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<!doctype html> <? session_start(); include("config.php"); ?> <!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <title>Matri</title> <link href="css/style.css" rel="stylesheet" type="text/css" /> <link href="style.css" rel="stylesheet" type="text/css" /> <script language="javascript" src="includes/relcaste.js"></script> <link rel="stylesheet" type="text/css" media="screen" href="webaddict/css/cmxform.css" /> <script src="webaddict/lib/jquery.js" type="text/javascript"></script> <script src="webaddict/lib/jquery.metadata.js" type="text/javascript"></script> <script src="webaddict/jquery.validate.js" type="text/javascript"></script> <script src="webaddict/js/cmxforms.js" type="text/javascript"></script> <script type="text/javascript"> $.metadata.setType("attr", "validate"); $(document).ready(function() { $("#formn").validate({ rules: { MatriID: { required: true, minlength: 5, maxlength: 8, remote: "usernames.php" }, Name: "required", lname: "required", Gender: "required", Maritalstatus: "required", religion: "required", caste: "required", Height: "required", Occupation: "required", EducationDetails: "required", Profilecreatedby: "required", cboCountry: "required", cboState: "required", city: "required", dobMonth:"required", dobDay:"required", dobYear:"required", ConfirmEmail: { required: true, email: true, remote: "emails.php" }, mobilecode: { required: true, number: true }, mobile: { required: true, number: true, maxlength:10 }, ConfirmPassword: { required: true, minlength: 5 }, agree: "required" }, messages: { Name: "<br><img src=images/error_bang.gif> Please enter your Name", MatriID: { required: "<br><img src=images/error_bang.gif> Loginid required", minlength: "<br><img src=images/error_bang.gif> Your Loginid must consist of at least 5 characters", maxlength: "<br><img src=images/error_bang.gif> Your Loginid must consist of at maximum 8 characters" }, ConfirmPassword: { required: "<br><img src=images/error_bang.gif> Password required", minlength: "<br><img src=images/error_bang.gif> Password must be at least 5 characters long" }, dobMonth: { required: "<div style='float:right;'> <img src=images/error_bang.gif> Month required</div>" }, dobDay: { required: "<div style='float:right;'> <img src=images/error_bang.gif> Date required</div>" }, dobYear: { required: "<div style='float:right;'> <img src=images/error_bang.gif>Year required</div>" }, mobile: { maxlength: "<br><img src=images/error_bang.gif> mobilenumber must be at 10 characters" }, //email: " Please enter a valid email address", agree: " <img src=images/error_bang.gif> Please accept our terms<br>" } }); // propose username by combining first- and lastname $("#username").focus(function() { var firstname = $("#firstname").val(); var lastname = $("#lastname").val(); if(firstname && lastname && !this.value) { this.value = firstname + "." + lastname; } }); // check if confirm password is still valid after password changed $("#ConfirmPassword").blur(function() { $("#confirm_password").valid(); }); //code to hide topic selection, disable for demo var newsletter = $("#newsletter"); // newsletter topics are optional, hide at first var inital = newsletter.is(":checked"); var topics = $("#newsletter_topics")[inital ? "removeClass" : "addClass"]("gray"); var topicInputs = topics.find("input").attr("disabled", !inital); // show when newsletter is checked newsletter.click(function() { topics[this.checked ? "removeClass" : "addClass"]("gray"); topicInputs.attr("disabled", !this.checked); }); }); </script> <script language="JavaScript"> function caste_disable(obj){ if(obj.options[obj.selectedIndex].text != 'Hindu' && obj.options[obj.selectedIndex].text != 'Muslim' && obj.options[obj.selectedIndex].text != 'Christian' && obj.options[obj.selectedIndex].text != 'Jain' && obj.options[obj.selectedIndex].text != 'Sikh'){ document.formn.caste.disabled = true; } else { document.formn.caste.disabled = false; get_caste(obj.form.religion,0); } } //--> </script> <script language="javascript"> var caste=new Array(); caste["Hindu"] = ["6000 Niyogi","96K Kokanastha","Adi Dravida","Agarwal","Anavil Brahmin","Arora","Arya Vysya","Aryasamaj","Audichya Brahmin","Bahi","Balija Naidu","Bengali","Bengali Brahmin","Bhandari","Billava","Brahmin","Brahmin Bhumihar","Brahmin Goswami","Brahmin Kanada Madhva","Brahmin Kanyakubja","Brahmin Niyogi Nandavariki","Brahmin Saryuparin","Brahmin Tyagi","Bunt","Chaurasia","Chettiar","Coorgi","Davadnya Brahmin","Dawoodi Bhora","Deshastha Brahmin","Devanga","Dhaneshawat Vaish","Dhiman Brahmin","Digambar","Ezhava","Ezhuthachan","Garhwali Brahmins","Garhwali Rajput","Gomantak Maratha","Goswami","Gounder","Gour Brahmin","Gowd Saraswat Brahmin","Gowda","Gujarati","Gupta","Gurjar","Havyaka Brahmin","Iyengar","Iyer","Iyer Brahmin","Jaiswal","Jat","Kalar","Kalinga Vysya","Kamboj","Kamma","Kannada Mogaveera","Kapu","Kapu Naidu","Karhade Brahmin","Karuneekar","Kashmiri Pandit (Brahmin)","Kashyap","Kayastha","Khatri","Kokanastha Brahmin","Kongu Vellala