0 0 3px #ff3200;\n}\n.ie-8 .form-all {\n  margin-top: auto;\n  margin-top: initial;\n}\n.ie-8 .form-all:before {\n  display: none;\n}\n\/* | *\/\n@media screen and (max-width: 480px), 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src=\"https:\/\/cdn01.jotfor.ms\/s\/umd\/beb9addb147\/for-form-branding-footer.js?v=3.3.46697\" type=\"text\/javascript\" defer><\/script>\n<script type=\"text\/javascript\">\tJotForm.newDefaultTheme = false;\n\tJotForm.extendsNewTheme = false;\n\tJotForm.singleProduct = false;\n\tJotForm.newPaymentUIForNewCreatedForms = false;\n\tJotForm.texts = {\"confirmEmail\":\"E-mail does not match\",\"pleaseWait\":\"Please wait...\",\"validateEmail\":\"You need to validate this e-mail\",\"confirmClearForm\":\"Are you sure you want to clear the form\",\"lessThan\":\"Your score should be less than or equal to\",\"incompleteFields\":\"There are incomplete required fields. 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Multiple submissions are disabled for this form.\",\"reviewBackText\":\"Back to Form\",\"seeAllText\":\"See All\",\"progressMiddleText\":\"of\",\"fieldError\":\"field has an error.\",\"error\":\"Error\"};\n\n var jsTime = setInterval(function(){try{\n   JotForm.jsForm = true;\n\n   JotForm.setConditions([{\"action\":[{\"id\":\"action_0_1464517387886\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"71\"},{\"id\":\"action_1_1464517387886\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"60\"},{\"id\":\"action_2_1464517387886\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"94\"}],\"id\":\"1464517221177\",\"index\":\"0\",\"link\":\"Any\",\"priority\":\"0\",\"terms\":[{\"id\":\"term_0_1464517387886\",\"field\":\"20\",\"operator\":\"equals\",\"value\":\"Sudah Meninggal\",\"isError\":false}],\"type\":\"field\"},{\"action\":[{\"id\":\"action_1464517114914\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"69\"},{\"id\":\"action_1464517077563\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"59\"},{\"id\":\"action_1464517032891\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"23\"}],\"id\":\"1464517127272\",\"index\":\"1\",\"link\":\"Any\",\"priority\":\"1\",\"terms\":[{\"id\":\"term_1464517032891\",\"field\":\"18\",\"operator\":\"equals\",\"value\":\"Sudah Meninggal\",\"isError\":false}],\"type\":\"field\"},{\"action\":[{\"id\":\"action_1464517002662\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"91\"}],\"id\":\"1464517023040\",\"index\":\"2\",\"link\":\"Any\",\"priority\":\"2\",\"terms\":[{\"id\":\"term_1464517002662\",\"field\":\"90\",\"operator\":\"equals\",\"value\":\"Tidak\",\"isError\":false}],\"type\":\"field\"},{\"action\":[{\"id\":\"action_1464516947894\",\"visibility\":\"Hide\",\"isError\":false,\"field\":\"89\"}],\"id\":\"1464516988149\",\"index\":\"3\",\"link\":\"Any\",\"priority\":\"3\",\"terms\":[{\"id\":\"term_1464516947894\",\"field\":\"88\",\"operator\":\"equals\",\"value\":\"Tidak\",\"isError\":false}],\"type\":\"field\"}]);\tJotForm.clearFieldOnHide=\"disable\";\n\tJotForm.submitError=\"jumpToFirstError\";\n\twindow.addEventListener('DOMContentLoaded',function(){window.brandingFooter.init({\"formID\":213243466154452,\"campaign\":\"powered_by_jotform_le\",\"isCardForm\":false,\"isLegacyForm\":true})});\n\tJotForm.init(function(){\n\t\/*INIT-START*\/\n      JotForm.description('input_58', 'Isi 3 (tiga) digit terakhir nomor pendaftaran');\n\n JotForm.calendarMonths = [\"January\",\"February\",\"March\",\"April\",\"May\",\"June\",\"July\",\"August\",\"September\",\"October\",\"November\",\"December\"];\n if (!JotForm.calenderViewMonths) JotForm.calenderViewMonths = {}; 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}, 0); });\n } \n JotForm.onTranslationsFetch(function() { JotForm.setCalendar(\"8\", false, {\"days\":{\"monday\":true,\"tuesday\":true,\"wednesday\":true,\"thursday\":true,\"friday\":true,\"saturday\":true,\"sunday\":true},\"future\":true,\"past\":true,\"custom\":false,\"ranges\":false,\"start\":\"\",\"end\":\"\",\"countSelectedDaysOnly\":false}); });\n JotForm.formatDate({date:(new Date()), dateField:$(\"id_\"+8)});\n JotForm.displayLocalTime(\"hour_8\", \"min_8\", \"ampm_8\", null, false);\nif (window.JotForm && JotForm.accessible) $('input_4').setAttribute('tabindex',0);\nif (window.JotForm && JotForm.accessible) $('input_5').setAttribute('tabindex',0);\n      JotForm.description('input_83', 'angka tidak boleh lebih dari 10 digit');\n      JotForm.description('input_84', 'angka tidak boleh lebih dari 16 digit');\nif (window.JotForm && JotForm.accessible) $('input_7').setAttribute('tabindex',0);\n\n JotForm.calendarMonths = [\"January\",\"February\",\"March\",\"April\",\"May\",\"June\",\"July\",\"August\",\"September\",\"October\",\"November\",\"December\"];\n if (!JotForm.calenderViewMonths) JotForm.calenderViewMonths = {}; 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}, 0); });\n } \n JotForm.onTranslationsFetch(function() { JotForm.setCalendar(\"112\", false, {\"days\":{\"monday\":true,\"tuesday\":true,\"wednesday\":true,\"thursday\":true,\"friday\":true,\"saturday\":true,\"sunday\":true},\"future\":true,\"past\":true,\"custom\":false,\"ranges\":false,\"start\":\"\",\"end\":\"\",\"countSelectedDaysOnly\":false}); });\n JotForm.formatDate({date:(new Date()), dateField:$(\"id_\"+112)});\n JotForm.displayLocalTime(\"hour_112\", \"min_112\", \"ampm_112\", null, false);\n if (typeof wideArea !