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- <?php
- session_start();
- ?>
- <html>
- <head><title>PERSONAL INFO COLLECTION PAGE</title>
- <link href="pipm.css" rel="stylesheet" type="text/css"/>
- <link rel="stylesheet" href="http://code.jquery.com/ui/1.10.1/themes/base/jquery-ui.css" />
- <script src="http://code.jquery.com/jquery-1.9.1.js"></script>
- <script src="http://code.jquery.com/ui/1.10.1/jquery-ui.js"></script>
- <script>
- function onKeyPressBlockNumbers(e)
- {
- var key = window.event ? e.keyCode : e.which;
- var keychar = String.fromCharCode(key);
- reg = /\d/;
- return !reg.test(keychar);
- }
- function isNumberKey(evt)
- {
- var charCode = (evt.which) ? evt.which : event.keyCode
- if (charCode > 31 && (charCode < 48 || charCode > 57))
- return false;
- return true;
- }
- $(function() {
- $("#datepicker1").datepicker({ dateFormat: 'yy-mm-dd' });
- });
- function validate()
- {
- var vfname=trim(document.frm.fname.value);
- var vlname=trim(document.frm.lname.value);
- var vdatepicker1=trim(document.frm.datepicker1.value);
- var vmobile=trim(document.frm.mobile.value);
- var vaddressline1=trim(document.frm.addressline1.value);
- var vaddressline2=trim(document.frm.addressline2.value);
- var vaddressline3=trim(document.frm.addressline3.value);
- var vcountry=trim(document.frm.country.value);
- var vstate=trim(document.frm.state.value);
- var vcity=trim(document.frm.city.value);
- var vpin=trim(document.frm.pin.value);
- var vcompanyname=trim(document.frm.companyname.value);
- var vwebsite=trim(document.frm.website.value);
- var vcompanyemail=trim(document.frm.companyemail.value);
- var vphoneno=trim(document.frm.phoneno.value);
- var vcaddressline1=trim(document.frm.caddressline1.value);
- var vcaddressline2=trim(document.frm.caddressline2.value);
- var vcaddressline3=trim(document.frm.caddressline3.value);
- var vcountry1=trim(document.frm.country1.value);
- var vstate1=trim(document.frm.state1.value);
- var vcity1=trim(document.frm.city1.value);
- var vpin1=trim(document.frm.pin1.value);
- if(vfname=="")
- {
- alert("Fisrt Name Field is Empty");
- document.frm.fname.focus();
- return false;
- }
- else if(vlname=="")
- {
- alert("Last Name Field is Empty");
- document.frm.lname.focus();
- return false;
- }
- else if(vdatepicker1=="")
- {
- alert("DOB Field is Empty");
- document.frm.datepicker1.focus();
- return false;
- }
- else if(vmobile=="")
- {
- alert("Mobile Number Field is Empty");
- document.frm.mobile.focus();
- return false;
- }
- else if(vaddressline1=="")
- {
- alert("Address Line1 Field is Empty");
- document.frm.addressline1.focus();
- return false;
- }
- else if(vaddressline2=="")
- {
- alert("Address Line2 Field is Empty");
- document.frm.addressline2.focus();
- return false;
- }
- else if(vaddressline3=="")
- {
- alert("Address Line3 Field is Empty");
- document.frm.addressline3.focus();
- return false;
- }
- else if(vcountry=="")
- {
- alert("Country Field is Empty");
- document.frm.country.focus();
- return false;
- }
- else if(vstate=="")
- {
- alert("State Field is Empty");
- document.frm.state.focus();
- return false;
- }
- else if(vcity=="")
- {
- alert("City Field is Empty");
- document.frm.city.focus();
- return false;
- }
- else if(vpin=="")
- {
- alert("Pin Address Field is Empty");
- document.frm.pin.focus();
- return false;
- }
- else if(vcompanyname=="")
- {
- alert("Company Name Field is Empty");
- document.frm.companyname.focus();
- return false;
- }
- else if(vwebsite=="")
- {
- alert("Website Field is Empty");
- document.frm.website.focus();
- return false;
- }
- else if(vcompanyemail=="")
- {
- alert("Email Field is Empty");
- document.frm.companyemail.focus();
- return false;
- }
- else if(vphoneno=="")
- {
- alert("Phone Number Field is Empty");
- document.frm.phoneno.focus();
- return false;
- }
- else if(vcaddressline1=="")
- {
- alert("Address Line 1 Field is Empty");
- document.frm.caddressline1.focus();
- return false;
- }
- else if(vcaddressline2=="")
- {
- alert("Address Line 2 Field is Empty");
- document.frm.caddressline2.focus();
