2514 lines
155 KiB
PHP
2514 lines
155 KiB
PHP
<?php
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$current_page = 'online-form.php' ;
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include 'connect/cms-config.php' ;
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include 'requires/function.php' ;
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// include the class
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include 'requires/class_resize.php' ;
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// if submit the form
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if ($_POST['hidden'] == '1'){
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$array_other_details = array() ;
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$result = 'failed' ;
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// personal information
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$positionApplyText = escapeString($_POST['positionApplyText']) ;
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$positionApplySelect = escapeString($_POST['positionApplySelect']) ;
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$expectedSalary = escapeString($_POST['expectedSalary']) ;
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$noticePeroid = escapeString($_POST['noticePeroid']) ;
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$referralName = escapeString($_POST['referralName']) ;
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$nric = escapeString($_POST['nric']);
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$personal_name = escapeString($_POST['personal_name']) ;
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$personal_name_chinese = escapeString($_POST['personal_name_chinese']) ;
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$personal_name_nickname = escapeString($_POST['personal_name_nickname']) ;
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$personal_dob = escapeString($_POST['personal_dob']) ;
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$personal_age = escapeString($_POST['personal_age']) ;
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$personal_email = escapeString($_POST['personal_email']) ;
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$personal_nationality = escapeString($_POST['personal_nationality']) ;
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$personal_religion = escapeString($_POST['personal_religion']) ;
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$personal_mobile = escapeString($_POST['personal_mobile']) ;
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$personal_home_tel = escapeString($_POST['personal_home_tel']) ;
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$personal_gender = escapeString($_POST['personal_gender']) ;// radio value male:female
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$personal_marital_status = escapeString($_POST['personal_marital_status']) ; // radio value single married ...
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$personal_lisence = escapeString($_POST['personal_lisence']) ; // radio value yes no
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$personal_lisence_class = escapeString($_POST['personal_lisence_class']) ; // only if personal lisence is yes
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$personal_permanent_address = escapeString($_POST['personal_permanent_address']) ;
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$personal_residential_address = escapeString($_POST['personal_residential_address']) ;
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// Family member
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$array_family_member = array();
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for ($i = 0; $i < 8; $i++) {
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$array_family_member[] = array(
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'name' => !empty($_POST['family_member_name'][$i]) ? $_POST['family_member_name'][$i] : '',
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'age' => !empty($_POST['family_member_age'][$i]) ? $_POST['family_member_age'][$i] : '',
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'occupation' => !empty($_POST['family_member_occupation'][$i]) ? $_POST['family_member_occupation'][$i] : '',
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'relationship' => !empty($_POST['family_member_relationship'][$i]) ? $_POST['family_member_relationship'][$i] : '',
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'company' => !empty($_POST['family_member_company'][$i]) ? $_POST['family_member_company'][$i] : ''
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);
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}
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// education background
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$array_education_level = array();
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for ($i = 0; $i < 5; $i++) {
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$array_education_level[] = array(
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'schoolName' => !empty($_POST['education_name_school'][$i]) ? $_POST['education_name_school'][$i] : '',
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'startYear' => !empty($_POST['education_start_year'][$i]) ? $_POST['education_start_year'][$i] : '',
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'finishYear' => !empty($_POST['education_finish_year'][$i]) ? $_POST['education_finish_year'][$i] : '',
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'grade' => !empty($_POST['education_grade'][$i]) ? $_POST['education_grade'][$i] : '',
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'qualification' => !empty($_POST['education_qualification'][$i]) ? $_POST['education_qualification'][$i] : ''
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);
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}
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// professional qualification
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$array_professional_qualification = array();
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for ($i = 0; $i < 5; $i++) {
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$array_professional_qualification[] = array(
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'qualification' => !empty($_POST['professional_qualification'][$i]) ? $_POST['professional_qualification'][$i] : '',
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'accredited' => !empty($_POST['professional_accredited_by'][$i]) ? $_POST['professional_accredited_by'][$i] : '',
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'startYear' => !empty($_POST['professional_qualification_start_year'][$i]) ? $_POST['professional_qualification_start_year'][$i] : '',
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'finishYear' => !empty($_POST['professional_qualification_finish_year'][$i]) ? $_POST['professional_qualification_finish_year'][$i] : '',
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);
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}
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// language proficiency
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$spoken_english = $_POST['spoken_english'];
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$written_english = $_POST['written_english'];
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$spoken_mandarin = $_POST['spoken_mandarin'];
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$written_mandarin = $_POST['written_mandarin'];
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$spoken_bm = $_POST['spoken_bm'];
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$written_bm = $_POST['written_bm'];
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$language_other_1=$_POST['language_other_1'];
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$spoken_other1 = $_POST['spoken_other1'];
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$written_other1 = $_POST['written_other1'];
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$language_other_2 = $_POST['language_other_2'];
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$spoken_other2 = $_POST['spoken_other2'];
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$written_other2 = $_POST['written_other2'];
