<style>
@page {
    size: Legal <data>modekertas</data>;
}

.cetak{
	width:<data>lebarkertas</data>;
	font-family: arial !important;
	font-size: <data>defaultfont</data> !important;
	font-weight: 300 !important;
	-webkit-print-color-adjust:exact !important;
	color: #000000;
	box-sizing: border-box;
}

.kotak{
	display: inline-block;
	width: 10px;
	height: 16px;
	padding-left: 5px;
	padding-top: 1px;
	border: 1px solid #000000;
	margin-left: -1px;
	font-size: 11px !important;
	margin-top: -1px;
	margin-bottom: -1px;
	text-transform: uppercase !important;
}
.tabelisi{
	border-collapse: collapse;
	width: 100%;
	font-size: <data>defaultfont</data> !important;
	
}
.tabelisi tr{
	width: 100%;
}

.tabelisi tr,.tabelisi tr td{
	padding: 0px;
	padding-bottom:2px;
	margin: 2px;
	font-size: <data>defaultfont</data> !important;
}
.tabeltop{
	border-collapse: collapse;
	width:100%;
	padding: 0px;
	font-size: <data>defaultfont</data> !important;
}
.tabeldata{
		width: 100%;
		border-collapse: collapse;
		page-break-after:auto;
		border: solid 1px #000000;
	}
	.tabeldata tr th{
		font-size: 14px;
		font-weight: bold;
		padding:5px 2px;
		text-transform: uppercase;
		page-break-inside:avoid; page-break-after:auto;
		border: 1px solid #000000;
	}
	.tabeldata tr{
		page-break-inside:avoid; page-break-after:auto;
	}
	.tabeldata tr td{
		font-size: 14px;
		page-break-inside:avoid; 
		page-break-after:auto;
		border: 1px solid #000000;
	}
.kosong{
	width: 0%;
}
.garis{
	margin-top:8px;
	width: 100%;
	height: 2px;
	background: #000000;
}
.kodedesa{
	margin-left: 20px;
}
.judul{
	font-weight: bold;
	font-size: <data>judulfont</data> !important;
	text-decoration: underline;
	margin-top: 15px;
	text-transform: uppercase;
}
.ttdkiri{
	float:left;
	display:inline-block;
	width: 35%;
}
.ttdtengah{
	display:inline-block;
	width: 25%;
	margin-left: 2%;
}
.ttdkanan{
	position:relative;
	float:right;
	display:inline-block;
	width: 30%;
}
.stempel{
	position: absolute;
	z-index:-2;
	width: 120px;
	height: 120px;
	left: 50%;
	margin-left:-100px;
	top: 20px;
}
.ttd{
	position: absolute;
	z-index:-1;
	width: 160px;
	height: 100px;
	left: 50%;
	margin-left:-50px;
	top: 50px;
}

.kab{
	margin-top: 8px;
	font-size: <data>fontjudul1</data>;
	margin-bottom: 2px;
	text-transform: uppercase;
	font-weight: bold;
}

.kec{
	font-size: <data>fontjudul2</data>;
	text-transform: uppercase;
}

.alamat{
	font-size: <data>fontjudul3</data>;
	margin-top: 2px;
	font-weight: 400;
}
.alamat_full{
	font-size: 12px;
	margin-top: 2px;
	font-weight: 400;
}
.logo{
	width: 40px;
	height: 50px;
	background: url(<data>logo</data>) no-repeat !important;
	background-size: <data>bglogo</data>;
	-webkit-print-color-adjust:exact !important;
}
div{
	color: #000000 !important;
	font-weight: 400;
}
.qrcode{
	margin-top:10px;
	right: 5px;
	width: 100px;
	height: 100px;
}
.qrcode img{
	width: 100%;
	height: 100%;
}
.kepada{
	padding: 20px 0 30px 0;
	width: 20%;
	line-height: 1.2;
	
}
.kotak{
		padding: 3px;
		margin: 3px;
		width: 10px;
		height: 10px;
		border: 1px solid #000000;
		text-align: center;
	}
.isi{
	text-indent: 35px;
	line-height: 1.5;
	font-size: <data>defaultfont</data> !important;
	
}
</style>

<div class="cetak" id="boxcetak">
	<div style="width: 100%">
		<div align="center" style="width: 100%;box-sizing: border-box;border-bottom: 2px solid #000000; color:#000000;">
			<table style="border-bottom: 4px double #000000; width: 100%">
				<tr>
					<td width="90px">
						<div style="<data>showlogo</data>;<data>ukuranlogo</data>" id="boxlogo">
							<img style="<data>ukuranlogo</data>" src="<data>logo</data>" />
						</div>
					</td>
					<td>
						<div style="text-align:center; display: inline-block;font-weight: bold;padding-bottom: 5px;">
							<div class="kab"><b>Kementrian Agama Republik Indonesia</b></div>
							<div class="kec"><b>Balai Pendidikan dan Pelatihan Keagamaan Semarang</b></div>
							<div class="alamat"><data>dataalamat</data></div>
							<div class="alamat" style="color: #000000">Telp.  <data>datatelp</data>, Email <data>dataemail</data></div>
						</div>
					</td>
				</tr>
			</table>
		</div>
		<div style="clear: both;"></div>
		<div style="float: right">
			<div align="right">Semarang, <data>datatanggalsurat</data></div>
			<div style="margin: 15px 0px 0px 50px;">
				<div>Kepada</div>
				<div>Yth. Kepala Balai Diklat Keagamaan</div>
				<div>Semarang</div>
				<div>di tempat</div>
			</div>
		</div>
		<div style="clear: both"></div>
		<div align="center" style="padding: 8px 0px" class="kab"><b>Formulir Permintaan dan pemberian Cuti</b></div>
		<div style="clear: both"></div>
		<table class="tabeldata">
			<tr>
				<td colspan="5" style="text-transform: uppercase">I. Data Pegawai</td>
			</tr>
			<tr>
				<td width="10%">Nama</td>
				<td><data>namapemohon</data></td>
				<td width="15%">NIP</td>
				<td><data>nippemohon</data></td>
			</tr>
			<tr>
				<td>Jabatan</td>
				<td><data>jabatanpemohon</data></td>
				<td>Masa Kerja</td>
				<td><data>masakerjapemohon</data></td>
			</tr>
			<tr>
				<td>Unit Kerja</td>
				<td colspan="4">Balai Diklat Keagamaan Semarang</td>
				
