<?php
session_start();
<----captcha start---->
if( isset($_POST['submit'])) {
if( $_SESSION['security_code'] == $_POST['security_code'] && !empty($_SESSION['security_code'] ) )
// if ( $a=1)
{
// Insert you code for processing the form here, e.g emailing the submission, entering it into a database.
echo 'Thank you. Your message said "'.$_POST['message'].'"';
unset($_SESSION['security_code']);
} else {
// Insert your code for showing an error message here
echo 'Sorry, you have provided an invalid security code';
}
} else {
?>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<title>WEC Sampark Portal-New Registration</title>
<script type="text/javascript">
function stopRKey(evt) {
var evt = (evt) ? evt : ((event) ? event : null);
var node = (evt.target) ? evt.target : ((evt.srcElement) ? evt.srcElement : null);
if ((evt.keyCode == 13) && (node.type=="text")) {return false;}
}
document.onkeypress = stopRKey;
</script>
<!-- dsable right click -->
<SCRIPT TYPE="text/javascript">
<!--
//Disable right click script
//This disables people from right clicking
var message="Sorry, right-click has been disabled";
///////////////////////////////////
function clickIE() {if (document.all) {(message);return false;}}
function clickNS(e) {if
(document.layers||(document.getElementById&&!document.all)) {
if (e.which==2||e.which==3) {(message);return false;}}}
if (document.layers)
{document.captureEvents(Event.MOUSEDOWN);document.onmousedown=clickNS;}
else{document.onmouseup=clickNS;document.oncontextmenu=clickIE;}
document.oncontextmenu=new Function("return false")
// -->
</SCRIPT>
<!--Calander-->
<script language="JavaScript">
<!--
var months = new Array("January", "February", "March", "April", "May", "June", "July", "August", "September", "October", "November", "December");
var daysInMonth = new Array(31, 28, 31, 30, 31, 30, 31, 31, 30, 31, 30, 31);
var days = new Array("S", "M", "T", "W", "T", "F", "S");
today = new getToday();
var element_id;
function getDays(month, year)
{
// test for leap year when February is selected.
if (1 == month)
return ((0 == year % 4) && (0 != (year % 100))) ||
(0 == year % 400) ? 29 : 28;
else
return daysInMonth[month];
}
function getToday()
{
// Generate today's date.
this.now = new Date();
this.year = this.now.getFullYear() ; // Returned year XXXX
this.month = this.now.getMonth();
this.day = this.now.getDate();
}
function newCalendar()
{
var parseYear = parseInt(document.all.year [document.all.year.selectedIndex].text);
var newCal = new Date(parseYear , document.all.month.selectedIndex, 1);
var day = -1;
var startDay = newCal.getDay();
var daily = 0;
today = new getToday(); // 1st call
if ((today.year == newCal.getFullYear() ) && (today.month == newCal.getMonth()))
day = today.day;
// Cache the calendar table's tBody section, dayList.
var tableCal = document.all.calendar.tBodies.dayList;
var intDaysInMonth =
getDays(newCal.getMonth(), newCal.getFullYear() );
for (var intWeek = 0; intWeek < tableCal.rows.length; intWeek++)
for (var intDay = 0;
intDay < tableCal.rows[intWeek].cells.length;
intDay++)
{
var cell = tableCal.rows[intWeek].cells[intDay];
// Start counting days.
if ((intDay == startDay) && (0 == daily))
daily = 1;
// Highlight the current day.
cell.style.color = (day == daily) ? "red" : "";
if(day == daily)
{
document.all.todayday.innerText= "Today: " + day + "/" +
(newCal.getMonth()+1) + "/" + newCal.getFullYear() ;
}
// Output the day number into the cell.
if ((daily > 0) && (daily <= intDaysInMonth))
cell.innerText = daily++;
else
cell.innerText = "";
}
}
function getTodayDay()
{
document.all[element_id].value = today.day + "/" + (today.month+1) +
"/" + today.year;
//document.all.calendar.style.visibility="hidden";
document.all.calendar.style.display="none";
document.all.year.selectedIndex =100;
document.all.month.selectedIndex = today.month;
}
function getDate()
{
// This code executes when the user clicks on a day
// in the calendar.
if ("TD" == event.srcElement.tagName)
// test whether day is valid.
