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details.php
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826 lines (797 loc) · 56.1 KB
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<style type="text/css">
.pga {width: 100%; margin:auto auto auto auto;}
</style>
<link rel="stylesheet" type="text/css" href="form.css">
<style type="text/css">
ul {list-style-type: none; }
li {padding: 0 0 15px 0;}
.yourself textarea { width: 300px; height: 50px; margin-bottom: 15px; font-size: 18px; }
.family { display:table; width:50%;background-color: #edf9f3;margin: auto;
.family textarea { width: 300px; height: 50px; margin-bottom: 15px; font-size: 18px;}
.yourself {display:table; width:50%; background-color:#edf9f3 ;margin: auto;
}
body{background-color: lightgrey;}
h3{ text-align:center;}
h2{ text-align:center;}
</style>
<body style="margin: 0px; font-family: sans-serif;">
<div class = "pga">
<?php
include 'init.php';
/*if(logged_in())
{
header('Location: index.php');
exit();
}*/
include 'template/header.php';
?>
<?php
if(isset($_POST['Father'],
$_POST['Mother'],
$_POST['Siblings'],
$_POST['Address'],
$_POST['Weight'],
$_POST['Hobbies'],
$_POST['Future'],
$_POST['About']))
{
$fname= $_POST['Father'];
$mname= $_POST['Mother'];
$sib= $_POST['Siblings'];
$add= $_POST['Address'];
$wt= $_POST['Weight'];
$hobbies= $_POST['Hobbies'];
$fp= $_POST['Future'];
$ay= $_POST['About'];
$fo= $_POST['FatherOccupation'];
$mo= $_POST['MotherOccupation'];
$type= $_POST['type'];
$tongue= $_POST['Tounge'];
$marital= $_POST['Martial'];
$occu= $_POST['Occupation'];
$income= $_POST['Income'];
$edu= $_POST['edu'];
$course= $_POST['Course'];
$ht= $_POST['Height'];
$comp= $_POST['complexion'];
$blood= $_POST['Blood'];
$smok= $_POST['smoking'];
$drink= $_POST['drinking'];
/*echo $fname;
echo $mname;
echo $sib;
echo $add;
echo $wt;
echo $hobbies;
echo $fp;
echo $ay;
echo $fo;
echo $mo;
echo $type;
echo $tongue;
echo $marital;
echo $occu;
echo $income;
echo $edu;
echo $course;
echo $ht;
echo $comp;
echo $blood;
echo $smok;
echo $drink;*/
$errors=array();
if(empty($fname) || empty($mname) || empty($sib) || empty($add) || empty($wt) || empty($hobbies) || empty($fp) || empty($ay) ||
empty($fo) || empty($mo) || empty($type) || empty($tongue) || empty($marital) || empty($occu) || empty($income)
|| empty($edu) || empty($course) || empty($ht) ||
empty($comp) || empty($blood) || empty($smok) || empty($drink) )
{
$errors[]= 'All fields required';
//var_dump($errors);
/*if(empty($fname)) echo "1";
if(empty($mnae) ) echo "2";
if(empty($sib)) echo "3";
if(empty($add)) echo "4";
if(empty($wt)) echo "5";
if(empty($hobbies)) echo "6";
if(empty($fp)) echo "7";
if( empty($ay)) echo "8";
if(empty($fo) ) echo "9";
if( empty($mo)) echo "10";
if(empty($type)) echo "11";
if(empty($tongue)) echo "12";
if(empty($marital)) echo "13";
if( empty($occu)) echo "14";
if( empty($income) ) echo "15";
if(empty($edu)) echo "16";
if(empty($course)) echo "17";
if( empty($ht) ) echo "18";
if( empty($comp)) echo "19";
if(empty($blood) ) echo "20";
if(empty($smok) ) echo "21";
if(empty($drink)) echo "22";*/
}
else
{
if (!preg_match("/^[a-zA-Z ]*$/",$fname))
{
$errors[] = "Only letters and white space allowed in father\'s name";
}
if (!preg_match("/^[a-zA-Z ]*$/",$mname))
{
$errors[] = "Only letters and white space allowed in mother\'s name";
}
if (!preg_match("/^[0-9]*$/",$sib))
{
$errors[] = "Only numbers allowed in number of siblings";
}
if (!preg_match("/^[0-9]*$/",$wt))
{
$errors[] = "Only numbers allowed in weight";
}
//var_dump($errors);
}
if(!empty($errors))
{
foreach($errors as $error)
{
echo $error,'<br/>';
}
}
else
{
//echo $profile,$name,$gender,$day,$month,$year,$religion,$city,$mob_no,$email;
$register = add_detail($fname,$fo,$mname,$mo,$type,$sib,$tongue,$add,
$marital,$occu,$income,$edu,$course,$ht,$wt,$comp,$blood,$smok,$drink,$hobbies,$fp,$ay);
$_SESSION['user_id'] = $register;
//echo $_SESSION['user_id'];
//echo $register;
header('Location: view_details.php');
//exit();
//echo "Data Entered in database.";
}
}
else
{
//echo "not entering in is_set";
//echo $_POST['Father'];
}
?>
<br>
<div class="family" >
<h2 style="color: black;background-color:#edf9f3 ">Fill your Personal Information.... </h2><br>
<form action="" method="post">
<ul style="list-style-type: none;">
<h3 style="text-decoration:none">Family Background.... </h3>
<li><label for="Father's Name">Father's Name: </label>
<input type="text" name="Father" id="Father's Name" required="required" ></li>
<li><label for="Father's Occupation">Father's Occupation: </label>
<select name="FatherOccupation" id="Father's Occupation" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<optgroup id="occupation-optgroup-Accounting, Banking & Finance" label="Accounting, Banking & Finance">
</optgroup>
<option value="Banking Professional" label="Banking Professional">Banking Professional</option>
<option value="Chartered Accountant" label="Chartered Accountant">Chartered Accountant</option>
<option value="Company Secretary" label="Company Secretary">Company Secretary</option>
<option value="Finance Professional" label="Finance Professional">Finance Professional</option>
<option value="Investment Professional" label="Investment Professional">Investment Professional</option>
<option value="Accounting Professional (Others)" label="Accounting Professional (Others)">Accounting Professional (Others)</option>
<optgroup id="occupation-optgroup-Administration & HR" label="Administration & HR">
</optgroup>
<option value="Admin Professional" label="Admin Professional">Admin Professional</option>
<option value="Human Resources Professional" label="Human Resources Professional">Human Resources Professional</option>
<optgroup id="occupation-optgroup-Advertising, Media & Entertainment" label="Advertising, Media & Entertainment">
</optgroup>
<option value="Actor" label="Actor">Actor</option>
<option value="Advertising Professional" label="Advertising Professional">Advertising Professional</option>
<option value="Entertainment Professional" label="Entertainment Professional">Entertainment Professional</option>
<option value="Event Manager" label="Event Manager">Event Manager</option>
<option value="Journalist" label="Journalist">Journalist</option>
<option value="Media Professional" label="Media Professional">Media Professional</option>
<option value="Public Relations Professional" label="Public Relations Professional">Public Relations Professional</option>
