function f_verifikasipmb_form(id_module, ds, titlex) {
	
	var ds_prodiall = store_prodiall();
	var ds_klsmhs = new Ext.data.JsonStore({
		proxy: new Ext.data.HttpProxy({
			url: BASE_URL + 'pendaftaran/c_verifikasipmb/get_klsmhs_bayar',
			method: 'POST'
		}),
		totalProperty: 'results',
		root: 'data',
                autoLoad: false,
		fields: [{
			name: 'idklsmhs',
			mapping: 'idklsmhs'
		},{
			name: 'nmklsmhs',
			mapping: 'nmklsmhs'
		}]
	});
	var ds_pekerjaanortu = store_pekerjaanortu();
	var ds_pekerjaanmhs = store_pekerjaanmhs();
	var ds_jenpdkpendaftar = store_jenpdkpendaftar();
	var ds_stakreditasi = store_stakreditasi();
	var ds_sbrinfo = store_sbrinfo();
	var ds_rekpmb = store_rekpmb();
	var ds_alasanpendaftar = store_alasanpendaftar();
	var ds_stmskmhs_pmb = store_stmskmhs_pmb();
	var ds_tahun = store_tahun();
	
	var form_bp_general = new Ext.form.FormPanel({
		//title: "Pendaftaran Mahasiswa Baru",
		border: false,
		id: 'form_bp_general',
		//renderTo: 'div_pmbform',
		//frame:true,
        labelAlign: 'left',
		buttonAlign: 'left',
		bodyStyle: 'padding:10px 3px 3px 5px',
		// atas, kanan, bawah, kiri
		//monitorValid: true,
		//height: 1850,
		autoHeight:true,
		width: 600,
		autoScroll: true,
		layout: 'form',
		reader: new Ext.data.JsonReader({
			root: 'data',
			totalProperty: 'results',
			id: 'id',
			fields: [{
				name: "nopmb",
				mapping: "nopmb"
			},
			{
				name: "nokuitansipmb",
				mapping: "nokuitansipmb"
			},
			{
				name: "namapendaftar",
				mapping: "namapendaftar"
			},
			{
				name: "idjadwalpmb",
				mapping: "idjadwalpmb"
			},
			{
				name: "kdprodi1",
				mapping: "kdprodi1"
			},
			{
				name: "idstmskmhs",
				mapping: "idstmskmhs"
			},
			{
				name: "nmstmskmhs",
				mapping: "nmstmskmhs"
			},
			{
				name: "idklsmhs1",
				mapping: "idklsmhs1"
			},
			{
				name: "kdprodi2",
				mapping: "kdprodi2"
			},
			{
				name: "idklsmhs2",
				mapping: "idklsmhs2"
			},
			{
				name: "idpilihprodi",
				mapping: "idpilihprodi"
			},
			
