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        <h1 class=" text-center my-5">FORMULIR PENDAFTARAN UTUSAN</h1>
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                                                <div class="alert alert-light" role="alert">Silahkan input Propinsi Anda</div>
                        <select name="id_province" id="id_province" class="selectpicker" data-live-search="true" required>
                            <option value="">- Propinsi -</option>
                            <option value="1">Bali</option><option value="2">Bangka Belitung</option><option value="3">Banten</option><option value="4">Bengkulu</option><option value="5">Gorontalo</option><option value="6">DKI Jakarta</option><option value="7">Jambi</option><option value="8">Jawa Barat</option><option value="9">Jawa Tengah</option><option value="10">Jawa Timur</option><option value="11">Kalimantan Barat</option><option value="12">Kalimantan Selatan</option><option value="13">Kalimantan Tengah</option><option value="14">Kalimantan Timur</option><option value="15">Kalimantan Utara</option><option value="16">Kepulauan Riau</option><option value="17">Lampung</option><option value="18">Maluku</option><option value="19">Maluku Utara</option><option value="20">Nangroe Bali Darussalam</option><option value="21">Nusa Tenggara Barat</option><option value="22">Nusa Tenggara Timur</option><option value="23">Riau</option><option value="24">Sulawesi Barat</option><option value="25">Sulawesi Selatan</option><option value="26">Sulawesi Tengah</option><option value="27">Sulawesi Tenggara</option><option value="28">Sulawesi Utara</option><option value="29">Sumatera Barat</option><option value="30">Sumatera Selatan</option><option value="31">Sumatera Utara</option><option value="32">Yogyakarta</option><option value="33">Papua</option><option value="34">Papua Barat</option><option value="35">Papua Selatan</option><option value="36">Papua Tengah</option><option value="37">Papua Pegunungan</option>                        </select>
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