worknova.manus/HR/hr-local-new.php
LAPTOP-V9RRD1TL\Michelle's Computer f8f8fcaf96 first commit
2025-07-21 21:38:17 +08:00

2225 lines
174 KiB
PHP

<div class="warper container-fluid">
<div class="row">
<div class="col-md-12" style="position:inherit;">
<?php/* echo $letter_head['header'] ;*/?>
<div class="panel panel-default">
<div class="panel-heading"></div>
<div class="panel-body">
<?php
if ( $hide_title == false ){
$submit_link = 'hr-employment.php?page_mode=edit&page='.$last_id.'&type=edit&select_worker=Local' ;
}else{
$submit_link = 'hr-application.php?page_mode=edit&page='.$last_id.'&type=edit&select_worker=Local' ;
}
?>
<form method="post" class="form-horizontal" id="quotationForm" enctype="multipart/form-data"
action="<?= $submit_link ?>" novalidate="novalidate">
<div class="container">
<table border="0" cellpadding="0" cellspacing="0" class="employment_table"
style="width:100%; padding:0; margin:0 auto;border-collapse: collapse; font-size: 16px;">
<tr>
<td colspan="4">
<?php if ( $hide_title == false ){ ?><div class="page-header">
<h1><?= $lang['EMPLOYMENT APPLICATION FORM']?> <small><?= $lang['new']?></small><a
href="online-form.php?branch=<?php echo $_SESSION['url_get_branch_admin']; ?>"
class="btn btn-purple" style="float:right; background-color:#5e5bd0 ;color:white">Online
Form</a></h1>
</div>
<?php } ?>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">
<table style="width:100%;" border="0" cellpadding="0" cellspacing="0">
<tr>
<td
style="width:100%;font-size:20px; padding:2px 0; text-align:center;background-color:#5e5bd0 ;color: white;">
<strong><?= $lang['EMPLOYMENT APPLICATION FORM']?></strong>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4" style="font-weight:bold; font-size:16px;">
<table style="width: 100%;">
<tr>
<td style="width: 30%;">
<?= $lang['POSITION APPLIED FOR'] ?> :
</td>
<td>
<input type="hidden" name="positionApplyText"
id="positionApplyText" />
<?php
$mysqli_query = "SELECT a.job_position_id, b.job_position_desc FROM setting_job_position a
LEFT JOIN setting_job_position_translation b ON ( a.job_position_id = b.job_position_id )
WHERE a.deleted_at IS NULL AND b.lang = 'en' AND a.job_position_show_al = 'Show'
ORDER BY b.job_position_desc ASC";
$mysqli_position = $mysqli->query($mysqli_query);
if ($mysqli_position->num_rows > 0) {
echo '
<select id="positionApplySelect" name="positionApplySelect" style="width: 100%;height: 100%">
<option value="">' . $lang['select'] . '</option>';
while ($row_position = $mysqli_position->fetch_array(MYSQLI_ASSOC)) {
echo '<option value="' . $row_position['job_position_id'] . '">' . dataFilter($row_position['job_position_desc']) . '</option>';
}
echo '</select>';
}
?>
<script>
const select = document.getElementById('positionApplySelect');
const input = document.getElementById('positionApplyText');
if (select && input) {
select.addEventListener('change', function() {
const selectedOption = this.options[this
.selectedIndex];
input.value = this.value ? selectedOption.text : '';
});
}
</script>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="4" style="font-weight:bold; font-size:16px;">
<table style="width: 100%;">
<tr>
<td style="width: 30%;"><?= $lang['EXPECTED SALARY'] ?> :</td>
<td><input name="expectedSalary" type="number" step="0.01" min="0"
placeholder="0.00" style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="4" style="font-weight:bold; font-size:16px;">
<table style="width: 100%;">
<tr>
<td style="width: 30%;"><?= $lang['NOTICE PERIOD'] ?> :</td>
<td><input name="noticePeroid" type="number" min="0"
placeholder="<?= $lang['Days'] ?>" style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="4" style="font-weight:bold; font-size:16px;">
<table style="width: 100%;">
<tr>
<td style="width: 30%;"><?= $lang['REFERRAL NAME (IF APPLICABLE)'] ?> :
</td>
<td><input name="referralName" type="text" style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="4" style="font-weight:bold; font-size:16px;">
<table style="width: 100%;">
<tr>
<td style="width: 30%;">NRIC (ONLY NUMBER) :
</td>
<td>
<input name="nric" type="text" style="width: 100%;" />
<small style="color: gray;">without dash or space</small>
</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?= $lang['PERSONAL INFORMATION'] ?>
</div>
<div class="panel-body"
style="padding: 0;font-size: 16px;font-weight: bold;">
<table class="table table-bordered" style="margin: 0;padding: 0;">
<!-- Full Name -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td colspan="2">
<?= $lang['FULL NAME (AS PER NRIC)'] ?> :
</td>
</tr>
<tr>
<td colspan="2"><input name="personal_name"
type="text" style="width: 100%;"></td>
</tr>
</table>
</td>
</tr>
<!-- Chinese & Nickname -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td>
<?= $lang['NAME IN CHINESE CHARACTER (IF APPLICABLE)'] ?>
:
</td>
<td>
<?= $lang['NICKNAME'] ?> :
</td>
</tr>
<tr>
<td><input name="personal_name_chinese" type="text"
style="width: 100%;"></td>
<td><input name="personal_name_nickname" type="text"
style="width: 100%;"></td>
</tr>
</table>
</td>
</tr>
<!-- DOB, Age, Email -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td>
<?= $lang['DATE OF BIRTH'] ?> :
</td>
<td>
<?= $lang['AGE'] ?> :
</td>
<td style="width: 50%;">
<?= $lang['EMAIL ADDRESS'] ?> :
</td>
</tr>
<tr>
<td><input name="personal_dob"
class="datetimepicker" type="text"
style="width: 100%;"></td>
<td><input name="personal_age" type="number"
style="width: 100%;"></td>
<td><input type="email" name="personal_email"
style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<!-- Nationality & Religion -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td>
<?= $lang['NATIONALITY'] ?> :
</td>
<td>
<?= $lang['RELIGION'] ?> :
</td>
</tr>
<tr>
<td><input type="text" name="personal_nationality"
style="width: 100%;" /></td>
<td><input type="text" name="personal_religion"
style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<!-- Mobile & Home Tel -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td>
<?= $lang['MOBILE NO.'] ?> :
</td>
<td>
<?= $lang['HOME TELEPHONE'] ?> :
</td>
</tr>
<tr>
<td><input type="text" name="personal_mobile"
style="width: 100%;" /></td>
<td><input type="text" name="personal_home_tel"