<optgroup id="occupation-optgroup-Agriculture" label="Agriculture">
</optgroup>
<option value="Farming" label="Farming">Farming</option>
<option value="Horticulturist" label="Horticulturist">Horticulturist</option>
<option value="Agricultural Professional (Others)" label="Agricultural Professional (Others)">Agricultural Professional (Others)</option>
<optgroup id="occupation-optgroup-Airline & Aviation" label="Airline & Aviation">
</optgroup>
<option value="Air Hostess / Flight Attendant" label="Air Hostess / Flight Attendant">Air Hostess / Flight Attendant</option>
<option value="Pilot / Co-Pilot" label="Pilot / Co-Pilot">Pilot / Co-Pilot</option>
<option value="Other Airline Professional" label="Other Airline Professional">Other Airline Professional</option>
<optgroup id="occupation-optgroup-Architecture & Design" label="Architecture & Design">
</optgroup>
<option value="Architect" label="Architect">Architect</option>
<option value="Interior Designer" label="Interior Designer">Interior Designer</option>
<option value="Landscape Architect" label="Landscape Architect">Landscape Architect</option>
<optgroup id="occupation-optgroup-Artists, Animators & Web Designers" label="Artists, Animators & Web Designers">
</optgroup>
<option value="Animator" label="Animator">Animator</option>
<option value="Commercial Artist" label="Commercial Artist">Commercial Artist</option>
<option value="Web / UX Designers" label="Web / UX Designers">Web / UX Designers</option>
<option value="Artist (Others)" label="Artist (Others)">Artist (Others)</option>
<optgroup id="occupation-optgroup-Beauty, Fashion & Jewellery Designers" label="Beauty, Fashion & Jewellery Designers">
</optgroup>
<option value="Beautician" label="Beautician">Beautician</option>
<option value="Fashion Designer" label="Fashion Designer">Fashion Designer</option>
<option value="Hairstylist" label="Hairstylist">Hairstylist</option>
<option value="Jewellery Designer" label="Jewellery Designer">Jewellery Designer</option>
<option value="Designer (Others)" label="Designer (Others)">Designer (Others)</option>
<optgroup id="occupation-optgroup-BPO, KPO, & Customer Support" label="BPO, KPO, & Customer Support">
</optgroup>
<option value="Customer Support / BPO / KPO Professional" label="Customer Support / BPO / KPO Professional">Customer Support / BPO / KPO Professional</option>
<optgroup id="occupation-optgroup-Civil Services / Law Enforcement" label="Civil Services / Law Enforcement">
</optgroup>
<option value="IAS / IRS / IES / IFS" label="IAS / IRS / IES / IFS">IAS / IRS / IES / IFS</option>
<option value="Indian Police Services (IPS)" label="Indian Police Services (IPS)">Indian Police Services (IPS)</option>
<option value="Law Enforcement Employee (Others)" label="Law Enforcement Employee (Others)">Law Enforcement Employee (Others)</option>
<optgroup id="occupation-optgroup-Defense" label="Defense">
</optgroup>
<option value="Airforce" label="Airforce">Airforce</option>
<option value="Army" label="Army">Army</option>
<option value="Navy" label="Navy">Navy</option>
<option value="Defense Services (Others)" label="Defense Services (Others)">Defense Services (Others)</option>
<optgroup id="occupation-optgroup-Education & Training" label="Education & Training">
</optgroup>
<option value="Lecturer" label="Lecturer">Lecturer</option>
<option value="Professor" label="Professor">Professor</option>
<option value="Research Assistant" label="Research Assistant">Research Assistant</option>
<option value="Research Scholar" label="Research Scholar">Research Scholar</option>
<option value="Teacher" label="Teacher">Teacher</option>
<option value="Training Professional (Others)" label="Training Professional (Others)">Training Professional (Others)</option>
<optgroup id="occupation-optgroup-Engineering" label="Engineering">
</optgroup>
<option value="Civil Engineer" label="Civil Engineer">Civil Engineer</option>
<option value="Electronics / Telecom Engineer" label="Electronics / Telecom Engineer">Electronics / Telecom Engineer</option>
<option value="Mechanical / Production Engineer" label="Mechanical / Production Engineer">Mechanical / Production Engineer</option>
<option value="Non IT Engineer (Others)" label="Non IT Engineer (Others)">Non IT Engineer (Others)</option>
<optgroup id="occupation-optgroup-Hotel & Hospitality" label="Hotel & Hospitality">
</optgroup>
<option value="Chef / Sommelier / Food Critic" label="Chef / Sommelier / Food Critic">Chef / Sommelier / Food Critic</option>
<option value="Catering Professional" label="Catering Professional">Catering Professional</option>
<option value="Hotel & Hospitality Professional (Others)" label="Hotel & Hospitality Professional (Others)">Hotel & Hospitality Professional (Others)</option>
<optgroup id="occupation-optgroup-IT & Software Engineering" label="IT & Software Engineering">
</optgroup>
<option value="Software Developer / Programmer" label="Software Developer / Programmer">Software Developer / Programmer</option>
<option value="Software Consultant" label="Software Consultant">Software Consultant</option>
<option value="Hardware & Networking professional" label="Hardware & Networking professional">Hardware & Networking professional</option>
<option value="Software Professional (Others)" label="Software Professional (Others)">Software Professional (Others)</option>
<optgroup id="occupation-optgroup-Legal" label="Legal">
</optgroup>
<option value="Lawyer" label="Lawyer">Lawyer</option>
<option value="Legal Assistant" label="Legal Assistant">Legal Assistant</option>
<option value="Legal Professional (Others)" label="Legal Professional (Others)">Legal Professional (Others)</option>
<optgroup id="occupation-optgroup-Medical & Healthcare" label="Medical & Healthcare">
</optgroup>
<option value="Dentist" label="Dentist">Dentist</option>
<option value="Doctor" label="Doctor">Doctor</option>
<option value="Medical Transcriptionist" label="Medical Transcriptionist">Medical Transcriptionist</option>
<option value="Nurse" label="Nurse">Nurse</option>
<option value="Pharmacist" label="Pharmacist">Pharmacist</option>
<option value="Physician Assistant" label="Physician Assistant">Physician Assistant</option>
<option value="Physiotherapist / Occupational Therapist" label="Physiotherapist / Occupational Therapist">Physiotherapist / Occupational Therapist</option>
<option value="Psychologist" label="Psychologist">Psychologist</option>
