<div class="modal-body"> <form action="#" id="form-input" class="form-horizontal" method="POST"> <input type="hidden" id="apa" name="apa" value=""> <input type="hidden" id="aksi" name="aksi" value="<?php echo e_url('./pin/pin_aux.php'); ?> "> <div class="form-group"> <label for="inputNama" class="col-sm-3 control-label">Supervisor </label> <div class="col-sm-9"> <select name="id_karyawan" id="id_karyawan" class="form-control" required="required" placeholder="Pilih karyawan"> <?php if ($list = $data->daftar_spv()) { while ($rs = $list->fetch_assoc()) { echo "<option value='" . $rs['id'] . "'>" . stripslashes($rs['nama'] . " - " . $rs['nm_area']) . "</option>"; } } ?> </select> </div> </div> <br> <div class="form-group"> <label for="inputNama" class="col-sm-3 control-label">Pin </label> <div class="col-sm-9"> <input type="text" name="pin" id="pin" class="form-control input-min" placeholder="pin">