Gounder","Kori","Koshti","Kshatriya","Kumaoni Brahmins","Kumaoni Rajput","Kumawat","Kumbara","Kunbi","Kurmi","Kuruba","Leva Patil","Lingayat","Lohana","Maithil Brahmin","Malayalee Namboodiri","Malayalee Variar","Mali","Maharashtrian","Maharashtrian Brahmin","Maheshwari","Maratha","Maruthuvar","Marvar","Marwari","Maurya","Menon","Mudaliar","Mudaliar Arcot","Mudaliar Saiva","Mudaliar Senguntha","Mukulathur","Nadar","Nagar Brahmin","Naidu","Nair","Nair Vaniya","Nambiar","Nepali","OBC (Barber-Naayee)","Padmashali","Patel Desai","Patel Kadva","Patel Leva","Perika","Pillai","Prajapati","Punjabi","Punjabi Brahmin","Rajput","Reddy","Saraswat Brahmins","Sahu","Scheduled Caste","Sepahia","Setti Balija","Sindhi","Somvanshi","Sonar","Sowrashtra","Sozhiya Vellalar","Sutar","Swarnakar","Tamil Yadava","Teli","Telugu","Telugu Brahmin","Thevar","Thiyya","Udayar","Vaidiki Brahmin","Vaishnav","Vaishnav Bhatia","Vaishnav Vania","Varshney","Vanniyakullak Shatriya","Vanniyar","Veerashaiva","Velethadathu Nair","Vellalar","Vellama","Vishwakarma","Viswabrahmin","Vokaliga","Vysya","Yadav","Devanga chettier", "24 manai chettier","Vaniya chettier", "Jangumar", "Andipandaram", "Ariyavaisiyar","Vannar","Others"]; caste["Muslim"] = ["Bengali","Dawoodi Bohra","Ehle-Hadith","Memon","Rajput","Shia","Shia Imami Ismaili","Sunni","Others"]; caste["Christian"] = ["Catholic","CMS","CSI","Evangelical","Jacobite","Marthoma","Nadar","Protestant","Syrian","Others"]; caste["Jain"] = ["Digambar","Shewetamber","Vania","Others"]; caste["Sikh"] = ["Clean Shaven","Gursikh","Jat","Kamboj","Kesadhari","Khatri","Ramgharia","Others"]; function get_caste(obj,show_default){ var sel_caste = ''; var sel_religion = obj.options[obj.selectedIndex].text; var caste_obj = obj.form.elements["caste"]; //CLEAN CASTE SELECT BOX while ( caste_obj.options.length ) caste_obj.options[0] = null; //ADD FIRST SELECT OPTION caste_obj.options[0]=new Option("Does not matter","Does not matter",true); //ADD CASTE OPTIONS FOR SELECTED RELIGION //if(obj.selectedIndex>0){ for(j=0;j<caste[sel_religion].length;j++){ //NOT TO INCLUDE OPTIONS HAVING NULL VALUES if(caste[sel_religion][j]!=""){ var caste_val = caste[sel_religion][j]=="Does not matter"?"Does not matter":caste[sel_religion][j]; var def_sel = (sel_caste == caste_val) ? true : false; caste_obj.options[j+1] = new Option(caste[sel_religion][j], caste_val, true, def_sel); } } //} } </script> <script language="JavaScript"> function updateDay(change,formName,yearName,monthName,dayName) { var form = document.forms[formName]; var yearSelect = form[yearName]; var monthSelect = form[monthName]; var daySelect = form[dayName]; var year = yearSelect[yearSelect.selectedIndex].value; var month = monthSelect[monthSelect.selectedIndex].value; var day = daySelect[daySelect.selectedIndex].value; if (change == 'month' || (change == 'year' && month == 2)) { var i = 31; var flag = true; while(flag) { var date = new Date(year,month-1,i); if (date.getMonth() == month - 1) { flag = false; } else { i = i - 1; } } daySelect.length = 0; daySelect.length = i; var j = 0; while(j < i) { daySelect[j] = new Option(j+1,j+1); j = j + 1; } if (day <= i) { daySelect.selectedIndex = day - 1; } else { daySelect.selectedIndex = daySelect.length - 1; } } } </script> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"> <!-- Google fonts - witch you want to use - (rest you can just remove) --> <link rel='stylesheet' href='http://fonts.googleapis.com/css?family=Open+Sans:400,800,700italic,700,600italic,600,400italic,300italic,300|Roboto:100,300,400,500,700&subset=latin,latin-ext' type='text/css' /> <!--[if lt IE 9]> <script src="http://html5shim.googlecode.com/svn/trunk/html5.js"></script> <![endif]--> <!-- ######### CSS STYLES ######### --> <link rel="stylesheet" href="css_sam_rwd/reset.css" type="text/css" /> <link rel="stylesheet" href="css_sam_rwd/style.css" type="text/css" /> <link rel="stylesheet" href="css_sam_rwd/font-awesome/css/font-awesome.min.css"> <!-- responsive devices styles --> <link rel="stylesheet" media="screen" href="css_sam_rwd/responsive-leyouts.css" type="text/css" /> <!-- sticky menu --> <link rel="stylesheet" href="js_sam_rwd/sticky-menu/core.css"> <!-- REVOLUTION SLIDER --> <link rel="stylesheet" type="text/css" href="js_sam_rwd/revolutionslider/css/fullwidth.css" media="screen" /> <link rel="stylesheet" type="text/css" href="js_sam_rwd/revolutionslider/rs-plugin/css/settings.css" media="screen" /> <!-- jquery jcarousel --> <link rel="stylesheet" type="text/css" href="js_sam_rwd/jcarousel/skin.css" /> <link rel="stylesheet" type="text/css" href="js_sam_rwd/jcarousel/skin2.css" /> <!-- testimonials --> <link rel="stylesheet" href="js_sam_rwd/testimonials/fadeeffect.css" type="text/css" media="all"> </head> <body> <div class="site_wrapper"> <!-- HEADER --> <?php include 'header_rwd.php'; ?> <!-- end header --> <div class="clearfix"></div> <!