<option value="Surgeon" label="Surgeon">Surgeon</option>
<option value="Veterinary Doctor" label="Veterinary Doctor">Veterinary Doctor</option>
<option value="Therapist (Others)" label="Therapist (Others)">Therapist (Others)</option>
<option value="Medical / Healthcare Professional (Others)" label="Medical / Healthcare Professional (Others)">Medical / Healthcare Professional (Others)</option>
<optgroup id="occupation-optgroup-Merchant Navy" label="Merchant Navy">
</optgroup>
<option value="Merchant Naval Officer" label="Merchant Naval Officer">Merchant Naval Officer</option>
<option value="Mariner" label="Mariner">Mariner</option>
<optgroup id="occupation-optgroup-Sales & Marketing" label="Sales & Marketing">
</optgroup>
<option value="Marketing Professional" label="Marketing Professional">Marketing Professional</option>
<option value="Sales Professional" label="Sales Professional">Sales Professional</option>
<optgroup id="occupation-optgroup-Science" label="Science">
</optgroup>
<option value="Biologist / Botanist" label="Biologist / Botanist">Biologist / Botanist</option>
<option value="Physicist" label="Physicist">Physicist</option>
<option value="Science Professional (Others)" label="Science Professional (Others)">Science Professional (Others)</option>
<optgroup id="occupation-optgroup-Corporate Professionals" label="Corporate Professionals">
</optgroup>
<option value="CxO / Chairman / Director / President" label="CxO / Chairman / Director / President">CxO / Chairman / Director / President</option>
<option value="VP / AVP / GM / DGM" label="VP / AVP / GM / DGM">VP / AVP / GM / DGM</option>
<option value="Sr. Manager / Manager" label="Sr. Manager / Manager">Sr. Manager / Manager</option>
<option value="Consultant / Supervisor / Team Leads" label="Consultant / Supervisor / Team Leads">Consultant / Supervisor / Team Leads</option>
<option value="Team Member / Staff" label="Team Member / Staff">Team Member / Staff</option>
<optgroup id="occupation-optgroup-Others" label="Others">
</optgroup>
<option value="Agent / Broker / Trader / Contractor" label="Agent / Broker / Trader / Contractor">Agent / Broker / Trader / Contractor</option>
<option value="Business Owner / Entrepreneur" label="Business Owner / Entrepreneur">Business Owner / Entrepreneur</option>
<option value="Politician" label="Politician">Politician</option>
<option value="Social Worker / Volunteer / NGO" label="Social Worker / Volunteer / NGO">Social Worker / Volunteer / NGO</option>
<option value="Sportsman" label="Sportsman">Sportsman</option>
<option value="Travel & Transport Professional" label="Travel & Transport Professional">Travel & Transport Professional</option>
<option value="Writer" label="Writer">Writer</option>
<optgroup id="occupation-optgroup-Non Working" label="Non Working">
</optgroup>
<option value="Student" label="Student">Student</option>
<option value="Retired" label="Retired">Retired</option>
<option value="Not working" label="Not working">Not working</option>
</select> </li>
<li><label for="Mother's Name">Mother's Name: </label>
<input type="text" name="Mother" id="Mother's Name" required="required" ></li>
<li><label for="Mother's Occupation">Mother's Occupation: </label>
<select name="MotherOccupation" id="Mother's Occupation" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<optgroup id="occupation-optgroup-Accounting, Banking & Finance" label="Accounting, Banking & Finance">
</optgroup>
<option value="Banking Professional" label="Banking Professional">Banking Professional</option>
<option value="Chartered Accountant" label="Chartered Accountant">Chartered Accountant</option>
<option value="Company Secretary" label="Company Secretary">Company Secretary</option>
<option value="Finance Professional" label="Finance Professional">Finance Professional</option>
<option value="Investment Professional" label="Investment Professional">Investment Professional</option>
<option value="Accounting Professional (Others)" label="Accounting Professional (Others)">Accounting Professional (Others)</option>
<optgroup id="occupation-optgroup-Administration & HR" label="Administration & HR">
</optgroup>
<option value="Admin Professional" label="Admin Professional">Admin Professional</option>
<option value="Human Resources Professional" label="Human Resources Professional">Human Resources Professional</option>
<optgroup id="occupation-optgroup-Advertising, Media & Entertainment" label="Advertising, Media & Entertainment">
</optgroup>
<option value="Actor" label="Actor">Actor</option>
<option value="Advertising Professional" label="Advertising Professional">Advertising Professional</option>
<option value="Entertainment Professional" label="Entertainment Professional">Entertainment Professional</option>
<option value="Event Manager" label="Event Manager">Event Manager</option>
<option value="Journalist" label="Journalist">Journalist</option>
<option value="Media Professional" label="Media Professional">Media Professional</option>
<option value="Public Relations Professional" label="Public Relations Professional">Public Relations Professional</option>
<optgroup id="occupation-optgroup-Agriculture" label="Agriculture">
</optgroup>
<option value="Farming" label="Farming">Farming</option>
<option value="Horticulturist" label="Horticulturist">Horticulturist</option>
<option value="Agricultural Professional (Others)" label="Agricultural Professional (Others)">Agricultural Professional (Others)</option>
<optgroup id="occupation-optgroup-Airline & Aviation" label="Airline & Aviation">
</optgroup>
<option value="Air Hostess / Flight Attendant" label="Air Hostess / Flight Attendant">Air Hostess / Flight Attendant</option>
<option value="Pilot / Co-Pilot" label="Pilot / Co-Pilot">Pilot / Co-Pilot</option>
<option value="Other Airline Professional" label="Other Airline Professional">Other Airline Professional</option>
<optgroup id="occupation-optgroup-Architecture & Design" label="Architecture & Design">
</optgroup>
<option value="Architect" label="Architect">Architect</option>
<option value="Interior Designer" label="Interior Designer">Interior Designer</option>
<option value="Landscape Architect" label="Landscape Architect">Landscape Architect</option>
<optgroup id="occupation-optgroup-Artists, Animators & Web Designers" label="Artists, Animators & Web Designers">
</optgroup>
<option value="Animator" label="Animator">Animator</option>
<option value="Commercial Artist" label="Commercial Artist">Commercial Artist</option>
