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<style>
    ul#tabbed
    {
    padding: 0;
    margin: 0;
    list-style-type: none;
    float: left;
    width: 100%;
    }
    
    ul#tabbed li { display: inline; }
    
    ul#tabbed li a
    {
    float: left;
    color: #fff;
    background: transparent url('images/tab_bg_default.png') repeat-x center top;
    text-decoration: none;
	width:156px;
	height:24px;
	margin-right: 1px;
	text-align: center;
	font-size: 12px;
	text-shadow: 1px 1px 1px #404040;
	padding-top: 12px;
    }
	
	ul#tabbed li a#tab1
	{
	-webkit-border-top-left-radius: 5px;
	-moz-border-radius-topleft: 5px;
	border-top-left-radius: 5px;
	}
	ul#tabbed li a#tab4
	{
	-webkit-border-top-right-radius: 5px;
	-moz-border-radius-topright: 5px;
	border-top-right-radius: 5px;
	margin-right: 0;
	}
    
    ul#tabbed li a.selected
    {
    float: left;
    color: #FFFFFF;
    background: transparent url('images/tab_bg.png');
    text-decoration: none;
    }
    
    ul#tabbed li a:hover
    {
    background-color: #E5E5E5;
    color: #FFFFFF;
    }
    
    
    input.text
    {
        background-color: #FFFFFF;
        border: 1px solid #AAAAAA;
        color: #545454;
        padding: 2px;
        font-size: 11px;
    }
    
    #drop
    {
        background-color: #FFFFFF;
        border: 1px solid #AAAAAA;
        border-width: 1px;
        color: #545454;
        padding: 2px;
        font-size: 11px;
    }
    
   #reg_form
   {
       font-size: 10px;
   }
    
</style>
	<div id="register">
		<div id="title_personal"></div>	
		<div class="registration_content">
		<div class="error_msg" style="color: red"></div>
		<div id="registration" style="display:none">
        <form action="registration.php" method="post">
        
        <table width="627px" cellpadding="0" cellspacing="0">
             <tr height="46px">
                <td>
                    <ul id="tabbed">
                        <li><a id='tab1' href="javascript: highlightTab('tab1' , 'tab2' , 'tab3', 'tab4'); javascript: toggleContent('contentTab1','contentTab2','contentTab3','contentTab4')" class="selected">Personal Information</a></li>
                        <li><a id='tab2' href="javascript: highlightTab('tab2' , 'tab1' , 'tab3', 'tab4'); javascript: toggleContent('contentTab2','contentTab1','contentTab3','contentTab4')">Education</a></li>
                        <li><a id='tab3' href="javascript: highlightTab('tab3' , 'tab1' , 'tab2' , 'tab4'); javascript: toggleContent('contentTab3','contentTab1','contentTab2','contentTab4')">Documents</a></li>
                        <li><a id='tab4' href="javascript: highlightTab('tab4' , 'tab1' , 'tab2' , 'tab3'); javascript: toggleContent('contentTab4','contentTab1','contentTab2','contentTab3')">Work Experience</a></li>
                    </ul>
					<div class="under_nav"></div>
				
