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add_profile_tab.php
<? require ("inc/header.php"); ?> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01//EN" "http://www.w3.org/TR/html4/strict.dtd"> <style type="text/css"> .style4{ font-weight:bolder; font-size:14px; color:orange; font-family:trebuchet ms; font-decoration:underline; } table{ cellpadding:5; } </style> <!- content starts here --> <? $sex_array=array("Female", "Male"); $day_array=array("1", "2","3","4", "5","6","7", "8","9","10", "11","12", "13","14","15", "16","17","18", "19","20","21", "22","23", "24","25","26", "27","28","29", "30","31"); $month_array=array("January", "February","March", "April","May", "June","July", "August","September", "October","November", "December"); $year_array=array("1971", "1972", "1973", "1974", "1975", "1976", "1977", "1978", "1979", "1980", "1981", "1982", "1983", "1984","1985", "1986", "1987", "1988", "1989", "1990", "1991", "1992", "1993", "1994", "1995", "1996", "1997", "1998"); $title_array=array("Mr.", "Mrs.","Chief", "Dr.","Engr.","Engr. Mrs.","Engr. (Prof.)","Maj. Gen","Prince","Capt.","Rev.","Alhaji","Prof.","Miss."); $grade_array=array("Student","Graduate", "Associate", "Member", "Fellow", "Honourary Fellow"); $division_array=array("Aeronautical","Agricultural","APWEN","Chemical", "Civil", "Electrical", "Engineering Valuation and Cost","Environmental","Geotechnical","Industrial","Mechanical","Metallurgical","Petroleum","Natural Gas", "Petroleum and Natural Gas","Structural"); $country_array=array("Afghanistan", "Albania", "Algeria", "Andorrat", "Angola", "Anguilla", "Antiguaand Barbuda", "Argentina", "Armenia", "Australia", "Austria", "Azerbaijan", "Bahamas", "Bangladesh", "Barbados", "Belarus", "Belgium", "Belize", "Benin", "Bermuda", "Bhutan", "Bolivia", "Bosnia and Herzegovina", "Botswana", "Brazil", "British Antarctic Territory","British Indian Ocean Territory", "British Virgin Islands", "Brunei", "Bulgaria", "Burkina", "Burundi", "Cameroon", "Canada", "Cape Verde Islands", "Cayman Islands", "Central African Republic", "Chad", "Channel Islands (The)", "Chile", "China", "Colombia", "Commonwealth of Independent States", "Comoros", "Congo (Democratic Republic)", "Congo (People's Republic)", "Costa Rica", "Croatia", "Cuba", "Cyprus", "Czech Republic", "Denmark", "Djibouti", "Dominica", "Dominican Republic", "Dutch West Indies", "Ecuador", "Egypt", "El Salvador", "Equatorial Guinea", "Eritrea", "Estonia", "Ethiopia", "Falkland Islands", "Fiji", "Finland", "France", "French Guiana", "French West Indies", "Gabon", "Gambia", "Georgia", "Germany", "Ghana", "Gibraltar", "Gilbert Islands", "Greece", "Greenland", "Grenada", "Guatemala", "Guinea", "Guinea-Bissau", "Guyana", "Haiti", "Honduras", "Hong Kong", "Hungary", "Iceland", "India", "Indonesia", "Iran", "Iraq", "Irish Republic", "Isle of Man (The)", "Israel", "Italy", "Ivory Coast", "Jamaica", "Japan", "Jordan", "Kampuchea", "Kazakhstan", "Kenya", "Kuwait", "Kyrgyzstan", "Laos", "Latvia", "Lebanon", "Leeward Islands", "Lesotho", "Liberia", "Libya", "Liechtenstein", "Lithuania", "Luxembourg", "Macao", "Macedonia", "Madagascar", "Malawi", "Malaysia", "Maldives", "Mali", "Malta", "Marshall Islands", "Mauritania", "Mauritius", "Mayotte", "Mexico", "Micronesia", "Moldova", "Monaco", "Mongolia", "Monserrat", "Morocco", "Mozambique", "Myanmar", "Namibia", "Nauru", "Nepal", "Netherlands", "New Caledonia", "New Guinea", "New