<option value="Web / UX Designers" label="Web / UX Designers">Web / UX Designers</option>
<option value="Artist (Others)" label="Artist (Others)">Artist (Others)</option>
<optgroup id="occupation-optgroup-Beauty, Fashion & Jewellery Designers" label="Beauty, Fashion & Jewellery Designers">
</optgroup>
<option value="Beautician" label="Beautician">Beautician</option>
<option value="Fashion Designer" label="Fashion Designer">Fashion Designer</option>
<option value="Hairstylist" label="Hairstylist">Hairstylist</option>
<option value="Jewellery Designer" label="Jewellery Designer">Jewellery Designer</option>
<option value="Designer (Others)" label="Designer (Others)">Designer (Others)</option>
<optgroup id="occupation-optgroup-BPO, KPO, & Customer Support" label="BPO, KPO, & Customer Support">
</optgroup>
<option value="Customer Support / BPO / KPO Professional" label="Customer Support / BPO / KPO Professional">Customer Support / BPO / KPO Professional</option>
<optgroup id="occupation-optgroup-Civil Services / Law Enforcement" label="Civil Services / Law Enforcement">
</optgroup>
<option value="IAS / IRS / IES / IFS" label="IAS / IRS / IES / IFS">IAS / IRS / IES / IFS</option>
<option value="Indian Police Services (IPS)" label="Indian Police Services (IPS)">Indian Police Services (IPS)</option>
<option value="Law Enforcement Employee (Others)" label="Law Enforcement Employee (Others)">Law Enforcement Employee (Others)</option>
<optgroup id="occupation-optgroup-Defense" label="Defense">
</optgroup>
<option value="Airforce" label="Airforce">Airforce</option>
<option value="Army" label="Army">Army</option>
<option value="Navy" label="Navy">Navy</option>
<option value="Defense Services (Others)" label="Defense Services (Others)">Defense Services (Others)</option>
<optgroup id="occupation-optgroup-Education & Training" label="Education & Training">
</optgroup>
<option value="Lecturer" label="Lecturer">Lecturer</option>
<option value="Professor" label="Professor">Professor</option>
<option value="Research Assistant" label="Research Assistant">Research Assistant</option>
<option value="Research Scholar" label="Research Scholar">Research Scholar</option>
<option value="Teacher" label="Teacher">Teacher</option>
<option value="Training Professional (Others)" label="Training Professional (Others)">Training Professional (Others)</option>
<optgroup id="occupation-optgroup-Engineering" label="Engineering">
</optgroup>
<option value="Civil Engineer" label="Civil Engineer">Civil Engineer</option>
<option value="Electronics / Telecom Engineer" label="Electronics / Telecom Engineer">Electronics / Telecom Engineer</option>
<option value="Mechanical / Production Engineer" label="Mechanical / Production Engineer">Mechanical / Production Engineer</option>
<option value="Non IT Engineer (Others)" label="Non IT Engineer (Others)">Non IT Engineer (Others)</option>
<optgroup id="occupation-optgroup-Hotel & Hospitality" label="Hotel & Hospitality">
</optgroup>
<option value="Chef / Sommelier / Food Critic" label="Chef / Sommelier / Food Critic">Chef / Sommelier / Food Critic</option>
<option value="Catering Professional" label="Catering Professional">Catering Professional</option>
<option value="Hotel & Hospitality Professional (Others)" label="Hotel & Hospitality Professional (Others)">Hotel & Hospitality Professional (Others)</option>
<optgroup id="occupation-optgroup-IT & Software Engineering" label="IT & Software Engineering">
</optgroup>
<option value="Software Developer / Programmer" label="Software Developer / Programmer">Software Developer / Programmer</option>
<option value="Software Consultant" label="Software Consultant">Software Consultant</option>
<option value="Hardware & Networking professional" label="Hardware & Networking professional">Hardware & Networking professional</option>
<option value="Software Professional (Others)" label="Software Professional (Others)">Software Professional (Others)</option>
<optgroup id="occupation-optgroup-Legal" label="Legal">
</optgroup>
<option value="Lawyer" label="Lawyer">Lawyer</option>
<option value="Legal Assistant" label="Legal Assistant">Legal Assistant</option>
<option value="Legal Professional (Others)" label="Legal Professional (Others)">Legal Professional (Others)</option>
<optgroup id="occupation-optgroup-Medical & Healthcare" label="Medical & Healthcare">
</optgroup>
<option value="Dentist" label="Dentist">Dentist</option>
<option value="Doctor" label="Doctor">Doctor</option>
<option value="Medical Transcriptionist" label="Medical Transcriptionist">Medical Transcriptionist</option>
<option value="Nurse" label="Nurse">Nurse</option>
<option value="Pharmacist" label="Pharmacist">Pharmacist</option>
<option value="Physician Assistant" label="Physician Assistant">Physician Assistant</option>
<option value="Physiotherapist / Occupational Therapist" label="Physiotherapist / Occupational Therapist">Physiotherapist / Occupational Therapist</option>
<option value="Psychologist" label="Psychologist">Psychologist</option>
<option value="Surgeon" label="Surgeon">Surgeon</option>
<option value="Veterinary Doctor" label="Veterinary Doctor">Veterinary Doctor</option>
<option value="Therapist (Others)" label="Therapist (Others)">Therapist (Others)</option>
<option value="Medical / Healthcare Professional (Others)" label="Medical / Healthcare Professional (Others)">Medical / Healthcare Professional (Others)</option>
<optgroup id="occupation-optgroup-Merchant Navy" label="Merchant Navy">
</optgroup>
<option value="Merchant Naval Officer" label="Merchant Naval Officer">Merchant Naval Officer</option>
<option value="Mariner" label="Mariner">Mariner</option>
<optgroup id="occupation-optgroup-Sales & Marketing" label="Sales & Marketing">
</optgroup>
<option value="Marketing Professional" label="Marketing Professional">Marketing Professional</option>
<option value="Sales Professional" label="Sales Professional">Sales Professional</option>
<optgroup id="occupation-optgroup-Science" label="Science">
</optgroup>
<option value="Biologist / Botanist" label="Biologist / Botanist">Biologist / Botanist</option>
<option value="Physicist" label="Physicist">Physicist</option>
<option value="Science Professional (Others)" label="Science Professional (Others)">Science Professional (Others)</option>
<optgroup id="occupation-optgroup-Corporate Professionals" label="Corporate Professionals">
</optgroup>
