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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

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<html xmlns="http://www.w3.org/1999/xhtml">

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<head>

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<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">

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<title>Employee Details</title>

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<link rel="stylesheet" type="text/css" href="view.css" media="all">

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<script type="text/javascript" src="view.js"></script>

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<script type="text/javascript" src="calendar.js"></script>

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</head>

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<body id="main_body" >

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	<img id="top" src="top.png" alt="">

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	<div id="form_container">

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		<h1><a>Employee Details</a></h1>

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		<form id="form_235323" class="appnitro"  method="post" action="employee.php">

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					<div class="form_description">

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			<h2>Employee Details</h2>

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			<p>Enter Employee details below</p>

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		</div>						

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			<ul >

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					<li id="li_1" >

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		<label class="description" for="element_1">Name </label>

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		<span>

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			<input id="element_1_1" name= "element_1_1" class="element text" maxlength="255" size="8" value=""/>

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			<label>First</label>

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		</span>

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		<span>

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			<input id="element_1_2" name= "element_1_2" class="element text" maxlength="255" size="14" value=""/>

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			<label>Last</label>

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		</span> 

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		</li>		<li id="li_16" >

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		<label class="description" for="element_16">Department </label>

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		<div>

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		<select class="element select medium" id="element_16" name="element_16"> 

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			<option value="" selected="selected"></option>

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		<?php 

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			include("control/db.class.php");

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			$mys = new db_class();

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			$mys->connect();

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			$mys->select_db();

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			$query="select * from department";

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			$result = $mys->select($query);

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			while($row = mysql_fetch_array($result))

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				{

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				  echo "<option value=\"".$row['dept_id']."\">".$row['dept_name']."\n  ";

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				}

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				mysql_close();

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			?>

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		</select>

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		</div> 

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		</li>		<li id="li_17" >

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		<label class="description" for="element_17">Team name </label>

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		<div>

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		<select class="element select medium" id="element_17" name="element_17"> 

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			<option value="" selected="selected"></option>

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<?php 

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			include("control/db.class.php");

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			$my = new db_class();

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			$my->connect();

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			$my->select_db();

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			$query_1="select * from team";

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			$result_1 = $my->select($query_1);

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			while($row_1 = mysql_fetch_array($result_1))

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				{

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				  echo "<option value=\"".$row['id']."\">".$row_1['team_name']."\n  ";

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				}

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				mysql_close();

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			?>

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		</select>

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		</div> 

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		</li>		<li id="li_4" >

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		<label class="description" for="element_4">Joined Date </label>

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		<span>

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			<input id="element_4_1" name="element_4_1" class="element text" size="2" maxlength="2" value="" type="text"> /

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			<label for="element_4_1">MM</label>

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		</span>

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		<span>

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			<input id="element_4_2" name="element_4_2" class="element text" size="2" maxlength="2" value="" type="text"> /

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			<label for="element_4_2">DD</label>

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		</span>

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		<span>

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	 		<input id="element_4_3" name="element_4_3" class="element text" size="4" maxlength="4" value="" type="text">

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			<label for="element_4_3">YYYY</label>

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		</span>

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		<span id="calendar_4">

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			<img id="cal_img_4" class="datepicker" src="calendar.gif" alt="Pick a date.">	

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		</span>

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		<script type="text/javascript">

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			Calendar.setup({

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			inputField	 : "element_4_3",

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			baseField    : "element_4",

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			displayArea  : "calendar_4",

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			button		 : "cal_img_4",

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			ifFormat	 : "%B %e, %Y",

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			onSelect	 : selectDate

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			});

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		</script>

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		</li>		<li id="li_5" >

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		<label class="description" for="element_5">Job  Title </label>

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		<div>

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			<input id="element_5" name="element_5" class="element text medium" type="text" maxlength="255" value=""/> 

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		</div> 

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		</li>		<li id="li_6" >

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		<label class="description" for="element_6">Resigned date </label>

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		<span>

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			<input id="element_6_1" name="element_6_1" class="element text" size="2" maxlength="2" value="" type="text"> /

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			<label for="element_6_1">MM</label>

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		</span>

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		<span>

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			<input id="element_6_2" name="element_6_2" class="element text" size="2" maxlength="2" value="" type="text"> /

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			<label for="element_6_2">DD</label>

