<?php  if(!defined('BASEPATH')) exit('No direct script access allowed'); ?>

<div class="artikel">
<?php if($_SESSION['sukses']==1){echo "Data telah terkirim, dan akan segera kami proses";unset($_SESSION['sukses']);} ?>
<form id="validasi" action="<?php echo site_url()?>first/add_comment/775" method="POST" enctype="multipart/form-data">

Silahkan laporkan perubahan data kependudukan anda.
<table class="form">

<tr>
<th>Pengirim </th>
<td> <input class="inputbox" type="text" readonly="readonly" name="owner" value="<?php echo $_SESSION['nama']?>" size="30"/></td>
</tr>

<tr>
<th>NIK</th>
<td> <input class="inputbox" type="text" readonly="readonly" name="email" value="<?php echo $_SESSION['nik']?>" size="30"/></td>
</tr>

<tr>
<td>Laporan </td>
<td> <textarea name="komentar" rows="15" cols="80" style="width: 90%; height: 100%">
</textarea>
</td>
</tr>
<tr>
<td colspan="2"><input type="submit" value="Kirim"> </td>
</tr>

</table>
</form>
</div>