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//REFERENCE DETAIL
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$array_reference = array();
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for ($i = 0; $i < 2; $i++) {
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$array_reference[] = array(
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'name' => !empty($_POST['references_name'][$i]) ? $_POST['references_name'][$i] : '',
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'position' => !empty($_POST['references_position'][$i]) ? $_POST['references_position'][$i] : '',
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'contact' => !empty($_POST['references_contacts'][$i]) ? $_POST['references_contacts'][$i] : '',
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'year' => !empty($_POST['references_years'][$i]) ? $_POST['references_years'][$i] : '',
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);
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}
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//employment history
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$currentCompanyName = $_POST['current_company_name'];
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$currentCompanyPosition = $_POST['current_position_name'];
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$currentCompanyAddress = $_POST['current_company_full_address'];
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$currentCompanyJoinDate = $_POST['current_company_join_date'];
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$currentCompanyLeftDate = $_POST['current_company_left_date'];
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$currentCompanySalary = $_POST['current_company_basic_salary'];
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$currentCompanyAllowance = $_POST['current_company_fix_allowance'];
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$currentCompanyReason = $_POST['current_company_leave_reason'];
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//subsequent employment history
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$array_subsequent_employment = array() ;
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for ($i = 0; $i < 3; $i++) {
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$array_subsequent_employment[] = array(
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'name' => !empty($_POST['subsequent_company_name'][$i]) ? $_POST['subsequent_company_name'][$i] : '',
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'position' => !empty($_POST['subsequent_position_name'][$i]) ? $_POST['subsequent_position_name'][$i] : '',
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'joinDate' => !empty($_POST['subsequent_company_join_date'][$i]) ? $_POST['subsequent_company_join_date'][$i] : '',
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'leftDate' => !empty($_POST['subsequent_company_left_date'][$i]) ? $_POST['subsequent_company_left_date'][$i] : '',
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'salary' => !empty($_POST['subsequent_company_basic_salary'][$i]) ? $_POST['subsequent_company_basic_salary'][$i] : '',
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'allowance' => !empty($_POST['subsequent_company_fix_allowance'][$i]) ? $_POST['subsequent_company_fix_allowance'][$i] : '',
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'reason' => !empty($_POST['subsequent_company_leave_reason'][$i]) ? $_POST['subsequent_company_leave_reason'][$i] : '',
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);
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}
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//other info
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$gambling = $_POST['gambling'];
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$smoking = $_POST['smoking'];
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$drug = $_POST['drug'];
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$drinking = $_POST['drinking'];
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$disability =$_POST['disability'];
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$disability_detail = ($_POST['disability'] == 'yes')?$_POST['disability_detail']:'';
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$medication = $_POST['medication'];
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$medication_detail = ($_POST['medication'] == 'yes')?$_POST['medication_detail']:'';
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$pregnancy = $_POST['pregnancy'];
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$pregnancy_detail = ($_POST['pregnancy'] == 'yes')?$_POST['pregnancy_detail']:'';
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$dismissed = $_POST['dismissed'];
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$dismissed_detail = ($_POST['dismissed'] == 'yes')?$_POST['dismissed_detail']:'';
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$court = $_POST['court'];
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$court_detail = ($_POST['court'] == 'yes')?$_POST['court_detail']:'';
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$finance = $_POST['finance'];
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$finance_detail = ($_POST['finance'] == 'yes')?$_POST['finance_detail']:'';
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$applied = $_POST['applied'];
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$applied_detail = ($_POST['applied'] == 'yes')?$_POST['applied_detail']:'';
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$dispute = $_POST['dispute'];
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$dispute_detail = ($_POST['dispute'] == 'yes')?$_POST['dispute_detail']:'';
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$other_job = $_POST['other_job'];
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$other_job_detail = ($_POST['other_job'] == 'yes')?$_POST['other_job_detail']:'';
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$willingToTransferWithrelocation = $_POST['relocation']; //yes no
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$willingToTransferWithoutrelocation = $_POST['without_relocation']; //yes no
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$bankruptcy = $_POST['bankruptcy'];
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$vehicle = $_POST['vehicle'];
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$overtime = $_POST['overtime'];
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$attract = $_POST['attract'];
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$career_plan = $_POST['career_plan'];
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// policy
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$privacy_name = $_POST['privacy_name'];
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$privacy_nric_number = $_POST['privacy_nric_number'];
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$privacy_date = $_POST['privacy_date'];
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//acknowledgement
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$acknowledgement_name = $_POST['acknowledgement_name'];
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$acknowledgement_nric_number = $_POST['acknowledgement_nric_number'];
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$acknowledgement_privacy_date = $_POST['acknowledgement_privacy_date'];
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// signature
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$acknowledgement_certify = escapeString($_POST['acknowledgement_certify']) ;
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$acknowledgement_authorize = escapeString($_POST['acknowledgement_authorize']) ;
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$acknowledgement_event = escapeString($_POST['acknowledgement_event']) ;
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//signature
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if ($_POST['application_signature'] != '' && $_POST['application_signature'] != $_POST['application_signature_hidden']) {
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// signature
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$application_signature = escapeString($_POST['application_signature']) ;
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$application_signature_date = TODAYDATE ;