if ("" != event.srcElement.innerText)
{
var mn = document.all.month.selectedIndex+1;
var Year = document.all.year [document.all.year.selectedIndex].text;
document.all[element_id].value=event.srcElement.innerText+"/"+mn +"/" +Year;
//document.all.calendar.style.visibility="hidden";
document.all.calendar.style.display="none";
}
}
function GetBodyOffsetX(el_name, shift)
{
var x;
var y;
x = 0;
y = 0;
var elem = document.all[el_name];
do
{
x += elem.offsetLeft;
y += elem.offsetTop;
if (elem.tagName == "BODY")
break;
elem = elem.offsetParent;
} while (1 > 0);
shift[0] = x;
shift[1] = y;
return x;
}
function SetCalendarOnElement(el_name)
{
if (el_name=="")
el_name = element_id;
var shift = new Array(2);
GetBodyOffsetX(el_name, shift);
document.all.calendar.style.pixelLeft = shift[0]; // - document.all.calendar.offsetLeft;
document.all.calendar.style.pixelTop = shift[1] + 25 ;
}
function ShowCalendar(elem_name)
{
if (elem_name=="")
elem_name = element_id;
element_id = elem_name; // element_id is global variable
newCalendar();
SetCalendarOnElement(element_id);
//document.all.calendar.style.visibility = "visible";
document.all.calendar.style.display="inline";
}
function HideCalendar()
{
//document.all.calendar.style.visibility="hidden";
document.all.calendar.style.display="none";
}
function toggleCalendar(elem_name)
{
//if (document.all.calendar.style.visibility == "hidden")
if(document.all.calendar.style.display=="none")
ShowCalendar(elem_name);
else
HideCalendar();
}
-->
</script>
</head>
<body style="font-family: Arial" bgcolor="#F4FFE4">
<form name="Form_New_Reg_User" action="db_qry/qry_Form_New_Registration.php" enctype="multipart/form-data" method="post" onSubmit="javascript:return validate('Form_New_Reg_User','Mail_Id');">
<table align="center" >
<tr>
<td>
<table align="center" bgcolor="#232323" border="0" cellspacing="0" cellpadding="0" width="1000px" >
<tr>
<td>
<table >
<tr>
<td align="right"><font color="white" size="+1"><strong><span id="clock"></span></font> </td>
</tr>
</table>
<table align="center" bgcolor="#F4FFE4" width="1000">
<tr>
<td colspan="2" align="left">
<?php
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='NewMembrCreate' )
{
echo '<h4 align="center"><font color="blue"> <b><strong>***Your information has been sent for approval.<br> We will contact you soon***</strong> </b></font> </h4>';
}
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='MailIdExist' )
{
echo '<h4 align="center"><font color="red"> <b><strong>*** Mail Id already Registered ***</strong> </b></font> </h4>';
}
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='MembrExists' )
{
echo '<h4 align="center"><font color="red"> <b><strong>*** User Name already Registered. Please select a new User Name ***</strong> </b></font> </h4>';
}
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='PwdNotMatch' )
{
echo '<h4 align="center"><font color="red"> <b><strong>*** Password & Re-enter Password do not match ***</strong> </b></font> </h4>';
}
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='BothExist' )
{
echo '<h4 align="center"><font color="red"> <b><strong>*** You have Already Chosen this Username/Mail ID ***</strong> </b></font> </h4>';
}
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='NewMembrExists' )
{
echo '<h4 align="center"><font color="red"> <b><strong>*** You have Already Chosen this Username ***</strong> </b></font> </h4>';
}
if(isset($_REQUEST['msg'])&&$_REQUEST['msg']=='NewMailIdExist' )
{
echo '<h4 align="center"><font color="red"> <b><strong>*** You have Already Chosen this Mail ID ***</strong> </b></font> </h4>';
}
?>
</td>
</tr>
<tr bgcolor="#0000CC">
<td align="center" colspan="3"><font color="#FFFFFF"><strong>WEC-IMC SAMPARK - New Registration </strong ></font></td>
</tr>
<tr>
<td colspan="3">
<hr/>
</td>
</tr>
<tr >
<td align="left" >
<strong>
Personal Details <font color="#FF0000"> * </font>
</strong>
</td>
</tr>
<tr>
<td valign="top" align="left">
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td width="44%">Title</td>
