<div class="form-group konfirmasi">
	<label for="keperluan"  class="col-sm-3 control-label">Tempat  / Tanggal Lahir / Umur</label>
	<div class="col-sm-4">
		<input class="form-control input-sm" type="text" value="<?= strtoupper($individu['tempatlahir']); ?> " disabled="">
	</div>
	<div class="col-sm-2">
  	<input class="form-control input-sm" type="text" value="<?= strtoupper(tgl_indo($individu['tanggallahir'])); ?> " disabled="">
	</div>
	<div class="col-sm-2">
		<input class="form-control input-sm" type="text" value="<?= strtoupper($individu['umur']); ?> TAHUN" disabled="">
	</div>
</div>
<div class="form-group konfirmasi">
	<label for="keperluan"  class="col-sm-3 control-label">Alamat</label>
	<div class="col-sm-8">
		<input class="form-control input-sm" type="text" value="<?= strtoupper($individu['alamat_wilayah']); ?>" disabled="">
	</div>
</div>
<div class="form-group konfirmasi">
	<label for="keperluan"  class="col-sm-3 control-label">Pendidikan / Warga Negara /Agama</label>
	<div class="col-sm-4">
		<input class="form-control input-sm" type="text" value="<?= strtoupper($individu['pendidikan']); ?>" disabled="">
	</div>
	<div class="col-sm-2">
		<input class="form-control input-sm" type="text" value="<?= strtoupper($individu['warganegara']); ?>" disabled="">
	</div>
	<div class="col-sm-2">
		<input class="form-control input-sm" type="text" value=" <?= strtoupper($individu['agama']); ?>" disabled="">
	</div>
</div>
<div class="form-group konfirmasi tdk-permohonan tdk-periksa">
	<label for="persyaratan"  class="col-sm-3 control-label">Dokumen Kelengkapan / Syarat</label>
	<div class="col-sm-8">
		<a href="<?= site_url("penduduk/dokumen_list/{$individu['id']}")?>" class="<?= empty($individu['id']) ? 'disabled' : '' ?> btn btn-social btn-flat btn-success btn-sm btn-sm visible-xs-block visible-sm-inline-block visible-md-inline-block visible-lg-inline-block" data-remote="false" data-toggle="modal" data-target="#modalBox" data-title="Daftar Dokumen">
			<i class='fa fa-book'></i> Daftar Dokumen
		</a>
		<a href="<?= site_url("penduduk/dokumen/{$individu['id']}")?>" class="<?= empty($individu['id']) ? 'disabled' : '' ?> btn btn-social btn-flat btn-primary btn-sm btn-sm visible-xs-block visible-sm-inline-block visible-md-inline-block visible-lg-inline-block" target="_blank">
			<i class="fa fa-gears"></i> Manajemen Dokumen
		</a>
	</div>
</div>