== 'undefined') { wideArea('#id_15'); }\nif (window.JotForm && JotForm.accessible) $('input_15').setAttribute('tabindex',0);\n      JotForm.description('input_15', 'tulis alamat lengkap meliputi:<br \/>jalan\/dukuh, RT\/RW, desa, kecamatan, kabupaten; contoh, Jalan Batu Sakti No. 5 RT 01 RW 02 Ds. 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class=\"form-label form-label-left form-label-auto\" id=\"label_110\" for=\"input_110\" aria-hidden=\"false\"> Jenjang Pendidikan<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_110\" class=\"form-input jf-required\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required]\" id=\"input_110\" name=\"q110_jenjangPendidikan\" style=\"width:150px\" data-component=\"dropdown\" required=\"\" aria-label=\"Jenjang Pendidikan\">\n              <option value=\"\"><\/option>\n              <option value=\"TK\">TK<\/option>\n              <option value=\"SD\">SD<\/option>\n              <option value=\"SMP\">SMP<\/option>\n            <\/select><label class=\"form-sub-label\" for=\"input_110\" id=\"sublabel_input_110\" style=\"min-height:13px\" aria-hidden=\"false\">Pilih Jenjang Pendaftaran<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_datetime\" id=\"id_8\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_8\" for=\"day_8\" aria-hidden=\"false\"> Tanggal Pendaftaran<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_8\" class=\"form-input jf-required\">\n          <div data-wrapper-react=\"true\" class=\"extended notLiteMode\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"currentDate form-textbox validate[required, limitDate]\" id=\"day_8\" name=\"q8_tanggalPendaftaran[day]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"21\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_8 sublabel_8_day\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0\/<\/span><label class=\"form-sub-label\" for=\"day_8\" id=\"sublabel_8_day\" style=\"min-height:13px\" aria-hidden=\"false\">tanggal<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"month_8\" name=\"q8_tanggalPendaftaran[month]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"10\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_8 sublabel_8_month\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0\/<\/span><label class=\"form-sub-label\" for=\"month_8\" id=\"sublabel_8_month\" style=\"min-height:13px\" aria-hidden=\"false\">bulan<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"year_8\" name=\"q8_tanggalPendaftaran[year]\" size=\"4\" data-maxlength=\"4\" data-age=\"\" maxLength=\"4\" value=\"2023\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_8 sublabel_8_year\" \/><label class=\"form-sub-label\" for=\"year_8\" id=\"sublabel_8_year\" style=\"min-height:13px\" aria-hidden=\"false\">tahun<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><img class=\"showAutoCalendar newDefaultTheme-dateIcon icon-seperatedMode\" alt=\"Pick a Date\" id=\"input_8_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" data-component=\"datetime\" aria-hidden=\"true\" data-allow-time=\"No\" data-version=\"v1\" \/><label class=\"form-sub-label\" for=\"input_8_pick\" style=\"border:0;clip:rect(0 0 0 0);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute;width:1px;white-space:nowrap\" aria-hidden=\"true\">Date Picker Icon<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_11\">\n        <div id=\"cid_11\" class=\"form-input-wide\">\n          <div id=\"text_11\" class=\"form-html\" data-component=\"text\" tabindex=\"0\"><strong>A. 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jf-required\" data-type=\"control_textbox\" id=\"id_5\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_5\" for=\"input_5\" aria-hidden=\"false\"> Nama Panggilan<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_5\" class=\"form-input jf-required\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_5\" name=\"q5_namaPanggilan\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" size=\"25\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_5 sublabel_input_5\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_5\" id=\"sublabel_input_5\" style=\"min-height:13px\" aria-hidden=\"false\">tulis nama panggilan sehari-hari<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_57\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_57\" for=\"input_57\" aria-hidden=\"false\"> Jenis Kelamin<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_57\" class=\"form-input jf-required\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_57\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_57\" class=\"form-radio validate[required]\" id=\"input_57_0\" name=\"q57_jenisKelamin\" value=\"Laki-laki\" required=\"\" \/><label id=\"label_input_57_0\" for=\"input_57_0\">Laki-laki<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_57\" class=\"form-radio validate[required]\" id=\"input_57_1\" name=\"q57_jenisKelamin\" value=\"Perempuan\" required=\"\" \/><label id=\"label_input_57_1\" for=\"input_57_1\">Perempuan<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n     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id=\"cid_7\" class=\"form-input jf-required\"> <input type=\"text\" id=\"input_7\" name=\"q7_tempatLahir\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" size=\"25.5\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_7\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_datetime\" id=\"id_112\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_112\" for=\"day_112\" aria-hidden=\"false\"> Tanggal