<option value='F' size=5 <?php echo !strcasecmp($ctc_gender, 'F') ? 'selected' : ''; ?> >F</option> </td> </tr> </table> </td> </tr> <tr> <td align="center" valign="top"> <table border=0 cellspacing=1 cellpadding=5 width="100%" bgcolor='#202366'> <tr> <td align="" valign="middle" bgcolor='#ffffff' class='normaltax'>CITIZENSHIP<BR> <?php echo get_select_brgy($dbLink, 'ctc_citizenship', 'ebpls_citizenship', 'cit_desc', 'cit_desc', $ctc_citizenship); ?> </td> <td align="" valign="center" bgcolor='#ffffff' class='normaltax'>ICR NO. ( If an alien )<BR> <input type='text' name="ctc_icr_no" size=15 maxlength=128 value=<?php echo $ctc_icr_no; ?> ></td> <td align="" valign="center" bgcolor='#ffffff' class='normaltax'>PLACE OF BIRTH<BR><input type='text' name="ctc_place_of_birth" size=15 maxlength=128 value=<?php echo $ctc_place_of_birth; ?> ></td> <td align="" valign="center" bgcolor='#ffffff' class='normaltax'>HEIGHT(cm)<BR><input type='text' name="ctc_height" size=15 maxlength=128 value=<?php echo $ctc_height; ?> ></td> </tr>
<input type="text" value="<?php echo date('Y/m/d'); ?> " readonly name="date_to" onclick="displayCalendar(date_to,'yyyy/mm/dd',this);"> <img src="images/cal.gif" width="16" height="16" border="0" alt="Pick a date" onclick ="displayCalendar(_FRM.date_to,'yyyy/mm/dd',this);_FRM.changeondin.value=1;"> </td> </tr> <tr> <td width=40% align=right> Barangay </td> <td width=60% align=left> <?php echo get_select_brgy($dbLink, 'brgy_name', 'ebpls_barangay', 'barangay_code', 'barangay_desc', $owner[6]); ?> </td> </tr> <tr> <td width=40% align=right> Owner's Last Name </td> <td width=60% align=left> <input name=owner_last> </td> </tr> <tr> <td width=40% align=right> Business Name </td>