    <div style="margin-top:15px;"></div>
    <span><b><i>ANGGOTA :</i></b> (maksimum 3 orang)</span><br />

    <div class="fitem" style="margin-top:5px">
        <span><i>Anggota 1 :</i></span><br />
        <input type="text" id="nik2" min="16" name="nik2" placeholder="NIK" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">
        <input type="text" id="nama2" name="nama2" placeholder="Nama Lengkap" style="text-transform: uppercase;">
        <div style="margin-bottom:5px"></div>
            <input class="easyui-combobox" style="border-radius:30px;" id='kelamin2' name="kelamin2" data-options="
                        url: '/kelamincombo',
                        method:'post',
                        queryParams: {'<?php echo csrf_token() ?>': '<?php echo csrf_hash() ?>'},
                        valueField:'value',
                        textField:'text',
                        multiple:false,
                        panelHeight:'auto',
                        editable:false,
                        nowrap:false,
                        width:'100%',
                        prompt:'Pilih Jenis Kelamin',
                         ">

            <input type="text" min="3" max="100" id="usia2" name="usia2" placeholder="Usia" style="max-width:40%" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">

        </div>

        <div class="fitem" style="margin-top:5px">
            <span><i>Anggota 2 :</i></span><br />
            <input type="text" id="nik3" name="nik3" min="16" placeholder="NIK" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">
            <input type="text" id="nama3" name="nama3" placeholder="Nama Lengkap" style="text-transform: uppercase;" >
            <div style="margin-bottom:5px"></div>
            <input class="easyui-combobox" style="border-radius:30px;" id='kelamin3' name="kelamin3" data-options="
                        url: '/kelamincombo',
                        method:'post',
                        queryParams: {'<?php echo csrf_token() ?>': '<?php echo csrf_hash() ?>'},
                        valueField:'value',
                        textField:'text',
                        multiple:false,
                        panelHeight:'auto',
                        editable:false,
                        nowrap:false,
                        width:'100%',
                        prompt:'Pilih Jenis Kelamin',
                         ">

            <input type="text" min="3" max="100" id="usia3" name="usia3" placeholder="Usia" style="max-width:40%" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">
        </div>
        <div class="fitem" style="margin-top:5px">
            <span><i>Anggota 3 :</i></span><br />
            <input type="text" id="nik4" name="nik4" min="16" placeholder="NIK" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">
            <input type="text" id="nama4" name="nama4" placeholder="Nama Lengkap" style="text-transform: uppercase;">
            <div style="margin-bottom:5px"></div>
            <input class="easyui-combobox" style="border-radius:30px;" id='kelamin4' name="kelamin4" data-options="
                        url: '/kelamincombo',
                        method:'post',
                        queryParams: {'<?php echo csrf_token() ?>': '<?php echo csrf_hash() ?>'},
                        valueField:'value',
                        textField:'text',
                        multiple:false,
                        panelHeight:'auto',
                        editable:false,
                        nowrap:false,
                        width:'100%',
                        prompt:'Pilih Jenis Kelamin',
                         ">

            <input type="text" min="3" max="100" id="usia4" name="usia4" placeholder="Usia" style="max-width:40%" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">
        </div>

        <!--hanya untuk kereta-->
	<!-- <div class="fitem">

          <b><i>Jika ada Anak berusia tidak lebih dari 3 tahun (Infant), silakan masukkan data disini :<br></i></b>
            <input type="text" id="nik5" min="16" name="nik5" placeholder="NIK" onkeypress="return (event.charCode !=8 && event.charCode ==0 || (event.charCode >= 48 && event.charCode <= 57))">
            <input type="text" id="nama5" name="nama5" placeholder="Nama Lengkap" style="text-transform: uppercase;" >
        </div>
        <div style="margin-bottom:5px"></div>
            <input class="easyui-combobox" style="border-radius:30px;" id='kelamin2' name="kelamin2" data-options="
                        url: '/kelamincombo',
                        method:'post',
                        queryParams: {'<?php echo csrf_token() ?>': '<?php echo csrf_hash() ?>'},
                        valueField:'value',
                        textField:'text',
                        multiple:false,
                        panelHeight:'auto',
                        editable:false,
                        nowrap:false,
                        width:'100%',
                        prompt:'Pilih Jenis Kelamin',
                         "> -->


        <input type="hidden" name="nik5" id="nik5">
        <input type="hidden" name="nama5" id="nama5">
        <input type="hidden" name="kelamin5" id="kelamin5">