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$image_name = time().'-'.uniqid(count($application_signature));
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$sign_img_name = $image_name.'.jpg';
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$boolean_upload_signature = uploadImageBased64('Employment_Application', $sign_img_name, $application_signature);
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// $boolean_upload_signature = true;
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if($boolean_upload_signature == true){
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$signature_image_uploaded = '/uploads/Employment_Application/'.$sign_img_name;
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}else{
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$signature_image_uploaded = '';
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}
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}else{
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$user_details = jsonEncodeDecode('decode', $row_page['employment_details']) ;
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$application = $user_details['application'] ;
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if($application != ''){
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$application_signature = $application['signature'] ;
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$application_signature_date = $application['date'] ;
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$signature_image_uploaded = $application_signature;
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}else{
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$application_signature = escapeString($_POST['application_signature']) ;
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$application_signature_date = TODAYDATE ;
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$signature_image_uploaded = '';
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}
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}
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// keep other value in array
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$array_other_details = [
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// Personal Information
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'positionApplyText' => $positionApplyText,
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'expectedSalary' => $expectedSalary,
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'noticePeriod' => $noticePeroid,
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'referralName' => $referralName,
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'nric' => $nric,
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'personal_name' => $personal_name,
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'personal_name_chinese' => $personal_name_chinese,
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'personal_name_nickname' => $personal_name_nickname,
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'personal_dob' => $personal_dob,
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'personal_age' => $personal_age,
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'personal_email' => $personal_email,
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'personal_nationality' => $personal_nationality,
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'personal_religion' => $personal_religion,
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'personal_mobile' => $personal_mobile,
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'personal_home_tel' => $personal_home_tel,
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'personal_gender' => $personal_gender,
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'personal_marital_status' => $personal_marital_status,
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'personal_lisence' => $personal_lisence,
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'personal_lisence_class' => $personal_lisence_class,
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'personal_permanent_address' => $personal_permanent_address,
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'personal_residential_address' => $personal_residential_address,
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// Family Members
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'family_members' => $array_family_member,
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// Education Background
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'education_levels' => $array_education_level,
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// Professional Qualification
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'professional_qualifications' => $array_professional_qualification,
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// Language Proficiency
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'language_proficiency' => [
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'spoken_english' => $spoken_english,
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'written_english' => $written_english,
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'spoken_mandarin' => $spoken_mandarin,
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'written_mandarin' => $written_mandarin,
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'spoken_bm' => $spoken_bm,
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'written_bm' => $written_bm,
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'language_other_1' => $language_other_1,
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'spoken_other1' => $spoken_other1,
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'written_other1' => $written_other1,
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'language_other_2' => $language_other_2,
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'spoken_other2' => $spoken_other2,
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'written_other2' => $written_other2,
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],
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// Reference Detail
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'references' => $array_reference,
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// Current Employment
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'current_employment' => [
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'company_name' => $currentCompanyName,
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'position' => $currentCompanyPosition,
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'address' => $currentCompanyAddress,
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'join_date' => $currentCompanyJoinDate,
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'left_date' => $currentCompanyLeftDate,
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'salary' => $currentCompanySalary,
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'allowance' => $currentCompanyAllowance,
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'leave_reason' => $currentCompanyReason,
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],
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// Subsequent Employment
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'subsequent_employments' => $array_subsequent_employment,
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// Other Info
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'habits' => [
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'gambling' => $gambling,
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'smoking' => $smoking,
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'drug' => $drug,
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'drinking' => $drinking,
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],
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'conditions' => [
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'disability' => $disability,
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'disability_detail' => $disability_detail,
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'medication' => $medication,
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'medication_detail' => $medication_detail,
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'pregnancy' => $pregnancy,
