@extends('layouts.panel.app', ['title' => 'Tambah Pengajuan']) @section('content')

Pengajuan Keanggotaan

Membuat pengajuan keanggotaan di sini.

Form Pengajuan

Harap siapkan dokumen pendukung : @foreach($document as $file) | {{ $loop->iteration }}. {{$file->name}} {{$file->desc}} dalam format {{$file->allowed_file_types}} @endforeach
@if($profil == 0)
Gambar
@php $label = \App\Models\Label::where(['code' => 'warning-profile' ])->first() @endphp

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


Lengkapi Data

@else @if( $empty != 0 && $check == null || (isset($check->application_status) && ($check->application_status != 'X' && $check->application_status != 'L')) || $checkappl > 0 )
Gambar
@foreach ($checkform as $value) @php $app = \App\Models\FormTrnApplication::where([ 'id' => $value->id, 'application_type' => $value->application_type, 'user_id' => $value->user_id, ])->first(); @endphp
    @php $status = \App\Models\ApprovalStatus::where(['type' => $app->application_status])->first(); @endphp @if($status) @if ($value->type == 'FPA')
    Data Pengajuan APPL000{{$value->id}} {{$value->desc}}
    {{$app->front_degree}} {{$app->name}} {{$app->back_degree}}
    {{$status->status_user}}
    @else @if ($status->type != 'C' && $status->type != 'G')
    Data Rekomendasi APPL000{{$value->id}} {{$value->desc}}
    {{$app->front_degree}} {{$app->name}} {{$app->back_degree}}
    {{$status->status_user}}
    @endif @endif @endif
@endforeach @else @if((isset($check->application_status) && ($check->application_status == 'X'))) @endif @if((isset($check->application_status) && ($check->application_status == 'L'))) @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


@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

Pendidikan


@if ($data->academic_degree_a == null || $data->institution_a == null) @endif

Pendidikan Terakhir

@error('academic_degree_a') {{ $message }} @enderror
@error('institution_a') {{ $message }} @enderror
@error('graduation_year_a') {{ $message }} @enderror
@error('ijazah_no_a') {{ $message }} @enderror

Pendidikan Lainnya

@error('academic_degree_b') {{ $message }} @enderror
@error('institution_b') {{ $message }} @enderror
@error('graduation_year_b') {{ $message }} @enderror
@error('ijazah_no_b') {{ $message }} @enderror

Pendidikan Lainnya

@error('academic_degree_c') {{ $message }} @enderror
@error('institution_c') {{ $message }} @enderror
@error('graduation_year_c') {{ $message }} @enderror
@error('ijazah_no_c') {{ $message }} @enderror

@error('ijazah_du') {{ $message }} @enderror
@error('ijazah_du_year') {{ $message }} @enderror
@error('ijazah_sp') {{ $message }} @enderror
@error('ijazah_sp_year') {{ $message }} @enderror
@error('specialist') {{ $message }} @enderror

@error('consultant_specialist') {{ $message }} @enderror
@error('ijazah_doktor') {{ $message }} @enderror
@error('ijazah_doktor_year') {{ $message }} @enderror

Pekerjaan


Tempat Bekerja
@error('employment_status') {{ $message }} @enderror
@error('time_type') {{ $message }} @enderror
@error('hospital') {{ $message }} @enderror
@error('practice_address') {{ $message }} @enderror
@error('practice_province') {{ $message }} @enderror
@error('practice_regency') {{ $message }} @enderror
@error('practice_district') {{ $message }} @enderror
@error('practice_village') {{ $message }} @enderror
@error('position') {{ $message }} @enderror

@error('professor') {{ $message }} @enderror
Praktek Pribadi
@error('private_practice') {{ $message }} @enderror
@error('private_practice_address') {{ $message }} @enderror
@error('private_practice_province') {{ $message }} @enderror
@error('private_practice_regency') {{ $message }} @enderror
@error('private_practice_district') {{ $message }} @enderror
@error('private_practice_village') {{ $message }} @enderror