			//==============
			{
				name: "noktp",
				mapping: "noktp"
			},
			{
				name: "nama",
				mapping: "nama"
			},
			{
				name: "kdjk",
				mapping: "kdjk"
			},
			{
				name: "tptlahir",
				mapping: "tptlahir"
			},
			{
				name: "tgllahir",
				mapping: "tgllahir"
			},
			{
				name: "alamatasal",
				mapping: "alamatasal"
			},
			{
				name: "kelurahanasal",
				mapping: "kelurahanasal"
			},
			{
				name: "kecamatanasal",
				mapping: "kecamatanasal"
			},
			{
				name: "kdkotkabasal",
				mapping: "kdkotkabasal"
			},
			{
				name: "nmkotkabtampil",
				mapping: "nmkotkabtampil"
			},
			{
				name: "nmpropinsitampil",
				mapping: "nmpropinsitampil"
			},
			{
				name: "alamatsurat",
				mapping: "alamatsurat"
			},
			{
				name: "kdpossurat",
				mapping: "kdpossurat"
			},
			{
				name: "notelp",
				mapping: "notelp"
			},
			//==============
			{
				name: "nmslta",
				mapping: "nmslta"
			},
			{
				name: "kdkotkabslta",
				mapping: "kdkotkabslta"
			},
			{
				name: "nmkotkabsltatampil",
				mapping: "nmkotkabsltatampil"
			},
			{
				name: "nmpropinsisltatampil",
				mapping: "nmpropinsisltatampil"
			},
			{
				name: "thnlulusslta",
				mapping: "thnlulusslta"
			},
			{
				name: "nemslta",
				mapping: "nemslta"
			},
			{
				name: "rangkingslta",
				mapping: "rangkingslta"
			},
			{
				name: "noijazahslta",
				mapping: "noijazahslta"
			},
			{
				name: "tglijazahslta",
				mapping: "tglijazahslta"
			},
			//==============
			{
				name: "nmortu",
				mapping: "nmortu"
			},
			{
				name: "idpekerjaanortu",
				mapping: "idpekerjaanortu"
			},
			{
				name: "alamatortu",
				mapping: "alamatortu"
			},
			{
				name: "nmortuayah",
				mapping: "nmortuayah"
			},
			{
				name: "idpekerjaanortuayah",
				mapping: "idpekerjaanortuayah"
			},
			{
				name: "alamatortuayah",
				mapping: "alamatortuayah"
			},
			//==============
			{
				name: "nmtptbekerjamhs",
				mapping: "nmtptbekerjamhs"
			},
			{
				name: "idpekerjaanmhs",
				mapping: "idpekerjaanmhs"
			},
			{
				name: "alamatkerjamhs",
				mapping: "alamatkerjamhs"
			},
			//==============
			{
				name: "kdptasal",
				mapping: "kdptasal"
			},
			{
				name: "nmptasal",
				mapping: "nmptasal"
			},
			{
				name: "kdkotkabptasal",
				mapping: "kdkotkabptasal"
			},
			{
				name: "nmkotkabpttampil",
				mapping: "nmkotkabpttampil"
			},
			{
				name: "nmpropinsipttampil",
				mapping: "nmpropinsipttampil"
			},
			{
				name: "fakultasasal",
				mapping: "fakultasasal"
			},
			{
				name: "kdprodiasal",
				mapping: "kdprodiasal"
			},
			{
				name: "nmprodiasal",
				mapping: "nmprodiasal"
			},
			{
				name: "idjenpdkpendaftar",
				mapping: "idjenpdkpendaftar"
			},
			{
				name: "nimasal",
				mapping: "nimasal"
			},
			{
				name: "idstakreditasi",
				mapping: "idstakreditasi"
			},
			//==============
			{
				name: "idsbrinfo",
				mapping: "idsbrinfo"
			},
			{
				name: "idrekpmb",
				mapping: "idrekpmb"
			},
			{
				name: "nmrekomendasi",
				mapping: "nmrekomendasi"
			},
			{
				name: "idalasanpendaftar",
				mapping: "idalasanpendaftar"
			},
			{
				name: "ketlainnya",
				mapping: "ketlainnya"
			},
			{
				name: "sumbangansukarela",
				mapping: "sumbangansukarela"
			},
			{
				name: "idjnskls",
				mapping: "idjnskls"
			}
			]
		}),
		items: [{
			xtype: 'fieldset',
			title: 'Pendaftaran',
			//height: 170,
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [
                
                {
					xtype: 'textfield',
					fieldLabel: 'No Kuitansi PMB',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nokuitansipmb',
					readOnly: true,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'No PMB',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nopmb',
					readOnly: true,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Nama Pendaftar',
					labelStyle: 'text-align: right;width:160px;',
					id: 'namapendaftar',
					readOnly: true,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Jadwal PMB',
					labelStyle: 'text-align: right;width:160px;',
					id: 'idjadwalpmb',
					readOnly: true,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: '',
					labelStyle: 'text-align: right;width:160px;',
					id: 'idstmskmhs',
					hidden: true,
					width: 380,
					validator:function(value){
						if(value != '2'){
							
							Ext.getCmp('nmslta').allowBlank = false;
							Ext.getCmp('kdkotkabslta').allowBlank = false;
							Ext.getCmp('nmkotkabsltatampil').allowBlank = false;
							Ext.getCmp('thnlulusslta').allowBlank = false;
							Ext.getCmp('nemslta').allowBlank = false;
							//Ext.getCmp('rangkingslta').allowBlank = false; temporary
							//Ext.getCmp('noijazahslta').allowBlank = false; temporary
							Ext.getCmp('tglijazahslta').allowBlank = false;
							Ext.getCmp('fs_pendidikan_slta').show();
							Ext.getCmp('fs_pendidikan_pt').hide();
						} else {
							
							Ext.getCmp('nmslta').allowBlank = true;
							Ext.getCmp('kdkotkabslta').allowBlank = true;
							Ext.getCmp('nmkotkabsltatampil').allowBlank = true;
							Ext.getCmp('thnlulusslta').allowBlank = true;
							Ext.getCmp('nemslta').allowBlank = true;
							//Ext.getCmp('rangkingslta').allowBlank = true; temporary
							//Ext.getCmp('noijazahslta').allowBlank = true; temporary
							Ext.getCmp('tglijazahslta').allowBlank = true;
							
