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ApplicantPersonalForm.aspx
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324 lines (324 loc) · 19.1 KB
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<%@ Page Language="C#" AutoEventWireup="true" MasterPageFile="~/SmartStart.Master" CodeBehind="ApplicantPersonalForm.aspx.cs" Inherits="CAPRES.ApplicantPersonalForm" %>
<asp:Content ID="Content1" ContentPlaceHolderID="head" runat="server">
</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="body" runat="server">
<h2 class="text-center">
<asp:Label ID="lblStep" runat="server" Text=""></asp:Label>
</h2>
<div class="container">
<asp:HiddenField ID="hidFile1ID" runat="server" />
<div class="well well-lg">
<h4 class="text-center">
<asp:Label ID="lblError" runat="server" class="error-label" Text=""></asp:Label>
</h4>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group">
<label class="control-label" for="txtFirstName">First Name:</label>
<asp:TextBox ID="txtFirstName" runat="server" CssClass="form-control"
required MaxLength="25" placeholder="e.g. Jose"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group">
<label class="control-label" for="txtNickName">Nick Name:</label>
<asp:TextBox ID="txtNickName" runat="server" CssClass="form-control"
required MaxLength="25" placeholder="e.g. Pepe"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group">
<label class="control-label" for="txtMiddleName">Middle Name:</label>
<asp:TextBox ID="txtMiddleName" runat="server" CssClass="form-control"
required MaxLength="25" placeholder="e.g. Protacio"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group">
<label class="control-label" for="txtLastName">Last Name:</label>
<asp:TextBox ID="txtLastName" runat="server" CssClass="form-control"
required MaxLength="25" placeholder="e.g. Rizal"></asp:TextBox>
</div>
</div>
</div>
<div class="form-group">
<label class="control-label" for="txtPresentMobileNumber">Mobile Number:</label>
<asp:TextBox ID="txtPresentMobileNumber" runat="server" CssClass="form-control"
MaxLength="14" placeholder="e.g. 09071234567"></asp:TextBox>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6">
<div class="form-group">
<label class="control-label" for="txtDateOfBirth">Date of Birth:</label>
<asp:TextBox ID="txtDateOfBirth" runat="server" CssClass="form-control"
type="date" required placeholder="mm/dd/yyyy"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<div class="form-group">
<label class="control-label" for="txtPlaceOfBirth">Place of Birth:</label>
<asp:TextBox ID="txtPlaceOfBirth" runat="server" CssClass="form-control"
required MaxLength="25" placeholder="e.g. Calamba, Laguna"></asp:TextBox>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6">
<div class="form-group">
<label for="ddlCivilStatus">Civil Status:</label>
<asp:DropDownList ID="ddlCivilStatus" runat="server" CssClass="form-control"
required AutoPostBack="true" AppendDataBoundItems="true"
onselectedindexchanged="ddlCivilStatus_SelectedIndexChanged">
<asp:ListItem Selected="True" Text="Select..." Value="-1" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<asp:Panel ID="pnlCivilStatusDate" runat="server" Visible="false">
<div class="form-group">
<label for="txtCivilStatusDate">Since when?</label>
<asp:TextBox ID="txtCivilStatusDate" runat="server" type="date" CssClass="form-control"
required placeholder="mm/dd/yyyy"></asp:TextBox>
</div>
</asp:Panel>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-3">
<div class="form-group">
<label class="control-label" for="ddlGender">Gender:</label>
<asp:DropDownList ID="ddlGender" runat="server" CssClass="form-control"
required AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
<div class="col-xs-12 col-sm-3">
<div class="form-group">
<label for="ddlBloodType">Blood Type:</label>
<asp:DropDownList ID="ddlBloodType" runat="server" CssClass="form-control" required
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
<div class="col-xs-12 col-sm-3">
<div class="form-group">
<label for="txtWeight">Weight (kg):</label>
<asp:TextBox ID="txtWeight" runat="server" CssClass="form-control"
type="number" max="200" min="20" placeholder="e.g. 50kg"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-3">
<div class="form-group">
<label for="txtHeightFeet">Height (ft, in):</label>
<div class="form-inline">
<asp:TextBox ID="txtHeightFeet" runat="server" CssClass="form-control"
type="number" max="9" min="4" placeholder="Feet"></asp:TextBox>
<asp:TextBox ID="txtHeightInches" runat="server" CssClass="form-control"
type="number" max="11" min="0" placeholder="Inches"></asp:TextBox>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-12">
<div class="form-group">
<label for="txtPresentAddress">Present Address:</label>
<asp:TextBox ID="txtPresentAddress" runat="server" required CssClass="form-control"
MaxLength="75" placeholder="e.g. Rizal Park, Roxas Boulevard"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-group">
<label for="txtPresentCity">Present City:</label>
<asp:TextBox ID="txtPresentCity" runat="server" required CssClass="form-control"
MaxLength="35" placeholder="e.g. Metro Manila"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-group">
<label for="txtPresentDistrict">Present District:</label>
<asp:TextBox ID="txtPresentDistrict" runat="server" CssClass="form-control"
MaxLength="30" placeholder="Leave blank if not applicable"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-group">
<label for="ddlPresentCountry">Present Country:</label>
<asp:DropDownList ID="ddlPresentCountry" runat="server" required CssClass="form-control"
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-12">
