<html xmlns:fo="http://www.w3.org/1999/XSL/Format"> <head> <META http-equiv="Content-Type" content="text/html; charset=UTF-16"> <title>GoldMine Import Template 1</title> <style type="text/css"><!--.primary { font-family: Arial, Helvetica, sans-serif; font-size: 12px; background-color: #FFFFFF; } .style1 { font-size: 14px; font-weight: bold; color: #3366CC; background-color: #FFFFFF; } .required { color: #FF0000; font-weight: bold; font-family: Arial, Helvetica, sans-serif; font-size: 11px; } .input_glow { font-family: Arial, "Courier New", Courier, mono; font-size: 12px; background-color: #FFFF99; } .input_standard { font-family: Arial, "Courier New", Courier, mono; font-size: 12px; background-color: #FFFFFF; } .style2 { font-size: 12px; color: #000000; font-weight: bold; font-family: Arial, Helvetica, sans-serif; } --> </style><script language="JavaScript" type="text/JavaScript"> <!-- document.MM_returnValue=true;document.MyErrors=''; function MM_findObj(n, d) {var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);if(!x && d.getElementById) x=d.getElementById(n); return x;} function MM_validateForm() {var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args[i]);if (val) { nm=val.name;pnm='pretty_'+nm;po=MM_findObj(pnm);if(po){ponm=po.value;}else{ponm=nm;}if ((val=val.value)!="") {if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');if (p<1 || p==(val.length-1)) {if (errors.indexOf('must contain an e-mail')==-1){errors+='- '+ponm+' must contain an e-mail address.\n';}}} else if (test!='R') { num = parseFloat(val);if (isNaN(val)) errors+='- '+ponm+' must contain a number.\n';if (test.indexOf('inRange') != -1) { p=test.indexOf(':');min=test.substring(8,p); max=test.substring(p+1);if (num<min || max<num) errors+='- '+ponm+' must contain a number between '+min+' and '+max+'.\n';} } } else if (test.charAt(0) == 'R') errors += '- '+ponm+' is required.\n'; }} if (errors){document.MyErrors +=errors;document.MM_returnValue=false;}} function ShowErrors(){if (document.MyErrors!=''){alert('The following error(s) occurred:\n'+document.MyErrors);}} --> </script></head> <body class="primary"> <table width="100%"> <form method="POST" name="frmGMGenerated" target="_self" id="frmGMGenerated" action="PHPMailer.php" OnSubmit="document.MM_returnValue=true;document.MyErrors='';MM_validateForm('ADDRESS1','','R');MM_validateForm('EMAIL','','RisEmail');MM_validateForm('CONTACT','','R');ShowErrors();return document.MM_returnValue;"> <tr> <td width="99%"><span class="required">* Indicates a required field.</span><p> </p> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td colspan="3" class="style1">Primary Information</td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Account No (for candidate that want to update existing info, Pls update account no email to you </td> <td width="915"><input type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="KEY2" name="KEY2" tabIndex="26" size="30"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Full Name</td> <td width="915"><input tabindex="2" type="text" id="CONTACT" name="CONTACT" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="40"><span class="required">*</span><input type="hidden" id="pretty_CONTACT" name="pretty_CONTACT" value="Full Name"><input type="hidden" value="CONTACT" name="DuplicateChecking2" id="DuplicateChecking2"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Solutation</td> <td width="915"><input tabindex="3" type="text" id="DEAR" name="DEAR" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Job Apply For</td> <td width="915"><input tabindex="5" type="text" id="TITLE" name="TITLE" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="35"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">E-mail</td> <td width="915"><input tabindex="8" type="text" id="EMAIL" name="EMAIL" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="35"><span class="required">*</span><input type="hidden" id="pretty_EMAIL" name="pretty_EMAIL" value="E-mail"><input type="hidden" value="EMAIL" name="DuplicateChecking1" id="DuplicateChecking1"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Home</td> <td nowrap="true" width="100"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="260"><input tabindex="9" type="text" id="PHONE1" name="PHONE1" size="30" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="25"></td> </tr> </table> </td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Mobile</td> <td nowrap="true" width="100"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="260"><input tabindex="11" type="text" id="PHONE2" name="PHONE2" size="30" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="25"></td> </tr> </table> </td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Office</td> <td nowrap="true" width="100"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="260"><input tabindex="14" type="text" id="PHONE3" name="PHONE3" size="30" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="25"></td> </tr> </table> </td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">FAX</td> <td nowrap="true" width="100"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="260"><input tabindex="16" type="text" id="FAX" name="FAX" size="30" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="25"></td> </tr> </table> </td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Address</td> <td width="915"><input tabindex="18" type="text" id="ADDRESS1" name="ADDRESS1" size="60" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="40"><span class="required">*</span><input type="hidden" id="pretty_ADDRESS1" name="pretty_ADDRESS1" value="Address"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Address2</td> <td width="915"><input tabindex="19" type="text" id="ADDRESS2" name="ADDRESS2" size="60" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="40"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Address3</td> <td width="915"><input tabindex="20" type="text" id="ADDRESS3" name="ADDRESS3" size="60" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="40"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">City</td> <td nowrap><input tabindex="21" type="text" id="CITY" name="CITY" size="30" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">State</td> <td nowrap><!