@extends('layouts.panel.app', ['title' => 'Revisi Rekomendasi STR']) @section('content')

Rekomendasi STR

Silahkan ubah data rekomendasi STR di sini.

Revisi Rekomendasi STR

Harap siapkan dokumen pendukung : @forelse($document as $file) | {{ $loop->iteration }}. {{$file->name}} {{$file->desc}} dalam format {{$file->allowed_file_types}} @empty
Data setup dokumen belum tersedia.
@endforelse
@php $history = \App\Models\FormTrnHistory::where([ ['form_id', '=', $data->id], ['user_id', '=', $data->user_id] ]) ->whereIn('form_status', ['R', 'D']) ->orderBy('ordering', 'desc') ->first() @endphp @if($history != null)
Informasi perubahan data

{!!html_entity_decode($history->note)!!}

@endif
Catatan : **) Wajib diisi
@csrf @method('POST')

Persetujuan Anggota Ikatan Dokter Indonesia


Lembar Persetujuan

Sebelum melakukan aktivitas dengan data anda, Kami sarankan anda membaca dan menyetujui ketentuan di bawah ini:

    @php $label = \App\Models\Label::where(['code' => 'disclaimer-appl' ])->first() @endphp {!!html_entity_decode($label->desc)!!}

FORMULIR REKOMENDASI

@error('application_type') {{ $message }} @enderror

Identitas Diri


@php $label = \App\Models\Label::where(['code' => 'info-degree' ])->first() @endphp
{!!html_entity_decode($label->title)!!}
{!!html_entity_decode($label->desc)!!}
@error('front_degree') {{ $message }} @enderror
@error('name') {{ $message }} @enderror
@error('back_degree') {{ $message }} @enderror
@error('citizen') {{ $message }} @enderror

@error('gender') {{ $message }} @enderror
@error('religion') {{ $message }} @enderror
@error('place') {{ $message }} @enderror
@error('birth_date') {{ $message }} @enderror
@error('home_address') {{ $message }} @enderror
@error('home_province') {{ $message }} @enderror
@error('home_regency') {{ $message }} @enderror
@error('home_district') {{ $message }} @enderror
@error('home_village') {{ $message }} @enderror
@error('residence_address') {{ $message }} @enderror
@error('residence_province') {{ $message }} @enderror
@error('residence_regency') {{ $message }} @enderror
@error('residence_district') {{ $message }} @enderror
@error('residence_village') {{ $message }} @enderror
@error('email') {{ $message }} @enderror
@error('phone') {{ $message }} @enderror

@error('marital_status') {{ $message }} @enderror
@error('husband_wife_name') {{ $message }} @enderror

Informasi Tambahan


@error('npac_npa') {{ $message }} @enderror
@error('central_idi_npa') {{ $message }} @enderror

Informasi STR


@php $label = \App\Models\Label::where(['code' => 'info-str-dupl' ])->first() @endphp
{!!html_entity_decode($label->title)!!}
{!!html_entity_decode($label->desc)!!}

@foreach($data->str as $detail)
@foreach($options as $key => $option)
@endforeach
@error('selectedStr') {{ $message }} @enderror
@error('str_no') {{ $message }} @enderror
@error('validity_period_str') {{ $message }} @enderror
@error('reasonStr') {{ $message }} @enderror
@php $decodedData = json_decode($detail['str_copy']); @endphp STR Asli Salinan 1 Salinan 2 Salinan 3
@endforeach

Upload Dokumen Pendukung


Cek Kembali Data Anda


IDENTITAS DIRI

Pengajuan :
Foto :
Nama Lengkap : Tempat, Tanggal Lahir :
Alamat KTP :
No Telp/HP : Email :

INFORMASI TAMBAHAN

NPAC : NPA IDI Pusat :

INFORMASI STR

No STR Jenis STR Masa Berlaku Tujuan Pengajuan
Deskripsi

DOKUMEN REVISI

Kode Dokumen File Lihat


@php $label = \App\Models\Label::where(['code' => 'note-revision' ])->first() @endphp @if($label != null) {!!html_entity_decode($label->title)!!}

{!!html_entity_decode($label->desc)!!}

@else Catatan

Belum tersedia

@endif
Pilih status
Masukan keterangan

@php $label = \App\Models\Label::where(['code' => 'disclaimer-str' ])->first() @endphp
{!!html_entity_decode($label->title)!!}
{!!html_entity_decode($label->desc)!!}
@endsection