- return false;
- }
- else if(vcaddressline3=="")
- {
- alert("Address Line 3 Field is Empty");
- document.frm.caddressline3.focus();
- return false;
- }
- else if(vcountry1=="")
- {
- alert("Country Field is Empty");
- document.frm.country1.focus();
- return false;
- }
- else if(vstate1=="")
- {
- alert("State Field is Empty");
- document.frm.state1.focus();
- return false;
- }
- else if(vcity1=="")
- {
- alert("City Field is Empty");
- document.frm.city1.focus();
- return false;
- }
- else if(vpin1=="")
- {
- alert("Pin Address Field is Empty");
- document.frm.pin1.focus();
- return false;
- }
- }
- function trim(s) {
- return s.replace( /^\s*/, "" ).replace( /\s*$/, "" );
- }
- </script>
- </head>
- <body>
- <div id="contact">
- <form id="personalinfo" name="frm" action="home.php" method="post" onSubmit="return validate();">
- <h1>PERSONAL INFORMATION</h1>
- <div style="margin-left:50px">
- <input type="text" name="fname" id="firstname" placeholder="enter your firstname" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="lname" id="lastname" placeholder="enter your last name" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" id="datepicker1" name="datepicker" placeholder="Enter your date of Birth"/></div>
- <div style="margin-left:50px">
- <input type="number" name="mobile" id="mobile" placeholder="enter your mobile number" onkeypress="return isNumberKey(event)"></div>
- <div style="margin-left:50px">
- <input type="text" name="addressline1" id="addressline1" placeholder="enter your addressline 1" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="addressline2" id="addressline2" placeholder="enter your addressline 2" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="addressline3" id="addressline3" placeholder="enter your addressline 3" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="country" id="country" placeholder="enter your country" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="state" id="state" placeholder="enter your state" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="city" id="city" placeholder="enter your city" onkeypress="return onKeyPressBlockNumbers(event);" ></div>
- <div style="margin-left:50px">
- <input type="text" name="pin" id="pin" placeholder="enter your pin address" onkeypress="return isNumberKey(event)"></div>
- <div style="margin-left:500px;margin-top:-550px;">
- <div style="margin-left:-122px;margin-top:-400px;"></div>
- <input type="text" name="comapnyname" id="companyname" placeholder="enter your company name" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="text" name="website" id="website" placeholder="enter your company website" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="email" name="companyemail" id="companyemail" placeholder="enter your company email">
- <input type="number" name="phoneno" id="phoneno" placeholder="enter your phone number" onkeypress="return isNumberKey(event)">
- <input type="text" name="caddressline1" id="caddressline1" placeholder="enter your addressline 1" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="text" name="caddressline2" id="caddressline2" placeholder="enter your addressline 2" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="text" name="caddressline3" id="caddressline3" placeholder="enter your addressline 3" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="text" name="country1" id="country1" placeholder="enter your country" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="text" name="state1" id="state1" placeholder="enter your state" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="text" name="city1" id="city1" placeholder="enter your city" onkeypress="return onKeyPressBlockNumbers(event);" >
- <input type="number" name="pin1" id="pin1" placeholder="enter your pin address" onkeypress="return isNumberKey(event)">
- </div>
- <div style="margin-left:-1000px"><input type="submit" id="submit" value="SAVE"/></div>
- </form>
- </div>
- HI <?php echo $_SESSION['username'];?>
- </body>
- </html>
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