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		</span>

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		<span>

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	 		<input id="element_6_3" name="element_6_3" class="element text" size="4" maxlength="4" value="" type="text">

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			<label for="element_6_3">YYYY</label>

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		</span>

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		<span id="calendar_6">

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			<img id="cal_img_6" class="datepicker" src="calendar.gif" alt="Pick a date.">	

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		</span>

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		<script type="text/javascript">

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			Calendar.setup({

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			inputField	 : "element_6_3",

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			baseField    : "element_6",

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			displayArea  : "calendar_6",

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			button		 : "cal_img_6",

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			ifFormat	 : "%B %e, %Y",

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			onSelect	 : selectDate

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			});

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		</script>

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		</li>		<li id="li_7" >

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		<label class="description" for="element_7">Reason for resigning </label>

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		<div>

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			<textarea id="element_7" name="element_7" class="element textarea medium"></textarea> 

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		</div> 

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		</li>		<li id="li_18" >

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		<label class="description" for="element_18">Documents submitted </label>

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		<span>

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			<input id="element_18_1" name="element_18" class="element radio" type="radio" value="1" />

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<label class="choice" for="element_18_1">Yes</label>

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<input id="element_18_2" name="element_18" class="element radio" type="radio" value="2" />

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<label class="choice" for="element_18_2">No</label>

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		</span> 

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		</li>		<li id="li_8" >

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		<label class="description" for="element_8">Birthday </label>

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		<span>

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			<input id="element_8_1" name="element_8_1" class="element text" size="2" maxlength="2" value="" type="text"> /

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			<label for="element_8_1">MM</label>

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		</span>

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		<span>

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			<input id="element_8_2" name="element_8_2" class="element text" size="2" maxlength="2" value="" type="text"> /

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			<label for="element_8_2">DD</label>

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		</span>

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		<span>

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	 		<input id="element_8_3" name="element_8_3" class="element text" size="4" maxlength="4" value="" type="text">

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			<label for="element_8_3">YYYY</label>

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		</span>

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		<span id="calendar_8">

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			<img id="cal_img_8" class="datepicker" src="calendar.gif" alt="Pick a date.">	

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		</span>

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		<script type="text/javascript">

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			Calendar.setup({

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			inputField	 : "element_8_3",

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			baseField    : "element_8",

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			displayArea  : "calendar_8",

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			button		 : "cal_img_8",

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			ifFormat	 : "%B %e, %Y",

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			onSelect	 : selectDate

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			});

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		</script>

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		</li>		<li id="li_9" >

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		<label class="description" for="element_9">Nationality </label>

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		<div>

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			<input id="element_9" name="element_9" class="element text medium" type="text" maxlength="255" value=""/> 

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		</div> 

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		</li>		<li id="li_19" >

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		<label class="description" for="element_19">Gender </label>

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		<span>

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			<input id="element_19_1" name="element_19" class="element radio" type="radio" value="1" />

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<label class="choice" for="element_19_1">Male</label>

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<input id="element_19_2" name="element_19" class="element radio" type="radio" value="2" />

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<label class="choice" for="element_19_2">Female</label>

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		</span> 

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		</li>		<li id="li_20" >

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		<label class="description" for="element_20">Martial status </label>

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		<span>

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			<input id="element_20_1" name="element_20" class="element radio" type="radio" value="1" />

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<label class="choice" for="element_20_1">Single</label>

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<input id="element_20_2" name="element_20" class="element radio" type="radio" value="2" />

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<label class="choice" for="element_20_2">Married</label>

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<input id="element_20_3" name="element_20" class="element radio" type="radio" value="3" />

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<label class="choice" for="element_20_3">Widow/Widower</label>

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		</span> 

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		</li>		<li id="li_10" >

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		<label class="description" for="element_10">Mobile number </label>

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		<div>

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			<input id="element_10" name="element_10" class="element text medium" type="text" maxlength="255" value=""/> 

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		</div> 

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		</li>		<li id="li_11" >

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		<label class="description" for="element_11">Home Phone </label>

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		<div>

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			<input id="element_11" name="element_11" class="element text medium" type="text" maxlength="255" value=""/> 

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		</div> 

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		</li>		<li id="li_12" >

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		<label class="description" for="element_12">Work Email </label>

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		<div>

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			<input id="element_12" name="element_12" class="element text medium" type="text" maxlength="255" value=""/> 

