${ parent.decodeEntities(`Nama`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} />

${ parent.decodeEntities(`Email`) } * parent.activateValidation({"message":"This field is required.","emailMessage":"Please enter a valid Email address","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-email" as=${html``} />

${ parent.decodeEntities(`Telephone`) } * parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el)} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-telephone" as=${html``} />

${ parent.decodeEntities(`Alamat`) } * { parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":true,"expression":"null"}, el) }} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-text" as=${html``} /> ${ parent.decodeEntities(`*Masukan alamat lengkap.`) }

${ parent.decodeEntities(`Tanggal Survey`) } <${props.Flatpickr} name="mf-date" className="mf-input mf-date-input mf-left-parent " placeholder="${ parent.decodeEntities(`Tentukan tanggal survey.`) } " options=${{"minDate":"","maxDate":"","dateFormat":"m-d-Y","enableTime":"","disable":[],"mode":"single","static":true,"disableMobile":true,"time_24hr":false}} value=${parent.getValue('mf-date')} onInput=${parent.handleDateTime} aria-invalid="${validation.errors['mf-date'] ? 'true' : 'false'}" onReady=${(dates, dateStr, instance) => props.DateWidget( instance, '', {"message":"This field is required.","required":false}, register, parent )} /> <${validation.ErrorMessage} errors=${validation.errors} name="mf-date" as=${html``} />

${ parent.decodeEntities(`Deskripsi Pekerjaan :`) } parent.activateValidation({"message":"This field is required.","minLength":1,"maxLength":"","type":"none","required":false,"expression":"null"}, el)} > <${validation.ErrorMessage} errors=${validation.errors} name="mf-textarea" as=${html``} /> ${ parent.decodeEntities(`*Jelaskan kebutuhan anda, gaya bangunan, spesifikasi, bahan dan material yang anda inginkan.`) }

${ parent.decodeEntities(`Kirim`) }