Zealand", "Nicaragua", "Niger", "Nigeria", "North Korea", "Norway", "Oman", "Other French Dependencies", "Pakistan", "Palestine","Panama", "Papua", "Paraguay", "Peru", "Philippines", "Pitcairn Islands", "Poland", "Portugal", "Portuguese Timor", "Puerto Rico", "Qatar","Reunion", "Romania", "Russia", "Rwanda", "Sabah", "Samoa", "San Marino", "Sao Tome & Principe", "Sarawak","Saudi Arabia", "Senegal", "Seychelles", "Sierra Leone", "Singapore", "Slovakia", "Slovenia", "Solomon Islands", "Somalia", "South Africa", "South Georgia & Sandwich Islands", "South Korea", "Spain", "Sri Lanka", "St Helena Dependencies", "St Kitts and Nevis","St Lucia","St Vincent & the Grenadines", "Stateless","Sudan","Surinam","Swaziland","Sweden", "Switzerland", "Syria", "Taiwan", "Tajikistan", "Tanzania", "Thailand", "Tibet", "Togo", "Tonga", "Trinidad & bago", "Tunisia", "Turkey", "Turks & Caicos Islands", "Tuvalu","US Trust Territories of the Pacific", "USA", "Uganda", "Ukraine", "United Arab Emirates", "United Kingdom", "Uruguay", "Uzbekistan", "Vanuatu", "Venezuela", "Vietnam", "Virgin Is (US)", "West Indies", "Windward Islands", "Yemen", "Yugoslavia", "Zambia", "Zimbabwe"); $state_array = array ("Ondo", "Osun", "Lagos", "Oyo", "Ogun", "Ekiti", "Edo", "Delta", "Anambra", "Enugu", "Imo", "Abia", "Ebonyi", "Bayelsa", "River", "Cross River", "Akwa Ibom", "Kwara", "Kogi", "Niger", "Benue", "Taraba", "Adamawa", "Borno", "Yobe", "Gombe", "Sokoto", "Kebbi", "Kano", "Kaduna", "Zamfara", "FCT", "Pleateau", "Nassarawa", "Katsina", "Gombe"); $branch_array = array ("Aba", "Abeokuta", "Abakaliki", "Abuja", "Ado-Ekiti", "Ajaokuta", "Akure", "Apapa", "Asaba", "Akwa", "Bauchi", "Benin", "Calabar", "Damaturu", "Dutse", "Ekpoma", "Eket", "Enugu", "Egbin", "Gombe", "Gusau", "Ibadan", "Ikeja", "Ikot-Abasi", "Ile-Ife", "Ilesha", "Ilorin", "Jos", "Kaduna", "Kano", "Katsina", "Lafia", "Lagos", "Lokoja", "Maiduguri", "Makurdi","Minna", "New Bussa", "Nsukka", "Onitsha", "Oshogbo", "Owerri", "Port-Harcourt", "Sokoto", "Umuahia", "Uyo", "Warri", "Yenagoa", "Yola", "Zaria"); ?> <script src="js/jquery-1.1.3.1.pack.js" type="text/javascript"></script> <script src="js/jquery.history_remote.pack.js" type="text/javascript"></script> <script src="js/jquery.tabs.pack.js" type="text/javascript"></script> <script type="text/javascript"> $(function() { $('#container-1').tabs(); $('#container-3').tabs({ fxSlide: true }); }); </script> <link rel="stylesheet" href="jquery.tabs.css" type="text/css" media="print, projection, screen"> <!-- Additional IE/Win specific style sheet (Conditional Comments) --> <link rel="stylesheet" href="jquery.tabs-ie.css" type="text/css" media="projection, screen"> <span style="text-align:left;"> <form action="insert_profile_new.php" method="post" name="form" id="form" enctype="multipart/form-data"> <input type="hidden" name="id" value="<?php echo $id ?>"> <div id="container-1"> <ul> <li><a href="#fragment-1"><span>Personal </span></a></li> <li><a href="#fragment-3"><span>NSE</span></a></li> <li><a href="#fragment-4"><span>COREN</span></a></li> <li><a href="#fragment-5"><span>Business1</span></a></li> <li><a href="#fragment-6"><span>Business2</span></a></li> <li><a href="#fragment-7"><span>Educational</span></a></li> <li><a href="#fragment-8"><span>Professional</span></a></li> <li><a href="#fragment-9"><span>Kin</span></a></li> </ul> <div id="fragment-1"> <fieldset style="margin-left:10px; margin-right:10px" ><legend>Personal Details</legend> <table width="100%" border="0" cellpadding="5"> <tr> <td colspan="3" class="style4"><b><? echo "$w_update" ?