<option value="CxO / Chairman / Director / President" label="CxO / Chairman / Director / President">CxO / Chairman / Director / President</option>
<option value="VP / AVP / GM / DGM" label="VP / AVP / GM / DGM">VP / AVP / GM / DGM</option>
<option value="Sr. Manager / Manager" label="Sr. Manager / Manager">Sr. Manager / Manager</option>
<option value="Consultant / Supervisor / Team Leads" label="Consultant / Supervisor / Team Leads">Consultant / Supervisor / Team Leads</option>
<option value="Team Member / Staff" label="Team Member / Staff">Team Member / Staff</option>
<optgroup id="occupation-optgroup-Others" label="Others">
</optgroup>
<option value="Agent / Broker / Trader / Contractor" label="Agent / Broker / Trader / Contractor">Agent / Broker / Trader / Contractor</option>
<option value="Business Owner / Entrepreneur" label="Business Owner / Entrepreneur">Business Owner / Entrepreneur</option>
<option value="Politician" label="Politician">Politician</option>
<option value="Social Worker / Volunteer / NGO" label="Social Worker / Volunteer / NGO">Social Worker / Volunteer / NGO</option>
<option value="Sportsman" label="Sportsman">Sportsman</option>
<option value="Travel & Transport Professional" label="Travel & Transport Professional">Travel & Transport Professional</option>
<option value="Writer" label="Writer">Writer</option>
<optgroup id="occupation-optgroup-Non Working" label="Non Working">
</optgroup>
<option value="Student" label="Student">Student</option>
<option value="Retired" label="Retired">Retired</option>
<option value="Not working" label="Not working">Not working</option>
</select></li>
<li><label for="family type">Family type: </label>
<input type="radio" name="type" value="Joint" required="required" />Joint
<input type="radio" name="type" value="Nuclear"/>Nuclear</li>
<li><label for="No. of Siblings">No. of Siblings: </label>
<input type="text" name="Siblings" id="No. of Siblings" required="required" ></li>
<li><label for="Mother Tongue">Mother Tongue: </label>
<select name="Tounge" id="Mother Tounge" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<optgroup id='mother_tongue-optgroup-Frequently Used' label='Frequently Used'>Frequently Used</optgroup>
<option value="Assamese" >Assamese</option><option value="Bengali" >Bengali</option><option value=
"English" >English</option><option value="Gujarati" >Gujarati</option><option value="Hindi">
Hindi</option><option value="Kannada" >Kannada</option><option value="Konkani" >Konkani</option>
<option value="Malayalam" >Malayalam</option><option value="Marathi" >Marathi</option><option value=
"Marwari" >Marwari</option><option value="Odia" >Odia</option><option value="Punjabi" >Punjabi</option>
<option value="Sindhi" >Sindhi</option><option value="Tamil" >Tamil</option><option value="Telugu" >
Telugu</option><option value="Urdu" >Urdu</option><optgroup
id='mother_tongue-optgroup-All Mother Tongues' label='All Mother Tongues'>All Mother Tongues</optgroup>
<option value="Aka" >Aka</option><option value="Arabic" >Arabic</option><option value="Arunachali" >
Arunachali</option><option value="Assamese" >Assamese</option><option value="Awadhi" >Awadhi</option>
<option value="Baluchi" >Baluchi</option><option value="Bengali" >Bengali</option><option value="Bhojpuri"
>Bhojpuri</option><option value="Bhutia" >Bhutia</option><option value="Brahui" >Brahui</option>
<option value="Brij" >Brij</option><option value="Burmese" >Burmese</option><option value="Chattisgarhi" >
Chattisgarhi</option><option value="Chinese" >Chinese</option><option value="Coorgi" >Coorgi</option><
option value="Dogri" >Dogri</option><option value="English" >English</option><option value="French" >
French</option><option value="Garhwali" >Garhwali</option><option value="Garo" >Garo</option><option
value="Gujarati" >Gujarati</option><option value="Haryanavi" >Haryanavi</option><option value=
"Himachali/Pahari" >Himachali/Pahari</option><option value="Hindi" >Hindi</option><option value="Hindko"
>Hindko</option><option value="Kakbarak" >Kakbarak</option><option value="Kanauji" >Kanauji</option>
<option value="Kannada" >Kannada</option><option value="Kashmiri" >Kashmiri</option><option value=
"Khandesi" >Khandesi</option><option value="Khasi" >Khasi</option><option value="Konkani" >Konkani</option>
<option value="Koshali" >Koshali</option><option value="Kumaoni" >Kumaoni</option><option value="Kutchi" >
Kutchi</option><option value="Ladakhi" >Ladakhi</option><option value="Lepcha" >Lepcha</option><option
value="Magahi" >Magahi</option><option value="Maithili" >Maithili</option><option value="Malay" >Malay
</option><option value="Malayalam" >Malayalam</option><option value="Manipuri" >Manipuri</option><option
value="Marathi" >Marathi</option><option value="Marwari" >Marwari</option><option value="Miji" >Miji
</option><option value="Mizo" >Mizo</option><option value="Monpa" >Monpa</option><option value="Nepali" >
Nepali</option><option value="Odia" >Odia</option><option value="Pashto" >Pashto</option><option value=
"Persian" >Persian</option><option value="Punjabi" >Punjabi</option><option value="Rajasthani" >Rajasthani
</option><option value="Russian" >Russian</option><option value="Sanskrit" >Sanskrit</option><option
value="Santhali" >Santhali</option><option value="Seraiki" >Seraiki</option><option value="Sindhi" >
Sindhi</option><option value="Sinhala" >Sinhala</option><option value="Sourashtra" >Sourashtra</option>
<option value="Spanish" >Spanish</option><option value="Swedish" >Swedish</option><option value="Tagalog"
>Tagalog</option><option value="Tamil" >Tamil</option><option value="Telugu" >Telugu</option><option
value="Tulu" >Tulu</option><option value="Urdu" >Urdu</option><option value="Other" >Other</option>
</select></li>
<li><label for="Address">Address:</label><br>
<textarea name="Address" id="Address" required="required" ></textarea></li>
</ul>
</div>
<div class="yourself">
<! <form action="" method="post.php">
<ul>
<h3 style="text-decoration:none">About Yourself.... </h3>
<li><label for="Martial Status">Martial Status: </label>
<select name="Martial" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<option value="unmarried" label="Unmarried">Unmarried</option>
<option value="Divorced" label="Divorced">Divorced</option>
<option value="Widowed" label="Widowed">Widowed</option>
<option value="Awaiting Divorce" label="Awaiting Divorce">Awaiting Divorce</option>
