<script type="text/javascript" src="<?= base_url()?>assets/js/jquery.validate.min.js"></script>
<script type="text/javascript" src="<?= base_url()?>assets/js/validasi.js"></script>
<form action="<?= $form_action?>" method="post" id="validasi" target="_blank">
	<div class="modal-body">
		<div class="row">
			<div class="col-sm-12">
				<div class="box box-danger">
					<div class="box-body">
						<div class="form-group">
							<label for="tahun">Tahun</label>
							<select class="form-control input-sm" name="tahun">
								<option value="">Semua</option>
								<?php foreach ($tahun_surat as $tahun): ?>
									<option value="<?= $tahun['tahun']?>" <?php selected($filter, $tahun['tahun']) ?>><?= $tahun['tahun']?></option>
								<?php endforeach; ?>
							</select>
						</div>
						<div class="form-group">
							<label for="pamong_ttd">Laporan Ditandatangani</label>
              <select class="form-control input-sm required" name="pamong_ttd" width="100%">
								<option value="">Pilih Staf Pemerintah <?= ucwords($this->setting->sebutan_desa)?></option>
								<?php foreach ($pamong AS $data): ?>
									<option value="<?= $data['pamong_id']?>"><?= $data['pamong_nama']?> (<?= $data['jabatan']?>)</option>
								<?php endforeach; ?>
              </select>
						</div>
						<div class="form-group">
							<label for="pamong_ketahui">Laporan Diketahui</label>
              <select class="form-control input-sm required" name="pamong_ketahui" width="100%">
								<option value="">Pilih Staf Pemerintah <?= ucwords($this->setting->sebutan_desa)?></option>
								<?php foreach ($pamong AS $data): ?>
									<option value="<?= $data['pamong_id']?>"><?= $data['pamong_nama']?> (<?= $data['jabatan']?>)</option>
								<?php endforeach; ?>
              </select>
						</div>
					</div>
				</div>
			</div>
		</div>
	</div>
	<div class="modal-footer">
		<button type="reset" class="btn btn-social btn-flat btn-danger btn-sm" data-dismiss="modal"><i class='fa fa-sign-out'></i> Tutup</button>
		<button type="submit" class="btn btn-social btn-flat btn-info btn-sm" id="ok" data-dismiss="modal" onclick="$('#validasi').submit();"><i class='fa fa-check'></i> <?= $aksi?></button>
	</div>
</form>
