2225 lines
174 KiB
PHP
2225 lines
174 KiB
PHP
<div class="warper container-fluid">
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<div class="row">
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<div class="col-md-12" style="position:inherit;">
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<?php/* echo $letter_head['header'] ;*/?>
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<div class="panel panel-default">
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<div class="panel-heading"></div>
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<div class="panel-body">
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<?php
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if ( $hide_title == false ){
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$submit_link = 'hr-employment.php?page_mode=edit&page='.$last_id.'&type=edit&select_worker=Local' ;
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}else{
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$submit_link = 'hr-application.php?page_mode=edit&page='.$last_id.'&type=edit&select_worker=Local' ;
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}
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?>
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<form method="post" class="form-horizontal" id="quotationForm" enctype="multipart/form-data"
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action="<?= $submit_link ?>" novalidate="novalidate">
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<div class="container">
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<table border="0" cellpadding="0" cellspacing="0" class="employment_table"
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style="width:100%; padding:0; margin:0 auto;border-collapse: collapse; font-size: 16px;">
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<tr>
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<td colspan="4">
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<?php if ( $hide_title == false ){ ?><div class="page-header">
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<h1><?= $lang['EMPLOYMENT APPLICATION FORM']?> <small><?= $lang['new']?></small><a
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href="online-form.php?branch=<?php echo $_SESSION['url_get_branch_admin']; ?>"
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class="btn btn-purple" style="float:right; background-color:#5e5bd0 ;color:white">Online
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Form</a></h1>
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</div>
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<?php } ?>
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</td>
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</tr>
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<tr>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<td colspan="4">
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<table style="width:100%;" border="0" cellpadding="0" cellspacing="0">
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<tr>
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<td
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style="width:100%;font-size:20px; padding:2px 0; text-align:center;background-color:#5e5bd0 ;color: white;">
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<strong><?= $lang['EMPLOYMENT APPLICATION FORM']?></strong>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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<tr>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<td colspan="4" style="font-weight:bold; font-size:16px;">
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<table style="width: 100%;">
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<tr>
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<td style="width: 30%;">
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<?= $lang['POSITION APPLIED FOR'] ?> :
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</td>
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<td>
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<input type="hidden" name="positionApplyText"
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id="positionApplyText" />
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<?php
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$mysqli_query = "SELECT a.job_position_id, b.job_position_desc FROM setting_job_position a
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LEFT JOIN setting_job_position_translation b ON ( a.job_position_id = b.job_position_id )
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WHERE a.deleted_at IS NULL AND b.lang = 'en' AND a.job_position_show_al = 'Show'
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ORDER BY b.job_position_desc ASC";
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$mysqli_position = $mysqli->query($mysqli_query);
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if ($mysqli_position->num_rows > 0) {
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echo '
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<select id="positionApplySelect" name="positionApplySelect" style="width: 100%;height: 100%">
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<option value="">' . $lang['select'] . '</option>';
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while ($row_position = $mysqli_position->fetch_array(MYSQLI_ASSOC)) {
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echo '<option value="' . $row_position['job_position_id'] . '">' . dataFilter($row_position['job_position_desc']) . '</option>';
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}
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echo '</select>';
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}
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?>
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<script>
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const select = document.getElementById('positionApplySelect');
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const input = document.getElementById('positionApplyText');
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if (select && input) {
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select.addEventListener('change', function() {
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const selectedOption = this.options[this
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.selectedIndex];
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input.value = this.value ? selectedOption.text : '';
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});
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}
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</script>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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<tr>
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<td colspan="4" style="font-weight:bold; font-size:16px;">
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<table style="width: 100%;">
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<tr>
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<td style="width: 30%;"><?= $lang['EXPECTED SALARY'] ?> :</td>
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<td><input name="expectedSalary" type="number" step="0.01" min="0"
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placeholder="0.00" style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<tr>
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<td colspan="4" style="font-weight:bold; font-size:16px;">
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<table style="width: 100%;">
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<tr>
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<td style="width: 30%;"><?= $lang['NOTICE PERIOD'] ?> :</td>
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<td><input name="noticePeroid" type="number" min="0"
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placeholder="<?= $lang['Days'] ?>" style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<tr>
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<td colspan="4" style="font-weight:bold; font-size:16px;">
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<table style="width: 100%;">
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<tr>
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<td style="width: 30%;"><?= $lang['REFERRAL NAME (IF APPLICABLE)'] ?> :
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</td>
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<td><input name="referralName" type="text" style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<tr>
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<td colspan="4" style="font-weight:bold; font-size:16px;">
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<table style="width: 100%;">
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<tr>
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<td style="width: 30%;">NRIC (ONLY NUMBER) :
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</td>
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<td>
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<input name="nric" type="text" style="width: 100%;" />
