{!! Form::label('nomorKK', 'Nomor KK:') !!}

segment(2) == 'daftar' ? '':'readonly' }} required />

{!! Form::label('nikKK', 'Nik KK:') !!}

{!! Form::text('nik_kk', $data_kk->nik_kk ?? null, ['class' => 'form-control', 'required']) !!}

{!! Form::label('namaKK', 'Nama KK:') !!}

{!! Form::text('nama_kk', $data_kk->nama_kk ?? null, ['class' => 'form-control', 'required']) !!}

{!! Form::label('alamat', 'Alamat:') !!}

Jalan

{!! Form::text('jalan', Helper::getAlamat($data_kk->alamat ?? null, 'Jalan.'), ['class' => 'form-control', 'placeholder' => 'Balaikota No. 1', 'required']) !!}

{!! Form::label('alamat', 'RT:') !!}

RT

{!! Form::text('rt', Helper::getAlamat($data_kk->alamat ?? null, 'RT.') ?? null, ['class' => 'form-control', 'placeholder' => '1']) !!}

Kelurahan

{!! Form::text('kelurahan', Helper::getAlamat($data_kk->alamat ?? null, 'Kelurahan.') ?? null, ['class' => 'form-control', 'placeholder' => 'Bugis']) !!}

{!! Form::label('alamat', 'Kecamatan:') !!}

Kecamatan

{!! Form::text('kecamatan', Helper::getAlamat($data_kk->alamat ?? null, 'Kecamatan.') ?? null, ['class' => 'form-control', 'placeholder' => 'Samarinda Kota']) !!}

{!! Form::label('alamat', 'Kabupaten/Kota:') !!}

Kab/Kota

{!! Form::text('kab_kota', Helper::getAlamat($data_kk->alamat ?? null, 'Kabupaten/Kota.') ?? null, ['class' => 'form-control', 'placeholder' => 'Samarinda']) !!}

{!! Form::label('alamat', 'Provinsi:') !!}

Provinsi

{!! Form::text('provinsi', Helper::getAlamat($data_kk->alamat ?? null, 'Provinsi.') ?? null, ['class' => 'form-control', 'placeholder' => 'Provinsi Kalimantan Timur']) !!}

{!! Form::label('alamat', 'Bulan/Tahun:') !!}

Bulan

Tahun

{!! Form::label('noHp', 'Nomor Hp:') !!}

{!! Form::text('no_hp', $data_kk->no_hp ?? null, ['class' => 'form-control']) !!}

{!! Form::label('pekerjaan', 'Pekerjaan:') !!}

{!! Form::text('pekerjaan', $data_kk->pekerjaan ?? null, ['class' => 'form-control']) !!}

{!! Form::label('sumber', 'Sumber Data:') !!}