-- Slider ======================================= --> <div class="container_full"> <div class="clearfix"></div> <div class="graph_lines"></div> <div class="clearfix"></div> <div class="layout3_fusection2"> <div class="container"> <table border="0" align="center" cellpadding="0" cellspacing="0" class="table_border" id="outertable"> <tr> <td> <br /><table border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td width="14" class="leftcurve"> </td> <td width="763" class="topborder"> </td> <td width="24" align="right" class="rightcurve"> </td> </tr> <tr> <td colspan="3"><table width="100%" border="0" cellspacing="0" cellpadding="0" class="border_inner"> <tr> <td><table cellpadding="0" cellspacing="0" width="89%" align="center"> <tr><td align="left"> <!--buyerregister form start---> <form class="frmdummy" id="formn" name="formn" method="post" action="register1_submit.php" onSubmit="return Validate()"></LEGEND> <TABLE width="80%" cellpadding="0" cellspacing="10" align="center" border="0"> <tr><td colspan="2">All Fields marks<span class="alert"> *</span> are mandatory</td> </tr> <tr> <td colspan="2"><strong></strong></td> </tr> <!--<tr><td>User Type</td><td><input type="radio" name="usertype" value="seller"/>Seller <input type="radio" name="usertype" value="buyer" checked="checked" />Buyer </td></tr>--> <tr> <td class="formtext">Login Id <span class="alert">*</span><br /><input type="text" name="MatriID" maxlength="8"/> <br /></td> <td class="formtext">Password <span class="alert">*</span> <br /> <input type="text" name="ConfirmPassword"/></td><td width="39%"> </td></tr> <tr><td colspan="3" bgcolor="#E5E5E5" height="1px;"></td> <tr><td colspan="3" class="formheading">Basic Information</td></tr> <tr> <td height="36" class="formtext"><table><tr><td width="122">Name <span class="alert">*</span> <br /> <input type="text" name="Name" /></td> </tr></table></td> <td>Email Id <span class="alert">*</span><br /> <input type="text" name="ConfirmEmail" /></td><td>Date of Birth<span class="alert">*</span><div align="left"> <select name="dobMonth" class="forminput" onchange="updateDay('month','formn','dobYear','dobMonth','dobDay');"> <option value="" selected="selected">-Month-</option> <option value="1">January</option> <option value="2">February</option> <option value="3">March</option> <option value="4">April</option> <option value="5">May</option> <option value="6">June</option> <option value="7">July</option> <option value="8">August</option> <option value="9">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option> </select> <select name="dobDay" class="forminput"> <option value="" selected="selected">-Date-</option> <option value="1">1</option> <option value="2">2</option> <option value="3">3</option> <option value="4">4</option> <option value="5">5</option> <option value="6">6</option> <option value="7">7</option> <option value="8">8</option> <option value="9">9</option> <option value="10">10</option> <option value="11">11</option> <option value="12">12</option> <option value="13">13</option> <option value="14">14</option> <option value="15">15</option> <option value="16">16</option> <option value="17">17</option> <option value="18">18</option> <option value="19">19</option> <option value="20">20</option> <option value="21">21</option> <option value="22">22</option> <option value="23">23</option> <option value="24">24</option> <option value="25">25</option> <option value="26">26</option> <option value="27">27</option> <option value="28">28</option> <option value="29">29</option> <option value="30">30</option> <option value="31">31</option> </select> <select name="dobYear" class="forminput" onChange="updateDay('year','formn','dobYear','dobMonth','dobDay');"> <option value="" selected="selected">-Year-</option> <option value="1950">1950</option> <option value="1951">1951</option> <option value="1952">1952</option> <option value="1953">1953</option> <option value="1954">1954</option> <option value="1955">1955</option> <option value="1956">1956</option> <option value="1957">1957</option> <option value="1958">1958</option> <option value="1959">1959</option> <option value="1960">1960</option> <option value="1961">1961</option> <option value="1962">1962</option> <option value="1963">1963</option> <option value="1964">1964</option> <option value="1965">1965</option> <option value="1966">1966</option> <option value="1967">1967</option> <option value="1968">1968</option> <option value="1969">1969</option> <option value="1970">1970</option> <option value="1971">1971</option> <option value="1972">1972</option> <option value="1973">1973</option> <option value="1974">1974</option> <option value="1975">1975</option> <option value="1976">1976</option> <option value="1977">1977</option> <option value="1978">1978</option> <option value="1979">1979</option> <option value="1980">1980</option> <option value="1981">1981</option> <option value="1982">1982</option> <option value="1983">1983</option> <option value="1984">1984</option> <option value="1985">1985</option> <option value="1986">1986</option> <option value="1987">1987</option> <option value="1988">1988</option> <option value="1989">1989</option> <option value="1990">1990</option> <option value="1991">1991</option> <option