style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<!-- Gender, Marital, License -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td style="width: 25%;">
<?= $lang['GENDER'] ?> :
</td>
<td style="width: 25%;">
<?= $lang['MARITAL STATUS'] ?> :
</td>
<td style="width: 50%;">
<?= $lang['DRIVING LISENCE'] ?> :
</td>
</tr>
<tr>
<td style="vertical-align: top;">
<label><input type="radio"
name="personal_gender" value="male" />
<?= $lang['MALE'] ?></label><br />
<label><input type="radio"
name="personal_gender" value="female" />
<?= $lang['FEMALE'] ?></label>
</td>
<td style="vertical-align: top;">
<label><input type="radio"
name="personal_marital_status"
value="single" />
<?= $lang['SINGLE'] ?></label><br />
<label><input type="radio"
name="personal_marital_status"
value="married" />
<?= $lang['MARRIED'] ?></label><br />
<label><input type="radio"
name="personal_marital_status"
value="divorced" />
<?= $lang['DIVORCED'] ?></label><br />
<label><input type="radio"
name="personal_marital_status"
value="windowed" />
<?= $lang['WINDOWED'] ?></label><br />
<label><input type="radio"
name="personal_marital_status"
value="seperated" />
<?= $lang['SEPERATED'] ?></label>
</td>
<td style="vertical-align: top;">
<div
style="display: flex; align-items: center; gap: 10px; margin-bottom: 8px; margin-top: 8px;">
<input type="radio" name="personal_lisence"
id="radio_yes" value="yes" />
<label for="radio_yes"
style="margin: 0;"><?= $lang['YES'] ?></label>
<span
id="personal_lisence_class_title"><?= $lang['CLASS'] ?>:</span>
<input type="text"
name="personal_lisence_class"
id="personal_lisence_class"
style="height: 18px; font-size: 16px;">
</div>
<div
style="display: flex; align-items: center; gap: 10px;">
<input type="radio" name="personal_lisence"
id="radio_no" value="no" />
<label for="radio_no"
style="margin: 0;"><?= $lang['NO'] ?></label>
</div>
</td>
</tr>
</table>
<script>
const yesRadio = document.getElementById('radio_yes');
const noRadio = document.getElementById('radio_no');
const classInput = document.getElementById(
'personal_lisence_class');
const classTitle = document.getElementById(
'personal_lisence_class_title');
function toggleClassInput() {
if (yesRadio.checked) {
classInput.style.display = 'inline-block';
classTitle.style.display = 'inline-block';
} else {
classInput.style.display = 'none';
classTitle.style.display = 'none';
classInput.value = '';
}
}
yesRadio.addEventListener('change', toggleClassInput);
noRadio.addEventListener('change', toggleClassInput);
toggleClassInput();
</script>
</td>
</tr>
<!-- Permanent Address -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td>
<?= $lang['PERMANENT ADDRESS'] ?> :
</td>
</tr>
<tr>
<td><input type="text"
name="personal_permanent_address"
style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
<!-- Residential Address -->
<tr>
<td colspan="4">
<table style="width: 100%;">
<tr>
<td>
<?= $lang['RESIDENTIAL ADDRESS'] ?> :
</td>
</tr>
<tr>
<td><input type="text"
name="personal_residential_address"
style="width: 100%;" /></td>
</tr>
</table>
</td>
</tr>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?=$lang['FAMILY PARTICULARS']?>
</div>
<div class="panel-body" style="padding: 0;">
<table border="0" cellpadding="0" cellspacing="0" width="100%"
style="font-size:16px;margin:0;border-bottom: 1px solid #000;border-right: 1px solid #000;">
<tr>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['NAME']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['RELATIONSHIP']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['AGE']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['OCCUPATION']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['COMPANY NAME']?></th>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_name[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[0]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="1" />
<input type="text" name="family_member_name[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[1]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="2" />
<input type="text" name="family_member_name[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[2]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="3" />
<input type="text" name="family_member_name[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[3]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="4" />
<input type="text" name="family_member_name[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[4]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="5" />
<input type="text" name="family_member_name[5]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[5]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[5]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[5]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[5]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="6" />
<input type="text" name="family_member_name[6]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[6]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[6]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[6]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[6]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="family_member_key[]" value="7" />
<input type="text" name="family_member_name[7]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_relationship[7]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_age[7]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_occupation[7]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="family_member_company[7]"
style="margin:0;" />
</td>
</tr>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?= $lang['EDUCATIONAL LEVEL']?>
</div>
<div class="panel-body" style="padding: 0;">
<table border="0" cellpadding="0" cellspacing="0" width="100%"
style="font-size:16px;border-bottom: 1px solid #000;border-right: 1px solid #000;">
<tr>
<th rowspan="2"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['QUALIFICATIONS']?></th>
<th rowspan="2"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['NAME OF SCHOOL / COLLEGE / UNIVERSITY']?></th>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?=$lang['START']?>
</th>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?=$lang['FINISH']?>
</th>
