<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>
Esempio n. 2
0
 
<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&nbsp;
                        </td>
                        <td width=60% align=left>&nbsp;
                        <?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&nbsp;
                        </td>
                        <td width=60% align=left>&nbsp;
                        <input name=owner_last>
                        </td>
                        </tr>
                        <tr>
                        <td width=40% align=right>
                        Business Name&nbsp;
                        </td>