							Ext.getCmp('fs_pendidikan_slta').hide();
							Ext.getCmp('fs_pendidikan_pt').show();
						}
					}
				},
				/* {
					xtype: 'textfield',
					fieldLabel: 'Status Pendaftar',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nmstmskmhs',
					readOnly: true,
					width: 380
				} */
				{
                                                                        xtype: 'combo',
                                                                        fieldLabel: 'Status Pendaftar',
                                                                        store: ds_stmskmhs_pmb,
                                                                        triggerAction: 'all',
                                                                        editable: false,
                                                                        valueField: 'idstmskmhs',
                                                                        displayField: 'nmstmskmhs',
                                                                        forceSelection: true,
                                                                        submitValue: true,
                                                                        hiddenName: 'h_idstmskmhs',
                                                                        allowBlank: false,
                                                                        typeAhead: true,
                                                                        mode: 'local',
                                                                        emptyText: 'Pilih...',
                                                                        selectOnFocus: true,
                                                                        id: 'idstmskmhs',
									name: 'idstmskmhs',
									labelStyle: 'text-align: right;width:160px;',
									anchor: '50%',
									listeners: {
									select: function()
										{
											setbarupindah();
										}
								}
								},
				
				]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Program Studi (<em>diisi Lengkap</em>)',
			//height: 400,
			width: 575,
			items: [{
					xtype: 'compositefield',
					border: false,
					id: 'cmp1',
					name: 'cmp1',
					fieldLabel: 'Pilihan 1**',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					items: [{
						xtype: 'combo',
						store: ds_prodiall,
						name: 'kdprodi1',
						id: 'kdprodi1',
						triggerAction: 'all',
						editable: false,
						valueField: 'kdprodi',
						displayField: 'nmprodi',
						forceSelection: true,
						submitValue: true,
						hiddenName: 'h_kdprodi1',
						allowBlank: false,
						typeAhead: true,
						mode: 'local',
						emptyText: 'Pilih...',
						selectOnFocus: true,
						listeners: {
							select: function()
								{
									Ext.Ajax.request({
                                    url: BASE_URL + 'pendaftaran/c_verifikasipmb/getklsprodi',
                                    method: 'POST',
									params: {
                                            prodi: Ext.getCmp("kdprodi1").getValue()
									},
                                    
                                    success: function(response) {
                                            //Ext.getCmp("idklsmhs1").setValue(response.responseText);
                                            
                                    }
									});
								}
						}
					},
					{
						xtype: 'combo',
						store: ds_klsmhs,
						name: 'idklsmhs1',
						id: 'idklsmhs1',
						triggerAction: 'all',
						editable: false,
						valueField: 'idklsmhs',
						displayField: 'nmklsmhs',
						forceSelection: true,
						submitValue: true,
						hiddenName: 'h_kdklsmhs1',
						allowBlank: false,
						typeAhead: true,
						mode: 'local',
						emptyText: 'Pilih...',
						selectOnFocus: true,
						listeners: {
							
						}
					}]
				},
				{
					xtype: 'compositefield',
					border: false,
					id: 'cmp2',
					name: 'cmp2',
					fieldLabel: 'Pilihan 2',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					items: [{
						xtype: 'combo',
						// labelStyle: 'text-align: right;width:160px;',
						store: ds_prodiall,
						name: 'kdprodi2',
						id: 'kdprodi2',
						triggerAction: 'all',
						editable: false,
						valueField: 'kdprodi',
						displayField: 'nmprodi',
						forceSelection: true,
						submitValue: true,
						hiddenName: 'h_kdprodi2',
						allowBlank: true,
						listeners: {
							select: function()
								{
									Ext.Ajax.request({
                                    url: BASE_URL + 'pendaftaran/c_verifikasipmb/getklsprodi',
                                    method: 'POST',
									params: {
                                            prodi: Ext.getCmp("kdprodi2").getValue()
									},
                                    
                                    success: function(response) {
                                            //Ext.getCmp("idklsmhs2").setValue(response.responseText);
                                            
                                    }
									});
								}
						},
						typeAhead: true,
						mode: 'local',
						emptyText: 'Pilih...',
						selectOnFocus: true
					},
					{
						xtype: 'combo',
						store: ds_klsmhs,
						name: 'idklsmhs2',
						id: 'idklsmhs2',
						triggerAction: 'all',
						editable: false,
						valueField: 'idklsmhs',
						displayField: 'nmklsmhs',
						forceSelection: true,
						submitValue: true,
						hiddenName: 'h_kdklsmhs2',
						allowBlank: true,
						typeAhead: true,
						mode: 'local',
						emptyText: 'Pilih...',
						selectOnFocus: true,
						listeners: {
							