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		</div> 

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		</li>		<li id="li_13" >

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		<label class="description" for="element_13">Personal Email </label>

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		<div>

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			<input id="element_13" name="element_13" class="element text medium" type="text" maxlength="255" value=""/> 

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		</div> 

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		</li>		<li id="li_14" >

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		<label class="description" for="element_14">Present Address </label>

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		<div>

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			<input id="element_14_1" name="element_14_1" class="element text large" value="" type="text">

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			<label for="element_14_1">Street Address</label>

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		</div>

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		<div>

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			<input id="element_14_2" name="element_14_2" class="element text large" value="" type="text">

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			<label for="element_14_2">Address Line 2</label>

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		</div>

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		<div class="left">

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			<input id="element_14_3" name="element_14_3" class="element text medium" value="" type="text">

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			<label for="element_14_3">City</label>

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		</div>

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		<div class="right">

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			<input id="element_14_4" name="element_14_4" class="element text medium" value="" type="text">

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			<label for="element_14_4">State / Province / Region</label>

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		</div>

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		<div class="left">

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			<input id="element_14_5" name="element_14_5" class="element text medium" maxlength="15" value="" type="text">

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			<label for="element_14_5">Postal / Zip Code</label>

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		</div>

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		<div class="right">

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			<select class="element select medium" id="element_14_6" name="element_14_6"> 

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			<option value="" selected="selected"></option>

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<option value="Afghanistan" >Afghanistan</option>

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<option value="Albania" >Albania</option>

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<option value="Algeria" >Algeria</option>

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<option value="Andorra" >Andorra</option>

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<option value="Antigua and Barbuda" >Antigua and Barbuda</option>

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<option value="Argentina" >Argentina</option>

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<option value="Armenia" >Armenia</option>

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<option value="Australia" >Australia</option>

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<option value="Austria" >Austria</option>

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<option value="Azerbaijan" >Azerbaijan</option>

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<option value="Bahamas" >Bahamas</option>

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<option value="Bahrain" >Bahrain</option>

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<option value="Bangladesh" >Bangladesh</option>

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<option value="Barbados" >Barbados</option>

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<option value="Belarus" >Belarus</option>

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<option value="Belgium" >Belgium</option>

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<option value="Belize" >Belize</option>

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<option value="Benin" >Benin</option>

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<option value="Bhutan" >Bhutan</option>

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<option value="Bolivia" >Bolivia</option>

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<option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option>

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<option value="Botswana" >Botswana</option>

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<option value="Brazil" >Brazil</option>

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<option value="Brunei" >Brunei</option>

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<option value="Bulgaria" >Bulgaria</option>

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<option value="Burkina Faso" >Burkina Faso</option>

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<option value="Burundi" >Burundi</option>

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<option value="Cambodia" >Cambodia</option>

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<option value="Cameroon" >Cameroon</option>

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<option value="Canada" >Canada</option>

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<option value="Cape Verde" >Cape Verde</option>

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<option value="Central African Republic" >Central African Republic</option>

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<option value="Chad" >Chad</option>

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<option value="Chile" >Chile</option>

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<option value="China" >China</option>

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<option value="Colombia" >Colombia</option>

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<option value="Comoros" >Comoros</option>

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<option value="Congo" >Congo</option>

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<option value="Costa Rica" >Costa Rica</option>

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<option value="Côte d'Ivoire" >Côte d'Ivoire</option>

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<option value="Croatia" >Croatia</option>

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<option value="Cuba" >Cuba</option>

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<option value="Cyprus" >Cyprus</option>

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<option value="Czech Republic" >Czech Republic</option>

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<option value="Denmark" >Denmark</option>

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<option value="Djibouti" >Djibouti</option>

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<option value="Dominica" >Dominica</option>

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<option value="Dominican Republic" >Dominican Republic</option>

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<option value="East Timor" >East Timor</option>

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<option value="Ecuador" >Ecuador</option>

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<option value="Egypt" >Egypt</option>

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<option value="El Salvador" >El Salvador</option>

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<option value="Equatorial Guinea" >Equatorial Guinea</option>

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<option value="Eritrea" >Eritrea</option>

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<option value="Estonia" >Estonia</option>

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<option value="Ethiopia" >Ethiopia</option>

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<option value="Fiji" >Fiji</option>