----><select tabindex="22" name="STATE" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'"><option selected value="">Select a State</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">Dist. of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> <option></option> <OPTION>U.S. Territories</OPTION> <OPTION value="GU">Guam</OPTION> <OPTION value="AS">American Samoa</OPTION> <OPTION value="FM">Federated States of Micronesia</OPTION> <OPTION value="MP">Northern Mariana Islands</OPTION> <OPTION value="MH">Marshall Islands</OPTION> <OPTION value="PW">Palau Islands</OPTION> <OPTION value="PR">Puerto Rico</OPTION> <OPTION value="VI">US Virgin Islands</OPTION> <OPTION></OPTION> <OPTION>Canadian Provinces</OPTION> <OPTION value="AB">Alberta</OPTION> <OPTION value="BC">British Columbia</OPTION> <OPTION value="MB">Manitoba</OPTION> <OPTION value="NB">New Brunswick</OPTION> <OPTION value="NF">Newfoundland</OPTION> <OPTION value="NT">Northwest Territories</OPTION> <OPTION value="NS">Nova Scotia</OPTION> <OPTION value="ON">Ontario</OPTION> <OPTION value="PE">Prince Edward Island</OPTION> <OPTION value="PQ">Quebec</OPTION> <OPTION value="SK">Saskatchewan</OPTION> <OPTION value="YT">Yukon Territory</OPTION> <OPTION value="Other">Other or None</OPTION></select></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Zip</td> <td nowrap><input tabindex="23" type="text" id="ZIP" name="ZIP" size="15" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td nowrap="true" width="140" class="style2">Country</td> <td width="915"><!----><select tabindex="24" name="COUNTRY" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'"><option selected value="">Select your country</option> <option value="US">United States</option> <option value="UK">United Kingdom</option> <option value="DE">Germany</option> <option value="CA">Canada</option> <option value="JP">Japan</option> <option value="CH">Switzerland</option> <option value="FR">France</option> <option value="NL">Netherlands</option> <option value="IT">Italy</option> <option value="ES">Spain</option> <option>- - - - - - -</option> <option value="AF">Afghanistan</option> <option value="AL">Albania</option> <option value="DZ">Algeria</option> <option value="AO">Angola</option> <option value="AR">Argentina</option> <option value="AM">Armenia</option> <option value="AU">Australia</option> <option value="AT">Austria</option> <option value="AZ">Azerbaijan</option> <option value="BH">Bahrain</option> <option value="BD">Bangladesh</option> <option value="BE">Belgium</option> <option value="BZ">Belize</option> <option value="BJ">Benin</option> <option value="BO">Bolivia</option> <option value="BA">Bosnia Hercegovina</option> <option value="BW">Botswana</option> <option value="BR">Brazil</option> <option value="BG">Bulgaria</option> <option value="BF">Burkina Faso</option> <option value="BY">Byelorussia</option> <option value="CM">Cameroon</option> <option value="CA">Canada</option> <option value="TD">Chad</option> <option value="CL">Chile</option> <option value="CN">China</option> <option value="CO">Colombia</option> <option value="CG">Congo</option> <option value="HR">Croatia</option> <option value="CY">Cyprus</option> <option value="CZ">Czech Republic</option> <option value="DK">Denmark</option> <option value="DJ">Djibouti</option> <option value="EC">Ecuador</option> <option value="EG">Egypt</option> <option value="EE">Estonia</option> <option value="ET">Ethiopia</option> <option value="FI">Finland</option> <option value="FR">France</option> <option value="GF">French Guiana</option> <option value="GA">Gabon</option> <option value="GM">Gambia</option> <option value="GE">Georgia</option> <option value="DE">Germany</option> <option value="GH">Ghana</option> <option value="GR">Greece</option> <option value="GT">Guatemala</option> <option value="GN">Guinea</option> <option value="GW">Guinea-bissau</option> <option value="HN">Honduras</option> <option value="HK">Hong Kong</option> <option value="HU">Hungary</option> <option value="IS">Iceland</option> <option value="IN">India</option> <option value="ID">Indonesia</option> <option value="IR">Iran</option> <option value="IQ">Iraq</option> <option value="IE">Ireland</option> <option value="IL">Israel</option> <option value="IT">Italy</option> <option value="CI">Ivory Coast</option> <option value="JP">Japan</option> <option value="JO">Jordan</option> <option value="KE">Kenya</option> <option value="KW">Kuwait</option> <option value="LV">Latvia</option> <option value="LB">Lebanon</option> <option value="LR">Liberia</option> <option value="LY">Libya</option> <option value="LT">Lithuania</option> <option value="LU">Luxembourg</option> <option value="MG">Madagascar</option> <option value="MW">Malawi</option> <option value="MY">Malaysia</option> <option