						}
					}]
				},
				{
					xtype: 'textfield',
					fieldLabel: '',
					labelStyle: 'text-align: right;width:160px;',
					id: 'idpilihprodi',
					hidden: true,
					readOnly: true,
					width: 380,
					validator:function(value){
						
						if (value.trim() == "1") {
							Ext.getCmp('cmp2').hide();
						} else if (value.trim() == "2") {
							Ext.getCmp('cmp2').show();
						} else if (value.trim() == "3") {
							Ext.getCmp('cmp2').hide();
							/* Ext.getCmp('cmp1').show();
							Ext.getCmp('cmp2').show();
							
							Ext.getCmp('kdprodi1').allowBlank = false;
							Ext.getCmp('idklsmhs1').allowBlank = false;
							Ext.getCmp('kdprodi2').allowBlank = false;
							Ext.getCmp('idklsmhs2').allowBlank = false; */
						} 
					}
				}]
		},
		{
			xtype: 'fieldset',
			title: 'Data Pribadi (<em>diisi Lengkap</em>)',
			//height: 400,
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [{
					xtype: 'textfield',
					fieldLabel: 'No KTP/Paspor',
					labelStyle: 'text-align: right;width:160px;',
					id: 'noktp',
					allowBlank: false,
					width: 380
				},
				{
					xtype: 'textfield',
					labelStyle: 'text-align: right;width:160px;',
					fieldLabel: 'Nama',
					id: 'nama',
					width: 380,
					allowBlank: false,
					//disabled: true,
					listeners: {}
				},
				{
					xtype: 'combo',
					store: [
						['L', 'Laki-laki'],
						['P', 'Perempuan']
					],
					fieldLabel: 'Jenis Kelamin',
					labelStyle: 'text-align: right;width:160px;',
					allowBlank: false,
					// width: 200,
					name: 'kdjk',
					id: 'kdjk',
					triggerAction: 'all',
					editable: false,
					valueField: 'kdjk',
					displayField: 'kdjk',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_jk',
					listeners: {},
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Tempat Lahir',
					labelStyle: 'text-align: right;width:160px;',
					id: 'tptlahir',
					allowBlank: false,
					width: 380
				},{
					xtype: 'container', labelStyle: 'text-align: right;width:160px;',
					fieldLabel: 'Tanggal Lahir',
					layout: 'hbox',
					items: [{
						xtype: 'datefield',
						fieldLabel: 'Tanggal Lahir',
						labelStyle: 'text-align: right;width:160px;',
						allowBlank: false,
						id: 'tgllahir'
					},{
						xtype: 'label', margins: '0 0 0 5',
						text: '(Format: mm/dd/yyyy)'
					}]
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Alamat Asal',
					labelStyle: 'text-align: right;width:160px;',
					id: 'alamatasal',
					allowBlank: false,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Kelurahan Asal',
					labelStyle: 'text-align: right;width:160px;',
					id: 'kelurahanasal',
					allowBlank: false,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Kecamatan Asal',
					labelStyle: 'text-align: right;width:160px;',
					id: 'kecamatanasal',
					allowBlank: false,
					width: 380
				},
				{
					xtype: 'compositefield',
					name: 'comp_kota',
					fieldLabel: 'Kota/Kabupaten',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					id: 'comp_kota',
					items: [{
						xtype: 'textfield',
						id: 'kdkotkabasal',
						name: 'kdkotkabasal',
						allowBlank: false,
						hidden: true,
						width: 100,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'textfield',
						id: 'nmkotkabtampil',
						name: 'nmkotkabtampil',
						allowBlank: false,
						readOnly: true,
						width: 355,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'button',
						//text: ' ... ',
						iconCls: 'silk-find',
						id: 'btn_data_kota',
						width: 3,
						handler: function() {
							find_x("Data Kota/Kabupaten", 4);
						}
					}]
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Propinsi',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nmpropinsitampil',
					allowBlank: false,
					disabled: true,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Alamat Surat',
					labelStyle: 'text-align: right;width:160px;',
					allowBlank: false,
					id: 'alamatsurat',
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Kodepos',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false, temporary
					id: 'kdpossurat',
					width: 100
				},
				{
					xtype: 'textfield',
					fieldLabel: 'No. Telepon / HP',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false, temporary
					id: 'notelp',
					width: 380
				}]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Data Kelulusan SLTA (<em>diisi Lengkap</em>)',