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<option value="Finland" >Finland</option>

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<option value="France" >France</option>

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<option value="Gabon" >Gabon</option>

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<option value="Gambia" >Gambia</option>

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<option value="Georgia" >Georgia</option>

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<option value="Germany" >Germany</option>

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<option value="Ghana" >Ghana</option>

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<option value="Greece" >Greece</option>

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<option value="Grenada" >Grenada</option>

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<option value="Guatemala" >Guatemala</option>

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<option value="Guinea" >Guinea</option>

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<option value="Guinea-Bissau" >Guinea-Bissau</option>

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<option value="Guyana" >Guyana</option>

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<option value="Haiti" >Haiti</option>

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<option value="Honduras" >Honduras</option>

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<option value="Hong Kong" >Hong Kong</option>

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<option value="Hungary" >Hungary</option>

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<option value="Iceland" >Iceland</option>

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<option value="India" >India</option>

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<option value="Indonesia" >Indonesia</option>

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<option value="Iran" >Iran</option>

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<option value="Iraq" >Iraq</option>

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<option value="Ireland" >Ireland</option>

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<option value="Israel" >Israel</option>

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<option value="Italy" >Italy</option>

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<option value="Jamaica" >Jamaica</option>

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<option value="Japan" >Japan</option>

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<option value="Jordan" >Jordan</option>

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<option value="Kazakhstan" >Kazakhstan</option>

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<option value="Kenya" >Kenya</option>

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<option value="Kiribati" >Kiribati</option>

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<option value="North Korea" >North Korea</option>

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<option value="South Korea" >South Korea</option>

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<option value="Kuwait" >Kuwait</option>

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<option value="Kyrgyzstan" >Kyrgyzstan</option>

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<option value="Laos" >Laos</option>

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<option value="Latvia" >Latvia</option>

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<option value="Lebanon" >Lebanon</option>

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<option value="Lesotho" >Lesotho</option>

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<option value="Liberia" >Liberia</option>

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<option value="Libya" >Libya</option>

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<option value="Liechtenstein" >Liechtenstein</option>

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<option value="Lithuania" >Lithuania</option>

357
<option value="Luxembourg" >Luxembourg</option>

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<option value="Macedonia" >Macedonia</option>

359
<option value="Madagascar" >Madagascar</option>

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<option value="Malawi" >Malawi</option>

361
<option value="Malaysia" >Malaysia</option>

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<option value="Maldives" >Maldives</option>

363
<option value="Mali" >Mali</option>

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<option value="Malta" >Malta</option>

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<option value="Marshall Islands" >Marshall Islands</option>

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<option value="Mauritania" >Mauritania</option>

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<option value="Mauritius" >Mauritius</option>

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<option value="Mexico" >Mexico</option>

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<option value="Micronesia" >Micronesia</option>

370
<option value="Moldova" >Moldova</option>

371
<option value="Monaco" >Monaco</option>

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<option value="Mongolia" >Mongolia</option>

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<option value="Montenegro" >Montenegro</option>

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<option value="Morocco" >Morocco</option>

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<option value="Mozambique" >Mozambique</option>

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<option value="Myanmar" >Myanmar</option>

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<option value="Namibia" >Namibia</option>

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<option value="Nauru" >Nauru</option>

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<option value="Nepal" >Nepal</option>

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<option value="Netherlands" >Netherlands</option>

381
<option value="New Zealand" >New Zealand</option>

382
<option value="Nicaragua" >Nicaragua</option>

383
<option value="Niger" >Niger</option>

384
<option value="Nigeria" >Nigeria</option>

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<option value="Norway" >Norway</option>

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<option value="Oman" >Oman</option>

387
<option value="Pakistan" >Pakistan</option>

388
<option value="Palau" >Palau</option>

389
<option value="Panama" >Panama</option>

390
<option value="Papua New Guinea" >Papua New Guinea</option>

391
<option value="Paraguay" >Paraguay</option>

392
<option value="Peru" >Peru</option>

393
<option value="Philippines" >Philippines</option>

394
<option value="Poland" >Poland</option>

395
<option value="Portugal" >Portugal</option>

396
<option value="Puerto Rico" >Puerto Rico</option>

397
<option value="Qatar" >Qatar</option>

398
<option value="Romania" >Romania</option>

399
<option value="Russia" >Russia</option>

400
<option value="Rwanda" >Rwanda</option>

401
<option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option>

402
<option value="Saint Lucia" >Saint Lucia</option>

403
<option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option>

404
<option value="Samoa" >Samoa</option>

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<option value="San Marino" >San Marino</option>