                </td>
            </tr>
            <tr bgcolor="#e5e5e5" >
			
                <td width="639px">
					<div class="instruction_details">
						<p>Please fill up the form below to register. Please note that the fields with * are required.</p>
					</div>
                <div id="contentTab1" style="display:block">
					<div class="step1_field">
						<div class="label_fields">
							<p style="width: 140px;float: left;margin-left: 5px;">Last Name*</p>
							<p style="width:125px; float:left;">First Name*</p>
							<p style="width:130px; float:right;">Middle Name*</p>
						</div><!--label_fields-->
						<div class="name_fields">
							<input style="width:120px; margin-right:10px; border-radius:5px;" type="text" name="last_name" class="text" value="" maxlength="50"/>
							<input style="width:120px; margin-right:10px; border-radius:5px;" type="text" name="first_name" class="text" value="" maxlength="50"/>
							<input style="width:120px; border-radius:5px;" type="text" name="middle_name"class="text" value="" maxlength="50"/>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width: 137px;float: left;margin-left: 7px;">Username*</p>
							<p style="width:240px; float:left;">Rank</p>
						</div><!--label_fields-->
						<div class="name_fields">
								<input style="width:120px; margin-right:10px; border-radius:5px; float:left;" type="text" name="username" class="text" value="" maxlength="50"/>
								<select name="rank" style="width:279px; margin-right:10px; border-radius:5px;">
									<option value="Master Mariner">Master Mariner</option>
									<option value="Chief Officer">Chief Officer</option>
									<option value="Second Officer">Second Officer</option>
									<option value="Third Officer">Third Officer</option>
									<option value="Chief Engineer">Chief Engineer</option>
									<option value="Second Engineer">Second Engineer</option>
									<option value="Third Engineer">Third Engineer</option>
									<option value="Fourth Engineer">Fourth Engineer</option>
									<option value="Fifth Engineer">Fifth Engineer</option>
									<option value="Gas Engineer">Gas Engineer</option>
									<option value="Electrician">Electrician</option>
									<option value="Pumpman">Pumpman</option>
									<option value="Bosun">Bosun</option>
									<option value="Able Seaman">Able Seaman</option>
									<option value="Ordinary Seamen">Ordinary Seamen</option>
									<option value="Deck Boy">Deck Boy</option>
									<option value="Deck Cadet">Deck Cadet</option>
									<option value="Fitter">Fitter</option>
									<option value="No.1 Oiler">No.1 Oiler</option>
									<option value="Welder">Welder</option>
									<option value="Oiler">Oiler</option>
									<option value="Wiper">Wiper</option>
									<option value="Engine Boy">Engine Boy</option>
									<option value="Engine Cadet">Engine Cadet</option>
									<option value="Chief Cook">Chief Cook</option>
									<option value="Cook">Cook</option>
									<option value="Second Cook">Second Cook</option>
									<option value="Messman">Messman</option>
									<option value="Messboy">Messboy</option>
									<option value="Superintendent">Superintendent</option>
									<option value="Senior Superintendent">Senior Superintendent</option>
									<option value="Fleet Operations">Fleet Operations</option>
									<option value="Fleet Management Services">Fleet Management Services</option>
									<option value="Engine Superintendent">Engine Superintendent</option>
									<option value="Marine Superintendent">Marine Superintendent</option>
								</select>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width: 190px;float: left;margin-left: 7px;">Date of Birth*</p>
							<p style="width:80px; float:left;">Place of Birth*</p>
							<p style="width:88px; float:right;">Age*</p>
						</div><!--label_fields-->
						<div class="name_fields">
						   <input style="border-radius:5px; margin-right:5px;" name="birth_date" class="birth_date dp-applied" readonly="readonly" onchange="return Age(birth_date, age)"/>
						   <input style="margin-left: 5px; border-radius:5px; width: 110px; margin-right: 10px;" type="text" name="place_birth" class="text" value="" maxlength="100"/>
						   <input style="border-radius:5px; width:80px;" type="text" name="age" class="text" value="" maxlength="2"/>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width:140px;float: left;margin-left: 5px;">Email Address*</p>
							<p style="width:125px; float:left;">Nationality*</p>
							<p style="width:130px; float:right;">Religion*</p>
						</div><!--label_fields-->
						<div class="name_fields">
							<input style="width:120px; margin-right:10px; border-radius:5px;" type="text" name="email" class="text" value="" maxlength="100"/>
						    <input style="width:120px; margin-right:10px; border-radius:5px;" type="text" name="nationality" class="text" value="" maxlength="50"/>
							<input style="width:120px; border-radius:5px;" type="text" name="religion"  class="text" value="" maxlength="20"/>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width: 137px;float: left;margin-left: 5px;">Marital Status*</p>
							<p style="width:240px; float:left;">Spouse's Name*</p>
						</div><!--label_fields-->
						<div class="name_fields">
							<select name="status" id="drop" style="font-size: 13px; width:130px; margin-right:10px; border-radius:5px; float:left;">
								<option value='married' selected='selected'>Married</option>
									<option value='single'>Single</option>							</select>
							<input style="width:269px; margin-right:10px; border-radius:5px;" type="text" name="wife_name" class="text" value="" maxlength="100"/>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width: 137px;float: left;margin-left: 5px;">Permanent Address*</p>
						</div><!--label_fields-->
						<div class="name_fields">
							<input type="text" name="paddress" class="text" style="width:405px; margin-right:10px; border-radius:5px;" value="" maxlength="100"/>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width: 137px;float: left;margin-left: 5px;">Mailing Address*</p>
						</div><!--label_fields-->
						<div class="name_fields">
							<input type="text" name="mailaddress" class="text" style="width:405px; margin-right:10px; border-radius:5px;" value="" maxlength="100"/>
						</div><!--name_fields-->
						<div class="label_fields">
							<p style="width: 137px;float: left;margin-left: 5px;">Telephone Number*</p>
							<p style="width: 150px;float: left;margin-left: 79px;">Mobile Number*</p>
						</div><!--label_fields-->
						<div class="name_fields">
							<input style="width:190px; margin-right:10px; border-radius:5px;" type="text" name="tel_no" class="text" value="" maxlength="15"/>
							<input style="width:190px; border-radius:5px;" type="text" name="mobile_no" class="text" value="" maxlength="20" onblur="validateMobile(this)"/>
						</div><!--name_fields-->
					</div><!--step1_field-->	
                <table width="600px" id="reg_form" style="text-align:left">
                    <tr>
                        <td colspan="4" align="right"><a id='tab2' href="javascript: highlightTab('tab2' , 'tab1' , 'tab3', 'tab4'); javascript: toggleContent('contentTab2','contentTab1','contentTab3','contentTab4' )" style="text-decoration:none; display:block; margin-top: 20px; margin-bottom: 10px;"><img src="images/btn_next.png" alt="" /></a></td>
                    </tr>
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                </table>
                </div>
                