<th width="160px" rowspan="2"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['GRADE']?></th>
</tr>
<tr>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?=$lang['(month/year)']?>
</th>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?=$lang['(month/year)']?>
</th>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<select name="education_qualification[0]"
style="max-width:470px;margin:0px;border:0px;">
<option value=""><?= $lang['select'] ?></option>
<option value="qua_below_pmr">Below PMR</option>
<option value="qua_pmr_pt3">PMR / PT3</option>
<option value="qua_spm">SPM</option>
<option value="qua_certificate_skm_svm">Certificate/ SKM
/ SVM</option>
<option value="qua_alevel_uec">A-Level / UEC</option>
<option value="qua_diploma">Diploma</option>
<option value="qua_degree">Degree</option>
<option value="qua_master_degree">Master Degree</option>
<option value="qua_phd">PHD</option>
</select>
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_name_school[0]"
style="margin:0;" />
<input type="hidden" name="education_key[]" value="0" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_start_year[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_finish_year[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_grade[0]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<select name="education_qualification[1]"
style="max-width:470px;margin:0px;border:0px;">
<option value=""><?= $lang['select'] ?></option>
<option value="qua_below_pmr">Below PMR</option>
<option value="qua_pmr_pt3">PMR / PT3</option>
<option value="qua_spm">SPM</option>
<option value="qua_certificate_skm_svm">Certificate/ SKM
/ SVM</option>
<option value="qua_alevel_uec">A-Level / UEC</option>
<option value="qua_diploma">Diploma</option>
<option value="qua_degree">Degree</option>
<option value="qua_master_degree">Master Degree</option>
<option value="qua_phd">PHD</option>
</select>
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_name_school[1]"
style="margin:0;" />
<input type="hidden" name="education_key[]" value="1" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_start_year[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_finish_year[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_grade[1]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<select name="education_qualification[2]"
style="max-width:470px;margin:0px;border:0px;">
<option value=""><?= $lang['select'] ?></option>
<option value="qua_below_pmr">Below PMR</option>
<option value="qua_pmr_pt3">PMR / PT3</option>
<option value="qua_spm">SPM</option>
<option value="qua_certificate_skm_svm">Certificate/ SKM
/ SVM</option>
<option value="qua_alevel_uec">A-Level / UEC</option>
<option value="qua_diploma">Diploma</option>
<option value="qua_degree">Degree</option>
<option value="qua_master_degree">Master Degree</option>
<option value="qua_phd">PHD</option>
</select>
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_name_school[2]"
style="margin:0;" />
<input type="hidden" name="education_key[]" value="2" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_start_year[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_finish_year[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_grade[2]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<select name="education_qualification[3]"
style="max-width:470px;margin:0px;border:0px;">
<option value=""><?= $lang['select'] ?></option>
<option value="qua_below_pmr">Below PMR</option>
<option value="qua_pmr_pt3">PMR / PT3</option>
<option value="qua_spm">SPM</option>
<option value="qua_certificate_skm_svm">Certificate/ SKM
/ SVM</option>
<option value="qua_alevel_uec">A-Level / UEC</option>
<option value="qua_diploma">Diploma</option>
<option value="qua_degree">Degree</option>
<option value="qua_master_degree">Master Degree</option>
<option value="qua_phd">PHD</option>
</select>
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_name_school[3]"
style="margin:0;" />
<input type="hidden" name="education_key[]" value="3" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_start_year[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_finish_year[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_grade[3]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<select name="education_qualification[4]"
style="max-width:470px;margin:0px;border:0px;">
<option value=""><?= $lang['select'] ?></option>
<option value="qua_below_pmr">Below PMR</option>
<option value="qua_pmr_pt3">PMR / PT3</option>
<option value="qua_spm">SPM</option>
<option value="qua_certificate_skm_svm">Certificate/ SKM
/ SVM</option>
<option value="qua_alevel_uec">A-Level / UEC</option>
<option value="qua_diploma">Diploma</option>
<option value="qua_degree">Degree</option>
<option value="qua_master_degree">Master Degree</option>
<option value="qua_phd">PHD</option>
</select>
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_name_school[4]"
style="margin:0;" />
<input type="hidden" name="education_key[]" value="4" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_start_year[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_finish_year[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="education_grade[4]"
style="margin:0;" />
</td>
</tr>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?= $lang['PROFESSIONAL QUALIFICATIONS (MEMBERSHIPS / TECHNICAL / PROFESSIONAL / OCCUPATION TRAINING)']?>
</div>
<div class="panel-body" style="padding: 0;">
<table border="0" cellpadding="0" cellspacing="0" width="100%"
style="font-size:16px;border-bottom: 1px solid #000;border-right: 1px solid #000;">
<tr>
<th rowspan="2"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['PROFESSIONAL QUALIFICATION']?></th>
<th rowspan="2"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['ACCREDITED BY']?></th>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?= $lang['START']?></th>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?= $lang['FINISH']?></th>
</tr>
<tr>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?= $lang['(month/year)']?>
</th>
<th width="130px"
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;text-align: center;">
<?= $lang['(month/year)']?>
</th>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_qualification[0]"