Informasi Tambahan


@if ($data->central_idi_npa == null) @endif
@error('area_members') {{ $message }} @enderror
@error('branch_members') {{ $message }} @enderror
@error('npac_npa') {{ $message }} @enderror
@error('str_no') {{ $message }} @enderror
@error('validity_period_str') {{ $message }} @enderror
@error('str_no_sp') {{ $message }} @enderror
@error('validity_period_str_sp') {{ $message }} @enderror
@error('str_no_kt') {{ $message }} @enderror
@error('validity_period_str_kt') {{ $message }} @enderror
@error('area_of_idi') {{ $message }} @enderror
@error('branch_of_idi') {{ $message }} @enderror
@error('mutation_year') {{ $message }} @enderror
@error('central_idi_npa') {{ $message }} @enderror

Upload Dokumen Pendukung


Cek Kembali Data Anda


IDENTITAS DIRI

Pengajuan :
Foto :
Nama Lengkap : {{$data->front_degree}} {{$data->name}} {{$data->back_degree}} Tempat, Tanggal Lahir : {{$data->place}}, {{ $data->birth_date ? date('d-m-Y', strtotime($data->birth_date)) : '' }}
Alamat KTP : {{$data->home_address}}
No Telp/HP : {{$data->phone}} Email : {{$data->email}}

INFORMASI PENDIDIKAN

PENDIDIKAN TERAKHIR
Institusi Pendidikan : {{ strtoupper($institution_a->name ?? '') }} Jenjang Pendidikan : {{ strtoupper($academic_degree_a->name ?? '') }}
Nomor Ijazah : {{ strtoupper($data->ijazah_no_a) }} Tahun Lulus : {{ $data->graduation_year_a ? date('d-m-Y', strtotime($data->graduation_year_a)) : '' }}
PENDIDIKAN LAINNYA
Institusi Pendidikan : {{ strtoupper($institution_b->name ?? '') }} Jenjang Pendidikan : {{ strtoupper($academic_degree_b->name ?? '') }}
Nomor Ijazah : {{ strtoupper($data->ijazah_no_b) }} Tahun Lulus : {{ $data->graduation_year_b ? date('d-m-Y', strtotime($data->graduation_year_b)) : '' }}
PENDIDIKAN LAINNYA
Institusi Pendidikan : {{ strtoupper($institution_c->name ?? '') }} Jenjang Pendidikan : {{ strtoupper($academic_degree_c->name ?? '') }}
Nomor Ijazah : {{ strtoupper($data->ijazah_no_c) }} Tahun Lulus : {{ $data->graduation_year_c ? date('d-m-Y', strtotime($data->graduation_year_c)) : '' }}

INFORMASI PEKERJAAN

PEKERJAAN
Status Kepegawaian / Waktu : {{$data->employment_status}} / {{$data->time_type}} Jabatan : {{$data->position}}
Tempat Praktek : {{ strtoupper($data->hospital) }} Alamat Praktek : {{$data->practice_address}}
PRAKTEK PRIBADI
Tempat Praktek : {{ strtoupper($data->private_practice) }} Alamat Praktek : {{$data->private_practice_address}}

INFORMASI TAMBAHAN

No STR Dokter Umum : {{$data->str_no}} Masa Berlaku STR : {{ $data->validity_period_str ? date('d-m-Y', strtotime($data->validity_period_str)) : '' }}
No STR Dokter Spesialis : {{$data->str_no_sp}} Masa Berlaku STR : {{ $data->validity_period_str_sp ? date('d-m-Y', strtotime($data->validity_period_str_sp)) : '' }}
No STR Kompetensi Tambahan : {{$data->str_no_kt}} Masa Berlaku STR : {{ $data->validity_period_str_kt ? date('d-m-Y', strtotime($data->validity_period_str_kt)) : '' }}
Anggota IDI : {{$data->area_members}} {{$data->branch_members}} NPAC / NPA IDI : {{$data->npac_npa}} / {{$data->central_idi_npa}}

DOKUMEN PENDUKUNG

Kode Dokumen File Lihat



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