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<small style="color: gray;">without dash or space</small>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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<tr>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<td colspan="4"> </td>
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</tr>
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<tr>
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<td>
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<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
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<div class="panel-heading"
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style="font-size:16px; background-color: #5e5bd0;color: white;">
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<?= $lang['PERSONAL INFORMATION'] ?>
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</div>
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<div class="panel-body"
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style="padding: 0;font-size: 16px;font-weight: bold;">
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<table class="table table-bordered" style="margin: 0;padding: 0;">
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<!-- Full Name -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td colspan="2">
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<?= $lang['FULL NAME (AS PER NRIC)'] ?> :
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</td>
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</tr>
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<tr>
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<td colspan="2"><input name="personal_name"
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type="text" style="width: 100%;"></td>
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</tr>
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</table>
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</td>
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</tr>
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<!-- Chinese & Nickname -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td>
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<?= $lang['NAME IN CHINESE CHARACTER (IF APPLICABLE)'] ?>
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:
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</td>
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<td>
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<?= $lang['NICKNAME'] ?> :
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</td>
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</tr>
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<tr>
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<td><input name="personal_name_chinese" type="text"
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style="width: 100%;"></td>
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<td><input name="personal_name_nickname" type="text"
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style="width: 100%;"></td>
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</tr>
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</table>
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</td>
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</tr>
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<!-- DOB, Age, Email -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td>
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<?= $lang['DATE OF BIRTH'] ?> :
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</td>
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<td>
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<?= $lang['AGE'] ?> :
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</td>
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<td style="width: 50%;">
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<?= $lang['EMAIL ADDRESS'] ?> :
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</td>
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</tr>
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<tr>
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<td><input name="personal_dob"
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class="datetimepicker" type="text"
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style="width: 100%;"></td>
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<td><input name="personal_age" type="number"
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style="width: 100%;"></td>
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<td><input type="email" name="personal_email"
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style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<!-- Nationality & Religion -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td>
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<?= $lang['NATIONALITY'] ?> :
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</td>
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<td>
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<?= $lang['RELIGION'] ?> :
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</td>
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</tr>
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<tr>
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<td><input type="text" name="personal_nationality"
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style="width: 100%;" /></td>
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<td><input type="text" name="personal_religion"
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style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<!-- Mobile & Home Tel -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td>
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<?= $lang['MOBILE NO.'] ?> :
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</td>
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<td>
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<?= $lang['HOME TELEPHONE'] ?> :
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</td>
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</tr>
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<tr>
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<td><input type="text" name="personal_mobile"
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style="width: 100%;" /></td>
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<td><input type="text" name="personal_home_tel"
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style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<!-- Gender, Marital, License -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td style="width: 25%;">
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<?= $lang['GENDER'] ?> :
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</td>
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<td style="width: 25%;">
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<?= $lang['MARITAL STATUS'] ?> :
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</td>
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<td style="width: 50%;">
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<?= $lang['DRIVING LISENCE'] ?> :
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</td>
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</tr>
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<tr>
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<td style="vertical-align: top;">
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<label><input type="radio"
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name="personal_gender" value="male" />
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<?= $lang['MALE'] ?></label><br />
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<label><input type="radio"
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name="personal_gender" value="female" />
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<?= $lang['FEMALE'] ?></label>
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</td>
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<td style="vertical-align: top;">
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<label><input type="radio"
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name="personal_marital_status"
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value="single" />
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<?= $lang['SINGLE'] ?></label><br />
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<label><input type="radio"
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name="personal_marital_status"
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value="married" />
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<?= $lang['MARRIED'] ?></label><br />
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<label><input type="radio"
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name="personal_marital_status"
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value="divorced" />
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<?= $lang['DIVORCED'] ?></label><br />