			id: 'fs_pendidikan_slta',
			name: 'fs_pendidikan_slta',
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [{
					xtype: 'textfield',
					fieldLabel: 'Nama Sekolah',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nmslta',
					width: 380,
					listeners: {}
				},
				{
					xtype: 'compositefield',
					name: 'comp_kota_slta',
					fieldLabel: 'Kota/Kabupaten',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					id: 'comp_kota_slta',
					items: [{
						xtype: 'textfield',
						id: 'kdkotkabslta',
						name: 'kdkotkabslta',
						hidden: true,
						width: 100,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'textfield',
						id: 'nmkotkabsltatampil',
						name: 'nmkotkabsltatampil',
						width: 355,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'button',
						//text: ' ... ',
						iconCls: 'silk-find',
						id: 'btn_data_kota_slta',
						width: 3,
						handler: function() {
							find_x("Data Kota/Kabupaten SLTA", 4);
						}
					}]
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Propinsi',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nmpropinsisltatampil',
					disabled: true,
					width: 380
				},
				{
					xtype: 'combo',
					store: ds_tahun,
					fieldLabel: 'Tahun Lulus',
					labelStyle: 'text-align: right;width:160px;',
					width: 100,
					name: 'thnlulusslta',
					id: 'thnlulusslta',
					triggerAction: 'all',
					editable: false,
					valueField: 'tahun',
					displayField: 'tahun',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_thnlulus',
					listeners: {},
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'NEM',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nemslta',
					width: 100
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Rangking',
					labelStyle: 'text-align: right;width:160px;',
					id: 'rangkingslta',
					width: 100
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Nomor Ijazah',
					labelStyle: 'text-align: right;width:160px;',
					id: 'noijazahslta',
					width: 380
				},
				{
					xtype: 'datefield',
					fieldLabel: 'Tanggal Ijazah',
					labelStyle: 'text-align: right;width:160px;',
					id: 'tglijazahslta',
					width: 380
				}]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Data Orang Tua/Wali',
			//height: 400,
			hidden: false,
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [{
					xtype: 'textfield',
					fieldLabel: 'Nama Ibu',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					id: 'nmortu',
					width: 380
				},
				{
					xtype: 'combo',
					store: ds_pekerjaanortu,
					fieldLabel: 'Pekerjaan Ibu',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					width: 250,
					name: 'idpekerjaanortu',
					id: 'idpekerjaanortu',
					triggerAction: 'all',
					editable: false,
					valueField: 'idpekerjaanortu',
					displayField: 'nmpekerjaanortu',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_pekerjaanortu',
					listeners: {},
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Alamat Ibu',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					id: 'alamatortu',
					width: 380
				},{
					xtype:'panel', height:10
				},{
					xtype: 'textfield',
					fieldLabel: 'Nama Ayah',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					id: 'nmortuayah',
					width: 380
				},
				{
					xtype: 'combo',
					store: ds_pekerjaanortu,
					fieldLabel: 'Pekerjaan Ayah',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					width: 250,
					name: 'idpekerjaanortuayah',
					id: 'idpekerjaanortuayah',
					triggerAction: 'all',
					editable: false,
					valueField: 'idpekerjaanortu',
					displayField: 'nmpekerjaanortu',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_pekerjaanortuayah',
					listeners: {},
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Alamat Ayah',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					id: 'alamatortuayah',
					width: 380
				} ]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Data Pekerjaan Mahasiswa(<em> diisi oleh Pendaftar dengan status Karyawan/Pegawai</em>)',
			height: 125,
			hidden: false,
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [{
					xtype: 'textfield',
					fieldLabel: 'Nama Instansi',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					id: 'nmtptbekerjamhs',
					width: 380
				},
				{
					xtype: 'combo',
					store: ds_pekerjaanmhs,
					fieldLabel: 'Pekerjaan',
