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index.html
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<!-- MyBSMI by nuzulul version 1.0.3 -->
<!DOCTYPE html>
<html lang="id" class="notranslate" translate="no">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, minimum-scale=1, user-scalable=no, viewport-fit=cover">
<meta name="apple-mobile-web-app-capable" content="yes">
<meta name="apple-mobile-web-app-status-bar-style" content="black-translucent">
<meta name="theme-color" content="#f00">
<meta http-equiv="Content-Security-Policy" content="default-src * 'unsafe-inline' data: blob:;object-src 'none';script-src 'sha256-iN7wpJdxHlpujRppkOA8N0+Mzp0ZqZr3lCtxM00Y63c=' 'sha256-S7kteVyNPGBTw0MoIJmJli9BKDypJWP1d54efYRBntc=' 'strict-dynamic' https: 'unsafe-inline';style-src 'unsafe-inline' data: https://onesignal.com https://unpkg.com/framework7@7.1.2/framework7-bundle.min.css https://unpkg.com/framework7-icons@5.0.5/css/framework7-icons.css;base-uri 'none';require-trusted-types-for 'script';trusted-types dompurify goog#html mybsmiworker mybsmidompurify default">
<meta name="google" content="notranslate">
<title>MyBSMI</title>
<link rel="manifest" href="manifest.json" />
<link rel="web-app-origin-association" href="/.well-known/web-app-origin-association">
<link rel="stylesheet" href="https://unpkg.com/framework7@7.1.2/framework7-bundle.min.css" integrity="sha512-qwJ4PsxVWATskfnOo8ucBpegGIQylOYfMjS0VjcvilbteuS+jfHYtfRUP1w5N0CAtzx4It4dhuagchNQIi8aHQ==" crossorigin="anonymous">
<link rel="stylesheet" href="https://unpkg.com/framework7-icons@5.0.5/css/framework7-icons.css" integrity="sha512-O/PPS1pSMECR87GU69PHkhG99cSyEK39K2F0kiXBGGcVb+EGejnbS8+1iGDufzbsEf3Ehe1yY3+XXET85QM8bA==" crossorigin="anonymous">
<!--------------------------Style-------------------------------------->
<style>
:root {
--f7-panel-transition-duration: 250ms;
--f7-bars-bg-color: #fff;
--f7-page-bg-color: #f2f3f8;
--f7-navbar-border-color: transparent;
--f7-navbar-shadow-image: linear-gradient(to bottom,
rgba(0,0,0,0.15) 0%,
rgba(0,0,0,0.08) 40%,
rgba(0,0,0,0.04) 50%,
rgba(0,0,0,0) 90%,
rgba(0,0,0,0) 100%
);
}
.aurora {
--f7-list-item-text-font-size: 13px;
--f7-list-item-text-line-height: 18px;
--f7-panel-collapsed-width: 44px;
}
.ios {
--f7-panel-collapsed-width: 58px;
}
.md {
--f7-panel-collapsed-width: 60px;
}
@media (min-width: 1024px) {
.panel-open[data-panel="left"] {
display: none !important;
}
}
.panel-left.dark {
--f7-list-chevron-icon-color: rgba(255,255,255,0.4);
}
.panel-left .list .icon,
.panel-left .treeview .icon {
color: #fff;
}
.panel-left .active-link {
background-color: var(--f7-theme-color);
--f7-list-link-hover-bg-color: var(--f7-theme-color-tint);
--f7-list-link-pressed-bg-color: var(--f7-theme-color-shade);
}
.dashboard-cards {
--f7-card-margin-vertical: 0px;
--f7-card-margin-horizontal: 0px;
--f7-card-box-shadow: 0px 0px 13px 0px rgba(82, 63, 105, 0.1);
}
.product-image {
width: 56px;
height: 56px;
border-radius: 4px;
}
.avatar {
width: 28px;
height: 28px;
border-radius: 50%;
}
@media (min-width: 768px) {
.card-content.scrollable {
overflow: auto;
-webkit-overflow-scrolling: touch;
height: 260px;
}
}
.timeline-item-divider {
background: var(--f7-theme-color);
}
.timeline-item-divider:after,
.timeline-item-divider:before {
width: 2px;
}
@media (min-width: 768px) {
.events-col .card {
height: 100%;
display: flex;
flex-direction: column;
}
.events-col .card-content {
flex-shrink: 10;
min-height: 0;
overflow: auto;
-webkit-overflow-scrolling: touch;
}
}
@media (max-width: 767px) {
.events-col {
height: auto !important;
}
}
.tasks-list {
--f7-list-item-title-white-space: normal;
--f7-list-item-title-font-weight: 500;
}
.aurora .tasks-list {
--f7-list-item-padding-vertical: 8px;
--f7-badge-size: 14px;
}
.tasks-list .item-media {
width: 4px;
min-width: 0 !important;
margin-right: 5px;
}
.tasks-list .category-icon {
height: 24px;
width: 4px;
border-radius: 2px;
background: var(--f7-theme-color);
}
img {