style="margin:0;" />
<input type="hidden" name="professional_qualification_key[]"
value="0" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_accredited_by[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_start_year[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_finish_year[0]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_qualification[1]"
style="margin:0;" />
<input type="hidden" name="professional_qualification_key[]"
value="1" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_accredited_by[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_start_year[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_finish_year[1]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_qualification[2]"
style="margin:0;" />
<input type="hidden" name="professional_qualification_key[]"
value="2" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_accredited_by[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_start_year[2]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_finish_year[2]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_qualification[3]"
style="margin:0;" />
<input type="hidden" name="professional_qualification_key[]"
value="3" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_accredited_by[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_start_year[3]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_finish_year[3]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_qualification[4]"
style="margin:0;" />
<input type="hidden" name="professional_qualification_key[]"
value="4" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="professional_accredited_by[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_start_year[4]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text"
name="professional_qualification_finish_year[4]"
style="margin:0;" />
</td>
</tr>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?=$lang['LANGUAGE PROFICIENCY']?>
</div>
<div class="panel-body" style="padding: 0;">
<table border="1" cellspacing="0" cellpadding="5"
style="border-collapse: collapse; width: 100%; text-align: center; font-size:16px;">
<thead>
<tr>
<th style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;"
rowspan="2"><?=$lang['LANGUAGE PROFICIENCY']?></th>
<th style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;"
colspan="3"><?=$lang['SPOKEN']?></th>
<th style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;"
colspan="3"><?=$lang['WRITTEN']?></th>
</tr>
<tr>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['GOOD']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['AVERAGE']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['POOR']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['GOOD']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['AVERAGE']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['POOR']?></th>
</tr>
</thead>
<tbody>
<!-- ENGLISH -->
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['ENGLISH']?></td>
<td><input style="margin:5px;" type="radio"
name="spoken_english" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_english" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_english" value="poor"></td>
<td><input style="margin:5px;" type="radio"
name="written_english" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="written_english" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="written_english" value="poor"></td>
</tr>
<!-- MANDARIN -->
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['MANDARIN']?></td>
<td><input style="margin:5px;" type="radio"
name="spoken_mandarin" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_mandarin" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_mandarin" value="poor"></td>
<td><input style="margin:5px;" type="radio"
name="written_mandarin" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="written_mandarin" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="written_mandarin" value="poor"></td>
</tr>
<!-- BAHASA MALAYSIA -->
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['BAHASA MALAYSIA']?></td>
<td><input style="margin:5px;" type="radio" name="spoken_bm"
value="good"></td>
<td><input style="margin:5px;" type="radio" name="spoken_bm"
value="average"></td>
<td><input style="margin:5px;" type="radio" name="spoken_bm"
value="poor"></td>
<td><input style="margin:5px;" type="radio"
name="written_bm" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="written_bm" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="written_bm" value="poor"></td>
</tr>
<!-- OTHERS 1 -->
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" placeholder="Other"
name="language_other_1" style="margin: 0;">
</td>
<td><input style="margin:5px;" type="radio"
name="spoken_other1" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_other1" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_other1" value="poor"></td>
<td><input style="margin:5px;" type="radio"
name="written_other1" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="written_other1" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="written_other1" value="poor"></td>
</tr>
<!-- OTHERS 2 -->
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" placeholder="Other"
name="language_other_2" style="margin: 0;">
</td>
<td><input style="margin:5px;" type="radio"
name="spoken_other2" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_other2" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="spoken_other2" value="poor"></td>
<td><input style="margin:5px;" type="radio"
name="written_other2" value="good"></td>
<td><input style="margin:5px;" type="radio"
name="written_other2" value="average"></td>
<td><input style="margin:5px;" type="radio"
name="written_other2" value="poor"></td>
</tr>
</tbody>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?=$lang['REFERENCE DETAIL']?>
</div>
<div class="panel-body" style="padding: 0;">
<p style="margin: 5px;">
<?=$lang['LIST AT LEAST TWO (2) FORMER SUPERVISOR, HR MANAGER AND/OR COLLEAGUE.']?>
<p>
<table border="0" cellpadding="0" cellspacing="0" width="100%"
style="font-size:16px;border-bottom: 1px solid #000;border-right: 1px solid #000;">