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'pregnancy_detail' => $pregnancy_detail,
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'dismissed' => $dismissed,
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'dismissed_detail' => $dismissed_detail,
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'court' => $court,
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'court_detail' => $court_detail,
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'finance' => $finance,
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'finance_detail' => $finance_detail,
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'applied' => $applied,
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'applied_detail' => $applied_detail,
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'dispute' => $dispute,
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'dispute_detail' => $dispute_detail,
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'other_job' => $other_job,
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'other_job_detail' => $other_job_detail,
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],
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'relocation' => [
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'with' => $willingToTransferWithrelocation,
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'without' => $willingToTransferWithoutrelocation,
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],
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'vehicle' => $vehicle,
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'overtime' => $overtime,
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'attract' => $attract,
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'career_plan' => $career_plan,
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// Policy Consent
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'privacy' => [
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'name' => $privacy_name,
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'nric' => $privacy_nric_number,
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'date' => $privacy_date,
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],
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// Acknowledgement
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'acknowledgement' => [
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'name' => $acknowledgement_name,
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'nric' => $acknowledgement_nric_number,
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'date' => $acknowledgement_privacy_date,
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],
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];
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$array_other_details = json_encode($array_other_details, JSON_UNESCAPED_UNICODE) ;
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// reset dob
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$personal_dob = date('Y-m-d', strtotime(str_replace('/', '-', $personal_dob))) ;
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if ($mysqli->query("INSERT INTO staff_employment (
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employment_user_id,
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employment_position,
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employment_call,
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employment_name,
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employment_nric,
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employment_age,
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employment_dob,
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employment_sex,
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employment_religion,
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employment_nationality,
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employment_marital,
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employment_mobile,
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employment_tel,
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employment_address,
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employment_email,
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employment_details,
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employment_branch,
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employment_status,
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employment_modified
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) VALUES (
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'".$incharge_person."',
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'".$positionApplySelect."',
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'".$personal_name."',
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'".$personal_name."',
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'".$nric."',
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'".$personal_age."',
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'".$personal_dob."',
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'".$personal_gender."',
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'".$personal_religion."',
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'".$personal_nationality."',
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'".$personal_marital."',
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'".$personal_mobile."',
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'".$personal_home_tel."',
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'".$personal_permanent_address."',
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'".$personal_email."',
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'".$array_other_details."',
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'".$_GET['branch']."',
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'".$_POST['employment_status']."',
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'".TODAYDATE."'
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)")){
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$last_id = $mysqli->insert_id ;
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$result = 'success-employment' ;
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}
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//////////////////////////////////////////////////////////////
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////////////////////upload image and resume///////////////////
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//////////////////////////////////////////////////////////////
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/*
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$create_image = reCreateImage('Employment', $page, $page, '', $personal_image, $personal_image_type, $_FILES['image']['tmp_name']) ;
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// Image uploads when exists
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if ($create_image['result'] && is_array($create_image['crop']) && count($create_image['result']) > 0){
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$resizeObj = new resize($create_image['original']) ; // Initialise load image
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foreach($create_image['crop'] as $value){
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// Resize image (options: exact, portrait, landscape, auto, crop)
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$resizeObj -> resizeImage($value['width'], $value['height'], $value['type']) ;
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$resizeObj -> saveImage($value['source'], 70) ; // Save image
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}
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$file_upload = array('path' => PATH.'uploads/Employment/',
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'file' => $create_image['image']) ;
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$file_upload = jsonEncodeDecode('encode', $file_upload) ;
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// update database
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if ($mysqli->query("UPDATE staff_employment SET
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employment_file = '".$file_upload."'