></b></td> </tr> <tr> <td width="38%"><strong>Title :</strong></td> <td width="44%"><select name="title" id="title"> <option value="">Select title...</option> <option value="Mr"<?php if($title == "Mr"){echo "selected"; }?>>Mr.</option> <option value="Mrs" <?php if($title == "Mrs"){echo "selected"; }?>>Mrs.</option> <option value="Miss" <?php if($title == "Miss"){echo "selected"; }?>>Miss.</option> <option value="Engr" <?php if($title == "Engr"){echo "selected"; }?>>Engr.</option> <option value="Dr" <?php if($title == "Dr"){echo "selected"; }?>>Dr.</option> <option value="Prof" <?php if($title == "Prof"){echo "selected"; }?>>Prof.</option> <option value="Chief" <?php if($title == "Chief"){echo "selected"; }?>>Chief.</option> </select> </td> <td width="18%" rowspan="4"><br> <a href="edit_picture.php?id=<?php echo $id ?>" ></a></td> </tr> <tr> <td><strong>Surname</strong></td> <td><input name="lastname" type="text" value="<? echo "$lastname" ?>" size="25" maxlength="40"></td> </tr> <tr> <td><strong>Firstname</strong></td> <td><input name="firstname" type="text" value="<? echo "$firstname" ?>" size="25" maxlength="40"></td> </tr> <tr> <td><strong>Othernames</strong></td> <td><input name="middlename" type="text" value="<? echo "$middlename" ?>" size="25" maxlength="40"></td> </tr> <tr> <td><strong>Sex * </strong></td> <td colspan="2"><select name="sex" size=""> <? foreach( $sex_array as $temp ) { if ($temp==$sex) { ?> <option selected value="<? echo "$temp" ?>"><? echo "$temp" ?></option> <? } else { ?> <option value="<? echo "$temp" ?>" ><? echo "$temp" ?></option> <? } } ?> </select></td> </tr> <tr> <td><strong>Date of Birth * </strong></td> <td colspan="3"><strong>Day</strong> <select name="day" size=""> <? foreach( $day_array as $temp ) { if ($temp==$day) { ?> <option selected value="<? echo "$temp" ?>"><? echo "$temp" ?></option> <? } else { ?> <option value="<? echo "$temp" ?>" ><? echo "$temp" ?></option> <? } } ?> </select> <strong>Month</strong> <select name="month" size=""> <? $inte=1; foreach( $month_array as $temp ) { if ($inte==$month) { ?> <option selected value="<? echo "$inte" ?>"><? echo "$temp" ?></option> <? } else { ?> <option value="<? echo "$inte" ?>" ><? echo "$temp" ?></option> <? } $inte=$inte +1; } ?> </select> <strong>Year</strong> <select name="year" size=""> <? for($temp=1920; $temp<=2020; $temp++) { if ($temp==$year) { ?> <option selected value="<? echo "$temp" ?>"><? echo "$temp" ?></option> <? } else { ?> <option value="<? echo "$temp" ?>" ><? echo "$temp" ?></option> <? } } ?> </select></td> </tr> <tr> <td colspan="3"> <table width="100%"> <tr><td width="150"><strong>Contact Address * </strong></td> <td width="202"><textarea name="contactaddr" cols="30" rows="3"><? echo "$contactaddr" ?></textarea></td><td width="101"><strong>Home Phone</strong></td> <td width="271"><input name="homephone" type="text" value="<? echo "$homephone" ?>" size="30" maxlength="60"></td></tr> <tr><td><strong>Residential Address * </strong></td> <td><textarea name="residentialaddr" cols="30" rows="3"><? echo "$residentialaddr" ?></textarea></td><td><strong>Mobile Phone</strong></td> <td width="271"><input name="mobilephone" type="text" value="<? echo "$mobilephone" ?>" size="30" maxlength="60"></td></tr> <tr><td><strong>Postal Address * </strong></td> <td><textarea name="postaladdr" cols="30" rows="3"><? echo "$postaladdr" ?