jopformphp

<html>
    <head></head>
        <body background="images/bg1.jpg">
            <table align="center"border="1" width="850"height="980"bgcolor"">
            <tr>
                <td>
                    <br>
                        <center>
                                <font face='memory' size="7">--PLEASE INPUT YOUR DATA--</font>
                        </center>

                <font face='memory' size="6" color='00FF99'>
                <form name="formjob"action="jobprint_pre.php"method="POST" enctype="multipart/form-data">
                    Name      <input type="text"name="firstname"size="20"value="">
                    Lastname  <input type="text"name="lastname"size="25"value="">
                <p>
                        Gender Female  <input type="radio" name="gender"value="female"size="25">
                        Gender male  <input type="radio" name="gender"value="male"size="25">
                </p>
                <p>
                    Birthdate Date &nbsp;
                        <?php
                            echo"<select name='selectdate'>";
                            for ($i=1; $i <= 31 ; $i++)
                                echo "<option value='$i'>".$i."</option>";
                            echo"</select>";

                        echo"&nbsp Mont &nbsp   ";

                            $Mont=array("January","Fabuary","March","April","May","June","July","Agust",
                            "September","October","November","December");

                            echo"<select name='selectmont'>";
                                    for ($i=0; $i < 12; $i++)
                                    echo "<option value='$Mont[$i]'>".$Mont[$i]."</option>";
                            echo"</select>";
                        ?>

                    &nbsp Year  &nbsp<input type="text"name="year"size="10"value=""> (value>1950)
                </p>
        <p> Address <input type="text"name="address"size="60"value=""> </p>
        <p> Telephone Number <input type="text"name="phone"size="20"value=""> </p>
        <p> Email Address <input type="text"name="email"size="40"value=""> </p>
        <p> Homepage <input type="text"name="homepage"size="40"value=""> </p>

        <p> Educatation </p>
        <p>&nbsp;&nbsp;&nbsp<input type="radio"name="educate"value="secondery education">secondary education </p>
        <p>&nbsp;&nbsp;&nbsp<input type="radio"name="educate"value="dregree">bachelor dregree</p>
        <p>&nbsp;&nbsp;&nbsp<input type="radio"name="educate"value="master">master dregree </p>

        <p> Position </p>
        <p>&nbsp;&nbsp;&nbsp<input type="checkbox"name="position[]"value="office admimistrator">office admimistrator, </p>
        <p>&nbsp;&nbsp;&nbsp<input type="checkbox"name="position[]"value="accountant">accountant, </p>
        <p>&nbsp;&nbsp;&nbsp<input type="checkbox"name="position[]"value="customer support">customer support,</p>
        <p>&nbsp;&nbsp;&nbsp<input type="checkbox"name="position[]"value="programer">programer,</p>
        <p>&nbsp;&nbsp;&nbsp<input type="checkbox"name="position[]"value="system administrator">system administrator,</p>

        <p> Salary <input type="text"name="salary"size="15"value="">bath </p>
        <p> Picture <input type="file"name="picfile"size="50"> </p>
        <input type="hidden"name="MAX_FILE_SIZE"value="100000"> </p>

        <p> Experience </p>
        <p> <textarea name="work"rows="10"cols="60"></textarea></p>
            <input type="submit"name="submit"value="submit now">
            <input type="reset"value="Click to Restart">
                    </form>
                </td>
            </tr>
        </table>
        </font>
    </body>
</html>