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WHERE employment_id = '".$page."'")){
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}
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}
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//upload resume
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if ($resume_attached != '' && $resume_attached_tmp != '' && $resume_attached_type == 'application/pdf') {
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$newResumeFile = time().'-'.$resume_attached;
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$resume_attached_path = $_SERVER["DOCUMENT_ROOT"].'/uploads/Employment_Resume/';
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$boolean_upload_resume = move_uploaded_file($resume_attached_tmp, $resume_attached_path.$newResumeFile);
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if ($boolean_upload_resume) {
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$mysqli->query("UPDATE staff_employment SET employment_resume = '".$newResumeFile."' WHERE employment_id = '".$page."'");
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}
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}*/
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$_SESSION['system_result'] = $result ;
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//header("Refresh: 0;") ;
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//exit ;
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}
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$branch_id = escapeString($_GET['branch']);
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$mysqli_ck_branch = $mysqli->query("SELECT branch_id FROM branch");
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if ($mysqli_ck_branch->num_rows >0) {
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while ($row_ck_branch = $mysqli_ck_branch->fetch_array()) {
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$array_branch_id_list[] = $row_ck_branch['branch_id'];
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}
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}
|
|
// print_r($array_branch_id_list);exit;
|
|
$boolean_ck_branch = in_array($branch_id, $array_branch_id_list) ;
|
|
|
|
if ($branch_id == '' || $boolean_ck_branch == false) {
|
|
echo '
|
|
<script>
|
|
alert("Invalid application form!") ;
|
|
</script>' ;
|
|
exit;
|
|
}
|
|
|
|
// page header
|
|
|
|
$letter_head = getOwnerCompanyLetterHead($branch_id) ;
|
|
// page footer
|
|
|
|
$header = $letter_head['header'] ;
|
|
|
|
|
|
?>
|
|
<!DOCTYPE html>
|
|
<html lang="en" class="">
|
|
|
|
<head>
|
|
<meta charset="utf-8">
|
|
<meta http-equiv="X-UA-Compatible" content="IE=edge">
|
|
<meta name="viewport" content="width=device-width, initial-scale=1">
|
|
<title>Online Application Form - <?= COMPANY ?></title>
|
|
<meta name="description" content="">
|
|
<meta name="author" content="JImmyLimSengHang">
|
|
<meta name="creator" content="JImmyLimSengHang">
|
|
<meta name="robots" content="noindex,nofollow" />
|
|
<link type="image/ico" rel="shortcut icon" href="images/favicon.ico?v=1">
|
|
<link rel="stylesheet" href="css/css_employment.css">
|
|
<script src="scripts/jquery-1.8.3.js"></script>
|
|
<script src="scripts/jquery.validate.js"></script>
|
|
</head>
|
|
|
|
|
|
<body style="color: black;">
|
|
<div class="employee_application_form">
|
|
<form method="post" class="employment_online_form" id="signature_pad_form" novalidate
|
|
enctype="multipart/form-data">
|
|
<?php
|
|
|
|
if ($_SESSION['system_result'] != ''){
|
|
|
|
switch($_SESSION['system_result']){
|
|
|
|
case 'success-employment' :
|
|
|
|
/* $message = 'Thank you, your employment has been added.' ; */
|
|
|
|
$message = 'Thank you for your interest in the employment registration position at '.COMPANY.' We appreciate you taking the time to complete the application form.' ;
|
|
break ;
|
|
|
|
case 'success-image' :
|
|
|
|
/* $message = 'Thank you, your employment has been added.' ; */
|
|
|
|