<td width="56%"><select name="Title" style="width:80" Title="Please select your Title from Drop down list" >
<option value ="000" selected> Title</option>
<option value ="Mr"> Mr</option>
<option value ="Ms">Ms</option>
<option value ="Dr">Dr</option>
<option value ="Prof">Prof</option>
</select>
</td>
</tr>
<tr>
<td>First Name</td>
<td><input type="text" name="First_Name" value="" maxlength="40" size="30"/></td>
</tr>
<tr>
<td>Middle Name</td>
<td><input type="text" name="Middle_Name" value="" maxlength="40" size="30"/></td>
</tr>
<tr>
<td>Last Name</td>
<td><input type="text" name="Last_Name" value="" maxlength="40" size="30"/></td>
</tr>
<tr>
<td>Gender</td>
<td>
<input type="radio" name="Gender" value="Male" >
M
<input type="radio" name="Gender" value="Female">
F
</td>
</tr>
<tr>
<td>Date of Birth<br>
<br></td>
<td>
<input type= "text" id="Dateofbirth" name="Dateofbirth" size="20" readonly="true" title=" Please click on aero to select the Date of Birth"/>
<a href="JavaScript:;" onClick="toggleCalendar('Dateofbirth')">
<img src="/crm/images/cal.jpg" height="15" width="17" title="click here to select your DOB"> </img> </a>
</td>
</tr>
</table>
</td>
<td valign="top" align="left">
<table align="center" bgcolor="#F4FFE4" border="1">
<tr>
<td height="120" width="30">
<input name="MAX_FILE_SIZE" value="10000000" type="hidden">
<input type="file" name="image_filename" id="image_filename" accept="image/jpeg/.gif/.png " value="Upload Photograph" Title="please choose 'jpeg/.gif/.png ' image only "/>
</td>
</tr>
<tr>
<td >Upload Photo</td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="3">
<hr/>
</td>
</tr>
<tr >
<td align="left" >
<strong>
Contact Details
</strong>
</td>
</tr>
<tr>
<td>
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td width="214">Mail Id <font color="#FF0000">* </font></td>
<td width="274"><input type="email" name="Mail_Id" value="" maxlength="40" size="30" /></td>
<tr>
<td>Phone(Residence)</td>
<td><input type="decimal" name="Res_No" value="" maxlength="13" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
<tr>
<td>Fax</td>
<td><input type="decimal" name="Fax_No" value="" maxlength="13" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
</table>
</td>
<td>
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td>Mobile Number</td>
<td><input type="decimal" name="Mob_No" value="" maxlength="13" size="30"/></td>
</tr>
<tr>
<td>Phone(Office)</td>
<td><input type="decimal" name="Office_No" value="" maxlength="13" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
<tr>
<td>Alternate Number</td>
<td><input type="decimal" name="Alt_No" value="" maxlength="13" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan="3">
<hr/>
</td>
</tr>
<tr>
<td colspan="3">
<strong>
Address
</strong>
<br>
</td>
</tr>
<tr>
<td>
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td width="219"><b>Office</b></td>
</tr>
<tr>
<td> Address Line 1 </td>
<td width="269"> <input type= "text" name="address1" maxlength="30" size="30"/></td>
</tr>
<tr>
<td> Address Line 2 </td>
<td><input type="text" name="address2" maxlength="30" size="30" /></td>
</tr>
<tr>
<td>City </td>
<td><input type= "text" name="city" maxlength="30" size="30"/></td>
</tr>
<tr>
<td> State </td>
<td><input name="state" type="text" value="" maxlength="30" size="30"></td>
</tr>
<tr>
<td> Zip Code </td>
<td><input name="zip" type="decimal" value="" maxlength="30" size="30"></td>
</tr>
<tr>
<td> Country </td>
<td><select name="Country" style="width: 200" title="Please Select Country" >
<option value="" selected> Please Select Country</option>
<?php
include("/crm/connect_wec.php");
$query3 = "SELECT DISTINCT `country`
FROM country ";
$result3= mysql_query($query3);
$cnt3 = mysql_num_rows($result3);
if ($cnt3 != 0)
{
while($row3 = mysql_fetch_array($result3))
{
echo "<option value = '{$row3['country']}'> {$row3['country']}</option>";
}
echo "</select>";
}
?>
</select>
</td>
</tr>
</table>
</td>
<td>