406
<option value="Sao Tome and Principe" >Sao Tome and Principe</option>

407
<option value="Saudi Arabia" >Saudi Arabia</option>

408
<option value="Senegal" >Senegal</option>

409
<option value="Serbia and Montenegro" >Serbia and Montenegro</option>

410
<option value="Seychelles" >Seychelles</option>

411
<option value="Sierra Leone" >Sierra Leone</option>

412
<option value="Singapore" >Singapore</option>

413
<option value="Slovakia" >Slovakia</option>

414
<option value="Slovenia" >Slovenia</option>

415
<option value="Solomon Islands" >Solomon Islands</option>

416
<option value="Somalia" >Somalia</option>

417
<option value="South Africa" >South Africa</option>

418
<option value="Spain" >Spain</option>

419
<option value="Sri Lanka" >Sri Lanka</option>

420
<option value="Sudan" >Sudan</option>

421
<option value="Suriname" >Suriname</option>

422
<option value="Swaziland" >Swaziland</option>

423
<option value="Sweden" >Sweden</option>

424
<option value="Switzerland" >Switzerland</option>

425
<option value="Syria" >Syria</option>

426
<option value="Taiwan" >Taiwan</option>

427
<option value="Tajikistan" >Tajikistan</option>

428
<option value="Tanzania" >Tanzania</option>

429
<option value="Thailand" >Thailand</option>

430
<option value="Togo" >Togo</option>

431
<option value="Tonga" >Tonga</option>

432
<option value="Trinidad and Tobago" >Trinidad and Tobago</option>

433
<option value="Tunisia" >Tunisia</option>

434
<option value="Turkey" >Turkey</option>

435
<option value="Turkmenistan" >Turkmenistan</option>

436
<option value="Tuvalu" >Tuvalu</option>

437
<option value="Uganda" >Uganda</option>

438
<option value="Ukraine" >Ukraine</option>

439
<option value="United Arab Emirates" >United Arab Emirates</option>

440
<option value="United Kingdom" >United Kingdom</option>

441
<option value="United States" >United States</option>

442
<option value="Uruguay" >Uruguay</option>

443
<option value="Uzbekistan" >Uzbekistan</option>

444
<option value="Vanuatu" >Vanuatu</option>

445
<option value="Vatican City" >Vatican City</option>

446
<option value="Venezuela" >Venezuela</option>

447
<option value="Vietnam" >Vietnam</option>

448
<option value="Yemen" >Yemen</option>

449
<option value="Zambia" >Zambia</option>

450
<option value="Zimbabwe" >Zimbabwe</option>

451
	

452
			</select>

453
		<label for="element_14_6">Country</label>

454
	</div> 

455
		</li>		<li id="li_15" >

456
		<label class="description" for="element_15">Permanent Address </label>

457
		

458
		<div>

459
			<input id="element_15_1" name="element_15_1" class="element text large" value="" type="text">

460
			<label for="element_15_1">Street Address</label>

461
		</div>

462
	

463
		<div>

464
			<input id="element_15_2" name="element_15_2" class="element text large" value="" type="text">

465
			<label for="element_15_2">Address Line 2</label>

466
		</div>

467
	

468
		<div class="left">

469
			<input id="element_15_3" name="element_15_3" class="element text medium" value="" type="text">

470
			<label for="element_15_3">City</label>

471
		</div>

472
	

473
		<div class="right">

474
			<input id="element_15_4" name="element_15_4" class="element text medium" value="" type="text">

475
			<label for="element_15_4">State / Province / Region</label>

476
		</div>

477
	

478
		<div class="left">

479
			<input id="element_15_5" name="element_15_5" class="element text medium" maxlength="15" value="" type="text">

480
			<label for="element_15_5">Postal / Zip Code</label>

481
		</div>

482
	

483
		<div class="right">

484
			<select class="element select medium" id="element_15_6" name="element_15_6"> 