<tr>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['Name']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['Position company']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['Contacts no']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?= $lang['Years known']?></th>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="references_key[]" value="0" />
<input type="text" name="references_name[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="references_position[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="references_contacts[0]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="references_years[0]"
style="margin:0;" />
</td>
</tr>
<tr>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="hidden" name="references_key[]" value="1" />
<input type="text" name="references_name[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="references_position[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="references_contacts[1]"
style="margin:0;" />
</td>
<td
style="border-top:1px solid #000;border-left:1px solid #000;">
<input type="text" name="references_years[1]"
style="margin:0;" />
</td>
</tr>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?= $lang['EMPLOYMENT HISTORY']?>
</div>
<div class="panel-body"
style="padding: 0; font-weight: bold; font-size: 16px;">
<div class="form-group">
<div class="row" style="margin-top: 10px;">
<div class="col-sm-6">
<?=$lang['CURRENT COMPANY :']?>
</div>
<div class="col-sm-6">
<?=$lang['CURRENT POSITION :']?>
</div>
</div>
<div class="row">
<div class="col-sm-6">
<input name="current_company_name" type="text">
</div>
<div class="col-sm-6">
<input name="current_position_name" type="text">
</div>
</div>
</div>
<br />
<div class="form-group row">
<div class="row">
<div class="col-sm-12">
<?=$lang['FULL ADDRESS :']?>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<input name="current_company_full_address" type="text">
</div>
</div>
</div>
<br />
<div class="form-group">
<div class="row">
<div class="col-sm-6">
<?=$lang['DATE JOIN :']?>
</div>
<div class="col-sm-6">
<?=$lang['DATE LEFT :']?>
</div>
</div>
<div class="row">
<div class="col-sm-6">
<input name="current_company_join_date" type="text"
class="datetimepicker">
</div>
<div class="col-sm-6">
<input name="current_company_left_date" type="text"
class="datetimepicker">
</div>
</div>
</div>
<br />
<div class="form-group">
<div class="row">
<div class="col-sm-6">
<?=$lang['BASIC SALARY :']?>
</div>
<div class="col-sm-6">
<?=$lang['FIX AllOWANCE :']?>
</div>
</div>
<div class="row">
<div class="col-sm-6">
<input name="current_company_basic_salary" type="number"
step="0.01" min="0" placeholder="0.00">
</div>
<div class="col-sm-6">
<input name="current_company_fix_allowance" type="number"
step="0.01" min="0" placeholder="0.00">
</div>
</div>
</div>
<br />
<div class="form-group row">
<div class="row">
<div class="col-sm-12">
<?=$lang['REASON FOR LEAVING :']?>
</div>
</div>
<div class="row">
<div class="col-sm-12">
<input name="current_company_leave_reason" type="text">
</div>
</div>
</div>
<br />
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?=$lang['SUBSEQUENT EMPLOYMENT HISTORY']?>
</div>
<div class="panel-body"
style="padding: 0; font-weight: bold; font-size: 16px;">
<table width="100%" style="border-collapse: collapse;">
<!-- Block 1 -->
<tr>
<th colspan="4"
style="padding:10px 5px; text-align:center; font-weight:bold;">
<?=$lang['Employment Record']?> #1</th>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Company:']?></td>
<td><input name="subsequent_company_name[0]" type="text"
style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Position:']?></td>
<td><input name="subsequent_position_name[0]" type="text"
style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Date Join:']?></td>
<td><input name="subsequent_company_join_date[0]" type="text"
class="datetimepicker" style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Date Left:']?></td>
<td><input name="subsequent_company_left_date[0]" type="text"
class="datetimepicker" style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Basic Salary:']?></td>
<td><input name="subsequent_company_basic_salary[0]"
type="number" step="0.01" min="0" placeholder="0.00"
style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Fix Allowance:']?></td>
<td><input name="subsequent_company_fix_allowance[0]"
type="number" step="0.01" min="0" placeholder="0.00"
style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Reason for Leaving:']?></td>
<td colspan="3"><input name="subsequent_company_leave_reason[0]"
type="text" style="width:100%;"></td>
</tr>
<!-- Block 2 -->
<tr>
<th colspan="4"
style="padding:10px 5px; text-align:center; font-weight:bold;">
<?=$lang['Employment Record']?> #2</th>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Company:']?></td>
<td><input name="subsequent_company_name[1]" type="text"
style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Position:']?></td>
<td><input name="subsequent_position_name[1]" type="text"
style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Date Join:']?></td>
<td><input name="subsequent_company_join_date[1]" type="text"
class="datetimepicker" style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Date Left:']?></td>
<td><input name="subsequent_company_left_date[1]" type="text"
class="datetimepicker" style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Basic Salary:']?></td>
<td><input name="subsequent_company_basic_salary[1]"
type="number" step="0.01" min="0" placeholder="0.00"
style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Fix Allowance:']?></td>
<td><input name="subsequent_company_fix_allowance[1]"
type="number" step="0.01" min="0" placeholder="0.00"
style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Reason for Leaving:']?></td>
<td colspan="3"><input name="subsequent_company_leave_reason[1]"
type="text" style="width:100%;"></td>
</tr>
<!-- Block 3 -->
<tr>
<th colspan="4"
style="padding:10px 5px; text-align:center; font-weight:bold;">
<?=$lang['Employment Record']?> #3</th>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Company:']?></td>
<td><input name="subsequent_company_name[2]" type="text"
style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Position:']?></td>
