nyan

<div class="form-group">
  <label for="branch_name">Branch Name:</label>
  <input class="form-input" type="text" id="branch_name" name="branch_name" required>
</div>

<div class="form-group">
  <label for="address">Address:</label>
  <input class="form-input" type="text" id="address" name="address" required>
</div>

<div class="form-group">
  <label for="no_telp">Phone Number:</label>
  <input class="form-input" type="text" id="no_telp" name="no_telp">
</div>

<div class="form-group">
  <label for="no_wa">WhatsApp Number:</label>
  <input class="form-input" type="text" id="no_wa" name="no_wa">
</div>

<div class="form-group">
  <label for="province">Province:</label>
  <input class="form-input" type="text" id="province" name="province" required>
</div>