			</tr>
		</table>
		<table class="tabeldata" style="margin-top: 5px;">
			<tr>
				<td colspan="5" style="text-transform: uppercase">II. Jenis Cuti Yang Diambil **</td>
			</tr>
			<tr>
				<td>1. Cuti Tahunan</td>
				<td width="25px"><div align="center"><data>centang1</data></div></td>
				<td>2. Cuti Besar</td>
				<td width="25px"><div align="center"><data>centang2</data></div></td>
			</tr>
			<tr>
				<td>3. Cuti Sakit</td>
				<td width="25px"><div align="center"><data>centang3</data></div></td>
				<td>4. Cuti Melahirkan</td>
				<td width="25px"><div align="center"><data>centang4</data></div></td>
			</tr>
			<tr>
				<td>5. Cuti Karena Alasan Penting</td>
				<td width="25px"><div align="center"><data>centang5</data></div></td>
				<td>6. Cuti Di Luar Tanggungan Negara</td>
				<td width="25px"><div align="center"><data>centang6</data></div></td>
				
			</tr>
		</table>
		<table class="tabeldata" style="margin-top: 5px;">
			<tr>
				<td style="text-transform: uppercase">III. Alasan Cuti</td>
			</tr>
			<tr>
				<td><data>keperluan</data></td>
			</tr>
		</table>
		<table class="tabeldata" style="margin-top: 5px;">
			<tr>
				<td style="text-transform: uppercase">IV. Lamanya Cuti</td>
			</tr>
			<tr>
				<td>Selama <data>selama</data> mulai tanggal <data>tglmulaicuti</data> s/d <data>tglsampaicuti</data></td>
			</tr>
		</table>
		<table class="tabeldata" style="margin-top: 5px;">
			<tr>
				<td colspan="5" style="text-transform: uppercase">V. Catatan Cuti ***</td>
			</tr>
			<tr>
				<td colspan="3">1. CUTI TAHUNAN</td>
				<td width="45%">2. CUTI BESAR</td>
				<td colspan="2" width="20%"> </td>
			</tr>
			<tr>
				<td>Tahun </td>
				<td>Sisa</td>
				<td>Keterangan</td>
				<td>3.CUTI SAKIT</td>
				<td> </td>
			</tr>
			<tr>
				<td>N-2 </td>
				<td> </td>
				<td> </td>
				<td>4.CUTI MELAHRKAN</td>
				<td> </td>
			</tr>
			<tr>
				<td>N1 </td>
				<td> </td>
				<td> </td>
				<td>5.CUTI KARENA ALASAN PENTING</td>
				<td> </td>
			</tr>
			<tr>
				<td>N </td>
				<td> </td>
				<td> </td>
				<td>6.CUTI DI LUAR TANGGUNGAN NEGARA</td>
				<td> </td>
			</tr>
		</table>
		<table class="tabeldata" style="margin-top: 5px;">
			<tr>
				<td colspan="5" style="text-transform: uppercase">Vi. Alamat Selama menjalankan Cuti </td>
			</tr>
			<tr>
				<td colspan="3"></td>
				<td colspan="2" >TELP : <data>telpcuti</data> </td>
			</tr>
			<tr>
				<td valign="top" colspan="3" height="40px" width="50%"><data>alamatcuti</data></td>
				<td valign="top" colspan="2">
					<div align="center">
						<div>Hormat Saya</div>
						<div style="height: 35px;"></div>
						<div>(<data>namapemohon</data>)</div>
						<div><data>nippemohon</data></div>
					</div>
				</td>
			</tr>
		</table>
		<data>datastatus</data>
		<table class="tabelisi">
			<tr>
				<td colspan="2">Catatan : </td>
			</tr>
			<tr>
				<td>*</td>
				<td>Coret yang Tidak Perlu</td>
			</tr>
			<tr>
				<td>**</td>
				<td>Pilih Salah Satu Dengan Memberi Centang (✔)</td>
			</tr>
			<tr>
				<td>***</td>
				<td>diisi oleh pejabat yang menangani bidang Kepegawaian sebelum PNS mengajukan cuti</td>
			</tr>
			<tr>
				<td>****</td>
				<td>diberi centang dengan alasannya</td>
			</tr>
		</table>
	</div>
</div>