<td><input name="subsequent_position_name[2]" type="text"
style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Date Join:']?></td>
<td><input name="subsequent_company_join_date[2]" type="text"
class="datetimepicker" style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Date Left:']?></td>
<td><input name="subsequent_company_left_date[2]" type="text"
class="datetimepicker" style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Basic Salary:']?></td>
<td><input name="subsequent_company_basic_salary[2]"
type="number" step="0.01" min="0" placeholder="0.00"
style="width:100%;"></td>
<td style="padding:5px;"><?=$lang['Fix Allowance:']?></td>
<td><input name="subsequent_company_fix_allowance[2]"
type="number" step="0.01" min="0" placeholder="0.00"
style="width:100%;"></td>
</tr>
<tr>
<td style="padding:5px;"><?=$lang['Reason for Leaving:']?></td>
<td colspan="3"><input name="subsequent_company_leave_reason[2]"
type="text" style="width:100%;"></td>
</tr>
</table>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?=$lang['OTHER INFORMATION']?>
</div>
<div class="panel-body"
style="padding: 0; font-weight: bold; font-size: 16px;">
<p style="margin:10px">
<?=$lang['WHAT IS YOUR INVOLVEMENT IN THE FOLLOWING ACTIVITY :']?>
</p>
<table border="1" cellspacing="0" cellpadding="5"
style="border-collapse: collapse; width: 100%; text-align: center;">
<thead>
<tr>
<th style="padding:5px;border:1px solid #000;"></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['NEVER']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['OCCASIONALLY']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['AVERAGE']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['REGULARLY']?></th>
<th
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['HABITUAL']?></th>
</tr>
</thead>
<tbody>
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['GAMBLING']?></td>
<td><input style="margin:5px;" type="radio" name="gambling"
value="never"></td>
<td><input style="margin:5px;" type="radio" name="gambling"
value="occasionally"></td>
<td><input style="margin:5px;" type="radio" name="gambling"
value="average"></td>
<td><input style="margin:5px;" type="radio" name="gambling"
value="regularly"></td>
<td><input style="margin:5px;" type="radio" name="gambling"
value="habitual"></td>
</tr>
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['DRINKING']?></td>
<td><input style="margin:5px;" type="radio" name="drinking"
value="never"></td>
<td><input style="margin:5px;" type="radio" name="drinking"
value="occasionally"></td>
<td><input style="margin:5px;" type="radio" name="drinking"
value="average"></td>
<td><input style="margin:5px;" type="radio" name="drinking"
value="regularly"></td>
<td><input style="margin:5px;" type="radio" name="drinking"
value="habitual"></td>
</tr>
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['SMOKING']?></td>
<td><input style="margin:5px;" type="radio" name="smoking"
value="never"></td>
<td><input style="margin:5px;" type="radio" name="smoking"
value="occasionally"></td>
<td><input style="margin:5px;" type="radio" name="smoking"
value="average"></td>
<td><input style="margin:5px;" type="radio" name="smoking"
value="regularly"></td>
<td><input style="margin:5px;" type="radio" name="smoking"
value="habitual"></td>
</tr>
<tr>
<td
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
<?=$lang['DRUG TAKING']?></td>
<td><input style="margin:5px;" type="radio" name="drug"
value="never"></td>
<td><input style="margin:5px;" type="radio" name="drug"
value="occasionally"></td>
<td><input style="margin:5px;" type="radio" name="drug"
value="average"></td>
<td><input style="margin:5px;" type="radio" name="drug"
value="regularly"></td>
<td><input style="margin:5px;" type="radio" name="drug"
value="habitual"></td>
</tr>
</tbody>
</table>
<br />
<br />
<table cellpadding="5" cellspacing="5" width="100%"
style="border-collapse: collapse;">
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['1) DID YOU SUFFER FROM ANY PHYSICAL DISABILITY, CHRONIC AILMENT HANDICAP, ALLERGIES OR SERIOUS ILLNESS?']?>
</td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="disability"
value="yes"
onclick="toggleDetail('disability_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="disability_detail" name="disability_detail"
style="display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="disability"
value="no"
onclick="toggleDetail('disability_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 2 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['2) ARE YOU TAKING ANY LONG-TERM MEDICATION FOR DIABETIC, ASTHMA, ETC.?']?>
</td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="medication"
value="yes"
onclick="toggleDetail('medication_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="medication_detail" name="medication_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="medication"
value="no"
onclick="toggleDetail('medication_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 3 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['3) PREGNANCY BEFORE JOINING (CURRENTLY / PLANNING IN COMING FEW THREE (3) MONTHS)?']?>
</td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="pregnancy"
value="yes"
onclick="toggleDetail('pregnancy_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="pregnancy_detail" name="pregnancy_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="pregnancy"
value="no"
onclick="toggleDetail('pregnancy_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 4 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['4) ARE YOU WILLING TO TRANSFER TO A NEW DEPARTMENT OR COMPANY IF THE OPPORTUNITY ARISES?']?>
</td>
</tr>
<tr>
<td style="padding:5px;" colspan="2">
<div style="margin-top: 10px;">
<strong>A. WITH RELOCATION:</strong><br>
<label><input style="margin:5px;" type="radio"
name="relocation" value="yes">
<?=$lang['YES']?></label><br>
<label><input style="margin:5px;" type="radio"
name="relocation" value="no">
<?=$lang['NO']?></label>
</div>
</td>
</tr>
<tr>
<td style="padding:5px;" colspan="2">
<div style="margin-top: 10px;">
<strong>B. WITHOUT RELOCATION:</strong><br>
<label><input style="margin:5px;" type="radio"
name="without_relocation" value="yes">