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					width: 250,
					name: 'idpekerjaanmhs',
					id: 'idpekerjaanmhs',
					triggerAction: 'all',
					editable: false,
					valueField: 'idpekerjaanmhs',
					displayField: 'nmpekerjaanmhs',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_pekerjaanmhs',
					listeners: {},
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Alamat',
					//allowBlank: false,
					labelStyle: 'text-align: right;width:160px;',
					id: 'alamatkerjamhs',
					width: 380
				}, ]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Data Pendidikan Tinggi Yang Pernah Ditempuh (<em> diisi oleh Pendaftar dengan status Pindahan/Melanjutkan</em>)',
			id: 'fs_pendidikan_pt',
			name: 'fs_pendidikan_pt',
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [{
					xtype: 'compositefield',
					name: 'comp_PT_asal',
					fieldLabel: 'Nama Perguruan Tinggi Asal',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					id: 'comp_PT_asal',
					items: [{
						xtype: 'textfield',
						id: 'kdptasal',
						name: 'kdptasal',
						// hidden:true,
						//allowBlank: true,
                                                readOnly:true,
						width: 125,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'textfield',
						id: 'nmptasal',
						name: 'nmptasal',
						//allowBlank: true,
						//allowblankx,
						width: 230,
						emptyText: 'Pilih...',
						listeners: {
							change: function(){ // validator: function(value){
								Ext.getCmp('kdptasal').setValue('999999'); // }
							}
						}
					},
					{
						xtype: 'button',
						//text: ' ... ',
						iconCls: 'silk-find',
						id: 'btn_data_PT_asal',
						width: 3,
						handler: function() {
							find_x("Data Perguruan Tinggi", 5);
						}
					}]
				},
				{
					xtype: 'compositefield',
					name: 'comp_kota_pt',
					fieldLabel: 'Kota/Kabupaten',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					id: 'comp_kota_pt',
					items: [{
						xtype: 'textfield',
						id: 'kdkotkabptasal',
						name: 'kdkotkabptasal',
						hidden: true,
						width: 100,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'textfield',
						id: 'nmkotkabpttampil',
						name: 'nmkotkabpttampil',
						width: 360,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'button',
						//text: ' ... ',
						iconCls: 'silk-find',
						id: 'btn_data_kota_pt',
						width: 3,
						handler: function() {
							find_x("Data Kota/Kabupaten Perguruan Tinggi", 4);
						}
					}]
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Propinsi',
					labelStyle: 'text-align: right;width:160px;',
					id: 'nmpropinsipttampil',
					//allowBlank: true,
					//allowblankx,
					disabled: true,
					width: 380
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Fakultas',
					//allowBlank: true,
					//allowblankx,
					labelStyle: 'text-align: right;width:160px;',
					id: 'fakultasasal',
					width: 380
				},
				{
					xtype: 'compositefield',
					name: 'comp_prodi',
					fieldLabel: 'Program Studi/Jurusan',
					labelStyle: 'text-align: right;width:160px;',
					width: 390,
					id: 'comp_prodi',
					items: [{
						xtype: 'textfield',
						id: 'kdprodiasal',
						name: 'kdprodiasal',
						//hidden:true,
						allowBlank: true,
						//allowblankx,
						readOnly: true,
						width: 125,
						emptyText: 'Pilih...',
						listeners: {}
					},
					{
						xtype: 'textfield',
						id: 'nmprodiasal',
						name: 'nmprodiasal',
						//readOnly: true,
						allowBlank: true,
						// allowblankx,
						width: 230,
						emptyText: 'Pilih...',
						listeners: {
                                                    change: function(){ // validator: function(value){
                                                    Ext.getCmp('kdprodiasal').setValue('999999'); // }
                                                    }
                                                }
					},
					{
						xtype: 'button',
						//text: ' ... ',
						iconCls: 'silk-find',
						id: 'btn_data_prodiasal',
						width: 3,
						handler: function() {
							find_x("Data Program Studi Asal", 6);
						}
					}]
				},
				{
					xtype: 'combo',
					fieldLabel: 'Jenjang Pendidikan',
					store: ds_jenpdkpendaftar,
					name: 'idjenpdkpendaftar',
					id: 'idjenpdkpendaftar',
					triggerAction: 'all',
					editable: false,
					hidden :true,
					valueField: 'idjenpdkpendaftar',