                <div id="contentTab2" style="display:none" >
                <table width="600px" id="reg_form" style="text-align:left; margin:0 auto;">
                    <tr>
                        <td>&nbsp;</td>
                    </tr>
                    <tr>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">School/College*</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">From*</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px; padding-left:10px;">To*</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px; padding-left:10px;">Highest Qualification Attained*</td>
                    </tr>
                    
                    <br />
<b>Notice</b>:  Undefined variable: education_settings in <b>/home/zlg4kzxxk9u1/public_html/registration.php</b> on line <b>899</b><br />
                      <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                    
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                    <tr>
                        <td align="left"><a id='tab1' href="javascript: highlightTab('tab1' , 'tab2' , 'tab3', 'tab4'); javascript: toggleContent('contentTab1','contentTab2','contentTab3','contentTab4')" style="text-decoration: none; display: block; margin-top: 20px; margin-bottom: 10px;"><img src="images/btn_back.png" alt="" /></a></td>
                        <td colspan="3" align="right"><a id='tab3' href="javascript: highlightTab('tab3' , 'tab1' , 'tab2' , 'tab4'); javascript: toggleContent('contentTab3','contentTab1','contentTab2','contentTab4' )" style="text-decoration:none; display:block; margin-top: 20px; margin-bottom: 10px;"><img src="images/btn_next.png" alt="" /></a></td>
                    </tr>
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                  
                </table>
                </div>
                
                <div id="contentTab3" style="display:none">
                <table width="600px" id="reg_form" style="text-align:left; margin:0 auto;">
                    <tr>    
                        <td>&nbsp;</td>
                    </tr>
                    <tr>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">&nbsp;</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Number</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Date Issued</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Expiry Date</td>
                        