<option value="Annulled" label="Annulled">Annulled</option>
</select></li>
<li><label for="Occupation">Occupation: </label>
<select name="Occupation" id="Occupation" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<optgroup id="occupation-optgroup-Accounting, Banking & Finance" label="Accounting, Banking & Finance">
</optgroup>
<option value="Banking Professional" label="Banking Professional">Banking Professional</option>
<option value="Chartered Accountant" label="Chartered Accountant">Chartered Accountant</option>
<option value="Company Secretary" label="Company Secretary">Company Secretary</option>
<option value="Finance Professional" label="Finance Professional">Finance Professional</option>
<option value="Investment Professional" label="Investment Professional">Investment Professional</option>
<option value="Accounting Professional (Others)" label="Accounting Professional (Others)">Accounting Professional (Others)</option>
<optgroup id="occupation-optgroup-Administration & HR" label="Administration & HR">
</optgroup>
<option value="Admin Professional" label="Admin Professional">Admin Professional</option>
<option value="Human Resources Professional" label="Human Resources Professional">Human Resources Professional</option>
<optgroup id="occupation-optgroup-Advertising, Media & Entertainment" label="Advertising, Media & Entertainment">
</optgroup>
<option value="Actor" label="Actor">Actor</option>
<option value="Advertising Professional" label="Advertising Professional">Advertising Professional</option>
<option value="Entertainment Professional" label="Entertainment Professional">Entertainment Professional</option>
<option value="Event Manager" label="Event Manager">Event Manager</option>
<option value="Journalist" label="Journalist">Journalist</option>
<option value="Media Professional" label="Media Professional">Media Professional</option>
<option value="Public Relations Professional" label="Public Relations Professional">Public Relations Professional</option>
<optgroup id="occupation-optgroup-Agriculture" label="Agriculture">
</optgroup>
<option value="Farming" label="Farming">Farming</option>
<option value="Horticulturist" label="Horticulturist">Horticulturist</option>
<option value="Agricultural Professional (Others)" label="Agricultural Professional (Others)">Agricultural Professional (Others)</option>
<optgroup id="occupation-optgroup-Airline & Aviation" label="Airline & Aviation">
</optgroup>
<option value="Air Hostess / Flight Attendant" label="Air Hostess / Flight Attendant">Air Hostess / Flight Attendant</option>
<option value="Pilot / Co-Pilot" label="Pilot / Co-Pilot">Pilot / Co-Pilot</option>
<option value="Other Airline Professional" label="Other Airline Professional">Other Airline Professional</option>
<optgroup id="occupation-optgroup-Architecture & Design" label="Architecture & Design">
</optgroup>
<option value="Architect" label="Architect">Architect</option>
<option value="Interior Designer" label="Interior Designer">Interior Designer</option>
<option value="Landscape Architect" label="Landscape Architect">Landscape Architect</option>
<optgroup id="occupation-optgroup-Artists, Animators & Web Designers" label="Artists, Animators & Web Designers">
</optgroup>
<option value="Animator" label="Animator">Animator</option>
<option value="Commercial Artist" label="Commercial Artist">Commercial Artist</option>
<option value="Web / UX Designers" label="Web / UX Designers">Web / UX Designers</option>
<option value="Artist (Others)" label="Artist (Others)">Artist (Others)</option>
<optgroup id="occupation-optgroup-Beauty, Fashion & Jewellery Designers" label="Beauty, Fashion & Jewellery Designers">
</optgroup>
<option value="Beautician" label="Beautician">Beautician</option>
<option value="Fashion Designer" label="Fashion Designer">Fashion Designer</option>
<option value="Hairstylist" label="Hairstylist">Hairstylist</option>
<option value="Jewellery Designer" label="Jewellery Designer">Jewellery Designer</option>
<option value="Designer (Others)" label="Designer (Others)">Designer (Others)</option>
<optgroup id="occupation-optgroup-BPO, KPO, & Customer Support" label="BPO, KPO, & Customer Support">
</optgroup>
<option value="Customer Support / BPO / KPO Professional" label="Customer Support / BPO / KPO Professional">Customer Support / BPO / KPO Professional</option>
<optgroup id="occupation-optgroup-Civil Services / Law Enforcement" label="Civil Services / Law Enforcement">
</optgroup>
<option value="IAS / IRS / IES / IFS" label="IAS / IRS / IES / IFS">IAS / IRS / IES / IFS</option>
<option value="Indian Police Services (IPS)" label="Indian Police Services (IPS)">Indian Police Services (IPS)</option>
<option value="Law Enforcement Employee (Others)" label="Law Enforcement Employee (Others)">Law Enforcement Employee (Others)</option>
<optgroup id="occupation-optgroup-Defense" label="Defense">
</optgroup>
<option value="Airforce" label="Airforce">Airforce</option>
<option value="Army" label="Army">Army</option>
<option value="Navy" label="Navy">Navy</option>
<option value="Defense Services (Others)" label="Defense Services (Others)">Defense Services (Others)</option>
<optgroup id="occupation-optgroup-Education & Training" label="Education & Training">
</optgroup>
<option value="Lecturer" label="Lecturer">Lecturer</option>
<option value="Professor" label="Professor">Professor</option>
<option value="Research Assistant" label="Research Assistant">Research Assistant</option>
<option value="Research Scholar" label="Research Scholar">Research Scholar</option>
<option value="Teacher" label="Teacher">Teacher</option>
<option value="Training Professional (Others)" label="Training Professional (Others)">Training Professional (Others)</option>
<optgroup id="occupation-optgroup-Engineering" label="Engineering">
</optgroup>
<option value="Civil Engineer" label="Civil Engineer">Civil Engineer</option>
<option value="Electronics / Telecom Engineer" label="Electronics / Telecom Engineer">Electronics / Telecom Engineer</option>
<option value="Mechanical / Production Engineer" label="Mechanical / Production Engineer">Mechanical / Production Engineer</option>
<option value="Non IT Engineer (Others)" label="Non IT Engineer (Others)">Non IT Engineer (Others)</option>
<optgroup id="occupation-optgroup-Hotel & Hospitality" label="Hotel & Hospitality">
</optgroup>
<option value="Chef / Sommelier / Food Critic" label="Chef / Sommelier / Food Critic">Chef / Sommelier / Food Critic</option>
