<td class="labelField">No Telp</td> <td><input type="text" name="noTelepon" id="noTelepon" value="" class="noTelepon" data-rule-number required /></td> </tr> <tr> <td class="labelField">No Identitas</td> <td><input type="text" name="noIdentitas" id="noIdentitas" class="noIdentitas" value="" required/></td> </tr> </table> </div> <div class="span6"> <table> <tr> <td class="labelField">Propinsi</td> <td><?php dropDownPropinsi('name="propinsi" id="propinsi" class="propinsi" '); ?> </td> </tr> <tr> <td class="labelField">Kabupaten</td> <td> <select name="kabupaten" id="kabupaten" class="kabupaten" ><option value="">...</option></select> </td> </tr> <tr> <td class="labelField">Kecamatan</td> <td> <select name="kecamatan" id="kecamatan" class="kecamatan" ><option value="">...</option></select> </td> </tr>
<td class="labelField">No Telp</td> <td><input type="text" name="noTelepon" id="noTelepon" value="" class="noTelepon" data-rule-number required /></td> </tr> <tr> <td class="labelField">No Identitas</td> <td><input type="text" name="noIdentitas" id="noIdentitas" class="noIdentitas" value="" required/></td> </tr> </table> </div> <div class="span6"> <table> <tr> <td class="labelField">Propinsi</td> <td><?php dropDownPropinsi('name="propinsi" id="propinsi" class="propinsi" required'); ?> </td> </tr> <tr> <td class="labelField">Kabupaten</td> <td> <select name="kabupaten" id="kabupaten" class="kabupaten" required><option value="">...</option></select> </td> </tr> <tr> <td class="labelField">Kecamatan</td> <td> <select name="kecamatan" id="kecamatan" class="kecamatan" required><option value="">...</option></select> </td> </tr>