background-image: url("data:image/svg+xml;charset=UTF-8,%3csvg width='1200' height='630' viewBox='0 0 1200 630' fill='none' xmlns='http://www.w3.org/2000/svg'%3e%3crect width='1200' height='630' fill='%23DFE5EC' fill-opacity='0.5'/%3e%3cpath d='M760 175H440C428.94 175 420 183.94 420 195V435C420 446.039 428.94 455 440 455H760C771.06 455 780 446.04 780 435V195C780 183.961 771.06 175 760 175V175ZM664.999 245.003C678.799 245.003 689.999 256.203 689.999 270.003C689.999 283.803 678.799 295.002 664.999 295.002C651.199 295.002 639.999 283.803 639.999 270.003C639.999 256.203 651.199 245.003 664.999 245.003ZM479.998 395.007L546.278 242.627L621.657 364.666L686.277 332.565L719.997 395.006H479.999L479.998 395.007Z' fill='%23ACBCCD' fill-opacity='0.5'/%3e%3c/svg%3e");
background-repeat: no-repeat;
background-position: center;
background-size: cover;
}
#my-aktivasi-screen .list .item-after
{
margin-left:inherit;
}
:root {
--f7-theme-color: #f00;
--f7-theme-color-shade: #d60000;
--f7-theme-color-tint: #ff2929;
--f7-theme-color-rgb: 255, 0, 0;
}
.grecaptcha-badge {
visibility: hidden !important;
}
.beranda-icon-size {
font-size:5em !important;
}
.experiment {
display:none;
}
</style>
</head>
<body class="color-theme-red">
<div id="app">
<div class="panel panel-left panel-reveal panel-init dark" data-visible-breakpoint="1024" data-collapsed-breakpoint="1">
<div class="view">
<div class="page"><div class="page-content">
<div class="list">
<ul>
<li>
<a href="/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">square_grid_2x2_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Beranda</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list">
<ul>
<li>
<a href="/profilku/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">person_circle_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Profilku</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list mybsmi-ektamenu" style="display:none">
<ul>
<li>
<a href="/ekta/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">creditcard_fill</i>
</div>
<div class="item-inner">
<div class="item-title">e-KTA</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list">
<ul>
<li>
<a href="/aktivitas/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">person_2_square_stack_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Aktivitas</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list">
<ul>
<li>
<a href="/bukusaku/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">bookmark_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Buku Saku</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list">
<ul>
<li>
<a href="/dokumen/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">doc_circle</i>
</div>
<div class="item-inner">
<div class="item-title">Dokumen</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list">
<ul>
<li>
<a href="/social/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">bubble_left_bubble_right_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Socialita</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list">
<ul>
<li>
<a href="/lainnya/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">circle_grid_3x3_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Lainnya</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list mybsmi-adminmenu" style="display:none">
<ul>
<li>
<a href="/admin/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">chart_pie_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Admin</div>
</div>
</a>
</li>
</ul>
</div>
<!--<div class="list mybsmi-verifikatormenu" style="display:none">
<ul>
<li>
<a href="/verifikator/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">checkmark_2</i>
</div>
<div class="item-inner">
<div class="item-title">Verifikator</div>
</div>
</a>
</li>
</ul>
</div>-->
<div class="list mybsmi-mastermenu" style="display:none">
<ul>
<li>
<a href="/master/" class="item-content item-link panel-close mybsmi-menu">
<div class="item-media">
<i class="icon f7-icons">chart_pie_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Master</div>
</div>
</a>
</li>
</ul>
</div>
</div></div>
</div>
</div> <!-- panel -->
<div class="view view-main view-init">