485
			<option value="" selected="selected"></option>

486
<option value="Afghanistan" >Afghanistan</option>

487
<option value="Albania" >Albania</option>

488
<option value="Algeria" >Algeria</option>

489
<option value="Andorra" >Andorra</option>

490
<option value="Antigua and Barbuda" >Antigua and Barbuda</option>

491
<option value="Argentina" >Argentina</option>

492
<option value="Armenia" >Armenia</option>

493
<option value="Australia" >Australia</option>

494
<option value="Austria" >Austria</option>

495
<option value="Azerbaijan" >Azerbaijan</option>

496
<option value="Bahamas" >Bahamas</option>

497
<option value="Bahrain" >Bahrain</option>

498
<option value="Bangladesh" >Bangladesh</option>

499
<option value="Barbados" >Barbados</option>

500
<option value="Belarus" >Belarus</option>

501
<option value="Belgium" >Belgium</option>

502
<option value="Belize" >Belize</option>

503
<option value="Benin" >Benin</option>

504
<option value="Bhutan" >Bhutan</option>

505
<option value="Bolivia" >Bolivia</option>

506
<option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option>

507
<option value="Botswana" >Botswana</option>

508
<option value="Brazil" >Brazil</option>

509
<option value="Brunei" >Brunei</option>

510
<option value="Bulgaria" >Bulgaria</option>

511
<option value="Burkina Faso" >Burkina Faso</option>

512
<option value="Burundi" >Burundi</option>

513
<option value="Cambodia" >Cambodia</option>

514
<option value="Cameroon" >Cameroon</option>

515
<option value="Canada" >Canada</option>

516
<option value="Cape Verde" >Cape Verde</option>

517
<option value="Central African Republic" >Central African Republic</option>

518
<option value="Chad" >Chad</option>

519
<option value="Chile" >Chile</option>

520
<option value="China" >China</option>

521
<option value="Colombia" >Colombia</option>

522
<option value="Comoros" >Comoros</option>

523
<option value="Congo" >Congo</option>

524
<option value="Costa Rica" >Costa Rica</option>

525
<option value="Côte d'Ivoire" >Côte d'Ivoire</option>

526
<option value="Croatia" >Croatia</option>

527
<option value="Cuba" >Cuba</option>

528
<option value="Cyprus" >Cyprus</option>

529
<option value="Czech Republic" >Czech Republic</option>

530
<option value="Denmark" >Denmark</option>

531
<option value="Djibouti" >Djibouti</option>

532
<option value="Dominica" >Dominica</option>

533
<option value="Dominican Republic" >Dominican Republic</option>

534
<option value="East Timor" >East Timor</option>

535
<option value="Ecuador" >Ecuador</option>

536
<option value="Egypt" >Egypt</option>

537
<option value="El Salvador" >El Salvador</option>

538
<option value="Equatorial Guinea" >Equatorial Guinea</option>

539
<option value="Eritrea" >Eritrea</option>

540
<option value="Estonia" >Estonia</option>

541
<option value="Ethiopia" >Ethiopia</option>

542
<option value="Fiji" >Fiji</option>

543
<option value="Finland" >Finland</option>

544
<option value="France" >France</option>

545
<option value="Gabon" >Gabon</option>

546
<option value="Gambia" >Gambia</option>

547
<option value="Georgia" >Georgia</option>

548
<option value="Germany" >Germany</option>

549
<option value="Ghana" >Ghana</option>

550
<option value="Greece" >Greece</option>

551
<option value="Grenada" >Grenada</option>

552
<option value="Guatemala" >Guatemala</option>

553
<option value="Guinea" >Guinea</option>

554
<option value="Guinea-Bissau" >Guinea-Bissau</option>

555
<option value="Guyana" >Guyana</option>

556
<option value="Haiti" >Haiti</option>

557
<option value="Honduras" >Honduras</option>

558
<option value="Hong Kong" >Hong Kong</option>

559
<option value="Hungary" >Hungary</option>

560
<option value="Iceland" >Iceland</option>

561
<option value="India" >India</option>

562
<option value="Indonesia" >Indonesia</option>

563
<option value="Iran" >Iran</option>

564
<option value="Iraq" >Iraq</option>

565
<option value="Ireland" >Ireland</option>

566
<option value="Israel" >Israel</option>

567
<option value="Italy" >Italy</option>

568
<option value="Jamaica" >Jamaica</option>

569
<option value="Japan" >Japan</option>

570
<option value="Jordan" >Jordan</option>

571