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<label><input type="radio"
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name="personal_marital_status"
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value="windowed" />
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<?= $lang['WINDOWED'] ?></label><br />
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<label><input type="radio"
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name="personal_marital_status"
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value="seperated" />
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<?= $lang['SEPERATED'] ?></label>
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</td>
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<td style="vertical-align: top;">
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<div
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style="display: flex; align-items: center; gap: 10px; margin-bottom: 8px; margin-top: 8px;">
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<input type="radio" name="personal_lisence"
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id="radio_yes" value="yes" />
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<label for="radio_yes"
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style="margin: 0;"><?= $lang['YES'] ?></label>
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<span
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id="personal_lisence_class_title"><?= $lang['CLASS'] ?>:</span>
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<input type="text"
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name="personal_lisence_class"
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id="personal_lisence_class"
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style="height: 18px; font-size: 16px;">
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</div>
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<div
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style="display: flex; align-items: center; gap: 10px;">
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<input type="radio" name="personal_lisence"
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id="radio_no" value="no" />
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<label for="radio_no"
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style="margin: 0;"><?= $lang['NO'] ?></label>
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</div>
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</td>
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</tr>
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</table>
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<script>
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const yesRadio = document.getElementById('radio_yes');
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const noRadio = document.getElementById('radio_no');
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const classInput = document.getElementById(
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'personal_lisence_class');
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const classTitle = document.getElementById(
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'personal_lisence_class_title');
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function toggleClassInput() {
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if (yesRadio.checked) {
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classInput.style.display = 'inline-block';
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classTitle.style.display = 'inline-block';
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} else {
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classInput.style.display = 'none';
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classTitle.style.display = 'none';
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classInput.value = '';
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}
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}
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yesRadio.addEventListener('change', toggleClassInput);
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noRadio.addEventListener('change', toggleClassInput);
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toggleClassInput();
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</script>
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</td>
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</tr>
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<!-- Permanent Address -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td>
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<?= $lang['PERMANENT ADDRESS'] ?> :
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</td>
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</tr>
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<tr>
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<td><input type="text"
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name="personal_permanent_address"
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style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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<!-- Residential Address -->
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<tr>
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<td colspan="4">
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<table style="width: 100%;">
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<tr>
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<td>
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<?= $lang['RESIDENTIAL ADDRESS'] ?> :
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</td>
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</tr>
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<tr>
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<td><input type="text"
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name="personal_residential_address"
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style="width: 100%;" /></td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</div>
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</div>
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</td>
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</tr>
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|
|
|
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<tr>
|
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<td colspan="4"> </td>
|
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</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
|
|
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
|
|
<div class="panel-heading"
|
|
style="font-size:16px; background-color: #5e5bd0;color: white;">
|
|
<?=$lang['FAMILY PARTICULARS']?>
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|
</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
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|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?= $lang['NAME']?></th>
|
|
<th
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|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?=$lang['RELATIONSHIP']?></th>
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|
<th
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|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?=$lang['AGE']?></th>
|
|
<th
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|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?= $lang['OCCUPATION']?></th>
|
|
<th
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|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?= $lang['COMPANY NAME']?></th>
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|
</tr>
|
|
<tr>
|
|
<td
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|
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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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">
|
|
<?=$lang['REASON FOR LEAVING :']?>
|
|
</div>
|
|
</div>
|
|
<div class="row">
|
|
<div class="col-sm-12">
|
|
<input name="current_company_leave_reason" type="text">
|
|
</div>
|
|
</div>
|
|
</div>
|
|
<br />
|
|
</div>
|
|
</div>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
|
|
<div class="panel-heading"
|
|
style="font-size:16px; background-color: #5e5bd0;color: white;">
|
|
<?=$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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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( $_SERVER["DOCUMENT_ROOT"].'/scripts/signature.js') ?>">
|
|
</script>
|
|
<!-- <script src="<?= PATH ?>scripts/signature_pad.js"></script> -->
|
|
|
|
|
|
<!-- hidden input here -->
|
|
<table class="employment_table" border="0" cellpadding="0" cellspacing="0"
|
|
style="width:100%; padding:0; margin:0 auto;">
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4" style="border-bottom:1px solid #000;"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4">
|
|
<?php
|
|
// check permission
|
|
if ( permissionCheck($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"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </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>
|