<div class="page">
<div class="navbar">
<div class="navbar-bg"></div>
<div class="navbar-inner">
<div class="left">
<a class="link panel-open icon-only" data-panel="left">
<i class="icon f7-icons">bars</i>
</a>
</div>
<div class="title">Beranda</div>
<div class="right">
<a class="link popover-open" data-popover=".profile-popover">
<span class="margin-right-half"></span>
<img src="avatar.png" class="avatar mybsmi-avatar"><span class="badge color-blue mybsmi-avatar-badge" style="left:-8px;bottom:-5px;display:none;"><i class="icon f7-icons" style="font-size:12px;">checkmark_seal</i></span>
</a>
</div>
<div class="title-large">
<div class="title-large-text display-flex align-items-center">
<i class="icon f7-icons margin-right-half" style="font-size: 24px">square_grid_2x2_fill</i>
<span>Beranda</span>
</div>
</div>
</div>
</div> <!-- navbar -->
<div class="popover profile-popover">
<div class="popover-inner">
<h3 class="text-align-center mybsmi-currentusernama" style="padding:0px 5px;">User</h3>
<div class="list no-hairlines no-hairlines-between">
<ul>
<li>
<a href="/riwayat/" class="item-link item-content link popover-close" data-popover=".profile-popover">
<div class="item-media">
<i class="icon f7-icons">clock</i>
</div>
<div class="item-inner">
<div class="item-title">Riwayat</div>
</div>
</a>
</li>
<li>
<a href="/pesan/" class="item-link item-content link popover-close" data-popover=".profile-popover">
<div class="item-media">
<i class="icon f7-icons">envelope_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Pesan</div>
</div>
</a>
</li>
<li>
<a href="#" class="item-link item-content link popover-close mybsmi-install display-none" data-popover=".profile-popover">
<div class="item-media">
<i class="icon f7-icons">tray_arrow_down_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Install</div>
</div>
</a>
</li>
<li>
<a href="#" target="_blank" class="item-link item-content link popover-close mybsmi-bukaapp display-none" data-popover=".profile-popover">
<div class="item-media">
<i class="icon f7-icons">app</i>
</div>
<div class="item-inner">
<div class="item-title">Buka App</div>
</div>
</a>
</li>
<li>
<a href="#" target="_blank" class="item-link item-content link popover-close mybsmi-refresh" data-popover=".profile-popover">
<div class="item-media">
<i class="icon f7-icons">arrow_clockwise_circle</i>
</div>
<div class="item-inner">
<div class="item-title">Reload</div>
</div>
</a>
</li>
</ul>
</div>
<div class="list no-hairlines no-hairlines-between margin-bottom">
<ul>
<li>
<a href="#" class="item-link item-content my-logout">
<div class="item-media">
<i class="icon f7-icons">exit_fill</i>
</div>
<div class="item-inner">
<div class="item-title">Logout</div>
</div>
</a>
</li>
</ul>
</div>
</div>
</div> <!-- popover -->
<div class="toolbar toolbar-bottom">
<div class="toolbar-inner">
2023 © MyBSMI - BSMI Jawa Timur <a class="mybsmi-visits" href="#"><i class="icon f7-icons">chart_bar_square_fill</i></a>
</div>
</div>
<div class="page-content hide-toolbar-on-scroll">
<div class="dashboard-cards">
<div class="row margin-horizontal">
<div class="col-100 medium-66 margin-top" >
<div class="row">
<div class="col-100">
<a href="/event/" class="">
<div class="card">
<div class="card-content card-content-padding">
<img src="banner.jpg" width="100%"/>
</div>
</div>
</a>
</div>
<div class="col-50 margin-top beranda-toggle-statistik">
<div class="card">
<div class="card-header">Cabang</div>
<div class="card-content card-content-padding text-align-center">
<div
class="gauge gauge-init"
id="mybsmi-cabang"
data-type="circle"
data-value="0.00"
data-value-text="0"
data-label-text="Kota/Kabupaten"
data-value-text-color="#f44336"
data-border-color="#f44336"
data-border-width="30"
></div>
</div>
</div>
</div>
<div class="col-50 margin-top beranda-toggle-statistik">
<div class="card">
<div class="card-header">Relawan</div>
<div class="card-content card-content-padding text-align-center">
<div
class="gauge gauge-init"
id="mybsmi-relawan"
data-type="circle"
data-value="0.00"
data-value-text="0"
data-label-text="Orang"