<option value="Kazakhstan" >Kazakhstan</option>

572
<option value="Kenya" >Kenya</option>

573
<option value="Kiribati" >Kiribati</option>

574
<option value="North Korea" >North Korea</option>

575
<option value="South Korea" >South Korea</option>

576
<option value="Kuwait" >Kuwait</option>

577
<option value="Kyrgyzstan" >Kyrgyzstan</option>

578
<option value="Laos" >Laos</option>

579
<option value="Latvia" >Latvia</option>

580
<option value="Lebanon" >Lebanon</option>

581
<option value="Lesotho" >Lesotho</option>

582
<option value="Liberia" >Liberia</option>

583
<option value="Libya" >Libya</option>

584
<option value="Liechtenstein" >Liechtenstein</option>

585
<option value="Lithuania" >Lithuania</option>

586
<option value="Luxembourg" >Luxembourg</option>

587
<option value="Macedonia" >Macedonia</option>

588
<option value="Madagascar" >Madagascar</option>

589
<option value="Malawi" >Malawi</option>

590
<option value="Malaysia" >Malaysia</option>

591
<option value="Maldives" >Maldives</option>

592
<option value="Mali" >Mali</option>

593
<option value="Malta" >Malta</option>

594
<option value="Marshall Islands" >Marshall Islands</option>

595
<option value="Mauritania" >Mauritania</option>

596
<option value="Mauritius" >Mauritius</option>

597
<option value="Mexico" >Mexico</option>

598
<option value="Micronesia" >Micronesia</option>

599
<option value="Moldova" >Moldova</option>

600
<option value="Monaco" >Monaco</option>

601
<option value="Mongolia" >Mongolia</option>

602
<option value="Montenegro" >Montenegro</option>

603
<option value="Morocco" >Morocco</option>

604
<option value="Mozambique" >Mozambique</option>

605
<option value="Myanmar" >Myanmar</option>

606
<option value="Namibia" >Namibia</option>

607
<option value="Nauru" >Nauru</option>

608
<option value="Nepal" >Nepal</option>

609
<option value="Netherlands" >Netherlands</option>

610
<option value="New Zealand" >New Zealand</option>

611
<option value="Nicaragua" >Nicaragua</option>

612
<option value="Niger" >Niger</option>

613
<option value="Nigeria" >Nigeria</option>

614
<option value="Norway" >Norway</option>

615
<option value="Oman" >Oman</option>

616
<option value="Pakistan" >Pakistan</option>

617
<option value="Palau" >Palau</option>

618
<option value="Panama" >Panama</option>

619
<option value="Papua New Guinea" >Papua New Guinea</option>

620
<option value="Paraguay" >Paraguay</option>

621
<option value="Peru" >Peru</option>

622
<option value="Philippines" >Philippines</option>

623
<option value="Poland" >Poland</option>

624
<option value="Portugal" >Portugal</option>

625
<option value="Puerto Rico" >Puerto Rico</option>

626
<option value="Qatar" >Qatar</option>

627
<option value="Romania" >Romania</option>

628
<option value="Russia" >Russia</option>

629
<option value="Rwanda" >Rwanda</option>

630
<option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option>

631
<option value="Saint Lucia" >Saint Lucia</option>

632
<option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option>

633
<option value="Samoa" >Samoa</option>

634
<option value="San Marino" >San Marino</option>

635
<option value="Sao Tome and Principe" >Sao Tome and Principe</option>

636
<option value="Saudi Arabia" >Saudi Arabia</option>

637
<option value="Senegal" >Senegal</option>

638
<option value="Serbia and Montenegro" >Serbia and Montenegro</option>

639
<option value="Seychelles" >Seychelles</option>

640
<option value="Sierra Leone" >Sierra Leone</option>

641
<option value="Singapore" >Singapore</option>

642
<option value="Slovakia" >Slovakia</option>

643
<option value="Slovenia" >Slovenia</option>

644
<option value="Solomon Islands" >Solomon Islands</option>

645
<option value="Somalia" >Somalia</option>

646
<option value="South Africa" >South Africa</option>

647
<option value="Spain" >Spain</option>

648
<option value="Sri Lanka" >Sri Lanka</option>

649
<option value="Sudan" >Sudan</option>

650
<option value="Suriname" >Suriname</option>

651
<option value="Swaziland" >Swaziland</option>

652
<option value="Sweden" >Sweden</option>

653
<option value="Switzerland" >Switzerland</option>

654
<option value="Syria" >Syria</option>

