<?php
$page_title = "Konfirmasi Profil Anda / Edit";
include_once('template/base_head.php');
?>
			<!-- サイドバー -->
			<aside id="colLeft">
				<h1><a href=""><img src="../img/logo.png" alt="iWallet"></a></h1>
<?php include_once('template/base_sidebar_setting.php'); ?>
			</aside>
			<!-- /サイドバー -->
			<!-- メインカラム -->
			<div id="colMain">
				<div class="mainIn">
<?php include_once('template/base_nav.php'); ?>
					<article>
						<div class="article-heading">
							<h2><?php echo $page_title; ?></h2>
						</div>
						<div class="pb10 respM"><?php $this -> echoMessage(); ?></div>
						<table class="table col bdr default odd settingT fontM mb20 ma90sp">
							<tr>
								<th>Alamat Email</th>
								<td><?php $this -> echoMail(); ?></td>
							</tr>
							<tr>
								<th>Kata Sandi</th>
								<td>********</td>
							</tr>
							<tr>
								<th><?php $this -> echoFirstNameTitle(); ?></th>
								<td><?php $this -> echoFirstName(); ?></td>
							</tr>
							<?php $this -> dispLastName(); ?>
							<tr>
								<th>Tanggal Lahir</th>
								<td><?php $this -> echoBirth(); ?></td>
							</tr>
						</table>
						<p class="pb10 respM">Harap isi informasi yang benar sesuai dengan dokumen KYC</p>

						<form id="acForm" action="" method="post">
							<table class="table col bdr default odd settingT fontM mb30 ma90sp">
								<tr>
									<th>Negara</th>
									<td><select name="country"><?php $this -> dispCountry(); ?></select></td>
								</tr>
								<tr>
									<th>Wilayah/Negara Bagian/Provinsi</th>
									<td><input type="text" name="state" value="<?php $this -> echoState(); ?>" class="w50p"></td>
								</tr>
								<tr>
									<th>Kota</th>
									<td><input type="text" name="city" value="<?php $this -> echoCity(); ?>" class="w80p"></td>
								</tr>
								<tr>
									<th>Jalan</th>
									<td><input type="text" name="address" value="<?php $this -> echoAddress(); ?>" class="w100p"></td>
								</tr>
								<tr>
									<th>Kode Pos</th>
									<td><input type="text" name="zip_code" value="<?php $this -> echoZipCode(); ?>" class="px120"></td>
								</tr>
								<tr>
									<th>Nomor Telepon</th>
									<td><input type="text" name="tel" value="<?php $this -> echoTel(); ?>" class="px180" maxlength="25"></td>
								</tr>
							</table>

							<?php $this -> dispCorporation(); ?>
							<input type="hidden" value="" id="type" name="type" />
						</form>
						<p class="">
							<a href="setting.php" class="btn bg-default calign">&laquo; Kembali</a>&emsp;
							<input type="button" id="btnConfirm" value="Konfirmasi" class="btn bg-grad px120 calign">
						</p>
					</article>
				</div>
			</div>
			<!-- /メインカラム -->
		</div>
<?php include_once('template/base_foot.php'); ?>
	</div>
	<script src="../js/setting.js"></script>
</body>
</html>