data-value-text-color="#ff9800"
data-border-color="#ff9800"
data-border-width="30"
></div>
</div>
</div>
</div>
<div class="col-100 margin-top margin-bottom mybsmi-statistik beranda-data-statistik display-none">
<div class="card data-table">
<div class="card-header">Statistik</div>
<div class="card-content">
<table>
<thead>
<tr>
<th class="label-cell">BSMI Provinsi</th>
<th class="numeric-cell">Relawan</th>
</tr>
</thead>
<tbody class="mybsmi-rekapitulasiprov">
</tbody>
</table>
<table>
<thead>
<tr>
<th class="label-cell">BSMI Kota/Kabupaten</th>
<th class="numeric-cell">Relawan</th>
</tr>
</thead>
<tbody class="mybsmi-rekapitulasicabang">
</tbody>
</table>
<div class="data-table-footer">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="col-100 medium-33 margin-bottom" >
<div class="row">
<div class="col-33 medium-50 margin-top">
<a href="/profilku/" class="">
<div class="card">
<div class="card-header">Profilku</div>
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons beranda-icon-size">person_circle_fill</i>
</div>
</div>
</a>
</div>
<div class="col-33 medium-50 margin-top">
<a href="/ekta/" class="">
<div class="card">
<div class="card-header">E-KTA</div>
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons beranda-icon-size">creditcard_fill</i>
</div>
</div>
</a>
</div>
<div class="col-33 medium-50 margin-top">
<a href="/aktivitas/" class="">
<div class="card">
<div class="card-header">Aktivitas</div>
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons beranda-icon-size">person_2_square_stack_fill</i>
</div>
</div>
</a>
</div>
<div class="col-33 medium-50 margin-top">
<a href="/bukusaku/" class="">
<div class="card">
<div class="card-header">Bukusaku</div>
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons beranda-icon-size">bookmark_fill</i>
</div>
</div>
</a>
</div>
<div class="col-33 medium-50 margin-top">
<a href="/dokumen/" class="">
<div class="card">
<div class="card-header">Dokumen</div>
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons beranda-icon-size">doc_circle</i>
</div>
</div>
</a>
</div>
<div class="col-33 medium-50 margin-top">
<a href="/social/" class="">
<div class="card">
<div class="card-header">Socialita</div>
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons beranda-icon-size">bubble_left_bubble_right_fill</i>
</div>
</div>
</a>
</div>
</div>
<div class="row justify-content-center">
<div class="col-33 medium-50 margin-top">
<a href="/lainnya/" class="">
<div class="card">
<div class="card-content card-content-padding text-align-center">
<i class="icon f7-icons ">circle_grid_3x3_fill</i>
</div>
</div>
</a>
</div>
</div>
</div>
</div>
</div> <!-- dashboard-cards -->
</div> <!-- page-content -->
</div> <!-- page -->
</div> <!-- view view-main-->
<!--start login------------------------------------------------------------------------------->
<form class="login-screen" id="my-login-screen">
<div class="view">
<div class="page">
<div class="page-content login-screen-content">
<div class="login-screen-title">Login</div>
<div class="list">
<ul>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Email</div>
<div class="item-input-wrap">
<input type="email" name="email" placeholder="Alamat email" required validate>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Password</div>
<div class="item-input-wrap">
<input type="password" name="password" placeholder="Password" minlength="10" required validate>
</div>
</div>
</li>
<li class="item-content item-input">
<div style="padding:20px 20px;justify-content:center;align-items:center;display:flex;width:100%;">
<div class="g-recaptcha" data-sitekey="6LckvswpAAAAAK93msw3SHb4x4TKkwlH1bRT16LR" data-callback="grecaptcharesponselogin" data-expired-callback="grecaptchaexpired" data-size="invisible"></div>
</div>
<li>
</ul>
</div>
<div class="list">
<div class="block-footer"><a href="#" class="button button-raised button-fill login-button">Login</a><a href="#" class="item-link list-button login-screen-close" data-login-screen="#my-login-screen">Batal</a></div>