655
<option value="Taiwan" >Taiwan</option>

656
<option value="Tajikistan" >Tajikistan</option>

657
<option value="Tanzania" >Tanzania</option>

658
<option value="Thailand" >Thailand</option>

659
<option value="Togo" >Togo</option>

660
<option value="Tonga" >Tonga</option>

661
<option value="Trinidad and Tobago" >Trinidad and Tobago</option>

662
<option value="Tunisia" >Tunisia</option>

663
<option value="Turkey" >Turkey</option>

664
<option value="Turkmenistan" >Turkmenistan</option>

665
<option value="Tuvalu" >Tuvalu</option>

666
<option value="Uganda" >Uganda</option>

667
<option value="Ukraine" >Ukraine</option>

668
<option value="United Arab Emirates" >United Arab Emirates</option>

669
<option value="United Kingdom" >United Kingdom</option>

670
<option value="United States" >United States</option>

671
<option value="Uruguay" >Uruguay</option>

672
<option value="Uzbekistan" >Uzbekistan</option>

673
<option value="Vanuatu" >Vanuatu</option>

674
<option value="Vatican City" >Vatican City</option>

675
<option value="Venezuela" >Venezuela</option>

676
<option value="Vietnam" >Vietnam</option>

677
<option value="Yemen" >Yemen</option>

678
<option value="Zambia" >Zambia</option>

679
<option value="Zimbabwe" >Zimbabwe</option>

680
	

681
			</select>

682
		<label for="element_15_6">Country</label>

683
	</div> 

684
		</li>		<li id="li_21" >

685
		<label class="description" for="element_21">Employee Location </label>

686
		<div>

687
		<select class="element select medium" id="element_21" name="element_21"> 

688
			<option value="" selected="selected"></option>

689
<option value="1" >First option</option>

690
<option value="2" >Second option</option>

691
<option value="3" >Third option</option>

692
693
		</select>

694
		</div> 

695
		</li>		<li id="li_22" >

696
		<label class="description" for="element_22">Employee Status </label>

697
		<div>

698
		<select class="element select medium" id="element_22" name="element_22"> 

699
			<option value="" selected="selected"></option>

700
<option value="1" >First option</option>

701
<option value="2" >Second option</option>

702
<option value="3" >Third option</option>

703
704
		</select>

705
		</div> 

706
		</li>	

707
		<li id="li_23_1" >

708
		<label class="description" for="element_23">Employee Id</label>

709
		<div>

710
			<input id="element_23_1" name="element_23_1" class="element text medium" type="text" maxlength="255" value=""/> 

711
		</div> 

712
		</li>	<li id="li_23" >

713
		<label class="description" for="element_23">Password </label>

714
		<div>

715
			<input id="element_23" name="element_23" class="element text medium" type="password" maxlength="255" value=""/> 

716
		</div> 

717
		</li>

718
		<li id="li_25" >

719
		<label class="description" for="element_25">Confirm Password </label>

720
		<div>

721
			<input id="element_25" name="element_25" class="element text medium" type="password" maxlength="255" value=""/> 

722
		</div> 

723
		</li>		<li id="li_24" >

724
		<label class="description" for="element_24">Secret Question </label>

725
		<div>

726
			<input id="element_24" name="element_24" class="element text medium" type="text" maxlength="255" value=""/> 

727
		</div> 

728
		</li>		<li id="li_26" >

729
		<label class="description" for="element_26">User type </label>

730
		<div>

731
		<select class="element select medium" id="element_26" name="element_26"> 

732
			<option value="" selected="selected"></option>

733
<option value="1" >First option</option>

734
<option value="2" >Second option</option>

735
<option value="3" >Third option</option>

736
737
		</select>

738
		</div> 

739
		</li>		

740
			

741
					<li class="buttons">

742
			    <input type="hidden" name="form_id" value="235323" />

743
			    

744
				<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />

745
		</li>

746
			</ul>

747
		</form>	

748
		<div id="footer">

749
			</div>

750
	</div>

751
	<img id="bottom" src="bottom.png" alt="">

752
	</body>

753
</html>
        

    


            


                                


        

            



                
    

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