value="ML">Mali</option> <option value="MT">Malta</option> <option value="MQ">Martinique</option> <option value="MR">Mauritania</option> <option value="Mexico">Mexico</option> <option value="MD">Moldova Republic</option> <option value="MA">Morocco</option> <option value="MZ">Mozambique</option> <option value="NA">Namibia</option> <option value="NP">Nepal</option> <option value="NL">Netherlands</option> <option value="NZ">New Zealand</option> <option value="NI">Nicaragua</option> <option value="NE">Niger</option> <option value="NG">Nigeria</option> <option value="NO">Norway</option> <option value="OM">Oman</option> <option value="PK">Pakistan</option> <option value="PA">Panama</option> <option value="PY">Paraguay</option> <option value="PE">Peru</option> <option value="PH">Philippines</option> <option value="PL">Poland</option> <option value="PT">Portugal</option> <option value="QA">Qatar</option> <option value="RO">Romania</option> <option value="RU">Russia</option> <option value="SA">Saudi Arabia</option> <option value="SN">Senegal</option> <option value="SC">Seychelles</option> <option value="SL">Sierra Leone</option> <option value="SG">Singapore</option> <option value="SI">Slovenia</option> <option value="SO">Somalia</option> <option value="ZA">South Africa</option> <option value="KR">South Korea</option> <option value="ES">Spain</option> <option value="LK">Sri Lanka</option> <option value="SD">Sudan</option> <option value="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="SY">Syria</option> <option value="TW">Taiwan</option> <option value="TJ">Tajikistan</option> <option value="TZ">Tanzania</option> <option value="TH">Thailand</option> <option value="TG">Togo</option> <option value="TN">Tunisia</option> <option value="TR">Turkey</option> <option value="TM">Turkmenistan</option> <option value="UG">Uganda</option> <option value="UA">Ukraine</option> <option value="AE">United Arab Emirates</option> <option value="UK">United Kingdom</option> <option value="US">United States</option> <option value="UY">Uruguay</option> <option value="UZ">Uzbekistan</option> <option value="VE">Venezuela</option> <option value="VN">Viet Nam</option> <option value="YU">Yugoslavia</option> <option value="ZR">Zaire</option> <option value="ZM">Zambia</option> <option value="ZW">Zimbabwe</option> <option value="Other">Other Country</option></select></td> </tr> </table><br><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Date Of Birth</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="8" id="UDOB" tabIndex="36" name="UDOB"></td> </tr> <tr> <td colspan="3" class="style1">Secondary Information</td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Passport No</td> <td width="915"><input type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="KEY2" name="KEY2" tabIndex="27" size="30"><span class="required">*</span><input type="hidden" id="pretty_KEY2" name="pretty_KEY2" value="Passport No"><input type="hidden" value="KEY2" name="DuplicateChecking1" id="DuplicateChecking1"></td> </tr> </table><br><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td colspan="3" class="style1">Skills Set Last 5 Year </td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">1. Skills in</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="USKILL1" tabIndex="37" name="USKILL1"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Year Experience</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UYREX1" tabIndex="63" name="UYREX1"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Vendor</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UVENDOR1" tabIndex="58" name="UVENDOR1"></td> </tr> <tr> <td colspan="3" class="style1">************************************</td> </tr> <tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">2. Skills in</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="USKILLS2" tabIndex="38" name="USKILLS2"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Year Experience</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UYREXP2" tabIndex="64" name="UYREXP2"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Vendor</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UVENDOR2" tabIndex="59" name="UVENDOR2"></td> </tr> <tr> <td colspan="3" class="style1">************************************</td> </tr> <tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">3. Skills in</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="USKILLS3" tabIndex="39" name="USKILLS3"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Year Experience</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UYREXP3" tabIndex="65" name="UYREXP3"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Vendor</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UVENDOR3" tabIndex="60" name="UVENDOR3"></td> </tr> <tr> <td colspan="3" class="style1">************************************</td> </tr> <tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">4. Skills in</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="USKILLS4" tabIndex="40" name="USKILLS4"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Year Experience</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UYREXP4" tabIndex="66" name="UYREXP4"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Vendor</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UVENDOR4" tabIndex="61" name="UVENDOR4"></td> </tr> <tr> <td colspan="3" class="style1">************************************</td> </tr> <tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">5. Skills