></textarea></td><td><strong>Personal Email</strong></td> <td width="271"><input name="email" type="text" value="<? echo "$email" ?>" size="30" maxlength="60"></td></tr> </table> </td></tr> </table> </fieldset> </div> <div id="fragment-3"> <fieldset style="margin-left:10px; margin-right:10px" ><legend>NSE Membership Information</legend> <table width="100%" cellpadding="5"> <tr> <td width="122"><strong>NSE Registration No</strong></td> <td width="190"><input name="nseregno" type="text" value="<? echo "$nseregno" ?>" size="30" maxlength="60" ></td> <td width="106"><strong>Membership Grade*</strong></td> <td> <select name="grade" id="grade"> <? $query = "SELECT * FROM grade ORDER BY gradeid"; $result = mysql_query($query) or die(mysql_error()); while ($row = mysql_fetch_assoc($result)) { $gradeid = $row["gradeid"]; $gradename = $row["gradename"]; ?> <option value="<? echo $gradeid ?>" <? if ($gradeid == $grade) { echo "selected"; } ?>><? echo $gradename ?></option> <? } ?> </select></td> </tr> <tr> <td><strong>Date Elected</strong> </td> <td><input name="dateelected" type="text" value="<? echo "$dateelected" ?>" size="13" maxlength="15" ></td> </tr> <tr> <td><strong>Area Of Specialization* </strong> </td> <td><input name="specialization" type="text" value="<? echo "$specialization" ?>" size="25" maxlength="40"></td> <td><strong>Division</strong> * </td> <td width="216"><select name="division" size=""> <? foreach( $division_array as $temp ) { if ($temp==$division) { ?> <option selected value="<? echo "$temp" ?>"><? echo "$temp" ?></option> <? } else { ?> <option value="<? echo "$temp" ?>" ><? echo "$temp" ?></option> <? } } ?> </select></td> </tr> <tr> <td><strong>Branch </strong> * </td> <td><select name="branch" id="branch"> <? $query = "SELECT * FROM branch ORDER BY branchid"; $result = mysql_query($query) or die(mysql_error()); while ($row = mysql_fetch_assoc($result)) { $branchid = $row["branchid"]; $branch_name = $row["branch_name"]; ?> <option value="<?php echo $branchid ?>"<?php if($branch== $branchid) { echo "selected"; } ?>><? echo $branch_name ?></option> <? } ?> </select></td> <td><strong>Town </strong> * </td> <td><input name="town" type="text" value="<? echo "$town" ?>" size="25" maxlength="40"></td> </tr> <tr> <td><strong>State</strong> </td> <td><select name="state" size=""> <? $query = "SELECT * FROM state ORDER BY stateid"; $result = mysql_query($query) or die(mysql_error()); while ($row = mysql_fetch_assoc($result)) { $stateid = $row["stateid"]; $state_name = $row["state_name"]; ?> <option value="<?php echo $stateid ?>"<?php if($state== $stateid) { echo "selected"; } ?>><? echo $state_name ?></option> <? } ?> </select></td> <td><strong>Nationality</strong> * </td> <td width="216"><select name="nationality" size=""> <? foreach( $country_array as $temp ) { if ($temp==$nationality) { ?> <option selected value="<? echo "$temp" ?>"><? echo "$temp" ?></option> <? } else { ?> <option value="<? echo "$temp" ?>" ><? echo "$temp" ?></option> <? } } ?> </select></td> </tr> </table> <br> <table width="100%" class="secondtable" cellpadding="5" > <tr> <td width="210"><strong>Date Elected Student </strong></td> <td width="223"><input name="dateelectstd" type="text" value="<? echo "$dateelectstd" ?>" size="12" maxlength="20" ></td> <td width="228"><strong>Date Elected Associate</strong></td> <td width="161"><input name="dateelectass" type="text" value="<? echo "$dateelectass" ?