value="1992">1992</option> <option value="1993">1993</option> <option value="1994">1994</option> <option value="1995">1995</option> <option value="1996">1996</option> <option value="1997">1997</option> <option value="1998">1998</option> <option value="1999">1999</option> <option value="2000">2000</option> </select> </div></td></tr> <tr> <td class="formtext">Gender <span class="alert">*</span><br /> <select name="Gender"> <option value="">- Select -</option> <option value="Male">Male</option> <option value="Female">Female</option> </select> </td> <td class="formtext">Marital Status <span class="alert">*</span> <br /> <select size="1" class="regcontrol" name="Maritalstatus"><option value="DIVO">Divorced</option> <option value="MARD">Married</option> <option value="NEVE">Never Married</option> <option value="WIDO">Widowed</option></select></td><td width="39%"> </td> </tr> <tr> <td class="formtext">Religion <span class="alert">*</span><br /><select name="religion" class="forminput" id="religion" onChange="return caste_disable(document.formn.religion);" style="width:220px;"> <option value="- Select -" selected>- Select -</option> <option value="Hindu">Hindu</option> <option value="Christian">Christian</option> <option value="Muslim">Muslim</option> <option value="Sikh">Sikh</option> <option value="Jain">Jain</option> <option value="Parsi">Parsi</option> <option value="Buddhist">Buddhist</option> <option value="Bahai">Bahai</option> <option value="Inter-Religion">Inter-Religion</option> <option value="Others">Others</option> </select> <br /></td> <td class="formtext">Community<span class="alert">*</span> <br /> <select name="caste" class="forminput" id="caste" style="width:220px;"> </select></td><td width="39%"> </td></tr> <tr> <td class="formtext">Height <span class="alert">*</span> <br /><select name="height" class="forminput" id="txtHeight1" style="width:215px;"> <option value="" selected>- Select -</option> <option value="1">Below 4ft</option> <option value="2">4ft 6in</option> <option value="3">4ft 7in</option> <option value="4">4ft 8in</option> <option value="5">4ft 9in</option> <option value="6">4ft 10in</option> <option value="7">4ft 11in</option> <option value="8">5ft</option> <option value="9">5ft 1in</option> <option value="10">5ft 2in</option> <option value="11">5ft 3in</option> <option value="12">5ft 4in</option> <option value="13">5ft 5in</option> <option value="14">5ft 6in</option> <option value="15">5ft 7in</option> <option value="16">5ft 8in</option> <option value="17">5ft 9in</option> <option value="18">5ft 10in</option> <option value="19">5ft 11in</option> <option value="20">6ft</option> <option value="21">6ft 1in</option> <option value="22">6ft 2in</option> <option value="23">6ft 3in</option> <option value="24">6ft 4in</option> <option value="25">6ft 5in</option> <option value="26">6ft 6in</option> <option value="27">6ft 7in</option> <option value="28">6ft 8in</option> <option value="29">6ft 9in</option> <option value="30">6ft 10in</option> <option value="31">6ft 11in</option> <option value="32">7ft</option> <option value="33">Above 7ft</option> </select> <br /></td> <td class="formtext">Education<span class="alert">*</span> <br /> <select id="frmRegistration:EducationDetails" name="EducationDetails" size="1" style="width: 165px;" class="regcontrol" onblur="chkFields(this.id,'errEducation','educationBlank');"> <option value="">Please Select</option> <option selected="selected" value="SSSL">10+2/ Senior Secondary School</option> <option value="BAGR">B.A.</option> <option value="BARA">B.Arch</option> <option value="BCOG">B.Com</option> <option value="BEDG">B.Ed</option> <option value="BPHA">B.Pharm</option> <option value="BSCG">B.Sc</option> <option value="BBAG">BBA</option> <option value="BCAG">BCA</option> <option value="BDSG">BDS</option> <option value="BEBT">BE B.Tech</option> <option value="BHMG">BHM</option> <option value="BLLB">BL LLB</option> <option value="BACH">Bachelor</option> <option value="CACC">CA</option> <option value="CSEC">CS</option> <option value="DIPL">Diploma</option> <option value="HGSC">High school</option> <option value="ICWA">ICWA</option> <option value="INTE">Integrated PG</option> <option value="INTR">Intermediate</option> <option value="LLBE">LLB</option> <option value="MARC">M.Arch</option> <option value="MCOM">M.Com</option> <option value="MEDG">M.Ed</option> <option value="MPHA">M.Pharm</option> <option value="MPHI">M.Phil</option> <option value="MSCP">M.Sc</option> <option value="MTMS">M.Tech</option> <option value="MAPG">MA</option> <option value="MBAP">MBA PGDM</option> <option value="MBPT">MBA PGDM part time</option> <option value="MBBS">MBBS</option> <option value="MCAP">MCA PGDCA</option> <option value="MCAT">MCA PGDCA part time</option> <option value="MDMS">MD MS</option> <option value="MEMT">ME M.Tech</option> <option value="MLLM">ML LLM</option> <option value="MSMS">MS</option> <option value="MSTR">Masters</option> <option value="PGDB">PGDBM</option> <option value="PHDD">PhD doctorate</option> <option value="PGRD">Post