<p style="font-size:12px;color:grey;text-align:center">Lupa password akun? <a href="" class="reset-password-open">Lupa Password</a></p>
</div>
</div>
</div>
</div>
</form>
<!--start login------------------------------------------------------------------------------->
<!--start aktivasi------------------------------------------------------------------------------->
<form class="login-screen" id="my-aktivasi-screen">
<div class="view">
<div class="page">
<div class="page-content login-screen-content">
<div class="login-screen-title">Aktivasi Akun</div>
<div class="list">
<ul>
<li class="item-content item-input"><b>Akun Relawan</b>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Email *</div>
<div class="item-input-wrap">
<input type="email" name="email" placeholder="Email aktif" required validate>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Password *</div>
<div class="item-input-wrap">
<input type="password" name="password" placeholder="Password" minlength="10" required validate>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Konfirm Password *</div>
<div class="item-input-wrap">
<input type="password" name="konfirmpassword" placeholder="Konfirm Password" minlength="10" required validate>
</div>
</div>
</li>
<li class="item-content item-input"><b>Data Relawan</b>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Nama dan Gelar *</div>
<div class="item-input-wrap">
<input type="text" name="nama" placeholder="Nama dan gelar" minlength="5" maxlength="35" required validate>
</div>
</div>
</li>
<li class="item-content item-input smart-select smart-select-init" data-open-in="popover">
<div class="item-inner">
<div class="item-title item-label">Jenis Kelamin *</div>
<div class="item-after">-- Jenis Kelamin --</div>
<div class="item-input-wrap">
<select name="jeniskelamin" required validate>
<option value="" disabled selected>-- Jenis Kelamin --</option>
<option value="Laki-Laki">Laki-laki</option>
<option value="Perempuan">Perempuan</option>
</select>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Tanggal Lahir *</div>
<div class="item-input-wrap">
<input type="text" name="tanggallahir" placeholder="Tanggal Lahir" readonly="readonly" class="calendar-input" required validate>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Alamat Lengkap Domisili *</div>
<div class="item-input-wrap">
<input type="text" name="alamatdomisili" placeholder="Alamat Lengkap Domisili" required validate>
</div>
</div>
</li>
<li class="item-content item-input smart-select smart-select-init" data-open-in="popover">
<div class="item-inner">
<div class="item-title item-label">Profesi *</div>
<div class="item-after">-- Profesi --</div>
<div class="item-input-wrap">
<select name="profesi" required validate>
<option value="" disabled selected>-- Profesi --</option>
<option value="Dokter Spesialis">Dokter Spesialis</option>
<option value="Dokter Umum">Dokter Umum</option>
<option value="Dokter Gigi">Dokter Gigi</option>
<option value="Dokter Hewan">Dokter Hewan</option>
<option value="Dokter">Dokter</option>
<option value="Bidan">Bidan</option>
<option value="Perawat">Perawat</option>
<option value="Apoteker">Apoteker</option>
<option value="Psikolog">Psikolog</option>
<option value="Ahli Gizi">Ahli Gizi</option>
<option value="Fisioterapis">Fisioterapis</option>
<option value="RadioGrapher">RadioGrapher</option>
<option value="Konselor">Konselor</option>
<option value="Tenaga Kesehatan">Tenaga Kesehatan</option>
<option value="PNS">PNS</option>
<option value="BUMN">BUMN</option>
<option value="BUMD">BUMD</option>
<option value="TNI">TNI</option>
<option value="POLRI">POLRI</option>
<option value="Pekerja Sosial">Pekerja Sosial</option>
<option value="Pengusaha">Pengusaha</option>
<option value="Dosen">Dosen</option>
<option value="Guru">Guru</option>
<option value="Petani">Petani</option>
<option value="Nelayan">Nelayan</option>
<option value="Media">Media</option>
<option value="Wiraswasta">Wiraswasta</option>
<option value="Karyawan Swasta">Karyawan Swasta</option>
<option value="Rescue">Rescue</option>