>" size="12" maxlength="20" ></td> </tr> <tr> <td><strong>Date Elected Graduate</strong></td> <td><input name="dateelectgrd" type="text" value="<? echo "$dateelectgrd" ?>" size="12" maxlength="20" ></td><td><strong>Date Elected Corporate Member </strong></td> <td><input name="dateelectcor" type="text" value="<? echo "$dateelectcor" ?>" size="12" maxlength="20" ></td> </tr> <tr> <td><strong>Date Elected Life Member </strong></td> <td><input name="dateelectmem" type="text" value="<? echo "$dateelectmem" ?>" size="12" maxlength="20" ></td> <td><strong>Date Elected Fellow </strong></td> <td><input name="dateelectfell" type="text" value="<? echo "$dateelectfell" ?>" size="12" maxlength="20" ></td> </tr> <tr> <td><strong>Date Elected Life Fellow</strong></td> <td><input name="dateelectliffellow" type="text" value="<? echo "$dateelectliffellow" ?>" size="12" maxlength="20" ></td> <td><strong>Life Member?</strong></td> <td><input type="checkbox" name="LifeMember" value="1"></td> </tr> </table> </fieldset> </div> <div id="fragment-4"> <fieldset style="margin-left:10px; margin-right:10px" ><legend>COREN Information</legend> <table class="secondtable" width="100%" cellpadding="5"> <tr> <td colspan="4"><span class="style4">COREN Information</span></td> </tr> <tr> <td><strong>COREN RegNo</strong></td> <td><input name="corenregno" type="text" value="<? echo "$corenregno" ?>" size="30" maxlength="60"></td> <td><strong>Date of Registration </strong></td> <td><input name="corendate" type="text" value="<? echo "$corendate" ?>" size="20" maxlength="30" ></td> </tr> <tr><td colspan="4"><p></p></td></tr> <tr><tD colspan="4"><span class="style4">Company Information</span></tD> </tr> <tr><td><strong>Company Name</strong></td> <td><input name="compname" type="text" value="<? echo "$compname" ?>" size="50" maxlength="90"></td> <td><strong>Position</strong></td> <td><input name="compposition" type="text" value="<? echo "$compposition" ?>" size="40" maxlength="60"></td> </tr> <td><strong>Department</strong></td> <td><input name="compdept" type="text" value="<? echo "$compdept" ?>" size="50" maxlength="60"></td> <td><strong>Years in Position</strong></td> <td><input name="yearspostion" type="text" value="<? echo "$yearspostion" ?>" size="15" maxlength="20"></td> </tr> </table> </fieldset> </div> <div id="fragment-5"> <fieldset style="margin-left:10px; margin-right:10px" ><legend> Business Details 1</legend> <table class="secondtable" width="100%"> <tr> <td colspan="4"><span class="style4">Business Details 1 </span></td> </tr> <tr> <td><strong>Name</strong></td> <td><input name="businessname1" type="text" value="<? echo "$businessname1" ?>" size="30" maxlength="90"></td> <td><strong>Date of Establishment </strong></td> <td><input name="busestablishment1" type="text" value="<? echo "$busestablishment1" ?>" size="30" maxlength="60"></td></tr> <tr><td><strong>Business Address</strong></td> <td><input name="businessaddr" type="text" value="<? echo "$businessaddr" ?>" size="40" maxlength="90"></td> <td><strong>Website</strong></td> <td><input name="compwebsite" type="text" value="<? echo "$compwebsite" ?>" size="30" maxlength="60"></td> </tr> <td><strong>Business Phone1</strong></td> <td><input name="busphone1" type="text" value="<? echo "$busphone1" ?>" size="30" maxlength="60"></td> <td><strong>Phone2</strong></td> <td><input name="busphone2" type="text" value="<? echo "$busphone2" ?