Lahir<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_112\" class=\"form-input jf-required\">\n          <div data-wrapper-react=\"true\" class=\"extended notLiteMode\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"currentDate form-textbox validate[required, limitDate]\" id=\"day_112\" name=\"q112_tanggalLahir112[day]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"21\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_112 sublabel_112_day\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0\/<\/span><label class=\"form-sub-label\" for=\"day_112\" id=\"sublabel_112_day\" style=\"min-height:13px\" aria-hidden=\"false\">tanggal<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"month_112\" name=\"q112_tanggalLahir112[month]\" size=\"2\" data-maxlength=\"2\" data-age=\"\" maxLength=\"2\" value=\"10\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_112 sublabel_112_month\" \/><span class=\"date-separate\" aria-hidden=\"true\">\u00a0\/<\/span><label class=\"form-sub-label\" for=\"month_112\" id=\"sublabel_112_month\" style=\"min-height:13px\" aria-hidden=\"false\">bulan<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" class=\"form-textbox validate[required, limitDate]\" id=\"year_112\" name=\"q112_tanggalLahir112[year]\" size=\"4\" data-maxlength=\"4\" data-age=\"\" maxLength=\"4\" value=\"2023\" required=\"\" autoComplete=\"off\" aria-labelledby=\"label_112 sublabel_112_year\" \/><label class=\"form-sub-label\" for=\"year_112\" id=\"sublabel_112_year\" style=\"min-height:13px\" aria-hidden=\"false\">tahun<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><img class=\"showAutoCalendar newDefaultTheme-dateIcon icon-seperatedMode\" alt=\"Pick a Date\" id=\"input_112_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" data-component=\"datetime\" aria-hidden=\"true\" data-allow-time=\"No\" data-version=\"v1\" \/><label class=\"form-sub-label\" for=\"input_112_pick\" style=\"border:0;clip:rect(0 0 0 0);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute;width:1px;white-space:nowrap\" aria-hidden=\"true\">Date Picker Icon<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_12\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_12\" for=\"input_12\" aria-hidden=\"false\"> Agama<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_12\" class=\"form-input jf-required\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_12\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_12\" class=\"form-radio validate[required]\" id=\"input_12_0\" name=\"q12_agama\" value=\"Islam\" required=\"\" \/><label id=\"label_input_12_0\" for=\"input_12_0\">Islam<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_12\" class=\"form-radio validate[required]\" id=\"input_12_1\" name=\"q12_agama\" value=\"Kristen\" required=\"\" \/><label id=\"label_input_12_1\" for=\"input_12_1\">Kristen<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_12\" class=\"form-radio validate[required]\" id=\"input_12_2\" name=\"q12_agama\" value=\"Katholik\" required=\"\" \/><label id=\"label_input_12_2\" for=\"input_12_2\">Katholik<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_12\" class=\"form-radio validate[required]\" id=\"input_12_3\" name=\"q12_agama\" value=\"Hindu\" required=\"\" \/><label id=\"label_input_12_3\" for=\"input_12_3\">Hindu<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_12\" class=\"form-radio validate[required]\" id=\"input_12_4\" name=\"q12_agama\" value=\"Budha\" required=\"\" \/><label id=\"label_input_12_4\" for=\"input_12_4\">Budha<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_12\" class=\"form-radio validate[required]\" id=\"input_12_5\" name=\"q12_agama\" value=\"Lainnya\" required=\"\" \/><label id=\"label_input_12_5\" for=\"input_12_5\">Lainnya<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_radio\" id=\"id_13\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_13\" for=\"input_13\" aria-hidden=\"false\"> Golongan Darah <\/label>\n        <div id=\"cid_13\" class=\"form-input\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_13\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_13\" class=\"form-radio\" id=\"input_13_0\" name=\"q13_golonganDarah13\" value=\"A\" \/><label id=\"label_input_13_0\" for=\"input_13_0\">A<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_13\" class=\"form-radio\" id=\"input_13_1\" name=\"q13_golonganDarah13\" value=\"B\" \/><label id=\"label_input_13_1\" for=\"input_13_1\">B<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_13\" class=\"form-radio\" id=\"input_13_2\" name=\"q13_golonganDarah13\" value=\"AB\" \/><label id=\"label_input_13_2\" for=\"input_13_2\">AB<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_13\" class=\"form-radio\" id=\"input_13_3\" name=\"q13_golonganDarah13\" value=\"O\" \/><label id=\"label_input_13_3\" for=\"input_13_3\">O<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textarea\" id=\"id_15\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_15\" for=\"input_15\" aria-hidden=\"false\"> Alamat Rumah<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_15\" class=\"form-input jf-required\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><textarea id=\"input_15\" class=\"form-textarea