graduation</option> <option value="UDGR">Undergraduate</option> <option value="OTHE">Others</option></select></td><td width="39%">Occupation <span class="alert">*</span> <br /><select name="Occupation" class="forminput" id="select" style="width:215px;"> <option value="" selected>- Select -</option> <option value="Not working">Not working</option> <option value="Non-mainstream professional">Non-mainstream professional</option> <option value="Accountant">Accountant</option> <option value="Acting Professional">Acting Professional</option> <option value="Actor">Actor</option> <option value="Administration Professional">Administration Professional</option> <option value="Advertising Professional">Advertising Professional</option> <option value="Air Hostess">Air Hostess</option> <option value="Architect">Architect</option> <option value="Artisan">Artisan</option> <option value="Audiologist">Audiologist</option> <option value="Banker">Banker</option> <option value="Beautician">Beautician</option> <option value="Biologist / Botanist">Biologist / Botanist</option> <option value="Business Person">Business Person</option> <option value="Chartered Accountant">Chartered Accountant</option> <option value="Civil Engineer">Civil Engineer</option> <option value="Clerical Official">Clerical Official</option> <option value="Commercial Pilot">Commercial Pilot</option> <option value="Company Secretary">Company Secretary</option> <option value="Computer Professional">Computer Professional</option> <option value="Consultant">Consultant</option> <option value="Contractor">Contractor</option> <option value="Cost Accountant">Cost Accountant</option> <option value="Creative Person">Creative Person</option> <option value="Customer Support Professional">Customer Support Professional</option> <option value="Defense Employee">Defense Employee</option> <option value="Dentist">Dentist</option> <option value="Designer">Designer</option> <option value="Doctor">Doctor</option> <option value="Economist">Economist</option> <option value="Engineer">Engineer</option> <option value="Engineer (Mechanical)">Engineer (Mechanical)</option> <option value="Engineer (Project)">Engineer (Project)</option> <option value="Entertainment Professional">Entertainment Professional</option> <option value="Event Manager">Event Manager</option> <option value="Executive">Executive</option> <option value="Factory worker">Factory worker</option> <option value="Farmer">Farmer</option> <option value="Fashion Designer">Fashion Designer</option> <option value="Finance Professional">Finance Professional</option> <option value="Flight Attendant">Flight Attendant</option> <option value="Government Employee">Government Employee</option> <option value="Health Care Professional">Health Care Professional</option> <option value="Home Maker">Home Maker</option> <option value="Hotel & Restaurant Professional">Hotel & Restaurant Professional</option> <option value="Human Resources Professional">Human Resources Professional</option> <option value="Interior Designer">Interior Designer</option> <option value="Investment Professional">Investment Professional</option> <option value="IT / Telecom Professional">IT / Telecom Professional</option> <option value="Journalist">Journalist</option> <option value="Lawyer">Lawyer</option> <option value="Lecturer">Lecturer</option> <option value="Legal Professional">Legal Professional</option> <option value="Manager">Manager</option> <option value="Marketing Professional">Marketing Professional</option> <option value="Media Professional">Media Professional</option> <option value="Medical Professional">Medical Professional</option> <option value="Medical Transcriptionist">Medical Transcriptionist</option> <option value="Merchant Naval Officer">Merchant Naval Officer</option> <option value="Nurse">Nurse</option> <option value="Occupational Therapist">Occupational Therapist</option> <option value="Optician">Optician</option> <option value="Pharmacist">Pharmacist</option> <option value="Physician Assistant">Physician Assistant</option> <option value="Physicist">Physicist</option> <option value="Physiotherapist">Physiotherapist</option> <option value="Pilot">Pilot</option> <option value="Politician">Politician</option> <option value="Production professional">Production professional</option> <option value="Professor">Professor</option> <option value="Psychologist">Psychologist</option> <option value="Public Relations Professional">Public Relations Professional</option> <option value="Real Estate Professional">Real Estate Professional</option> <option value="Research Scholar">Research Scholar</option> <option value="Retired Person">Retired Person</option> <option value="Retail Professional">Retail Professional</option> <option value="Sales Professional">Sales Professional</option> <option value="Scientist">Scientist</option> <option value="Self-employed Person">Self-employed Person</option> <option value="Social Worker">Social Worker</option> <option value="Software Consultant">Software Consultant</option> <option