>" size="30" maxlength="60"></td> </tr> <tr> <td><strong>Business Fax</strong></td> <td><input name="busfax" type="text" value="<? echo "$busfax" ?>" size="30" maxlength="30"></td> <td><strong>Email</strong></td> <td><input name="busemail" type="text" value="<? echo "$busemail" ?>" size="30" maxlength="50"></td> </tr> <tr> <td><strong>Registration/Certification</strong></td> <td><textarea name="buscertification1" cols="30" rows="2"><? echo "$buscertification1" ?></textarea></td> <td><strong>Approx Cost of project that can be handled </strong></td> <td><input name="buscost1" type="text" value="<? echo "$buscost1" ?>" size="30" maxlength="50"></td> </tr> </table> </fieldset> </div> <div id="fragment-6"> <fieldset style="margin-left:10px; margin-right:10px" ><legend> Business Details 2</legend> <table class="secondtable" width="100%"> <tr><td><p></p></td></tr> <tr> <tD colspan="2"><span class="style4">Business Details 2 </span></tD> </tr> <tr> <td><strong>Name</strong></td> <td><input name="businessaddr2" type="text" value="<? echo "$businessaddr2" ?>" size="30" maxlength="90"></td> <td><strong>Date of Establishment </strong></td> <td><input name="busestablishment2" type="text" value="<? echo "$busestablishment2" ?>" size="30" maxlength="60"></td></tr> <tr><td><strong>Business Address</strong></td> <td><input name="businessaddr2" type="text" value="<? echo "$businessaddr2" ?>" size="40" maxlength="90"></td><td><strong>Website</strong></td> <td><input name="compwebsite2" type="text" value="<? echo "$compwebsite2" ?>" size="30" maxlength="60"></td></tr> <td><strong>Business Phone1</strong></td> <td><input name="busphone11" type="text" value="<? echo "$busphone11" ?>" size="30" maxlength="60"></td> <td><strong>Phone2</strong></td> <td><input name="busphone22" type="text" value="<? echo "$busphone22" ?>" size="30" maxlength="60"></td> </tr> <tr> <td><strong>Business Fax</strong></td> <td><input name="busfax2" type="text" value="<? echo "$busfax2" ?>" size="30" maxlength="30"></td> <td><strong>Email</strong></td> <td><input name="busemail2" type="text" value="<? echo "$busemail2" ?>" size="30" maxlength="50"></td> </tr> <tr> <td><strong>Registration/Certification</strong></td> <td><textarea name="buscertification2" cols="30" rows="2"><? echo "$buscertification2" ?></textarea></td> <td><strong>Approx Cost of project that can be handled </strong></td> <td><input name="buscost2" type="text" value="<? echo "$buscost2" ?>" size="30" maxlength="50"></td> </tr> </table> </fieldset> </div> <div id="fragment-7"> <fieldset style="margin-left:10px; margin-right:10px" ><legend> Education Background</legend> <table width="750" border="0" class="secondtable"> <tr> <td colspan="2"><span class="style4">Educational Background </span></td> </tr> <tr> <td width="125"><strong>Degree Type</strong></td> <td width="207"><strong>Course</strong></td> <td width="127"><strong>Title</strong></td> <td width="257"><strong>University</strong></td> <td width="42"><strong>Date</strong></td> </tr> <tr> <td><strong>First Degree*</strong></td> <td><input name="firstdegcourse" type="text" value="<? echo "$firstdegcourse" ?>" size="25" maxlength="70"></td><td><input name="firstdegtitle" type="text" value="<? echo "$firstdegtitle" ?>" size="20" maxlength="50"></td><td><input name="firstdeguniver" type="text" value="<? echo "$firstdeguniver" ?