<?php 



?>


<form action="//submit.form" id="EmploymentApplication100" method="post" onsubmit="return ValidateForm(this);">
<script type="text/javascript">
function ValidateForm(frm) {
if (frm.First_Name.value == "") { alert('First name is required.'); frm.First_Name.focus(); return false; }
if (frm.Last_Name.value == "") { alert('Last name is required.'); frm.Last_Name.focus(); return false; }
if (frm.Email_Address.value == "") { alert('Email address is required.'); frm.Email_Address.focus(); return false; }
if (frm.Email_Address.value.indexOf("@") < 1 || frm.Email_Address.value.indexOf(".") < 1) { alert('Please enter a valid email address.'); frm.Email_Address.focus(); return false; }
if (frm.Position.value == "") { alert('Position is required.'); frm.Position.focus(); return false; }
if (frm.Phone.value == "") { alert('Phone is required.'); frm.Phone.focus(); return false; }
return true; }
</script>



<table border="0" cellpadding="5" cellspacing="0">
<tr> <td style="width: 50%">
<label for="First_Name"><b>First name  </b></label><br />
<input name="First_Name" type="text" maxlength="50" style="width:100%;max-width: 260px" />
</td> <td style="width: 50%">
<label for="Last_Name"><b>Last name  </b></label><br />
<input name="Last_Name" type="text" maxlength="50" style="width:100%;max-width: 260px" />
</td> </tr>

<tr> <td style="width: 50%">
<label for="First_Name"><b>CNICN  </b></label><br />
<input name="First_Name" type="number" maxlength="15" placeholder="11111-1111111-1" style="width:100%;max-width: 260px" />
</td> <td style="width: 50%">
<label for="Last_Name"><b>Phone No  </b></label><br />
<input name="Last_Name" type="number" maxlength="11" style="width:100%;max-width: 260px" />
</td> </tr>


 <tr> <td colspan="2">
<label for="Email_Address"><b>Email *</b></label><br />
<input name="Email_Address" type="text" maxlength="100" style="width:100%;max-width: 535px" />
</td> </tr> <tr> <td colspan="2">
<label for="Portfolio"><b>Address</b></label><br />
<input name="Portfolio" type="text" maxlength="255" value="" style="width:100%;max-width: 535px" />
</td> </tr> <tr> <td colspan="2">
<label for="Position"><b>Position you are applying for *</b></label><br />
<select style="width:100%;max-width: 535px" >
	<option>Computer Operator</option>
	<option>Junior Clerk</option>
	<option>Assistant</option>
	<option>Naib Qasid</option>
	<option>Process Server</option>
</select>
</td> </tr> <tr> <td>
<label for="Salary"><b>Academic</b></label><br /> </td> </tr>  
<table style=" border: 1px solid black;">
	<tr style="padding-left: 6px;padding-top: 4px;background-color: black;color: white;width: 100%;">
		<th>Degree</th><th>Total Marks</th><th>Obatain Marks</th><th>Year of Passing</th><th>Percentage</th></tr>
		<tr>
		<td>Matric</td><td><input type="number" name=""></td><td><input type="number" name=""></td><td><input type="date" name=""></td><td></td></tr>
		<tr><td>Fa/FSc</td><td><input type="number" name=""></td><td><input type="number" name=""></td><td><input type="date" name=""></td><td></td></tr>
		<tr><td>Bechlor</td><td><input type="number" name=""></td><td><input type="number" name=""></td><td><input type="date" name=""></td><td></td></tr>
		<tr><td>Master</td><td><input type="number" name=""></td><td><input type="number" name=""></td><td><input type="date" name=""></td><td></td>
		</tr>
		<tr><td>Others</td><td><input type="number" name=""></td><td><input type="number" name=""></td><td><input type="date" name=""></td><td></td>
		</tr>

</table> </tr> 
<tr> <td colspan="2">
<label for="Organization"><b>Experiance.</b></label><br />
<input name="Organization" type="text" maxlength="100" style="width:100%;max-width: 535px" />
</td> </tr> <tr> <td colspan="2">
 
 
 
<input name="skip_submit" type="submit" value="Send Application" />
</td> </tr>
</table>
</form>