validate[required]\" name=\"q15_alamatRumah15\" cols=\"45\" rows=\"2\" style=\"overflow-y:hidden\" data-widearea=\"enable\" data-component=\"textarea\" required=\"\" aria-labelledby=\"label_15 sublabel_input_15\"><\/textarea><label class=\"form-sub-label\" for=\"input_15\" id=\"sublabel_input_15\" style=\"min-height:13px\" aria-hidden=\"false\">tulis alamat lengkap<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_number\" id=\"id_86\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_86\" for=\"input_86\" aria-hidden=\"false\"> No. Telp. \/ HP <\/label>\n        <div id=\"cid_86\" class=\"form-input\"> <input type=\"number\" id=\"input_86\" name=\"q86_noTelp\" data-type=\"input-number\" class=\" form-number-input form-textbox\" data-defaultvalue=\"\" style=\"width:220px\" size=\"25\" value=\"\" placeholder=\"Contoh : 085642541282\" data-component=\"number\" aria-labelledby=\"label_86\" step=\"any\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_email\" id=\"id_87\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_87\" for=\"input_87\" aria-hidden=\"false\"> Email <\/label>\n        <div id=\"cid_87\" class=\"form-input\"> <input type=\"email\" id=\"input_87\" name=\"q87_email87\" class=\"form-textbox validate[Email]\" data-defaultvalue=\"\" autoComplete=\"section-input_87 email\" size=\"32\" value=\"\" placeholder=\"Contoh : zack2205@gmail.com\" data-component=\"email\" aria-labelledby=\"label_87\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_88\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_88\" for=\"input_88\" aria-hidden=\"false\"> Apakah anda penerima kartu KPS\/KIP\/PIP?<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_88\" class=\"form-input jf-required\">\n          <div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_88\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_88\" class=\"form-radio validate[required]\" id=\"input_88_0\" name=\"q88_apakahAnda\" value=\"Ya\" required=\"\" \/><label id=\"label_input_88_0\" for=\"input_88_0\">Ya<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_88\" class=\"form-radio validate[required]\" id=\"input_88_1\" name=\"q88_apakahAnda\" value=\"Tidak\" required=\"\" \/><label id=\"label_input_88_1\" for=\"input_88_1\">Tidak<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textbox\" id=\"id_89\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_89\" for=\"input_89\" aria-hidden=\"false\"> Nomor KPS\/KIP\/PIP <\/label>\n        <div id=\"cid_89\" class=\"form-input\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_89\" name=\"q89_nomorKpskippip\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" size=\"32\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_89 sublabel_input_89\" \/><label class=\"form-sub-label\" for=\"input_89\" id=\"sublabel_input_89\" style=\"min-height:13px\" aria-hidden=\"false\">Tulis nomor salah satu nomor KPS\/KIP\/PIP yang dimiliki<\/label><\/span> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_96\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_96\" for=\"input_96\" aria-hidden=\"false\"> Rencana Tinggal <\/label>\n        <div id=\"cid_96\" class=\"form-input\"> <select class=\"form-dropdown\" id=\"input_96\" name=\"q96_rencanaTinggal\" style=\"width:150px\" data-component=\"dropdown\" aria-label=\"Rencana Tinggal\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"Bersama orang tua\">Bersama orang tua<\/option>\n            <option value=\"Bersama wali\">Bersama wali<\/option>\n            <option value=\"Asrama\">Asrama<\/option>\n            <option value=\"Panti asuhan\">Panti asuhan<\/option>\n            <option value=\"Pondok pesantren\">Pondok pesantren<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_97\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_97\" for=\"input_97\" aria-hidden=\"false\"> Rencana Alat Transportasi <\/label>\n        <div id=\"cid_97\" class=\"form-input\"> <select class=\"form-dropdown\" id=\"input_97\" name=\"q97_rencanaAlat\" style=\"width:150px\" data-component=\"dropdown\" aria-label=\"Rencana Alat Transportasi\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"Jalan kaki\">Jalan kaki<\/option>\n            <option value=\"Sepeda\">Sepeda<\/option>\n            <option value=\"Sepeda Motor\">Sepeda Motor<\/option>\n            <option value=\"Ojek\">Ojek<\/option>\n            <option value=\"Kendaraan Pribadi\">Kendaraan Pribadi<\/option>\n            <option value=\"Ikut Jemputan Bus Sekolah\">Ikut Jemputan Bus Sekolah<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_73\">\n        <div id=\"cid_73\" class=\"form-input-wide\">\n          <div id=\"text_73\" class=\"form-html\" data-component=\"text\" tabindex=\"0\"><strong>B. DATA ORANG TUA \/ WALI<\/strong><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_17\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_17\" for=\"input_17\" aria-hidden=\"false\"> Nama Ayah<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_17\" class=\"form-input jf-required\"> <input type=\"text\" id=\"input_17\" name=\"q17_namaAyah\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" size=\"55\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_17\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_92\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_92\" for=\"input_92\" aria-hidden=\"false\"> Tahun Lahir Ayah <\/label>\n        <div id=\"cid_92\" class=\"form-input\"> <select