					displayField: 'nmjenpdkpendaftar',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_jenpdkpendaftar',
					listeners: {},
					labelStyle: 'text-align: right;width:160px;',
					typeAhead: true,
					allowBlank: true,
					//allowblankx,
					mode: 'local',
					emptyText: '',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Jenjang Pendidikan',
					labelStyle: 'text-align: right;width:160px;',
					disabled: true,
					id: 'jenjangstudiprodiasal',
					width: 125
				},
				{
					xtype: 'textfield',
					fieldLabel: 'NPM/NIM',
					labelStyle: 'text-align: right;width:160px;',
					allowBlank: true,
					// allowblankx,
					id: 'nimasal',
					width: 380
				},
				{
					xtype: 'combo',
					fieldLabel: 'Peringkat Akreditasi',
					store: ds_stakreditasi,
					name: 'idstakreditasi',
					id: 'idstakreditasi',
					triggerAction: 'all',
					editable: false,
					//disabled :true,
					valueField: 'idstakreditasi',
					displayField: 'nmstakreditasi',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_nmstakreditasi',
					listeners: {},
					labelStyle: 'text-align: right;width:160px;',
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					allowBlank: true,
					//allowblankx,
					selectOnFocus: true
				}]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Informasi Lainnya',
			//height: 400,
			labelAlign: 'top',
			width: 575,
			items: [{
				columnWidth: 1,
				border: false,
				layout: 'form',
				items: [{
					xtype: 'combo',
					fieldLabel: 'Informasi didapat dari',
					store: ds_sbrinfo,
					name: 'idsbrinfo',
					id: 'idsbrinfo',
					triggerAction: 'all',
					editable: false,
					width: 300,
					//disabled :true,
					valueField: 'idsbrinfo',
					displayField: 'nmsbrinfo',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_nmsbrinfo',
					listeners: {},
					labelStyle: 'text-align: right;width:160px;',
					//allowBlank: false,
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'combo',
					fieldLabel: 'Contact Person, yang merekomendasikan anda masuk Universitas Langlangbuana',
					store: ds_rekpmb,
					name: 'idrekpmb',
					id: 'idrekpmb',
					triggerAction: 'all',
					editable: false,
					width: 300,
					//disabled :true,
					valueField: 'idrekpmb',
					displayField: 'nmrekpmb',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_idrekpmb',
					listeners: {},
					labelStyle: 'text-align: right;width:160px;',
					typeAhead: true,
					mode: 'local',
					//allowBlank: false,
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Nama',
					// allowBlank: false,
					labelStyle: 'text-align: right;width:160px;',
					id: 'nmrekomendasi',
					width: 380
				},
				{
					xtype: 'combo',
					fieldLabel: 'Alasan memilih Universitas Langlangbuana',
					store: ds_alasanpendaftar,
					name: 'idalasanpendaftar',
					id: 'idalasanpendaftar',
					triggerAction: 'all',
					editable: false,
					width: 300,
					//disabled :true,
					valueField: 'idalasanpendaftar',
					displayField: 'nmalasanpendaftar',
					forceSelection: true,
					submitValue: true,
					hiddenName: 'h_idalasanpendaftar',
					listeners: {},
					//allowBlank: false,
					labelStyle: 'text-align: right;width:160px;',
					typeAhead: true,
					mode: 'local',
					emptyText: 'Pilih...',
					selectOnFocus: true
				},
				{
					xtype: 'textfield',
					fieldLabel: 'Lain -lain',
					labelStyle: 'text-align: right;width:160px;',
					// allowBlank: false,
					id: 'ketlainnya',
					width: 380
				}]
			}]
		},
		{
			xtype: 'fieldset',
			title: 'Sumbangan Sukarela (Untuk Pendaftar Yang Diterima)',
			labelAlign: 'right',
			width: 575,
			items: [{
									xtype: 'numericfield',
									style: 'text-align: right;',
									fieldLabel: 'Nominal ',
									id: 'sumbangansukarela',
									name: 'sumbangansukarela',
									maskRe: /[0-9.]/,
									width: 150,
									decimalSeparator: ',',
									decimalPrecision: 0,
									alwaysDisplayDecimals: true,
									useThousandSeparator: true,
									thousandSeparator: '.',
									allowBlank: true
					}]
		},
		{
			xtype: 'fieldset', hidden:true,
			items:[
			{
				xtype: 'textfield',
				id: 'kdprodi11',
				name: 'kdprodi11',
				hidden: true
			},
			{
				xtype: 'textfield',
				id: 'kdprodi22',
				name: 'kdprodi22',
				hidden: true
			},
			{
				xtype: 'textfield',
				id: 'idjnskls',
				name: 'idjnskls',
				hidden: true
			}]
		}],
		