$message = 'Thank you for your interest in the employment registration position at '.COMPANY.' We appreciate you taking the time to complete the application form.' ;
|
|
break ;
|
|
|
|
// case 'success-image' :
|
|
|
|
// $message = 'Thank you with attach your profile picture.' ;
|
|
// break ;
|
|
|
|
case 'failed' :
|
|
|
|
default :
|
|
|
|
$message = 'Sorry, please try again later!' ;
|
|
break ;
|
|
|
|
}
|
|
|
|
?>
|
|
<script>
|
|
alert("<?= $message ?>");
|
|
</script>
|
|
<?php
|
|
|
|
unset($_SESSION['system_result']) ;
|
|
}
|
|
|
|
?>
|
|
|
|
|
|
|
|
|
|
<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">
|
|
<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"> </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"> </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; font-weight: bold;padding: 10px;">
|
|
<?= $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;width: 100%;">
|
|
|
|
<!-- Full Name -->
|
|
<tr>
|
|
<td colspan="4">
|
|
<table style="width: 100%;">
|
|
<tr>
|
|
<td colspan="2" style="padding:5px;">
|
|
<?= $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 style="padding:5px;">
|
|
<?= $lang['NAME IN CHINESE CHARACTER (IF APPLICABLE)'] ?>
|
|
:
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?= $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 style="padding:5px;">
|
|
<?= $lang['DATE OF BIRTH'] ?> :
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?= $lang['AGE'] ?> :
|
|
</td>
|
|
<td style="width: 50%;padding:5px;">
|
|
<?= $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 style="padding:5px;">
|
|
<?= $lang['NATIONALITY'] ?> :
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?= $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 style="padding:5px;">
|
|
<?= $lang['MOBILE NO.'] ?> :
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?= $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="padding:5px;">
|
|
<?= $lang['GENDER'] ?> :
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?= $lang['MARITAL STATUS'] ?> :
|
|
</td>
|
|
<td style="width: 50%;padding:5px;">
|
|
<?= $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 style="padding:5px;">
|
|
<?= $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 style="padding:5px;">
|
|
<?= $lang['RESIDENTIAL ADDRESS'] ?> :
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td><input type="text" name="personal_residential_address"
|
|
style="width: 100%;" /></td>
|
|
</tr>
|
|
</table>
|
|
</td>
|
|
</tr>
|
|
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
|
|
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
|
|
<div class="panel-heading"
|
|
style="font-size:16px; background-color: #5e5bd0;color: white; font-weight: bold;padding: 10px;">
|
|
<?=$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"> </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; font-weight: bold;padding: 10px;">
|
|
<?= $lang['EDUCATIONAL LEVEL']?>
|
|
</div>
|
|
<div class="panel-body" style="padding: 0;">
|
|
<table border="0" cellpadding="0" cellspacing="0" width="100%"
|
|
style="font-size:16px;border-bottom: 1px solid #000;border-right: 1px solid #000;">
|
|
<tr>
|
|
<th rowspan="2"
|
|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?=$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; font-weight: bold;padding: 10px;">
|
|
<?= $lang['PROFESSIONAL QUALIFICATIONS (MEMBERSHIPS / TECHNICAL / PROFESSIONAL / OCCUPATION TRAINING)']?>
|
|
</div>
|
|
<div class="panel-body" style="padding: 0;">
|
|
|
|
|
|
<table border="0" cellpadding="0" cellspacing="0" width="100%"
|
|
style="font-size:16px;border-bottom: 1px solid #000;border-right: 1px solid #000;">
|
|
<tr>
|
|
<th rowspan="2"
|
|
style="padding:5px;border-top:1px solid #000;border-left:1px solid #000;">
|
|
<?=$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; font-weight: bold;padding: 10px;">
|
|
<?=$lang['LANGUAGE PROFICIENCY']?>
|
|
</div>
|
|
<div class="panel-body" style="padding: 0;">
|
|
|
|
<table cellspacing="0" cellpadding="5" border="1"
|
|
style="border-collapse: collapse;border: 1px solid black; width: 100%; text-align: center; font-size:16px; font-weight: bold;">