>" size="20" maxlength="70"></td> <td><input name="firstdegdate" type="text" value="<? echo "$firstdegdate" ?>" size="15" maxlength="20"></td> </tr> <tr> <td><strong>Master Degree</strong></td> <td><input name="seconddegcourse" type="text" value="<? echo "$seconddegcourse" ?>" size="25" maxlength="70"></td><td><input name="seconddegtitle" type="text" value="<? echo "$seconddegtitle" ?>" size="20" maxlength="50"></td><td><input name="seconddeguniver" type="text" value="<? echo "$seconddeguniver" ?>" size="20" maxlength="70"></td> <td><input name="seconddegdate" type="text" value="<? echo "$seconddegdate" ?>" size="15" maxlength="20"></td> </tr><tr> <td><strong>Doctorate Degree</strong></td> <td><input name="doctdegcourse" type="text" value="<? echo "$doctdegcourse" ?>" size="25" maxlength="70"></td><td><input name="doctdegtitle" type="text" value="<? echo "$doctdegtitle" ?>" size="20" maxlength="50"></td><td><input name="doctdeguniver" type="text" value="<? echo "$doctdeguniver" ?>" size="20" maxlength="70"></td> <td><input name="doctdegdate" type="text" value="<? echo "$doctdegdate" ?>" size="15" maxlength="20"></td> </tr> </table> </fieldset> </div> <div id="fragment-8"> <fieldset style="margin-left:10px; margin-right:10px" ><legend> Professional Qualification</legend> <table width="100%" class="secondtable"> <tr> <td width="219"><span class="style4">Professional Qualification</span></td> </tr> <tr> <td><strong>Professional Course </strong></td> <td width="220"><strong>Professional Award </strong></td> <td width="210"><strong>Professional Body </strong></td> <td width="100" colspan="2"><strong>Award Date</strong></td> </tr> <tr> <td><input name="profcourse" type="text" value="<? echo "$profcourse" ?>" size="25" maxlength="70"></td><td><input name="profaward" type="text" value="<? echo "$profaward" ?>" size="25" maxlength="40"></td> <td><input name="profbody" type="text" value="<? echo "$profbody" ?>" size="25" maxlength="40"></td> <td><input name="profdate" type="text" value="<? echo "$profdate" ?>" size="15" maxlength="20"></td> </tr> </table> </fieldset> </div> <div id="fragment-9"> <fieldset style="margin-left:10px; margin-right:10px" ><legend> Next of Kin</legend> <table width="100%" class="secondtable"> <tr> <td><span class="style4">Next of Kin</span></td> </tr> <tr> <td><strong>Full Name * </strong></td> <td><input name="nokname" type="text" value="<? echo "$nokname" ?>" size="60" maxlength="90"></td> <td><strong>Phone </strong></td> <td><input name="nokphone" type="text" value="<? echo "$nokphone" ?>" size="30" maxlength="60"></td></tr> <td><strong>Contact Address * </strong></td> <td><textarea name="nokcontact" cols="50" rows="3"><? echo "$nokcontact" ?></textarea></td> <td><strong>Mobile</strong></td> <td><input name="nokmobile" type="text" value="<? echo "$nokmobile" ?>" size="30" maxlength="60"></td> </tr> <tr> <td><strong>Postal Address * </strong></td> <td><textarea name="nokpostal" cols="50" rows="3"><? echo "$nokpostal" ?></textarea></td> <td><strong>Fax</strong></td> <td><input name="nokfax" type="text" value="<? echo "$nokfax" ?>" size="30" maxlength="50"></td> </tr> <tr> <td><strong>Email</strong></td> <td><input name="nokemail" type="text" value="<? echo "$nokemail" ?>" size="30" maxlength="60"></td><td> </td> <td><input type="submit" name="submit" value="Add Profile" onClick="return checkform(this)"></td></tr> </table> </fieldset> </div> </div> </form> </span> <? require ("inc/footer.php"); ?>
Simpan