value="Sportsman">Sportsman</option> <option value="Student">Student</option> <option value="Teacher">Teacher</option> <option value="Technician">Technician</option> <option value="Training Professional">Training Professional</option> <option value="Transportation Professional">Transportation Professional</option> <option value="Veterinary Doctor">Veterinary Doctor</option> <option value="Volunteer">Volunteer</option> <option value="Writer">Writer</option> <option value="Zoologist">Zoologist</option> </select></td></tr> <tr> <td class="formtext">Profile Created By <span class="alert">*</span> <br /><select name="Profilecreatedby" class="forminput" id="txtPC" style="width:220px;"> <option value="Self">Self</option> <option value="Parents">Parents</option> <option value="Guardian">Guardian</option> <option value="Friends">Friends</option> <option value="Sibling">Sibling</option> <option value="Relatives">Relatives</option> </select></td> <td> </td> <td> </td> </tr> <tr><td colspan="3" bgcolor="#E5E5E5" Height="1px;"></td> <tr> <td colspan="3" class="formheading">Contact Details </td> </tr> <tr> <td class="formtext">Location <span class="alert">*</span><script src="country.js" type="text/javascript"></script> <select name="cboState" class="forminput" id="cboState" style="width:215px;"> <option value="" selected>-- Select --</option> <option value="albania">Albania</option> <option value="algeria">Algeria</option> <option value="american samoa">American samoa</option> <option value="andoria">Andoria</option> <option value="andorra">Andorra</option> <option value="angola">Angola</option> <option value="anguilla">Anguilla</option> <option value="anitgua">Anitgua</option> <option value="antigua">Antigua</option> <option value="argentina">Argentina</option> <option value="armenia">Armenia</option> <option value="aruba">Aruba</option> <option value="australia">Australia</option> <option value="austria">Austria</option> <option value="azerbaijan">Azerbaijan</option> <option value="azerbiajan">Azerbiajan</option> <option value="bahamas">Bahamas</option> <option value="bahrain">Bahrain</option> <option value="bangladesh">Bangladesh</option> <option value="barbados">Barbados</option> <option value="belarus">Belarus</option> <option value="belgium">Belgium</option> <option value="belize">Belize</option> <option value="benin">Benin</option> <option value="bermuda">Bermuda</option> <option value="bhutan">Bhutan</option> <option value="boliva">Boliva</option> <option value="bolivia">Bolivia</option> <option value="bonaire">Bonaire</option> <option value="bosnia & herzegovina">Bosnia & herzegovina</option> <option value="botswana">Botswana</option> <option value="brazil">Brazil</option> <option value="brunei">Brunei</option> <option value="bulgaria">Bulgaria</option> <option value="burkina faso">Burkina faso</option> <option value="burundi">Burundi</option> <option value="cambodia">Cambodia</option> <option value="cameroon">Cameroon</option> <option value="canada">Canada</option> <option value="canary islands the">Canary islands the</option> <option value="cape varde">Cape varde</option> <option value="cape verde">Cape verde</option> <option value="cayman islands">Cayman islands</option> <option value="central african republic">Central african republic</option> <option value="chad">Chad</option> <option value="chile">Chile</option> <option value="china">China</option> <option value="china, peoples rep">China, peoples rep</option> <option value="colombia">Colombia</option> <option value="columbia">Columbia</option> <option value="comoros">Comoros</option> <option value="congo">Congo</option> <option value="congo, the democratic rep of">Congo, the democratic rep of</option> <option value="cook islands">Cook islands</option> <option value="costa rica">Costa rica</option> <option value="croatia">Croatia</option> <option value="cuba">Cuba</option> <option value="curacao">Curacao</option> <option value="cyprus">Cyprus</option> <option value="czech republic">Czech republic</option> <option value="czech republic the">Czech republic the</option> <option value="denmark">Denmark</option> <option value="djibouti">Djibouti</option> <option value="dominica">Dominica</option> <option value="dominican republic">Dominican republic</option> <option value="ecuador">Ecuador</option> <option value="egypt">Egypt</option> <option value="el salvador">El salvador</option> <option value="equatorial guinea">Equatorial guinea</option> <option value="eritrea">Eritrea</option> <option value="estonia">Estonia</option> <option value="ethiopia">Ethiopia</option> <option value="falkland islands">Falkland islands</option> <option value="faroe islands">Faroe islands</option> <option value="faroer islands">Faroer islands</option> <option value="fiji">Fiji</option> <option value="finland">Finland</option> <option value="france">France</option> <option value="french guana">French guana</option> <option value="french guyana">French guyana</option> <option value="french polynesia">French polynesia</option> <option value="gabon">Gabon</option> <option