YES</label><br>
<label><input style="margin:5px;" type="radio"
name="without_relocation" value="no">
<?=$lang['NO']?></label>
</div>
</td>
</tr>
<!-- Question 5 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['5) HAVE YOU EVER BEEN DISMISSED, DISCHARGED, OR LAID OFF FROM ANY EMPLOYMENT?']?>
</td>
</tr>
<tr>
<td style="width: 40px;"><input style="margin:5px;" value="yes"
type="radio" name="dismissed"
onclick="toggleDetail('dismissed_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="dismissed_detail" name="dismissed_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input type="radio" style="margin:5px;" value="no"
name="dismissed"
onclick="toggleDetail('dismissed_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 6 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['6) HAVE YOU EVER BEEN CHARGED IN A COURT LAW?']?>
</td>
</tr>
<tr>
<td><input type="radio" style="margin:5px;" name="court"
value="yes"
onclick="toggleDetail('court_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="court_detail" name="court_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input type="radio" style="margin:5px;" value="no"
name="court"
onclick="toggleDetail('court_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 7 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['7) HAVE YOU BEEN DECLARED BANKRUPTCY?']?></td>
</tr>
<tr>
<td><input value="yes" style="margin:5px;" type="radio"
name="bankruptcy"></td>
<td style="padding:5px;"><?=$lang['YES']?></td>
</tr>
<tr>
<td><input value="no" style="margin:5px;" type="radio"
name="bankruptcy"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 8 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['8) ARE YOU CURRENTLY EXPERIENCING ANY FINANCIAL DIFFICULTIES?']?>
</td>
</tr>
<tr>
<td><input type="radio" style="margin:5px;" value="yes"
name="finance"
onclick="toggleDetail('finance_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="finance_detail" name="finance_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="finance"
value="no"
onclick="toggleDetail('finance_detail', false)"></td>
<td style="padding:5px;">NO</td>
</tr>
<!-- Question 9 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['9) HAVE YOU APPLIED TO OUR COMPANY BEFORE?']?>
</td>
</tr>
<tr>
<td><input type="radio" style="margin:5px;" value="yes"
name="applied"
onclick="toggleDetail('applied_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="applied_detail" name="applied_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="applied"
value="no"
onclick="toggleDetail('applied_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 10 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['10) HAVE YOU BEEN INVOLVED IN A TRADE DISPUTE REFERRED TO LABOUR COURT?']?>
</td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" value="yes"
name="dispute"
onclick="toggleDetail('dispute_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?><input type="text"
id="dispute_detail" name="dispute_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="dispute"
value="no"
onclick="toggleDetail('dispute_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 11 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['11) DO YOU OWN A CAR AND/OR MOTORCYCLE WITH VALID LICENSE?']?>
</td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="vehicle"
value="yes"></td>
<td style="padding:5px;"><?=$lang['YES']?></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="vehicle"
value="no"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 12 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['12) ARE YOU WILLING TO WORK OVERTIME?']?></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="overtime"
value="yes"></td>
<td style="padding:5px;"><?=$lang['YES']?></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="overtime"
value="no"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 13 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['13) DO YOU HAVE ANY OTHER SIDE JOB OR BUSINESS?']?>
</td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="other_job"
value="yes"
onclick="toggleDetail('other_job_detail', true)"></td>
<td style="padding:5px;">
<?=$lang['IF YES, PLEASE GIVE DETAILS:']?> <input
type="text" id="applied_detail" name="other_job_detail"
style="width: 70%; display: none;"></td>
</tr>
<tr>
<td><input style="margin:5px;" type="radio" name="other_job"
value="no"
onclick="toggleDetail('other_job_detail', false)"></td>
<td style="padding:5px;"><?=$lang['NO']?></td>
</tr>
<!-- Question 14 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['14) WHAT ATTRACTED YOU TO THIS CAREER OPPORTUNITY?']?>
</td>
</tr>
<tr>
<td colspan="2" style="padding:0;">
<input type="text" name="attract"
style="margin:0; width: 100%;"
onclick="toggleDetail('applied_detail', false)">
</td>
</tr>
<!-- Question 15 -->
<tr>
<td style="padding:5px;" colspan="2">
<?=$lang['15) WHAT ARE YOUR CAREER GOALS IN 5 YEARS, AND HOW TO ACHIEVE THEM?']?>
</td>
</tr>
<tr>
<td colspan="2" style="padding:0;">
<input type="text" name="career_plan"
style="margin:0; width: 100%;"
onclick="toggleDetail('applied_detail', false)">
</td>
</tr>
</table>
</div>
</div>
<script>
function toggleDetail(inputId, show) {
const input = document.getElementById(inputId);
input.style.display = show ? 'inline-block' : 'none';
if (!show) input.value = '';
}
</script>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?=$lang['PRIVACY NOTICE FOR PERSONAL DATA']?>
</div>
<div class="panel-body"
style="padding: 0; font-weight: bold; font-size: 16px;">
<p style="margin:10px">BY PROVIDING PERSONAL DATA AS STATED IN THIS
EMPLOYMENT APPLICATION FORM, I HAVE CONSENTED YOUR COMPANY TO
PROCESS THE PERSONAL DATA IN ACCORDANCE WITH PERSONAL DATA
PROTECTION ACT, AND I FURTHER CONFIRM THAT ALL PERSONAL DATA
PROVIDED HEREIN ARE ACCURATE AND COMPLETE.</p>
<p style="margin:10px">TO THE EXTENT THAT I HAVE PROVIDED ABOUT MY
FAMILY MEMBERS, SPOUSE, OTHER DEPENDENTS, AND PERSONAL REFERRALS
CONFIRM THAT I HAVE EXPLAINED TO THEM THAT THEIR PERSONAL DATA WILL
BE PROVIDED TO, AND PROCESSED BY YOUR COMPANY AND I REPRESENT AND
WARRANT THAT I HAVE OBTAINED THEIR CONSENT TO THE PROCESSING OF
THEIR PERSONAL DATA IN ACCORDANCE WITH PERSONAL DATA PROTECTION ACT.