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td width="202"><b>Residence </b></td>
</tr>
<tr>
<td>Address Line 1 </td>
<td width="286"> <input type= "text" name="address1_res" maxlength="30" size="30"/></td>
</tr>
<tr>
<td> Address Line 2 </td>
<td><input type="text" name="address2_res" maxlength="30" size="30" /></td>
</tr>
<tr>
<td> City </td>
<td><input type= "text" name="city_res" maxlength="30" size="30"/></td>
</tr>
<tr>
<td> State </td>
<td><input name="state_res" type="text" value="" maxlength="30" size="30"></td>
</tr>
<tr>
<td> Zip Code </td>
<td><input name="zip_res" type="decimal" value="" maxlength="30" size="30"></td>
</tr>
<tr>
<tr>
<td> Country </td>
<td><select name="Country_res" style="width: 200" title="Please Select Country" >
<option value ="" selected> Please Select Country</option>
<?php
include("/crm/connect_wec.php");
$query3 = "SELECT DISTINCT `country`
FROM country ";
$result3= mysql_query($query3);
$cnt3 = mysql_num_rows($result3);
if ($cnt3 != 0)
{
while($row3 = mysql_fetch_array($result3))
{
echo "<option value = '{$row3['country']}'> {$row3['country']}</option>";
}
echo "</select>";
}
?>
</select>
</td> </tr>
</table>
</td>
</tr>
<tr>
<td colspan="3">
<hr/>
</td>
</tr>
<tr>
<td>
<b>
Professional Details
</b>
</td>
</tr>
<tr>
<td>
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td width="222">Organistion<br>
<br></td>
<td width="266"><input type="text" name="Company" value="" maxlength="400" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
<tr >
<td>Designation</td>
<td><input type="text" name="Designation" value="" maxlength="400" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
<tr>
<tr>
<td>Area of Interest</td>
<td>
<select name="Area_of_Interest[ ]" multiple style="width: 200" title="You can select More than one Areas of Interest" >
<!--<option value ="Select"> Please Select Area of Interest</option>-->
<?php
include("/crm/connect_wec.php");
$query2 = "SELECT DISTINCT `Area_of_Interest`
FROM area_of_interest ";
$result2= mysql_query($query2);
$cnt2 = mysql_num_rows($result2);
if ($cnt2 != 0)
{
while($row2 = mysql_fetch_array($result2))
{
echo "<option value = '{$row2['Area_of_Interest']}'> {$row2['Area_of_Interest']}</option>";
}
echo "</select>";
}
?>
</select>
</td>
</tr>
<tr>
<td>Academic Qualification</td>
<td><input type="text" name="Academic_Qulification" value="" maxlength="40" size="30" onFocus="if(this.value=='N/A')this.value='';"/></td>
</tr>
<tr>
<td>Studies/International Papers</td>
<td><textarea name="Studies" value="" maxlength="100" rows="5" cols="22" onFocus="if(this.value=='N/A')this.value='';"/></textarea> </td>
</tr>
<tr>
<td>Profile</td>
<td><textarea name="Profile" value="" maxlength="150" rows="5" cols="22" onFocus="if(this.value=='N/A')this.value='';"/></textarea></td>
</tr>
</table>
</td>
</tr>
<tr>
<td>
<table align="center" bgcolor="#F4FFE4" width="500">
<tr>
<td width="224"><font color="#FF0000">* </font>User Name</td>
<td width="264"><input type="text" name="User_Name" value="" maxlength="400" size="30"/></td>
</tr>
<tr>
<td><font color="#FF0000">* </font>Password</td>
<td><input type="Password" name="Password" value="" maxlength="30" size="30"/></td>
</tr>
<tr>
<td><font color="#FF0000">* </font>Re Enter Password</td>
<td><input type="Password" name="RePassword" value="" maxlength="20" size="30"/></td>
</tr>
<tr>
<td><font color="#FF0000">* </font>Security
image</td>
<td>
<input id="security_code" name="security_code" type="text" />
<img src="/crm/CaptchaSecurityImages.php?width=100&height=40&characters=5" />
</tr>
<td></td>
<td ><br>
<input name='Submit' type='Submit' value='Submit'/>
<input name='Reset' type='Reset' value='Reset' /></td >
</tr>
</table>
</td>
</tr>
</table>
</form>
<TABLE bgColor=#ffffff border=1 cellPadding=0 cellSpacing=3 id=calendar style="DISPLAY: none; POSITION: absolute; Z-INDEX: 4">
<TBODY>
<TR>
<TD colSpan=7 vAlign=center>
<!-- Month combo box -->
<SELECT id=month onchange=newCalendar()>
<SCRIPT language=JavaScript>
// Output months into the document.