                    </tr>
                    <tr>
                        <td width="160px" style="color:#666666; font-size:12px;">Seaman Book</td>
                        <td><input type="text" name="sb_number" class="text" value="" style="width:162px; border-radius:5px; margin-bottom:10px; outline:none; margin-right:5px; border:none; padding:5px;" maxlength="50"/></td>
                        <td><input type="text" name="sb_dateissue" class="sb_dateissue dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;"  maxlength="50"/></td>
                        <td><input type="text" name="sb_expiredate" class="sb_expiredate dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                    </tr>
                    <tr>
                        <td style="color:#666666; font-size:12px;">Passport</td>
                        <td><input type="text" name="p_number" class="text" style="width:162px; border-radius:5px; margin-bottom:10px; outline:none; margin-right:5px; border:none; padding:5px;" value="" maxlength="50"/></td>
                        <td><input type="text" name="p_dateissue" class="p_dateissue dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                        <td><input type="text" name="p_expiredate" class="p_expiredate dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                    </tr>
                    <tr>
                        <td style="color:#666666; font-size:12px;">PRC/TESDA</td>
                        <td><input type="text" name="prc_number" class="text" style="width:162px; border-radius:5px; margin-bottom:10px; outline:none; margin-right:5px; border:none; padding:5px;" value="" maxlength="50"/></td>
                        <td><input type="text" name="prc_dateissue" class="prc_dateissue dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                        <td><input type="text" name="prc_expiredate" class="prc_expiredate dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                    </tr>
                    <tr>
                        <td style="color:#666666; font-size:12px;">US Visa</td>
                        <td><input type="text" name="visa_number" class="text" style="width:162px; border-radius:5px; margin-bottom:10px; outline:none; margin-right:5px; border:none; padding:5px;" value="" maxlength="50"/></td>
                        <td><input type="text" name="visa_dateissue" class="visa_dateissue dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                        <td><input type="text" name="visa_expiredate" class="visa_expiredate dp-applied" readonly="readonly" style="border-radius: 5px; margin-right: 5px; outline: none; padding: 5px; border: none; color: #999999; width: 77px;" maxlength="50"/></td>
                    </tr>
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                    
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                    <tr>
                        <td align="left"><a id='tab2' href="javascript: highlightTab('tab2' , 'tab1' , 'tab3', 'tab4'); javascript: toggleContent('contentTab2','contentTab1','contentTab3','contentTab4')" style="text-decoration: none; display: block; margin-top: 20px; margin-bottom: 10px;"><img src="images/btn_back.png" alt="" /></a></td>
                        <td colspan="3" align="right"><a id='tab4' href="javascript: highlightTab('tab4' , 'tab1' , 'tab2' , 'tab3'); javascript: toggleContent('contentTab4','contentTab1','contentTab2','contentTab3')" style="text-decoration:none; display:block; margin-top: 20px; margin-bottom: 10px;"><img src="images/btn_next.png" alt="" /></a></td>
                    </tr>
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                   
                </table>
                </div>
                
                
                <div id="contentTab4" style="display:none">
                <table width="600px" id="reg_form" style="text-align:left; margin:0 auto;">
                    <tr>
                        <td>&nbsp;</td>
                    </tr>
                    <tr>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Company</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Vessel Type</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Position</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Duration</td>
                        <td style="color:#666666; font-size:12px; padding-bottom:10px;">Reason for Leaving</td>
                    </tr>
                    <br />
<b>Notice</b>:  Undefined variable: experience_settings in <b>/home/zlg4kzxxk9u1/public_html/registration.php</b> on line <b>995</b><br />
                   
                    <tr>
                        <td colspan="5" style="font-size:12px; color:#999999;"><br />NOTE: You will recieve your password via email. Please check your email as soon as possible.<input type="hidden" name="form_flag" value="TRUE" /></td>
                    </tr>
                    <tr>
                        <td colspan="5">&nbsp;</td>
                    <tr>
                      <tr>
                        <td colspan="5" align="center"><input type="submit" value="Submit Registration" class="button" style="background-image: url('images/btn_submit.png'); width: 116px; height: 34px; border: none; text-indent: -99999px;"/></td>
                      </tr>
                      <tr>
                        <td colspan="5">&nbsp;</td>
                    <tr>
                    
                    <tr>
                        <td colspan="5">&nbsp;</td>
                    </tr>
                    <tr>
                        <td align="left" colspan="4"><a id='tab3' href="javascript: highlightTab('tab3' , 'tab1' , 'tab2' , 'tab4'); javascript: toggleContent('contentTab3','contentTab1','contentTab2','contentTab4')" style="text-decoration: none; display: block; margin-top: 20px; margin-bottom: 10px;"><img src="images/btn_back.png" alt="" /></a></td>
                    </tr>
                    <tr>
                        <td colspan="4">&nbsp;</td>
                    </tr>
                </table>
                </div>
                
                </td>
            </tr>
       </table>
       </form>
       </div>
		
		<div id='confirmation' style="display:none;margin-left: 125px;">
       <table width="350px" height="150px" style="padding:0; border:2px solid #bababa;">
            <tr>
                <td align="center" valign="bottom" height="40px" style="color:#8F8F8F">You are now registered!</td>
            </tr>
            <tr>
                <td align="center" height="70px" style="color:#8F8F8F">Your temporary password has been sent to your email : <strong><br />
<b>Notice</b>:  Undefined index: mail in <b>/home/zlg4kzxxk9u1/public_html/registration.php</b> on line <b>1043</b><br />
</strong></td>
            </tr>
            <tr>
                <td align="center" height="40px" style="color:#8F8F8F">Go back to <a href="index.php" id="link" style="text-decoration:none; color:#003e7e; font-weight:bold;">Home</a></td>
            </tr>
       </table>
       </div>
		
		</div><!--principal_content-->
	</div><!--principal-->

<br />
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<br />
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</body>
</html>