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Server:

LiteSpeed

System:

Linux 5.14.0-611.26.1.el9_7.x86_64

PHP Version:

8.4.15

User:

u892747680

Directory:

/home/u892747680/domains/sisteminformasic.com/public_html/kuamontong

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✏️ Editing: konsultasi.php

<!DOCTYPE html>
<html lang="id">
<head>
  <meta charset="UTF-8" />
  <meta name="viewport" content="width=device-width, initial-scale=1" />
  <title>Form Daftar Konsultasi</title>
  <link href="https://cdn.jsdelivr.net/npm/tailwindcss@2.2.19/dist/tailwind.min.css" rel="stylesheet" />
  
  <style>
    body {
      background: linear-gradient(135deg, #e0f2fe, #ffffff);
      font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
    }

form {
      background-color: #f9fafb; /* putih lembut */
      box-shadow: 0 8px 24px rgba(59, 130, 246, 0.15); /* bayangan biru lembut */
      border-radius: 12px;
      padding: 2rem;
      max-width: 480px;
      margin: 3rem auto;
    }

label {
      font-weight: 600;
      color: #1e3a8a; /* biru tua */
    }

input[type="text"],
    input[type="email"],
    input[type="date"],
    input[type="time"],
    select,
    textarea {
      border: 1.5px solid #3b82f6; /* border biru */
      border-radius: 8px;
      padding: 0.5rem 0.75rem;
      font-size: 1rem;
      transition: border-color 0.3s ease;
      width: 100%;
    }

input[type="text"]:focus,
    input[type="email"]:focus,
    input[type="date"]:focus,
    input[type="time"]:focus,
    select:focus,
    textarea:focus {
      border-color: #2563eb; /* biru medium saat fokus */
      outline: none;
      box-shadow: 0 0 8px rgba(37, 99, 235, 0.4);
    }

button {
      font-weight: 700;
      border-radius: 10px;
      padding: 0.6rem 1.5rem;
      cursor: pointer;
      transition: background-color 0.3s ease, transform 0.2s ease;
    }

button:hover {
      transform: translateY(-2px);
    }

button[type="submit"] {
      background-color: #2563eb; /* biru */
      color: white;
      width: 100%;
      margin-top: 1rem;
    }

button[type="submit"]:hover {
      background-color: #1e40af; /* biru gelap */
    }

button[type="button"] {
      background-color: #9ca3af; /* abu */
      color: white;
      width: 100%;
      margin-top: 0.5rem;
    }

button[type="button"]:hover {
      background-color: #6b7280; /* abu gelap */
    }

/* Label dengan margin bawah */
    label {
      display: block;
      margin-bottom: 0.3rem;
    }

</style>
</head>
<body>

<form action="proses_konsultasi.php" method="post" enctype="multipart/form-data" novalidate>
    <h1 class="text-center text-2xl font-bold mb-6 text-blue-700">Form Daftar Konsultasi</h1>

<label for="nama_lengkap">Nama Lengkap *</label>
    <input type="text" id="nama_lengkap" name="nama_lengkap" placeholder="Nama lengkap Anda" required />

<label for="email_kontak">Email Kontak *</label>
    <input type="email" id="email_kontak" name="email_kontak" placeholder="Email valid" required />

<label for="tanggal_konsultasi">Tanggal Konsultasi yang Diinginkan *</label>
    <input type="date" id="tanggal_konsultasi" name="tanggal_konsultasi" required />

<label for="jam_konsultasi">Jam Konsultasi</label>
    <input type="time" id="jam_konsultasi" name="jam_konsultasi" />

<label for="tempat_konsultasi">Tempat Konsultasi *</label>
    <select id="tempat_konsultasi" name="tempat_konsultasi" required>
      <option value="" disabled selected>-- Pilih Tempat --</option>
      <option value="Kantor KUA">Kantor KUA</option>
      <option value="Online">Online (Zoom/Google Meet)</option>
      <option value="Rumah">Rumah</option>
      <option value="Lainnya">Lainnya</option>
    </select>

<label for="topik_konsultasi">Topik Konsultasi *</label>
    <textarea id="topik_konsultasi" name="topik_konsultasi" rows="4" placeholder="Jelaskan topik atau pertanyaan Anda..." required></textarea>

<button type="submit">Kirim Permohonan</button>
    <button type="button" onclick="window.location.href='dashboard.php'">Batal</button>
  </form>

</body>
</html>

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