in</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="USKILLS5" tabIndex="41" name="USKILLS5"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Year Experience</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UYREXP5" tabIndex="67" name="UYREXP5"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Vendor</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UVENDOR5" tabIndex="62" name="UVENDOR5"></td> </tr> <tr> <td colspan="3" class="style1">Please list 3 references from current employement</td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Name1</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ9" tabIndex="42" name="UQ9"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Title</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ12" tabIndex="57" name="UQ12"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Phone</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ15" tabIndex="45" name="UQ15"></td> </tr> <tr> <td colspan="3" class="style1">**************************************</td> </tr> <tr> <tr> <td colspan="3" class="style1"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Name2</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ10" tabIndex="43" name="UQ10"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Title</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ13" tabIndex="58" name="UQ13"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Phone</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ16" tabIndex="46" name="UQ16"></td> </tr> <tr> <td colspan="3" class="style1">*************************************</td> </tr> <tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Name3</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ11" tabIndex="44" name="UQ11"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Title</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ14" tabIndex="59" name="UQ14"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Phone</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ17" tabIndex="47" name="UQ17"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Nationality?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ18" tabIndex="48" name="UQ18"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Notes</td> <td><input size="85" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="255" id="cNOTES" tabIndex="66" name="NOTES"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Have you worked with current company as permanent staff more then 2 years?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UQ19" tabIndex="49" name="UQ19"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">What is your availability ? </td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ2" tabIndex="50" name="UQ2"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">What is your expected Salary currency rate ? </td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UQ3" tabIndex="51" name="UQ3"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Expected Salary Value ? </td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="10" id="UQ4" tabIndex="52" name="UQ4"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Who is your current vendor?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ5" tabIndex="53" name="UQ5"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">if you are working , are you conract or permanent?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ6" tabIndex="54" name="UQ6"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">The most reachable number?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="20" id="UQ7" tabIndex="55" name="UQ7"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Skype or Yahoo Messenger ID?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ8" tabIndex="56" name="UQ8"></td> </tr> <tr> <td nowrap="true" width="10"> </td> <td class="style2" nowrap="true" width="140">Have you submitted for the same position with other agent?</td> <td><input size="35" type="text" class="input_standard" onFocus="javascript:className='input_glow'" onblur="javascript:className='input_standard'" maxlength="30" id="UQ1" tabIndex="60" name="UQ1"></td> </tr> </table> <p> <input type="hidden" name="SMTP" id="SMTP" value="AB3E04659C33107C5022036CA537036996270C7E91251982AC3E1F8A6B3D016F942F1387"> <input type="hidden" name="SendToEmail" id="SendToEmail" value="A235096AA8340B73932E1E956E2E157E9F311D83AA3B097BA236056EAE401E895325107E9E39067A"> <input type="hidden" name="DupLogic" id="DupLogic" value="86370A5C"> <input type="hidden" name="OnDupAttachTrack" id="OnDupAttachTrack" value="8B260E7BA03F0B74AA3E0D398F38084991381F6D803B"> <input type="hidden" name="OnNewAttachTrack" id="OnNewAttachTrack" value="A03B08759A391C859125032F8F3820618930105E6621"> <input type="hidden" name="OnDUPSendGMEmail" id="OnDUPSendGMEmail" value="812A1354882F05537F3A"> <input type="hidden" name="OnNewSendGMEmail" id="OnNewSendGMEmail" value="7F321253903C1E6685401A71"> <input type="hidden" name="Word" id="Word" value="5A271C505E2A20505B270B3F"> <input type="hidden" name="DuplicateCount" id="DuplicateCount" value="2"> <input type="hidden" name="OutPutAs" id="OutPutAs" value="XML"> </p> <p>Please Email Your Resume (CV) at info@insight.com</p></td> </tr> <tr> <td align="right" nowrap="true" width="560"><input tabindex="99" type="Reset" id="Reset" name="Reset" value="Reset form"><font color="FFFFFF">x</font><input tabindex="100" type="submit" id="GMsubmit" name="GMsubmit" value="Submit form"></td> <td> </td> </tr> </form> </table> </body> </html>