<div class="form-group">
<label for="txtProvincialAddress">Provincial Address:</label>
<asp:TextBox ID="txtProvincialAddress" runat="server" CssClass="form-control"
MaxLength="75" placeholder="e.g. Francisco Mercado St. cor. Jose P. Rizal St., Brgy. 5, Poblacion">
</asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-group">
<label for="txtProvincialCity">Provincial City:</label>
<asp:TextBox ID="txtProvincialCity" runat="server" CssClass="form-control"
MaxLength="35" placeholder="e.g. Calamba"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-group">
<label for="txtPermanentDistrict">Provincial District:</label>
<asp:TextBox ID="txtProvincialDistrict" runat="server" CssClass="form-control"
MaxLength="30" placeholder="e.g. Laguna"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-4">
<div class="form-group">
<label for="ddlProvincialCountry">Provincial Country:</label>
<asp:DropDownList ID="ddlProvincialCountry" runat="server" CssClass="form-control"
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
</div>
<asp:Panel ID="pnlFile1" runat="server">
<div class="row">
<div class="col-xs-12 col-sm-3">
<div class="form-group has-success">
<label for="ddlNationality">Nationality:</label>
<span class="label label-success">NEW</span>
<asp:DropDownList ID="ddlNationality" runat="server" CssClass="form-control"
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
<div class="col-xs-12 col-sm-3">
<div class="form-group has-success">
<label for="ddlReligion">Religion:</label>
<span class="label label-success">NEW</span>
<asp:DropDownList ID="ddlReligion" runat="server" CssClass="form-control"
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
<div class="col-xs-12 col-sm-3">
<div class="form-group has-success">
<label for="ddlAffix">Affix:</label>
<span class="label label-success">NEW</span>
<asp:DropDownList ID="ddlAffix" runat="server" CssClass="form-control"
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6">
<div class="form-group has-success">
<label for="txtSSS">SSS Number:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtSSS" runat="server" CssClass="form-control" type="number" min="0000000000" max="9999999999" MaxLength="10"
placeholder="e.g. XY123456789"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6">
<div class="form-group has-success">
<label for="txtTIN">TIN Number:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtTIN" runat="server" CssClass="form-control" type="number" min="000000000000" max="999999999999" MaxLength="12"
placeholder="e.g. XYZ123456789"></asp:TextBox>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group has-success">
<label for="txtPresentTelephoneHome">Home Telephone:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtPresentTelephoneHome" runat="server" CssClass="form-control"
MaxLength="14" placeholder="e.g. 0491234567"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group has-success">
<label for="txtProvincialTelephone">Provincial Telephone:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtProvincialTelephone" runat="server" CssClass="form-control"
MaxLength="14" placeholder="e.g. 0490111110"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group has-success">
<label for="txtPresentTelephoneAdditional">Additional Telephone:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtPresentTelephoneAdditional" runat="server" CssClass="form-control"
MaxLength="25" placeholder="e.g. 0497654321"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-6 col-md-3">
<div class="form-group has-success">
<label for="txtPresentFax">Fax:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtPresentFax" runat="server" CssClass="form-control"
MaxLength="40" placeholder="e.g. 0491000001"></asp:TextBox>
</div>
</div>
</div>
<div class="row">
<div class="col-xs-12 col-sm-12">
<div class="form-group has-success">
<label for="txtPermanentAddress">Permanent Address:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtPermanentAddress" runat="server" CssClass="form-control"
MaxLength="75" placeholder="e.g. Rizal Park, Roxas Boulevard"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-4">
<div class="form-group has-success">
<label for="txtPermanentCity">Permanent City:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtPermanentCity" runat="server" CssClass="form-control"
MaxLength="35" placeholder="e.g. Metro Manila"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-4">
<div class="form-group has-success">
<label for="txtPermanentDistrict">Permanent District:</label>
<span class="label label-success">NEW</span>
<asp:TextBox ID="txtPermanentDistrict" runat="server" CssClass="form-control"
MaxLength="30" placeholder="Leave blank if not applicable"></asp:TextBox>
</div>
</div>
<div class="col-xs-12 col-sm-4">
<div class="form-group has-success">
<label for="ddlPermanentCountry">Permanent Country:</label>
<span class="label label-success">NEW</span>
<asp:DropDownList ID="ddlPermanentCountry" CssClass="form-control" runat="server"
AppendDataBoundItems="true">
<asp:ListItem Selected="True" Text="Select..." Value="0" disabled></asp:ListItem>
</asp:DropDownList>
</div>
</div>
</div>
</asp:Panel>
</div>
<div class="text-center">
<div class="btn-group btn-group-lg">
<asp:Button ID="btnPrevious" runat="server" CssClass="btn btn-default" Text="BACK"
UseSubmitBehavior="false" onclick="btnPrevious_Click"
/> 
<asp:Button ID="btnHome" runat="server" CssClass="btn btn-default" Text="HOME" UseSubmitBehavior="false"
onclick="btnHome_Click"/> 
<asp:Button ID="btnNext" runat="server" CssClass="btn btn-lg btn-primary" Text="NEXT"
onclick="btnNext_Click" />
</div>
</div>
</div>
</asp:Content>