|
|
<thead>
|
|
<tr>
|
|
<th style="padding:5px;" rowspan="2"><?=$lang['LANGUAGE PROFICIENCY']?></th>
|
|
<th style="padding:5px;" colspan="3"><?=$lang['SPOKEN']?></th>
|
|
<th style="padding:5px;" colspan="3"><?=$lang['WRITTEN']?></th>
|
|
</tr>
|
|
<tr>
|
|
<th style="padding:5px;"><?=$lang['GOOD']?></th>
|
|
<th style="padding:5px;"><?=$lang['AVERAGE']?></th>
|
|
<th style="padding:5px;"><?=$lang['POOR']?></th>
|
|
<th style="padding:5px;"><?=$lang['GOOD']?></th>
|
|
<th style="padding:5px;"><?=$lang['AVERAGE']?></th>
|
|
<th style="padding:5px;"><?=$lang['POOR']?></th>
|
|
</tr>
|
|
</thead>
|
|
<tbody>
|
|
<!-- ENGLISH -->
|
|
<tr>
|
|
<td style="padding:5px;font-size: 16px;">
|
|
<?=$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;font-size: 16px;">
|
|
<?=$lang['MANDARIN']?></td>
|
|
<td><input style="margin:5px;" type="radio" name="spoken_mandarin"
|
|
value="good"></td>
|
|
<td><input style="margin:5px;" type="radio" name="spoken_mandarin"
|
|
value="average"></td>
|
|
<td><input style="margin:5px;" type="radio" name="spoken_mandarin"
|
|
value="poor"></td>
|
|
<td><input style="margin:5px;" type="radio" name="written_mandarin"
|
|
value="good"></td>
|
|
<td><input style="margin:5px;" type="radio" name="written_mandarin"
|
|
value="average"></td>
|
|
<td><input style="margin:5px;" type="radio" name="written_mandarin"
|
|
value="poor"></td>
|
|
</tr>
|
|
|
|
<!-- BAHASA MALAYSIA -->
|
|
<tr>
|
|
<td style="padding:5px;font-size: 16px;">
|
|
<?=$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="">
|
|
<input type="text" placeholder="Other" name="language_other_1"
|
|
style="margin: 0;font-size: 16px;">
|
|
</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="">
|
|
<input type="text" placeholder="Other" name="language_other_2"
|
|
style="margin: 0;font-size: 16px;">
|
|
</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; font-weight: bold;padding: 10px;">
|
|
<?=$lang['REFERENCE DETAIL']?>
|
|
</div>
|
|
<div class="panel-body" style="padding: 0;">
|
|
|
|
<p style="margin: 5px;">
|
|
<?=$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; font-weight: bold;padding: 10px;">
|
|
<?= $lang['EMPLOYMENT HISTORY']?>
|
|
</div>
|
|
<div class="panel-body" style="padding: 0; font-weight: bold; font-size: 16px;">
|
|
<table width="100%" border="0" cellspacing="10">
|
|
<tr>
|
|
<td width="50%" style="padding:5px;">
|
|
<?=$lang['CURRENT COMPANY :']?><br />
|
|
<input name="current_company_name" type="text" style="width: 100%;">
|
|
</td>
|
|
<td width="50%" style="padding:5px;">
|
|
<?=$lang['CURRENT POSITION :']?><br />
|
|
<input name="current_position_name" type="text" style="width: 100%;">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="2" style="padding:5px;">
|
|
<?=$lang['FULL ADDRESS :']?><br />
|
|
<input name="current_company_full_address" type="text" style="width: 100%;">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td style="padding:5px;">
|
|
<?=$lang['DATE JOIN :']?><br />
|
|
<input name="current_company_join_date" type="text" class="datetimepicker" style="width: 100%;">
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?=$lang['DATE LEFT :']?><br />
|
|
<input name="current_company_left_date" type="text" class="datetimepicker" style="width: 100%;">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td style="padding:5px;">
|
|
<?=$lang['BASIC SALARY :']?><br />
|
|
<input name="current_company_basic_salary" type="number" step="0.01" min="0" placeholder="0.00" style="width: 100%;">
|
|
</td>
|
|
<td style="padding:5px;">
|
|
<?=$lang['FIX AllOWANCE :']?><br />
|
|
<input name="current_company_fix_allowance" type="number" step="0.01" min="0" placeholder="0.00" style="width: 100%;">
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="2" style="padding:5px;">
|
|
<?=$lang['REASON FOR LEAVING :']?><br />
|
|
<input name="current_company_leave_reason" type="text" style="width: 100%;">
|
|
</td>
|
|
</tr>
|
|
</table>
|
|
</div>
|
|
</div>
|
|
</td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td colspan="4"> </td>