value="gambia">Gambia</option> <option value="georgia">Georgia</option> <option value="germany">Germany</option> <option value="ghana">Ghana</option> <option value="gibraltar">Gibraltar</option> <option value="greece">Greece</option> <option value="greenland">Greenland</option> <option value="grenada">Grenada</option> <option value="guadeloupe">Guadeloupe</option> <option value="guadeluoupe">Guadeluoupe</option> <option value="guam">Guam</option> <option value="guatemala">Guatemala</option> <option value="guernsey">Guernsey</option> <option value="guinea">Guinea</option> <option value="guinea republic">Guinea republic</option> <option value="guinea-bissau">Guinea-bissau</option> <option value="guyana">Guyana</option> <option value="guyana (british)">Guyana (british)</option> <option value="haiti">Haiti</option> <option value="honduras">Honduras</option> <option value="hong kong">Hong kong</option> <option value="hungary">Hungary</option> <option value="iceland">Iceland</option> <option value="india">India</option> <option value="indonesia">Indonesia</option> <option value="iran">Iran</option> <option value="ireland">Ireland</option> <option value="ireland republic of">Ireland republic of</option> <option value="israel">Israel</option> <option value="italy">Italy</option> <option value="italy">Italy</option> <option value="ivory coast">Ivory coast</option> <option value="jamaica">Jamaica</option> <option value="japan">Japan</option> <option value="jersey">Jersey</option> <option value="jordan">Jordan</option> <option value="kazakhstan">Kazakhstan</option> <option value="kenya">Kenya</option> <option value="kiribati">Kiribati</option> <option value="korea, republic of">Korea, republic of</option> <option value="korea, south">Korea, south</option> <option value="korea,d.pr of">Korea,d.pr of</option> <option value="kuwait">Kuwait</option> <option value="kyrgyzstan">Kyrgyzstan</option> <option value="lao peoples democratic republic">Lao peoples democratic republic</option> <option value="laos">Laos</option> <option value="latvia">Latvia</option> <option value="lebanon">Lebanon</option> <option value="lesotho">Lesotho</option> <option value="liberia">Liberia</option> <option value="libya">Libya</option> <option value="liechtenstein">Liechtenstein</option> <option value="lithuania">Lithuania</option> <option value="luxembourg">Luxembourg</option> <option value="macao">Macao</option> <option value="macau">Macau</option> <option value="macedonia">Macedonia</option> <option value="macedonia republic of (fyrom)">Macedonia republic of (fyrom)</option> <option value="madagascar">Madagascar</option> <option value="malawi">Malawi</option> <option value="malaysia">Malaysia</option> <option value="maldives">Maldives</option> <option value="mali">Mali</option> <option value="malta">Malta</option> <option value="marinique">Marinique</option> <option value="marshall islands">Marshall islands</option> <option value="martinique">Martinique</option> <option value="mauritania">Mauritania</option> <option value="mauritiania">Mauritiania</option> <option value="mauritius">Mauritius</option> <option value="mexico">Mexico</option> <option value="micronesia">Micronesia</option> <option value="moldova">Moldova</option> <option value="moldova republic of">Moldova republic of</option> <option value="monaco">Monaco</option> <option value="mongolia">Mongolia</option> <option value="montserrat">Montserrat</option> <option value="morocco">Morocco</option> <option value="mozambique">Mozambique</option> <option value="myanmar">Myanmar</option> <option value="myanmar (burma)">Myanmar (burma)</option> <option value="namibia">Namibia</option> <option value="nauru republic of">Nauru republic of</option> <option value="nepal">Nepal</option> <option value="netherland antilles">Netherland antilles</option> <option value="netherlands">Netherlands</option> <option value="netherlands the">Netherlands the</option> <option value="nevis">Nevis</option> <option value="new caledonia">New caledonia</option> <option value="new zealand">New zealand</option> <option value="nicaragua">Nicaragua</option> <option value="niger">Niger</option> <option value="nigeria">Nigeria</option> <option value="niue">Niue</option> <option value="norway">Norway</option> <option value="oman">Oman</option> <option value="pakistan">Pakistan</option> <option value="palau">Palau</option> <option value="palestine authority">Palestine authority</option> <option value="panama">Panama</option> <option value="papua new guinea">Papua new guinea</option> <option value="paraguay">Paraguay</option> <option value="peru">Peru</option> <option value="peru">Peru</option> <option value="philippines">Philippines</option> <option value="poland">Poland</option> <option value="portugal">Portugal</option> <option value="puerto rico">Puerto rico</option> <option value="qatar">Qatar</option> <option value="reunion">Reunion</option> <option value="reunion island">Reunion island</option> <option value="romania">Romania</option> <option value="russia">Russia</option> <option