class=\"form-dropdown\" id=\"input_92\" name=\"q92_tahunLahir\" style=\"width:150px\" data-component=\"dropdown\" aria-label=\"Tahun Lahir Ayah\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"1930\">1930<\/option>\n            <option value=\"1931\">1931<\/option>\n            <option value=\"1932\">1932<\/option>\n            <option value=\"1933\">1933<\/option>\n            <option value=\"1934\">1934<\/option>\n            <option value=\"1935\">1935<\/option>\n            <option value=\"1936\">1936<\/option>\n            <option value=\"1937\">1937<\/option>\n            <option value=\"1938\">1938<\/option>\n            <option value=\"1939\">1939<\/option>\n            <option value=\"1940\">1940<\/option>\n            <option value=\"1941\">1941<\/option>\n            <option value=\"1942\">1942<\/option>\n            <option value=\"1943\">1943<\/option>\n            <option value=\"1944\">1944<\/option>\n            <option value=\"1945\">1945<\/option>\n            <option value=\"1946\">1946<\/option>\n            <option value=\"1947\">1947<\/option>\n            <option value=\"1948\">1948<\/option>\n            <option value=\"1949\">1949<\/option>\n            <option value=\"1950\">1950<\/option>\n            <option value=\"1951\">1951<\/option>\n            <option value=\"1952\">1952<\/option>\n            <option value=\"1953\">1953<\/option>\n            <option value=\"1954\">1954<\/option>\n            <option value=\"1955\">1955<\/option>\n            <option value=\"1956\">1956<\/option>\n            <option value=\"1957\">1957<\/option>\n            <option value=\"1958\">1958<\/option>\n            <option value=\"1959\">1959<\/option>\n            <option value=\"1960\">1960<\/option>\n            <option value=\"1961\">1961<\/option>\n            <option value=\"1962\">1962<\/option>\n            <option value=\"1963\">1963<\/option>\n            <option value=\"1964\">1964<\/option>\n            <option value=\"1965\">1965<\/option>\n            <option value=\"1966\">1966<\/option>\n            <option value=\"1967\">1967<\/option>\n            <option value=\"1968\">1968<\/option>\n            <option value=\"1969\">1969<\/option>\n            <option value=\"1970\">1970<\/option>\n            <option value=\"1971\">1971<\/option>\n            <option value=\"1972\">1972<\/option>\n            <option value=\"1973\">1973<\/option>\n            <option value=\"1974\">1974<\/option>\n            <option value=\"1975\">1975<\/option>\n            <option value=\"1976\">1976<\/option>\n            <option value=\"1977\">1977<\/option>\n            <option value=\"1978\">1978<\/option>\n            <option value=\"1979\">1979<\/option>\n            <option value=\"1980\">1980<\/option>\n            <option value=\"1981\">1981<\/option>\n            <option value=\"1982\">1982<\/option>\n            <option value=\"1983\">1983<\/option>\n            <option value=\"1984\">1984<\/option>\n            <option value=\"1985\">1985<\/option>\n            <option value=\"1986\">1986<\/option>\n            <option value=\"1987\">1987<\/option>\n            <option value=\"1988\">1988<\/option>\n            <option value=\"1989\">1989<\/option>\n            <option value=\"1990\">1990<\/option>\n            <option value=\"1991\">1991<\/option>\n            <option value=\"1992\">1992<\/option>\n            <option value=\"1993\">1993<\/option>\n            <option value=\"1994\">1994<\/option>\n            <option value=\"1995\">1995<\/option>\n            <option value=\"1996\">1996<\/option>\n            <option value=\"1997\">1997<\/option>\n            <option value=\"1998\">1998<\/option>\n            <option value=\"1999\">1999<\/option>\n            <option value=\"2000\">2000<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_98\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_98\" for=\"input_98\" aria-hidden=\"false\"> Pendidikan Ayah <\/label>\n        <div id=\"cid_98\" class=\"form-input\"> <select class=\"form-dropdown\" id=\"input_98\" name=\"q98_pendidikanAyah98\" style=\"width:150px\" data-component=\"dropdown\" aria-label=\"Pendidikan Ayah\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"Tidak sekolah\">Tidak sekolah<\/option>\n            <option value=\"Tidak Tamat SD\">Tidak Tamat SD<\/option>\n            <option value=\"SD Sederajat\">SD Sederajat<\/option>\n            <option value=\"SMP Sederajat\">SMP Sederajat<\/option>\n            <option value=\"SMA Sederajat\">SMA Sederajat<\/option>\n            <option value=\"D1\/D2\/D3 Sederajat\">D1\/D2\/D3 Sederajat<\/option>\n            <option value=\"S1 Sederajat\">S1 Sederajat<\/option>\n            <option value=\"S2 Sederajat\">S2 Sederajat<\/option>\n            <option value=\"S3 Sederajat\">S3 Sederajat<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_18\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_18\" for=\"input_18\" aria-hidden=\"false\"> Keadaan Ayah<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_18\" class=\"form-input jf-required\">\n          <div class=\"form-multiple-column\" data-columncount=\"3\" role=\"group\" aria-labelledby=\"label_18\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_18\" class=\"form-radio validate[required]\" id=\"input_18_0\" name=\"q18_keadaanAyah\" value=\"Masih Hidup\" required=\"\" \/><label