// Select current month.
for (var intLoop = 0; intLoop < months.length; intLoop++)
document.write("<OPTION " + (today.month == intLoop ? "Selected" : "") + ">" + months[intLoop]);
</SCRIPT>
</SELECT>
<!-- Year combo box -->
<SELECT id=year onchange=newCalendar()>
<SCRIPT language=JavaScript>
// Output years into the document.
// Select current year.
for (var intLoop = 1920; intLoop < 2028; intLoop++)
document.write("<OPTION " + (today.year == intLoop ? "Selected" : "") + ">" + intLoop);
</SCRIPT>
</SELECT>
</TD>
</TR>
<TR class=days>
<!-- Generate column for each day. -->
<SCRIPT language=JavaScript>
// Output days.
for (var intLoop = 0; intLoop < days.length; intLoop++)
document.write("<TD>" + days[intLoop] + "</TD>");
</SCRIPT>
</TR>
<TBODY class=dates id=dayList onClick="getDate('')" vAlign=center>
<!-- Generate grid for individual days. -->
<SCRIPT language=JavaScript>
for (var intWeeks = 0; intWeeks < 6; intWeeks++)
{
document.write("<TR>");
for (var intDays = 0; intDays < days.length; intDays++)
document.write("<TD></TD>");
document.write("</TR>");
}
</SCRIPT>
<!-- Generate today day. --></TBODY>
<TBODY>
<TR>
<TD class=today colSpan=5 id=todayday onclick=getTodayDay()></TD>
<TD align=right colSpan=2><A href="javascript:HideCalendar();"><SPAN style="COLOR: black; FONT-SIZE: 10px"><B>Hide</B></SPAN></A></TD>
</TR>
</TBODY>
</TABLE>
</body>
</html>
<?php
}
?>
<!--script for validation-->
<!--script for validation-->
<script src="/crm/Code/Validation/gen_validatorv4.js" type="text/javascript"></script>
<!--validation script end-->
<script type="text/javascript">
var frmvalidator = new Validator("Form_New_Reg_User");
frmvalidator.addValidation("Title","dontselect=000");
// frmvalidator.addValidation("title","req","Please Select the Title !");
frmvalidator.addValidation("First_Name","req","Please enter First Name !");
frmvalidator.addValidation("First_Name","maxlen=40","Max length for First Name is 40");
frmvalidator.addValidation("Last_Name","req","Please enter Last Name !");
frmvalidator.addValidation("Last_Name","maxlen=40","Max length for Last Name is 40");
frmvalidator.addValidation("Gender","selone");
frmvalidator.addValidation("Mail_Id","req","Please enter Mail Id !");
//frmvalidator.addValidation("Country","dontselect=Select") ;
frmvalidator.addValidation("User_Name","req","Please enter User Name !");
frmvalidator.addValidation("Password","req","Please enter Password !");
frmvalidator.addValidation("RePassword","req","Please re-enter Password !");
frmvalidator.addValidation("RePassword","eqelmnt=Password","The confirmed password is not same as password");
frmvalidator.addValidation("security_code","req","Please enter Security Code !");
frmvalidator.addValidation("Designation","Please enter Designation or N/A !");
frmvalidator.addValidation("Designation","maxlen=400","Max length for Designation is 400");
frmvalidator.addValidation("Company","Please enter Company or N/A !");
frmvalidator.addValidation("Mob_No","Please enter Mobile Number !");
frmvalidator.addValidation("Mob_No","decimal");
frmvalidator.addValidation("Lnd_No","Please enter Landline Number or N/A !");
frmvalidator.addValidation("Alt_No","Please enter Alternate Number or N/A !");
frmvalidator.addValidation("Ofc_Addr","Please enter Office Address or N/A !");
frmvalidator.addValidation("Res_Addr","Please enter Residence Address or N/A !");
</script>
<!--Live clock script -->
<script src="/crm/Code/Live_Date_Script/Live_Date_Script.js" type="text/javascript"></script>
<!--script for calander-->
<script language="javascript" src="/crm/Code/calendar/cal2.js"></script>
<script language="javascript" src="/crmCode/calendar/cal_conf2.js"></script>
<!--script for calander-->
<!--Live clock script -->
<script src="Code/Live_Date_Script/Live_Date_Script.js" type="text/javascript"></script>
<!--Live clock script end-->
<!--Live clock script end-->
<!--validation script end-->
<!--Live clock script -->