value="russian federation">Russian federation</option> <option value="rwanda">Rwanda</option> <option value="saint lucia">Saint lucia</option> <option value="saint vincent">Saint vincent</option> <option value="saipan">Saipan</option> <option value="samoa">Samoa</option> <option value="sao tome & principe">Sao tome & principe</option> <option value="saudi arabia">Saudi arabia</option> <option value="saudia arabia">Saudia arabia</option> <option value="senegal">Senegal</option> <option value="seychelles">Seychelles</option> <option value="sierra leone">Sierra leone</option> <option value="singapore">Singapore</option> <option value="slovak republic">Slovak republic</option> <option value="slovakia">Slovakia</option> <option value="slovenia">Slovenia</option> <option value="solomon islands">Solomon islands</option> <option value="somalia">Somalia</option> <option value="south africa">South africa</option> <option value="spain">Spain</option> <option value="sri lanka">Sri lanka</option> <option value="st kitts and nevis">St kitts and nevis</option> <option value="st lucia">St lucia</option> <option value="st vincent">St vincent</option> <option value="st. barthelemy">St. barthelemy</option> <option value="st. eustatius">St. eustatius</option> <option value="st. kitts">St. kitts</option> <option value="st. maarten">St. maarten</option> <option value="sudan">Sudan</option> <option value="suriname">Suriname</option> <option value="swaziland">Swaziland</option> <option value="sweden">Sweden</option> <option value="switzerland">Switzerland</option> <option value="syria">Syria</option> <option value="tahiti">Tahiti</option> <option value="taiwan">Taiwan</option> <option value="tajikistan">Tajikistan</option> <option value="tanzania">Tanzania</option> <option value="thailand">Thailand</option> <option value="togo">Togo</option> <option value="tonga">Tonga</option> <option value="trinidad & tobago">Trinidad & tobago</option> <option value="trinidad and tobago">Trinidad and tobago</option> <option value="tunisia">Tunisia</option> <option value="turkey">Turkey</option> <option value="turkmenistan">Turkmenistan</option> <option value="turks & caicos islands">Turks & caicos islands</option> <option value="turks and caicos islands">Turks and caicos islands</option> <option value="tuvalu">Tuvalu</option> <option value="uganda">Uganda</option> <option value="ukraine">Ukraine</option> <option value="united arab emirates">United arab emirates</option> <option value="united kingdom">United kingdom</option> <option value="united states of america">United states of america</option> <option value="uruguay">Uruguay</option> <option value="uzbekistan">Uzbekistan</option> <option value="vanuatu">Vanuatu</option> <option value="vatican city">Vatican city</option> <option value="venezuela">Venezuela</option> <option value="vietnam">Vietnam</option> <option value="virgin island (gb)">Virgin island (gb)</option> <option value="virgin islands british">Virgin islands british</option> <option value="virgin islands us">Virgin islands us</option> <option value="virgin islands (usa)">Virgin islands (usa)</option> <option value="wallis & futuna">Wallis & futuna</option> <option value="yemen arab republic">Yemen arab republic</option> <option value="yugloslavia">Yugloslavia</option> <option value="zaire (dem rep of congo)">Zaire (dem rep of congo)</option> <option value="zambia">Zambia</option> <option value="zimbabwe">Zimbabwe</option> <option value="Others">Other</option> </select></td> <td>State <span class="alert">*</span><br /><input type="text" name="cboState" /> <script type="text/javascript"> Fill_Country();Fill_States();Clear_Form();</script></td><td>City <span class="alert">*</span><br /><input type="text" name="city" /></td></tr> <tr> <td class="formtext">Mobile Number <span class="alert">*</span><br /> <input type="text" name="mobilecode" value="91" /> <input type="text" name="mobile" /></td> <td> </td></tr> <tr><td colspan="3"><table width="724"> <tr> <td width="716" align="left"><input type="checkbox" name="agree" /><a href="terms_popup.html" target="_blank" onClick="MM_openBrWindow('terms_popup.html','terms','scrollbars=yes,width=650,height=550')" class="leftlink">I accept the terms and conditions</a></td> </tr> </table></td></tr> </TABLE> <TABLE width="450" cellspacing="0" cellpadding="0" align="center"> <TR> <TD><DIV align="right"> <input id="send" name="send" type="submit" value="Register" style="background-color:#f4f4f4; font-size:12px;" /> <INPUT name="Submit3" type="reset" style="background-color:#f4f4f4; font-size:12px;" value="Reset" /> </DIV></TD> </TR> </TABLE> </FORM> <!--buyerregister form end--> </td> </tr></table></td> </tr> </table></td> </tr> <tr> <td class="bottomrightcurve"> </td> <td class="bottomborder"> </td> <td class="bottomleftcurve"> </td> </tr> </table> <br /></td> </tr> <tr> <td><table width="100%" border="0" cellspacing="0" cellpadding="0" id="footer"> <tr> <td> <? include "footer.php";?> </td> </tr> </table></td> </tr> </table> </div></div></div></div> </body> </html> ?>