id=\"label_input_18_0\" for=\"input_18_0\">Masih Hidup<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_18\" class=\"form-radio validate[required]\" id=\"input_18_1\" name=\"q18_keadaanAyah\" value=\"Sudah Meninggal\" required=\"\" \/><label id=\"label_input_18_1\" for=\"input_18_1\">Sudah Meninggal<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_radio\" id=\"id_23\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_23\" for=\"input_23\" aria-hidden=\"false\"> Pekerjaan Ayah <\/label>\n        <div id=\"cid_23\" class=\"form-input\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_23\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_0\" name=\"q23_pekerjaanAyah23\" value=\"PNS\" \/><label id=\"label_input_23_0\" for=\"input_23_0\">PNS<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_1\" name=\"q23_pekerjaanAyah23\" value=\"TNI\/POLRI\" \/><label id=\"label_input_23_1\" for=\"input_23_1\">TNI\/POLRI<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_2\" name=\"q23_pekerjaanAyah23\" value=\"Petani\" \/><label id=\"label_input_23_2\" for=\"input_23_2\">Petani<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_3\" name=\"q23_pekerjaanAyah23\" value=\"Pedagang\" \/><label id=\"label_input_23_3\" for=\"input_23_3\">Pedagang<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_4\" name=\"q23_pekerjaanAyah23\" value=\"Karyawan Swasta\" \/><label id=\"label_input_23_4\" for=\"input_23_4\">Karyawan Swasta<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_5\" name=\"q23_pekerjaanAyah23\" value=\"Buruh\" \/><label id=\"label_input_23_5\" for=\"input_23_5\">Buruh<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_6\" name=\"q23_pekerjaanAyah23\" value=\"Wiraswasta\" \/><label id=\"label_input_23_6\" for=\"input_23_6\">Wiraswasta<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_23\" class=\"form-radio\" id=\"input_23_7\" name=\"q23_pekerjaanAyah23\" value=\"Tidak bekerja\" \/><label id=\"label_input_23_7\" for=\"input_23_7\">Tidak bekerja<\/label><\/span><span class=\"form-radio-item\"><input type=\"radio\" class=\"form-radio-other form-radio\" name=\"q23_pekerjaanAyah23\" id=\"other_23\" value=\"other\" tabindex=\"0\" aria-label=\"Lainnya sebutkan\" \/><label id=\"label_other_23\" style=\"text-indent:0\" for=\"other_23\"><span class=\"jfHiddenTextLabel\">Other<\/span>\u00a0<\/label><input type=\"text\" class=\"form-radio-other-input form-textbox\" name=\"q23_pekerjaanAyah23[other]\" data-otherhint=\"Lainnya sebutkan\" size=\"15\" id=\"input_23\" placeholder=\"Lainnya sebutkan\" \/><br \/><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_69\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_69\" for=\"input_69\" aria-hidden=\"false\"> No Telp\/HP Ayah <\/label>\n        <div id=\"cid_69\" class=\"form-input\"> <textarea id=\"input_69\" class=\"form-textarea\" name=\"q69_noTelphp69\" cols=\"45\" rows=\"2\" data-component=\"textarea\" aria-labelledby=\"label_69\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_textbox\" id=\"id_19\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_19\" for=\"input_19\" aria-hidden=\"false\"> Nama Ibu<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_19\" class=\"form-input jf-required\"> <input type=\"text\" id=\"input_19\" name=\"q19_namaIbu\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" size=\"55\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_19\" required=\"\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_93\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_93\" for=\"input_93\" aria-hidden=\"false\"> Tahun Lahir Ibu <\/label>\n        <div id=\"cid_93\" class=\"form-input\"> <select class=\"form-dropdown\" id=\"input_93\" name=\"q93_tahunLahir93\" style=\"width:150px\" data-component=\"dropdown\" aria-label=\"Tahun Lahir Ibu\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"1930\">1930<\/option>\n            <option value=\"1931\">1931<\/option>\n            <option value=\"1932\">1932<\/option>\n            <option value=\"1933\">1933<\/option>\n            <option value=\"1934\">1934<\/option>\n            <option value=\"1935\">1935<\/option>\n            <option value=\"1936\">1936<\/option>\n            <option value=\"1937\">1937<\/option>\n            <option value=\"1938\">1938<\/option>\n            <option value=\"1939\">1939<\/option>\n            <option value=\"1940\">1940<\/option>\n            <option value=\"1941\">1941<\/option>\n            <option value=\"1942\">1942<\/option>\n            <option value=\"1943\">1943<\/option>\n            <option value=\"1944\">1944<\/option>\n            <option value=\"1945\">1945<\/option>\n            <option value=\"1946\">1946<\/option>\n            <option value=\"1947\">1947<\/option>\n            <option value=\"1948\">1948<\/option>\n            <option value=\"1949\">1949<\/option>\n            <option value=\"1950\">1950<\/option>\n            <option value=\"1951\">1951<\/option>\n            <option value=\"1952\">1952<\/option>\n            <option value=\"1953\">1953<\/option>\n            <option value=\"1954\">1954<\/option>\n            <option value=\"1955\">1955<\/option>\n            <option value=\"1956\">1956<\/option>\n            <option value=\"1957\">1957<\/option>\n            <option value=\"1958\">1958<\/option>\n            <option value=\"1959\">1959<\/option>\n            <option value=\"1960\">1960<\/option>\n            <option value=\"1961\">1961<\/option>\n            <option value=\"1962\">1962<\/option>\n            <option value=\"1963\">1963<\/option>\n            <option value=\"1964\">1964<\/option>\n            <option value=\"1965\">1965<\/option>\n            <option value=\"1966\">1966<\/option>\n            <option value=\"1967\">1967<\/option>\n            <option value=\"1968\">1968<\/option>\n            <option value=\"1969\">1969<\/option>\n            <option value=\"1970\">1970<\/option>\n            <option value=\"1971\">1971<\/option>\n            <option value=\"1972\">1972<\/option>\n            <option value=\"1973\">1973<\/option>\n            <option value=\"1974\">1974<\/option>\n            <option value=\"1975\">1975<\/option>\n            <option value=\"1976\">1976<\/option>\n            <option value=\"1977\">1977<\/option>\n            <option value=\"1978\">1978<\/option>\n            <option value=\"1979\">1979<\/option>\n            <option value=\"1980\">1980<\/option>\n            <option value=\"1981\">1981<\/option>\n            <option value=\"1982\">1982<\/option>\n            <option value=\"1983\">1983<\/option>\n            <option value=\"1984\">1984<\/option>\n            <option value=\"1985\">1985<\/option>\n            <option value=\"1986\">1986<\/option>\n            <option value=\"1987\">1987<\/option>\n            <option value=\"1988\">1988<\/option>\n            <option value=\"1989\">1989<\/option>\n            <option value=\"1990\">1990<\/option>\n            <option value=\"1991\">1991<\/option>\n            <option value=\"1992\">1992<\/option>\n            <option value=\"1993\">1993<\/option>\n            <option value=\"1994\">1994<\/option>\n            <option value=\"1995\">1995<\/option>\n            <option value=\"1996\">1996<\/option>\n            <option value=\"1997\">1997<\/option>\n            <option value=\"1998\">1998<\/option>\n            <option value=\"1999\">1999<\/option>\n            <option value=\"2000\">2000<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_99\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_99\" for=\"input_99\" aria-hidden=\"false\"> Pendidikan Ibu <\/label>\n        <div id=\"cid_99\" class=\"form-input\"> <select class=\"form-dropdown\" id=\"input_99\" name=\"q99_pendidikanIbu\" style=\"width:150px\" data-component=\"dropdown\" aria-label=\"Pendidikan Ibu\">\n            <option value=\"\">Please Select<\/option>\n            <option value=\"Tidak sekolah\">Tidak sekolah<\/option>\n            <option value=\"Tidak Tamat SD\">Tidak Tamat SD<\/option>\n            <option value=\"SD Sederajat\">SD Sederajat<\/option>\n            <option value=\"SMP Sederajat\">SMP Sederajat<\/option>\n            <option value=\"SMA Sederajat\">SMA Sederajat<\/option>\n            <option value=\"D1\/D2\/D3 Sederajat\">D1\/D2\/D3 Sederajat<\/option>\n            <option value=\"S1 Sederajat\">S1 Sederajat<\/option>\n            <option value=\"S2 Sederajat\">S2 Sederajat<\/option>\n            <option value=\"S3 Sederajat\">S3 Sederajat<\/option>\n          <\/select> <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_20\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_20\" for=\"input_20\" aria-hidden=\"false\"> Keadaan Ibu<span class=\"form-required\">*<\/span> <\/label>\n        <div id=\"cid_20\" class=\"form-input jf-required\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_20\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_20\" class=\"form-radio validate[required]\" id=\"input_20_0\" name=\"q20_keadaanIbu20\" value=\"Masih Hidup\" required=\"\" \/><label id=\"label_input_20_0\" for=\"input_20_0\">Masih Hidup<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_20\" class=\"form-radio validate[required]\" id=\"input_20_1\" name=\"q20_keadaanIbu20\" value=\"Sudah Meninggal\" required=\"\" \/><label id=\"label_input_20_1\" for=\"input_20_1\">Sudah Meninggal<\/label><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_radio\" id=\"id_94\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_94\" for=\"input_94\" aria-hidden=\"false\"> Pekerjaan Ibu <\/label>\n        <div id=\"cid_94\" class=\"form-input\">\n          <div class=\"form-multiple-column\" data-columncount=\"2\" role=\"group\" aria-labelledby=\"label_94\" data-component=\"radio\"><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_0\" name=\"q94_pekerjaanIbu\" value=\"PNS\" \/><label id=\"label_input_94_0\" for=\"input_94_0\">PNS<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_1\" name=\"q94_pekerjaanIbu\" value=\"TNI\/POLRI\" \/><label id=\"label_input_94_1\" for=\"input_94_1\">TNI\/POLRI<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_2\" name=\"q94_pekerjaanIbu\" value=\"Petani\" \/><label id=\"label_input_94_2\" for=\"input_94_2\">Petani<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_3\" name=\"q94_pekerjaanIbu\" value=\"Pedagang\" \/><label id=\"label_input_94_3\" for=\"input_94_3\">Pedagang<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_4\" name=\"q94_pekerjaanIbu\" value=\"Karyawan Swasta\" \/><label id=\"label_input_94_4\" for=\"input_94_4\">Karyawan Swasta<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_5\" name=\"q94_pekerjaanIbu\" value=\"Buruh\" \/><label id=\"label_input_94_5\" for=\"input_94_5\">Buruh<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_6\" name=\"q94_pekerjaanIbu\" value=\"Wiraswasta\" \/><label