246 lines
15 KiB
PHP
246 lines
15 KiB
PHP
<div class="modal fade" id="kt_modal_add_subrogasi_jamkrindo" tabindex="-1" aria-hidden="true" wire:ignore.self>
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<!--begin::Modal dialog-->
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<div class="modal-dialog modal-dialog-centered modal-fullscreen">
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<!--begin::Modal content-->
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<div class="modal-content">
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<!--begin::Modal header-->
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<div class="modal-header" id="kt_modal_add_subrogasi_jamkrindo_header">
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<!--begin::Modal title-->
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<h2 class="fw-bold">{{ $edit_mode ? "Update" : "Add" }} Subrogasi Jamkrindo</h2>
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<!--end::Modal title-->
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<!--begin::Close-->
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<div class="btn btn-icon btn-sm btn-active-icon-primary" data-bs-dismiss="modal" aria-label="Close">
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{!! getIcon('cross','fs-1') !!}
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</div>
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<!--end::Close-->
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</div>
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<!--end::Modal header-->
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<!--begin::Modal body-->
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<div class="modal-body px-5 my-7">
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<!--begin::Form-->
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<form id="kt_modal_add_subrogasi_jamkrindo_form" class="form" action="#" wire:submit.prevent="submit">
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<!--begin::Scroll-->
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<div class="d-flex flex-column px-5 px-lg-10">
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<label class="required fw-semibold fs-6 mb-2">Nomor Pinjaman</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="number" wire:model.defer="nomor_pinjaman" name="nomor_pinjaman" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Nomor Pinjaman"/>
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<!--end::Input-->
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@error('nomor_pinjaman')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="row mb-7">
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<div class="col-6">
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<label class="required fw-semibold fs-6 mb-2">Debitur</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="number" wire:change="getDebitur" wire:model.defer="kode_debitur" name="kode_debitur" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Kode Debitur"/>
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<!--end::Input-->
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@error('kode_debitur')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<div class="col-6">
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<label class="fw-semibold fs-6 mb-2"> </label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" wire:model.defer="nama_debitur" readonly name="nama_debitur" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Nama Debitur"/>
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<!--end::Input-->
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@error('nama_debitur')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="row mb-7">
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<div class="col-6">
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<label class="required fw-semibold fs-6 mb-2">Cabang</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" wire:change="getBranch" wire:model.defer="kode_cabang" name="kode_cabang" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Kode Cabang"/>
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<!--end::Input-->
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@error('kode_cabang')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<div class="col-6">
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<label class="fw-semibold fs-6 mb-2"> </label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" wire:model.defer="nama_cabang" readonly name="nama_cabang" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Nama Cabang"/>
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<!--end::Input-->
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@error('nama_cabang')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="row mb-7">
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<div class="col-6">
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<label class="required fw-semibold fs-6 mb-2">Nomor Rekening Tabungan</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="number" wire:change="getRekening" wire:model.defer="nomor_rekening" name="nomor_rekening" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Nomor Rekening"/>
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<!--end::Input-->
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@error('nomor_rekening')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<div class="col-6">
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<label class="fw-semibold fs-6 mb-2"> </label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" wire:model.defer="nama_rekening" readonly name="nama_rekening" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Nama Rekening"/>
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<!--end::Input-->
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@error('nama_rekening')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="required fw-semibold fs-6 mb-2">Plafond</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" data-inputmask="'alias': 'currency'" wire:model.defer="plafond" name="plafond" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Plafond"/>
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<!--end::Input-->
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@error('plafond')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="required fw-semibold fs-6 mb-2">Tenor</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="number" wire:model.defer="tenor" name="tenor" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Tenor"/>
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<!--end::Input-->
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@error('tenor')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="required fw-semibold fs-6 mb-2">Tanggal Pengajuan Klaim</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="date" wire:model.defer="tanggal_pengajuan_klaim" name="tanggal_pengajuan_klaim" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Tanggal Pengajuan Klaim"/>
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<!--end::Input-->
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@error('tanggal_pengajuan_klaim')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="required fw-semibold fs-6 mb-2">Piutang Subrogasi</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" data-inputmask="'alias': 'currency'" wire:model.defer="piutang_subrogasi" name="piutang_subrogasi" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Piutang Subrogasi"/>
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<!--end::Input-->
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@error('piutang_subrogasi')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="required fw-semibold fs-6 mb-2">Total Bayar Subrogasi</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" data-inputmask="'alias': 'currency'" wire:model.defer="total_bayar_subrogasi" name="total_bayar_subrogasi" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Total Bayar Subrogasi"/>
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<!--end::Input-->
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@error('total_bayar_subrogasi')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="required fw-semibold fs-6 mb-2">Sisa Piutang Subrogasi</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" data-inputmask="'alias': 'currency'" wire:model.defer="sisa_piutang_subrogasi" name="sisa_piutang_subrogasi" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Sisa Piutang Subrogasi"/>
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<!--end::Input-->
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@error('sisa_piutang_subrogasi')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<!--begin::Input group-->
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<div class="fv-row mb-7">
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<!--begin::Label-->
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<label class="fw-semibold fs-6 mb-2">Keterangan</label>
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<!--end::Label-->
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<!--begin::Input-->
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<input type="text" wire:model.defer="keterangan" name="keterangan" class="form-control form-control-solid mb-3 mb-lg-0" placeholder="Keterangan"/>
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<!--end::Input-->
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@error('keterangan')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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<!--end::Input group-->
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<div class="row mb-7">
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<div class="col-6">
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<label class="fw-semibold fs-6 mb-2">Lunas Subrogasi</label>
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<div class="form-check form-switch form-check-custom form-check-solid mb-5" style="display: block!important;">
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<input class="form-check-input h-20px w-30px me-5" type="checkbox" wire:model.defer="is_lunas_subrogasi" id="is_lunas_subrogasi" name="is_lunas_subrogasi"/>
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<label class="form-check-label" for="is_lunas_subrogasi">
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Lunas
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</label>
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@error('is_lunas_subrogasi')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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</div>
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<div class="col-6">
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<label class="fw-semibold fs-6 mb-2">Status Data</label>
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<div class="form-check form-switch form-check-custom form-check-solid" style="display: block!important;">
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<input class="form-check-input h-20px w-30px me-5" type="checkbox" wire:model.defer="status" id="status" name="status"/>
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<label class="form-check-label" for="status">
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Aktif
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</label>
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@error('status')
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<span class="text-danger">{{ $message }}</span> @enderror
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</div>
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</div>
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</div>
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</div>
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<!--end::Scroll-->
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<!--begin::Actions-->
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<div class="text-center pt-15">
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<button type="reset" class="btn btn-light me-3" data-bs-dismiss="modal" aria-label="Close" wire:loading.attr="disabled">Discard</button>
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<button type="submit" class="btn btn-primary" data-kt-subrogasi_jamkrindoes-modal-action="submit">
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<span class="indicator-label" wire:loading.remove>Submit</span>
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<span class="indicator-progress" wire:loading wire:target="submit">
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Please wait...
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<span class="spinner-border spinner-border-sm align-middle ms-2"></span>
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</span>
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</button>
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</div>
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<!--end::Actions-->
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</form>
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<!--end::Form-->
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</div>
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<!--end::Modal body-->
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</div>
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<!--end::Modal content-->
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</div>
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<!--end::Modal dialog-->
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</div>
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