|
|
</tr>
|
|
<tr>
|
|
<td>
|
|
<div class="panel panel-primary" style="border: 2px solid #5e5bd0;">
|
|
<div class="panel-heading"
|
|
style="font-size:16px; background-color: #5e5bd0;color: white; font-weight: bold;padding: 10px;">
|
|
<?=$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; font-weight: bold;padding: 10px;">
|
|
<?=$lang['OTHER INFORMATION']?>
|
|
</div>
|
|
<div class="panel-body" style="padding: 0; font-weight: bold; font-size: 16px;">
|
|
|
|
<p style="margin:10px">
|
|
<?=$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; font-weight: bold;padding: 10px;">
|
|
<?=$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; font-weight: bold;padding: 10px;">
|
|
<?= $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>
|
|
</table>
|
|
</div>
|
|
<br />
|
|
<!--<div class="clearfix" style="width:100%; margin:0 auto;">
|
|
<div style="width:350px; float:left;">
|
|
<div class="received_by_signature_box clearfix">
|
|
<div style="width:350px; float:left;">
|
|
<canvas class="received_by_file" id="canvas" width="350" height="150"></canvas>
|
|
<div class="clearButton"><a href="#" id="clearSig">Clear</a></div>
|
|
<input type="hidden" name="application_signature" id="received_by_file" />
|
|
</div>
|
|
</div>
|
|
Application's signature
|
|
|
|
</div>
|
|
<div style="width:260px; float:left;"> </div>
|
|
<div style="width:350px; float:left;"> </div>
|
|
</div>-->
|
|
<div class="clearfix" style="max-width:960px; width:100%; margin:0 auto;">
|
|
<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" id="signature_pad" required="required" />
|
|
<input type="hidden" name="application_signature_hidden" id="signature_pad_hidden"
|
|
required="required" />
|
|
</div>
|
|
|
|
|
|
<!-- <canvas id="canvas" width="350" height="150" style="border: 1px solid #ccc;"></canvas>
|
|
<a href="#" id="clearSig" style="margin-top:5px;"><?= $lang['Clear']?></a>
|
|
<a href="#" id="saveSig" style="float:right;"><?= $lang['Save']?></a>
|
|
<span id="application_signature_save"><i class="fa fa-check-circle"></i></span> -->
|
|
<!--Application's signature-->
|
|
</div>
|
|
<script src="<?= PATH ?>scripts/signature_pad.umd.js"></script>
|
|
<script
|
|
src="<?= PATH ?>scripts/signature.js?v=<?= filemtime( $_SERVER["DOCUMENT_ROOT"].'/scripts/signature.js') ?>">
|
|
</script>
|
|
<div style="width:260px; float:left;"> </div>
|
|
<div style="width:350px; float:left;"> </div>
|
|
</div>
|
|
<table width="100%" border="0" cellpadding="0" cellspacing="0" style="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">
|
|
<input type="hidden" name="hidden" value="1" />
|
|
<input type="hidden" name="email_type" value="online_form" />
|
|
<input id="apform_submit_btn" type="submit" class="cd-btn custom_button float_right">
|
|
<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>
|
|
|
|
<script src="scripts/jquery.datetimepicker.full.min.js"></script>
|
|
<!-- <script src="scripts/jquery.signaturepad.min.js"></script> -->
|
|
<script src="scripts/all_employment.js"></script>
|
|
<script>
|
|
$(document).ready(function() {
|
|
|
|
|
|
$("#apform_submit_btn").click(function(event) {
|
|
event.preventDefault();
|
|
if (confirm("Please make sure you have inserted all the details and signed the form?") ==
|
|
true) {
|
|
$(".employment_online_form").submit();
|
|
}
|
|
});
|
|
|
|
|
|
$(".employment_online_form").validate({
|
|
|
|
submitHandler: function(form) {
|
|
|
|
|
|
|
|
var boolean_image = true,
|
|
|
|
boolean_submit = true;
|
|
$('.photo_box_right').css('border', '');
|
|
|
|
|
|
// send email
|
|
|
|
var parent = $('.employment_online_form');
|
|
|
|
data = parent.serialize();
|
|
|
|
|
|
$.ajax({
|
|
|
|
type: 'POST',
|
|
|
|
url: 'requires/ajax_employment_update.php?type=online-email',
|
|
|
|
data: data,
|
|
|
|
success: function(data) {
|
|
|
|
if (data['result'] == true) {
|
|
|
|
$('input[type="text"], input[type="email"], textarea').val(
|
|
'');
|
|
}
|
|
|
|
}
|
|
|
|
});
|
|
|
|
|
|
form.submit();
|
|
|
|
|
|
}
|
|
|
|
});
|
|
|
|
});
|
|
</script>
|
|
</body>
|
|
|
|
</html>
|