id=\"label_input_94_6\" for=\"input_94_6\">Wiraswasta<\/label><\/span><span class=\"form-radio-item\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_94\" class=\"form-radio\" id=\"input_94_7\" name=\"q94_pekerjaanIbu\" value=\"Tidak bekerja\" \/><label id=\"label_input_94_7\" for=\"input_94_7\">Tidak bekerja<\/label><\/span><span class=\"form-radio-item\"><input type=\"radio\" class=\"form-radio-other form-radio\" name=\"q94_pekerjaanIbu\" id=\"other_94\" value=\"other\" tabindex=\"0\" aria-label=\"Lainnya sebutkan\" \/><label id=\"label_other_94\" style=\"text-indent:0\" for=\"other_94\"><span class=\"jfHiddenTextLabel\">Other<\/span>\u00a0<\/label><input type=\"text\" class=\"form-radio-other-input form-textbox\" name=\"q94_pekerjaanIbu[other]\" data-otherhint=\"Lainnya sebutkan\" size=\"15\" id=\"input_94\" placeholder=\"Lainnya sebutkan\" \/><br \/><\/span><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-field-hidden\" style=\"display:none;\" data-type=\"control_textarea\" id=\"id_71\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_71\" for=\"input_71\" aria-hidden=\"false\"> Alamat Ibu <\/label>\n        <div id=\"cid_71\" class=\"form-input\"> <textarea id=\"input_71\" class=\"form-textarea\" name=\"q71_alamatIbu\" cols=\"45\" rows=\"2\" data-component=\"textarea\" aria-labelledby=\"label_71\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_66\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_66\" for=\"input_66\" aria-hidden=\"false\"> No. Telp.HP Ibu <\/label>\n        <div id=\"cid_66\" class=\"form-input\"> <input type=\"text\" id=\"input_66\" name=\"q66_noTelphp66\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" size=\"54\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_66\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_102\">\n        <div id=\"cid_102\" class=\"form-input-wide\">\n          <div id=\"text_102\" class=\"form-html\" data-component=\"text\" tabindex=\"0\"><strong>D. DATA AKADEMIK<\/strong><\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_28\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_28\" for=\"input_28\" aria-hidden=\"false\"> Nama Sekolah Asal TK\/SD <\/label>\n        <div id=\"cid_28\" class=\"form-input\"> <input type=\"text\" id=\"input_28\" name=\"q28_namaSekolah28\" data-type=\"input-textbox\" class=\"form-textbox\" data-defaultvalue=\"\" size=\"55\" value=\"\" placeholder=\" \" data-component=\"textbox\" aria-labelledby=\"label_28\" \/> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_53\"><label class=\"form-label form-label-left form-label-auto\" id=\"label_53\" for=\"input_53\" aria-hidden=\"false\"> Alamat Sekolah Asal (Kec Kab dab Prov) <\/label>\n        <div id=\"cid_53\" class=\"form-input\"> <textarea id=\"input_53\" class=\"form-textarea\" name=\"q53_alamatSekolah53\" cols=\"45\" rows=\"3\" data-component=\"textarea\" aria-labelledby=\"label_53\"><\/textarea> <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_61\">\n        <div id=\"cid_61\" class=\"form-input-wide\">\n          <div id=\"text_61\" class=\"form-html\" data-component=\"text\" tabindex=\"0\">\n            <p>Periksa kembali isian formulir anda sebelum divalidasi, jika sudah yakin semua isian benar klik kirim formulir.Update informasi penerimaan peserta didik baru di http:\/\/www.rajyamuna.com Terimakasih atas kepercayaan anda terhadap\u00a0Raj Yamuna\u00a0\u00a0sebagai pilihan untuk meraih masa depan.\u00a0<\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_49\">\n        <div id=\"cid_49\" class=\"form-input-wide\">\n          <div data-align=\"center\" class=\"form-buttons-wrapper form-buttons-center   jsTest-button-wrapperField\"><button id=\"input_49\" type=\"submit\" class=\"form-submit-button form-submit-button-simple_blue submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">Simpan\/Kirim Formulir<\/button><span>\u00a0<\/span><button id=\"input_reset_49\" type=\"reset\" class=\"form-submit-reset form-submit-button-simple_blue jf-form-buttons\" data-component=\"button\">Kosongkan Formulir<\/button><span>\u00a0<\/span><button id=\"input_print_49\" type=\"button\" class=\"form-submit-print form-submit-button-simple_blue jf-form-buttons\" data-component=\"button\"><img src=\"https:\/\/cdn.jotfor.ms\/images\/printer.png\" style=\"vertical-align:middle\" alt=\"Print\" \/><span id=\"span_print_49\" class=\"span_print\">Cetak Formulir<\/span><\/button><\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" \/><\/li>\n    <\/ul>\n  <\/div>\n  <script>\n    JotForm.showJotFormPowered = \"new_footer\";\n  <\/script>\n  <script>\n    JotForm.poweredByText = \"Powered by Jotform\";\n  <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"213243466154452\" \/>\n  <script type=\"text\/javascript\">\n    var all_spc = document.querySelectorAll(\"form[id='213243466154452'] .si\" + \"mple\" + \"_spc\");\n    for (var i = 0; i < all_spc.length; i++)\n    {\n      all_spc[i].value = \"213243466154452-213243466154452\";\n    }\n  <\/script>\n<\/form><\/body>\n<\/html><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>","FORM PPDB PERGURUAN RAJ YAMUNA",Array);(function(){window.handleIFrameMessage=function(e){if(!e.data||!e.data.split)return;var args=e.data.split(":");if(args[2]!="213243466154452"){return;}
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