<option value="Catering Professional" label="Catering Professional">Catering Professional</option>
<option value="Hotel & Hospitality Professional (Others)" label="Hotel & Hospitality Professional (Others)">Hotel & Hospitality Professional (Others)</option>
<optgroup id="occupation-optgroup-IT & Software Engineering" label="IT & Software Engineering">
</optgroup>
<option value="Software Developer / Programmer" label="Software Developer / Programmer">Software Developer / Programmer</option>
<option value="Software Consultant" label="Software Consultant">Software Consultant</option>
<option value="Hardware & Networking professional" label="Hardware & Networking professional">Hardware & Networking professional</option>
<option value="Software Professional (Others)" label="Software Professional (Others)">Software Professional (Others)</option>
<optgroup id="occupation-optgroup-Legal" label="Legal">
</optgroup>
<option value="Lawyer" label="Lawyer">Lawyer</option>
<option value="Legal Assistant" label="Legal Assistant">Legal Assistant</option>
<option value="Legal Professional (Others)" label="Legal Professional (Others)">Legal Professional (Others)</option>
<optgroup id="occupation-optgroup-Medical & Healthcare" label="Medical & Healthcare">
</optgroup>
<option value="Dentist" label="Dentist">Dentist</option>
<option value="Doctor" label="Doctor">Doctor</option>
<option value="Medical Transcriptionist" label="Medical Transcriptionist">Medical Transcriptionist</option>
<option value="Nurse" label="Nurse">Nurse</option>
<option value="Pharmacist" label="Pharmacist">Pharmacist</option>
<option value="Physician Assistant" label="Physician Assistant">Physician Assistant</option>
<option value="Physiotherapist / Occupational Therapist" label="Physiotherapist / Occupational Therapist">Physiotherapist / Occupational Therapist</option>
<option value="Psychologist" label="Psychologist">Psychologist</option>
<option value="Surgeon" label="Surgeon">Surgeon</option>
<option value="Veterinary Doctor" label="Veterinary Doctor">Veterinary Doctor</option>
<option value="Therapist (Others)" label="Therapist (Others)">Therapist (Others)</option>
<option value="Medical / Healthcare Professional (Others)" label="Medical / Healthcare Professional (Others)">Medical / Healthcare Professional (Others)</option>
<optgroup id="occupation-optgroup-Merchant Navy" label="Merchant Navy">
</optgroup>
<option value="Merchant Naval Officer" label="Merchant Naval Officer">Merchant Naval Officer</option>
<option value="Mariner" label="Mariner">Mariner</option>
<optgroup id="occupation-optgroup-Sales & Marketing" label="Sales & Marketing">
</optgroup>
<option value="Marketing Professional" label="Marketing Professional">Marketing Professional</option>
<option value="Sales Professional" label="Sales Professional">Sales Professional</option>
<optgroup id="occupation-optgroup-Science" label="Science">
</optgroup>
<option value="Biologist / Botanist" label="Biologist / Botanist">Biologist / Botanist</option>
<option value="Physicist" label="Physicist">Physicist</option>
<option value="Science Professional (Others)" label="Science Professional (Others)">Science Professional (Others)</option>
<optgroup id="occupation-optgroup-Corporate Professionals" label="Corporate Professionals">
</optgroup>
<option value="CxO / Chairman / Director / President" label="CxO / Chairman / Director / President">CxO / Chairman / Director / President</option>
<option value="VP / AVP / GM / DGM" label="VP / AVP / GM / DGM">VP / AVP / GM / DGM</option>
<option value="Sr. Manager / Manager" label="Sr. Manager / Manager">Sr. Manager / Manager</option>
<option value="Consultant / Supervisor / Team Leads" label="Consultant / Supervisor / Team Leads">Consultant / Supervisor / Team Leads</option>
<option value="Team Member / Staff" label="Team Member / Staff">Team Member / Staff</option>
<optgroup id="occupation-optgroup-Others" label="Others">
</optgroup>
<option value="Agent / Broker / Trader / Contractor" label="Agent / Broker / Trader / Contractor">Agent / Broker / Trader / Contractor</option>
<option value="Business Owner / Entrepreneur" label="Business Owner / Entrepreneur">Business Owner / Entrepreneur</option>
<option value="Politician" label="Politician">Politician</option>
<option value="Social Worker / Volunteer / NGO" label="Social Worker / Volunteer / NGO">Social Worker / Volunteer / NGO</option>
<option value="Sportsman" label="Sportsman">Sportsman</option>
<option value="Travel & Transport Professional" label="Travel & Transport Professional">Travel & Transport Professional</option>
<option value="Writer" label="Writer">Writer</option>
<optgroup id="occupation-optgroup-Non Working" label="Non Working">
</optgroup>
<option value="Student" label="Student">Student</option>
<option value="Retired" label="Retired">Retired</option>
<option value="Not working" label="Not working">Not working</option>
</select></li>
<li><label for="Annual Income">Annual Income: </label>
<select name="Income" id="Annual Income" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<option value="Upto INR 1 Lakh" label="Upto INR 1 Lakh">Upto INR 1 Lakh</option>
<option value="INR 1 Lakh to 2 Lakh" label="INR 1 Lakh to 2 Lakh">INR 1 Lakh to 2 Lakh</option>
<option value="INR 2 Lakh to 4 Lakh" label="INR 2 Lakh to 4 Lakh">INR 2 Lakh to 4 Lakh</option>
<option value="INR 4 Lakh to 7 Lakh" label="INR 4 Lakh to 7 Lakh">INR 4 Lakh to 7 Lakh</option>
<option value="INR 7 Lakh to 10 Lakh" label="INR 7 Lakh to 10 Lakh">INR 7 Lakh to 10 Lakh</option>
<option value="INR 10 Lakh to 15 Lakh" label="INR 10 Lakh to 15 Lakh">INR 10 Lakh to 15 Lakh</option>
<option value="INR 15 Lakh to 20 Lakh" label="INR 15 Lakh to 2 0 Lakh">INR 15 Lakh to 20 Lakh</option>
<option value="INR 20 Lakh to 30 Lakh" label="INR 20 Lakh to 30 Lakh">INR 20 Lakh to 30 Lakh</option>
<option value="INR 30 Lakh to 50 Lakh" label="INR 30 Lakh to 50 Lakh">INR 30 Lakh to 50 Lakh</option>
<option value="INR 50 Lakh to 75 Lakh" label="INR 50 Lakh to 75 Lakh">INR 50 Lakh to 75 Lakh</option>
<option value="INR 75 Lakh to 1 Crore" label="INR 75 Lakh to 1 Crore">INR 75 Lakh to 1 Crore</option>
<option value="INR 1 Crore & above" label="INR 1 Crore & above">INR 1 Crore & above</option>
<option value="Not applicable" label="Not applicable">Not applicable</option>
<option value="Dont want to specify" label="Dont want to specify">Dont want to specify</option>