</p>
<p style="margin:10px">I FURTHER AUTHORIZE AND CONSENT YOUR COMPANY TO
CONDUCT BACKGROUND SEARCH ON ME WHETHER BASED ON THE DATA PROVIDED
BY ME IN THIS EMPLOYMENT APPLICATION FORM OR RELATED INFORMATION
THAT YOUR COMPANY MAY OBTAIN FROM OTHER SOURCES FOR EVALUATING MY
JOB APPLICATION.</p>
<br />
<br />
<label style="margin:10px">FULL NAME</label><input type="text"
name="privacy_name"><br>
<label style="margin:10px"> NRIC NUMBER </label><input type="text"
name="privacy_nric_number"><br>
<label style="margin:10px"> DATE</label> <input type="text"
name="privacy_date" class="datetimepicker"><br>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
<div class="panel-heading"
style="font-size:16px; background-color: #5e5bd0;color: white;">
<?= $lang['ACKNOWLEDGEMENT AND AUTHORIZATION']?>
</div>
<div class="panel-body"
style="padding: 0; font-weight: bold; font-size: 16px;">
<p style="margin:10px;">I HEREBY DECLARE THAT ALL PARTICULARS AND
DOCUMENTS GIVEN BY ME ON THIS EMPLOYMENT APPLICATION FORM ARE TO THE
BEST OF MY KNOWLEDGE AND BELIEF, TRUE AND CORRECT. I UNDERSTAND THAT
IF OR AT ANY TIME AFTER MY EMPLOYMENT, THE INFORMATION GIVEN ON THIS
FORM ARE FOUND TO BE FALSE, INCORRECT OR INCOMPLETE, THE COMPANY
RESERVES THE RIGHT TO DISMISS MY SERVICES WITHOUT NOTICE OR
COMPENSATION. </p>
<br />
<br />
<label style="margin:10px">FULL NAME</label><input type="text"
name="acknowledgement_name"><br>
<label style="margin:10px"> NRIC NUMBER </label><input type="text"
name="acknowledgement_nric_number"><br>
<label style="margin:10px"> DATE</label><input type="text"
name="acknowledgement_privacy_date" class="datetimepicker"><br>
</div>
</div>
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td>
<div>Please acknowledge by signing below :</div>
<div style="width:350px;float:left;">
<div id="signature-pad" style="width:350px;" class="signature-pad">
<div id="protective-layer"
style="position: absolute;width: inherit;height: 150px; text-align: center;font-size: large;font-weight: bolder;padding: 50px 0px;">
Click To Sign Here</div>
<div class="signature-pad--body">
<canvas
style="border: 1px solid #ccc; width:350px !important; height:150px !important;"></canvas>
</div>
<div class="signature-pad--footer">
<div class="signature-pad--actions">
<div>
<button type="button" class="button clear"
data-action="clear"><?= $lang['Clear']?></button>
</div>
</div>
</div>
<input type="hidden" name="application_signature_acknowledgement"
id="signature_pad" required="required" />
<input type="hidden" name="application_signature_hidden_acknowledgement"
id="signature_pad_hidden" required="required" />
</div>
</div>
</td>
</tr>
</table>
</div>
<br />
<script src="<?= PATH ?>scripts/signature_pad.umd.js"></script>
<script
src="<?= PATH ?>scripts/signature.js?v=<?= filemtime( $_SERVER["DOCUMENT_ROOT"].'/scripts/signature.js') ?>">
</script>
<!-- <script src="<?= PATH ?>scripts/signature_pad.js"></script> -->
<!-- hidden input here -->
<table class="employment_table" border="0" cellpadding="0" cellspacing="0"
style="width:100%; padding:0; margin:0 auto;">
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4" style="border-bottom:1px solid #000;">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">
<?php
// check permission
if ( permissionCheck($row_user, 'application-form-new') ){
?>
<button id="apform_submit_btn" type="submit" class="btn btn-purple"
style="float:right; background-color:#5e5bd0 ;color:white"><?= $lang['submit']?></button>
<?php
}
?>
<input type="hidden" name="page_status" value="new" />
<input type="hidden" name="hide" value="1">
<input type="hidden" name="hide_select_worker" value="Local">
<input type="hidden" name="employment_status" value="pending">
</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
<tr>
<td colspan="4">&nbsp;</td>
</tr>
</table>
</form>
</div>
</div>
</div>
</div>
</div>
<script>
$("#apform_submit_btn").click(function(event) {
event.preventDefault();
if (confirm("Please make sure you have inserted all the details and signed the form?") == true) {
$("#quotationForm").submit();
}
});
</script>