<option value="Relawan">Relawan</option>
<option value="Pelajar">Pelajar</option>
<option value="Mahasiswa">Mahasiswa</option>
<option value="Buruh">Buruh</option>
<option value="Pedagang">Pedagang</option>
<option value="Wartawan">Wartawan</option>
<option value="Ibu Rumah Tangga">Ibu Rumah Tangga</option>
<option value="Freelancer">Freelancer</option>
<option value="Youtuber">Youtuber</option>
<option value="Content Creator">Content Creator</option>
<option value="Digital Marketing">Digital Marketing</option>
<option value="Programmer">Programmer</option>
<option value="IT">IT</option>
<option value="Umum">Umum</option>
</select>
</div>
</div>
</li>
<li class="item-content item-input smart-select smart-select-init" data-open-in="popover">
<div class="item-inner">
<div class="item-title item-label">Golongan Darah *</div>
<div class="item-after">-- Golongan Darah --</div>
<div class="item-input-wrap">
<select name="golongandarah" required validate>
<option value="" disabled selected>-- Golongan Darah --</option>
<option value="A">A</option>
<option value="B">B</option>
<option value="AB">AB</option>
<option value="O">O</option>
<option value="-">-</option>
</select>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">No HP/Whatsapp *</div>
<div class="item-input-wrap">
<input type="number" name="nohp" placeholder="No HP/Whatsapp" required validate>
</div>
</div>
</li>
<li class="item-content item-input smart-select smart-select-init" data-open-in="popover">
<div class="item-inner">
<div class="item-title item-label">Anggota Cabang *</div>
<div class="item-after">-- Cabang --</div>
<div class="item-input-wrap">
<select name="cabang" required validate>
<option value="" disabled selected>-- Cabang --</option>
<option value="BSMI Jawa Timur" disabled id="cabangbsmijatim">BSMI Jawa Timur</option>
<option value="" disabled>-- ZONA 1 --</option>
<option value="BSMI Kota Surabaya">BSMI Kota Surabaya</option>
<option value="BSMI Kab Sidoarjo">BSMI Kab Sidoarjo</option>
<option value="BSMI Kab Mojokerto">BSMI Kab Mojokerto</option>
<option value="BSMI Kota Mojokerto">BSMI Kota Mojokerto</option>
<option value="BSMI Kab Lamongan">BSMI Kab Lamongan</option>
<option value="BSMI Kab Gresik">BSMI Kab Gresik</option>
<option value="BSMI Kab Tuban">BSMI Kab Tuban</option>
<option value="BSMI Kab Bojonegoro">BSMI Kab Bojonegoro</option>
<option value="BSMI Kota Pasuruan">BSMI Kota Pasuruan</option>
<option value="BSMI Kab Pasuruan">BSMI Kab Pasuruan</option>
<option value="" disabled >-- ZONA 2 --</option>
<option value="BSMI Kab Bangkalan">BSMI Kab Bangkalan</option>
<option value="BSMI Kab Sampang">BSMI Kab Sampang</option>
<option value="BSMI Kab Pamekasan">BSMI Kab Pamekasan</option>
<option value="BSMI Kab Sumenep">BSMI Kab Sumenep</option>
<option value="" disabled >-- ZONA 3 --</option>
<option value="BSMI Kota Probolinggo">BSMI Kota Probolinggo</option>
<option value="BSMI Kab Probolinggo">BSMI Kab Probolinggo</option>
<option value="BSMI Kab Jember">BSMI Kab Jember</option>
<option value="BSMI Kab Lumajang">BSMI Kab Lumajang</option>
<option value="BSMI Kab Bondowoso">BSMI Kab Bondowoso</option>
<option value="BSMI Kab Situbondo">BSMI Kab Situbondo</option>
<option value="BSMI Kab Banyuwangi">BSMI Kab Banyuwangi</option>
<option value="" disabled >-- ZONA 4 --</option>
<option value="BSMI Kab Jombang">BSMI Kab Jombang</option>
<option value="BSMI Kota Malang">BSMI Kota Malang</option>
<option value="BSMI Kab Malang">BSMI Kab Malang</option>
<option value="BSMI Kota Batu">BSMI Kota Batu</option>
<option value="BSMI Kota Kediri">BSMI Kota Kediri</option>
<option value="BSMI Kab Kediri">BSMI Kab Kediri</option>
<option value="BSMI Kota Blitar">BSMI Kota Blitar</option>
<option value="BSMI Kab Blitar">BSMI Kab Blitar</option>
<option value="BSMI Kab Tulungagung">BSMI Kab Tulungagung</option>
<option value="" disabled >-- ZONA 5 --</option>
<option value="BSMI Kota Madiun">BSMI Kota Madiun</option>
<option value="BSMI Kab Madiun">BSMI Kab Madiun</option>
<option value="BSMI Kab Ngawi">BSMI Kab Ngawi</option>