</select> </li>
<li><label for="Education">Education: </label>
<select name="edu" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<option value="PHD">PHD</option>
<option value="Post Graduate">Post Graduate</option>
<option value="Graduate">Graduate</option>
<option value="12th">12th</option>
<option value="10th">10th</option>
<option value="Lower">Lower</option>
<option value="Iliterate">Iliterate</option>
</select></li>
<li><label for="Course">Specify Course: </label>
<select name="Course" id="Course" required="required" >
<option value="" label="Select">Select</option>
<option value="Advertising/ Marketing" label="Advertising/ Marketing">Advertising/ Marketing</option>
<option value="Administrative services" label="Administrative services">Administrative services</option>
<option value="Architecture" label="Architecture">Architecture</option>
<option value="Armed Forces" label="Armed Forces">Armed Forces</option>
<option value="Arts" label="Arts">Arts</option>
<option value="Commerce" label="Commerce">Commerce</option>
<option value="Computers/ IT" label="Computers/ IT">Computers/ IT </option>
<option value="Education" label="Education">Education</option>
<option value="Engineering/ Technology" label="Engineering/ Technology">Engineering/ Technology</option>
<option value="Fashion" label="Fashion">Fashion</option>
<option value="Finance" label="Finance">Finance</option>
<option value="Fine Arts" label="Fine Arts">Fine Arts</option>
<option value="Home Science" label="Home Science">Home Science</option>
<option value="Law" label="Law">Law</option>
<option value="Management" label="Management">Management</option>
<option value="Medicine" label="Medicine">Medicine</option>
<option value="Nursing/ Health Sciences" label="Nursing/ Health Sciences">Nursing/ Health Sciences</option>
<option value="Office administration" label="Office administration">Office administration</option>
<option value="Science" label="Science">Science</option>
<option value="Shipping" label="Shipping">Shipping</option>
<option value="Travel & Tourism" label="Travel & Tourism">Travel & Tourism</option>
</select></li>
<li><label for="Height">Height in cm: </label>
<select name="Height" id="Height" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<option value="134cm" label="4ft 5in - 134cm">4ft 5in - 134cm</option>
<option value="137" label="4ft 6in - 137cm">4ft 6in - 137cm</option>
<option value="139" label="4ft 7in - 139cm">4ft 7in - 139cm</option>
<option value="142" label="4ft 8in - 142cm">4ft 8in - 142cm</option>
<option value="144" label="4ft 9in - 144cm">4ft 9in - 144cm</option>
<option value="147" label="4ft 10in - 147cm">4ft 10in - 147cm</option>
<option value="149" label="4ft 11in - 149cm">4ft 11in - 149cm</option>
<option value="152" label="5ft - 152cm">5ft - 152cm</option>
<option value="154" label="5ft 1in - 154cm">5ft 1in - 154cm</option>
<option value="157" label="5ft 2in - 157cm">5ft 2in - 157cm</option>
<option value="160" label="5ft 3in - 160cm">5ft 3in - 160cm</option>
<option value="162" label="5ft 4in - 162cm">5ft 4in - 162cm</option>
<option value="165" label="5ft 5in - 165cm">5ft 5in - 165cm</option>
<option value="167" label="5ft 6in - 167cm">5ft 6in - 167cm</option>
<option value="170" label="5ft 7in - 170cm">5ft 7in - 170cm</option>
<option value="172" label="5ft 8in - 172cm" >5ft 8in - 172cm</option>
<option value="175" label="5ft 9in - 175cm">5ft 9in - 175cm</option>
<option value="177" label="5ft 10in - 177cm">5ft 10in - 177cm</option>
<option value="180" label="5ft 11in - 180cm">5ft 11in - 180cm</option>
<option value="182" label="6ft - 182cm">6ft - 182cm</option>
<option value="185" label="6ft 1in - 185cm">6ft 1in - 185cm</option>
<option value="187" label="6ft 2in - 187cm">6ft 2in - 187cm</option>
<option value="190" label="6ft 3in - 190cm">6ft 3in - 190cm</option>
<option value="193" label="6ft 4in - 193cm">6ft 4in - 193cm</option>
<option value="195" label="6ft 5in - 195cm">6ft 5in - 195cm</option>
<option value="198" label="6ft 6in - 198cm">6ft 6in - 198cm</option>
<option value="200" label="6ft 7in - 200cm">6ft 7in - 200cm</option>
<option value="203" label="6ft 8in - 203cm">6ft 8in - 203cm</option>
<option value="205" label="6ft 9in - 205cm">6ft 9in - 205cm</option>
<option value="208" label="6ft 10in - 208cm">6ft 10in - 208cm</option>
<option value="210" label="6ft 11in - 210cm">6ft 11in - 210cm</option>
<option value="213" label="7ft - 213cm">7ft - 213cm</option>
</select></li>
<li><label for="Weight">Weight in kgs: </label>
<input type="text" name="Weight" id="Weight" required="required" ></li>
<li><label for="Complexion">Complexion: </label>
<label for="complexion-VeryFair"><input type="radio" name="complexion" id="complexion-VeryFair" value="Very Fair" required="required" />Very
Fair</label> <label for="complexion-Fair"><input type="radio" name="complexion" id="complexion-Fair" value="Fair" />Fair</lab
el> <label for="complexion-Wheatish"><input type="radio" name="complexion" id="complexion-Wheatish" value="Wheatish" />
Wheatish</label> <label for="complexion-Dark"><input type="radio" name="complexion" id="complexion-Dark" value="Dark" />
Dark</label></label></li>
<li><label for="Blood group">Blood group: </label>
<select name="Blood" required="required" >
<option value="" label="Select" selected="selected">Select</option>
<option value="A+">A+</option>
<option value="A-">A-</option>
<option value="B+">B+</option>
<option value="B-">B-</option>
<option value="AB+">AB+</option>
<option value="AB-">AB-</option>
<option value="O+">O+</option>
<option value="O-">O-</option>
</select></li>
<li><label>Smoking: </label>
<input type="radio" name="smoking" value="Yes" required="required" />Yes
<input type="radio" name="smoking" value="No" />No</li>
<li><label>Drinking: </label>
<input type="radio" name="drinking" value="Yes" required="required" />Yes
<input type="radio" name="drinking" value="No" />No</li>
<li><label for="Hobbies:">Hobbies:<label><br>
<textarea name="Hobbies" id="Hobbies:" required="required" ></textarea></li>
<li><label for="Plan">Future Plan:</label><br>
<textarea name="Future" id="Future Plan" required="required" ></textarea></li>
<li><label for="About Yourself">About Yourself:</label><br>
<textarea name="About" id="About" required="required" ></textarea></li>
<br>
<li><input type="submit" value="submit"></li>
</ul>
</form>
</div>
<?php
include 'template/footer.php';
?>
</div>
</body>