		listeners: {
			afterrender: module_afterrender
		}
	});
	
	function module_afterrender() {
		if (id_module != "") {
			form_bp_general.getForm().load({
				url: BASE_URL + 'pendaftaran/c_verifikasipmb/grid',
				params: {
					id_module: id_module
				},
				success: function(form, action) {
					setbarupindah();
					ds_klsmhs.setBaseParam('idjnskls', Ext.getCmp('idjnskls').getValue());
					ds_klsmhs.load();
				},
				failure: function(form, action) {
					setbarupindah();
					ds_klsmhs.load();
					Ext.MessageBox.alert('Failure', 'Fail to get data');
				},
				waitMsg: 'Loading..'
			});
								
		}
	}
	
	function setbarupindah() {
	
											var value = Ext.getCmp("idstmskmhs").getValue();
											if(value!='2'){
							
												Ext.getCmp('nmslta').allowBlank = false;
												Ext.getCmp('kdkotkabslta').allowBlank = false;
												Ext.getCmp('nmkotkabsltatampil').allowBlank = false;
												Ext.getCmp('thnlulusslta').allowBlank = false;
												Ext.getCmp('nemslta').allowBlank = false;
												//Ext.getCmp('rangkingslta').allowBlank = false; temporary
												//Ext.getCmp('noijazahslta').allowBlank = false; temporary
												Ext.getCmp('tglijazahslta').allowBlank = false;
												Ext.getCmp('fs_pendidikan_slta').show();
												Ext.getCmp('fs_pendidikan_pt').hide();
												
												Ext.getCmp('fs_pendidikan_slta').enable();
												Ext.getCmp('fs_pendidikan_pt').enable();
												
											} else if(value=='2'){
												
												Ext.getCmp('nmslta').allowBlank = true;
												Ext.getCmp('kdkotkabslta').allowBlank = true;
												Ext.getCmp('nmkotkabsltatampil').allowBlank = true;
												Ext.getCmp('thnlulusslta').allowBlank = true;
												Ext.getCmp('nemslta').allowBlank = true;
												//Ext.getCmp('rangkingslta').allowBlank = true; temporary
												//Ext.getCmp('noijazahslta').allowBlank = true; temporary
												Ext.getCmp('tglijazahslta').allowBlank = true;
												
												Ext.getCmp('fs_pendidikan_slta').hide();
												Ext.getCmp('fs_pendidikan_pt').show();
												
												Ext.getCmp('fs_pendidikan_slta').enable();
												Ext.getCmp('fs_pendidikan_pt').enable();
												
											} else {
												
												Ext.getCmp('fs_pendidikan_slta').disable();
												Ext.getCmp('fs_pendidikan_pt').disable();
											}
	}
	
	function simpan_grid(namaForm) {
		var form_nya = Ext.getCmp(namaForm);
		form_nya.getForm().submit({
			url: BASE_URL + 'pendaftaran/c_verifikasipmb/update',
			method: 'POST',
                 params:{
                       psumbangansukarela:Ext.getCmp('sumbangansukarela').getValue()
                },
			success: function() {
				Ext.MessageBox.alert("Informasi", "Simpan Data Berhasil");
				
			},
			failure: function() {
				Ext.MessageBox.alert("Informasi", "Simpan Data Gagal");
			},
			waitMsg: 'Menyimpan Data...'
		});
	}
var fPanel = new Ext.Panel({
	id: "pmbFormContainer",
	title: "Pendaftaran Mahasiswa Baru",
	renderTo: "div_pmbform",
	autoCreateViewPort: false,
	//height: 1900,
	width: 700,
	frame:'true',
	buttonAlign: 'left',
	/*layout: {
		type: "hbox",
		align: "stretch"
	},*/
	listeners: {
		beforerender: function () {
			//Ext.getCmp("pmbFormContainer").setHeight(Ext.getElementById("div_pmbform").getHeight());
			Ext.getCmp("pmbFormContainer").setHeight(document.getElementById("div_pmbform").clientHeight);
			Ext.getCmp("pmbFormContainer").doLayout();
			
			Ext.EventManager.onWindowResize(function () {
				//Ext.getCmp("pmbFormContainer").setHeight(Ext.getElementById("div_pmbform").getHeight());
				Ext.getCmp("pmbFormContainer").setHeight(document.getElementById("div_pmbform").clientHeight);
				Ext.getCmp("pmbFormContainer").doLayout();
			});
		}
	},
	items: [form_bp_general],
	tbar:[{
		id: 'btn_simpan1',
		text: 'Simpan',
		align:'left',
		iconCls: 'silk-save',
		handler: function() {
			if (id_module != '') {
				simpan_grid('form_bp_general');
			} 
		}
	}],
	buttons: [{
		id: 'btn_simpan2',
		text: 'Simpan',
		align:'left',
		iconCls: 'silk-save',
		handler: function() {
			if (id_module != '') {
				simpan_grid('form_bp_general');
			} 
		}
	}],
	
});
//fPanel.render(document.getElementById("div_pmbform"));
}