<option value="BSMI Kab Magetan">BSMI Kab Magetan</option>
<option value="BSMI Kab Ponorogo">BSMI Kab Ponorogo</option>
<option value="BSMI Kab Pacitan">BSMI Kab Pacitan</option>
<option value="BSMI Kab Trenggalek">BSMI Kab Trenggalek</option>
<option value="BSMI Kab Nganjuk">BSMI Kab Nganjuk</option>
</select>
</div>
</div>
</li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-title item-label">Tahun Bergabung *</div>
<div class="item-input-wrap">
<input type="number" name="tahun" placeholder="Tahun Bergabung" required validate>
</div>
</div>
</li>
<li class="item-content item-input">
<div style="padding:20px 20px;justify-content:center;align-items:center;display:flex;width:100%;">
<p style="text-align:center; border:1px solid gray;padding:10px 10px;color:gray;">Anda tidak dapat melakukan perubahan detail setelah aktivasi. </p>
</div>
<li>
<li class="item-content item-input">
<div class="item-inner">
<div class="item-input-wrap">
<center><input type="checkbox" name="paraf" value="yes" placeholder="" required validate>Setuju dengan MyBSMI <a href="#" data-url="privacy.html" class="persetujuanaktivasi">PrivacyPolicy</a> dan <a href="#" data-url="tnc.html" class="persetujuanaktivasi">Terms&Conditions</a> </center>
</div>
</div>
</li>
<li class="item-content item-input">
<div style="padding:20px 20px;justify-content:center;align-items:center;display:flex;width:100%;">
<div id="mybsmi-grecaptchaaktivasi" class="g-recaptcha1" data-sitekey="6LckvswpAAAAAK93msw3SHb4x4TKkwlH1bRT16LR" data-callback="grecaptcharesponseaktivasi" data-expired-callback="grecaptchaexpired" data-size="invisible"></div>
</div>
<li>
</ul>
</div>
<div class="list">
<div class="block-footer"><a href="#" class="button button-raised button-fill register-button">AKTIVASI</a><a href="#" class="item-link list-button close-login-button login-screen-close" data-login-screen="#my-aktivasi-screen">Batal</a></div>
</div>
</div>
</div>
</div>
</form>
<!--end register------------------------------------------------------------------------------->
<!--start overlay------------------------------------------------------------------------------->
<div id="overlay-welcome" style="background: rgba(0, 0, 0, 0.8);position: fixed;z-index: 10000;align-items: center;justify-content: center;display: none;flex-direction:column;bottom: 0;left: 0;right: 0;top: 0; background-image: url();background-size: cover;background-position: center top;">
<div style="background:#fff;display: flex;flex-direction:column;margin: auto;align-items: center;justify-content: center;padding:20px 20px;">
<a class="link external" href="https://www.bsmijatim.org/">
<img src="https://1.bp.blogspot.com/-I9V1NyLtG68/XmJRZ_RhTJI/AAAAAAAADgI/wJiuL0Wnjvc2jyoV8AMRsIp1YvSQs1QXwCLcBGAsYHQ/s1600/Logo%2BBSMI%2B%2528vector%2529.png" style="width:100px;height:150px;object-fit: contain;background-image:none;">
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<p style="font-size:16px;font-weight:bold;text-align:center;width:300px;margin-top:15px;margin-bottom:2px;">MyBSMI</p>
<p style="font-size:14px;font-weight:normal;text-align:center;width:300px;margin-top:0px;margin-bottom:15px;">E-MEMBERSHIP</br>RELAWAN BSMI</p>
<button class="button button-fill login-screen-open" data-login-screen="#my-login-screen" style="width:100px;">LOGIN</button>
<!--<p style="font-size:12px;color:grey;tex-align:center">Belum punya akun? <a href="" class="login-screen-open" data-login-screen="#my-aktivasi-screen">Aktivasi</a></p>-->
<p style="font-size:12px;color:grey;tex-align:center">Belum punya akun? <a href="" class="mybsmi-aktivasiscreen">Aktivasi</a></p>
</div>
<div><p><a href="#" class="mybsmi-install display-none" target="_blank">Install MyBSMI App</a><a href="#" class="mybsmi-bukaapp display-none" target="_blank">Buka MyBSMI App</a></p></div>
</div>
<!--end overlay------------------------------------------------------------------------------->
</div> <!-- app -->
<div id="experiment"><style>.experiment{display:block}</style></div>
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