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FIRreg3.php
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<?php
error_reporting(0);
include("header.php"); ?>
<link rel="stylesheet" href="files/template.css" type="text/css">
<link rel="stylesheet" href="files/constant.css" type="text/css">
<style type="text/css">
<!--
.style3 {color: #000000}
.style6 {
font-size: 18px;
color: #797979;
}
.style10 {margin: 0 0px 10px 0; padding: 16px 0 2px 27px; color: #959595; line-height: 140%;}
.style15 {font-size: 18px}
.style16 {margin: 0 0px 10px 0; padding: 16px 0 2px 27px; color: #959595; line-height: 140%; font-size: 18px; }
.style19 {font-size: 11px; }
.style20 {font-size: 11%; }
-->
</style>
<div id="content">
<div class="clear">
<!--right-->
<!--left-->
<div id="left">
<div class="left-indent"><div class="clear">
<div class="wrapper-box module_menu"><div class="border-top"><div class="border-bottom">
<div class="border-left"><div class="border-right"><div class="corner-top-left">
<div class="corner-top-right"><div class="corner-bottom-left">
<div class="corner-bottom-right clear">
<div class="wrapper-box-indent">
<div class="box-title">
<div class="border1-top">
<div class="border1-bottom">
<div class="border1-left">
<div class="border1-right">
<div class="corner1-top-left">
<div class="corner1-top-right">
<div class="corner1-bottom-left">
<div class="corner1-bottom-right clear">
<h3>Main menu</h3>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="main-box">
<div class="clear">
<ul class="menu">
<li id="current" class="active item1"> <a href=""><span>Home</span></a></li>
<li class="item2"><a href=""><span>Get Crime Alert </span></a></li>
<li class="item59"><a href="">Register Your crime </a></li>
<li class="item60"><a href="">Police Station </a></li>
<li class="item61"><a href=""><span>Contact Us</span></a></li>
<li class="item62"><a href=""><span>Search</span></a></li>
<li class="item63"><a href=""><span>What's New? </span></a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="wrapper-box module s1">
<div class="border-top">
<div class="border-bottom">
<div class="border-left">
<div class="border-right">
<div class="corner-top-left">
<div class="corner-top-right">
<div class="corner-bottom-left">
<div class="corner-bottom-right clear">
<div class="wrapper-box-indent">
<div class="box-title">
<div class="border1-top">
<div class="border1-bottom">
<div class="border1-left">
<div class="border1-right">
<div class="corner1-top-left">
<div class="corner1-top-right">
<div class="corner1-bottom-left">
<div class="corner1-bottom-right clear">
<h3>Popular</h3>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="main-box">
<div class="clear">
<ul class="mostread s1">
<li class="mostread s1"><a href="" class="mostread s1">Emergancy Contact Numbers</a></li>
<li class="mostread s1"><a href="" class="mostread s1">crime Registration Guidelines</a></li>
<li class="mostread s1"><a href="" class="mostread s1"> Where should I report a crime? </a></li>
<li class="mostread s1"><a href="" class="mostread s1">What is Section 144 ?</a></li>
<li class="mostread s1"><a href="" class="mostread s1">For Recruitement </a></li>
<li class="mostread s1"><a href="" class="mostread s1">What to do in faulty Investigation?</a></li>
<li class="mostread s1"><a href="" class="mostread s1">What to do in Police Harassement?</a></li>
</ul>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div id="container" class="wrapper-container">
<div class="corner-top-left">
<div class="corner-top-right">
<div class="corner-bottom-left">
<div class="corner-bottom-right">
<form action="chkFIRreg3.php" method="post" enctype="multipart/form-data" name="form1">
<div>
<h2><span class="componentheading"><em>Step:3. Fill the following crime report details</em></span></h2>
<h2><span class="componentheading"><em> (Information about victim):</em></span>
</h2>
</div>
<p> </p>
<table width="770" height="323" border="0" align="center" cellpadding="10" cellspacing="5">
<tr>
<td width="165" align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style3">First Name: </span>
<td align="left" bgcolor="#FFFFFF">
<span class="style3">
<input name="fname" type="text" id="fname" size="35" >
<script type="text/javascript">
var f1 = new LiveValidation('fname');
f1.add(Validate.Presence,{failureMessage: " Please enter Firstname"});
f1.add(Validate.Format,{pattern: /^[a-zA-Z\s]+$/i ,failureMessage:" It allows only characters"});
f1.add(Validate.Format,{pattern: /^[a-zA-Z][a-zA-Z\s]{0,}$/,failureMessage:" Invalid Firstname"});
</script>
</span></td>
</tr>
<tr bgcolor="#993366">
<td align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style19" style="color: #000000">Middle Name: </span>
<td align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<label>
<input name="mname" type="text" id="mname" size="35">
<script type="text/javascript">
var f1 = new LiveValidation('mname');
f1.add(Validate.Presence,{failureMessage: " Please enter Middlename"});
f1.add(Validate.Format,{pattern: /^[a-zA-Z\s]+$/i ,failureMessage:" It allows only characters"});
f1.add(Validate.Format,{pattern: /^[a-zA-Z][a-zA-Z\s]{0,}$/,failureMessage:" Invalid Middlename"});
</script>
</label>
</span></td>
</tr>
<tr>
<td align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style19" style="color: #000000">Last Name:</span>
<td align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<label>
<input name="lname" type="text" id="lname" size="35">
<script type="text/javascript">
var f1 = new LiveValidation('lname');
f1.add(Validate.Presence,{failureMessage: " Please enter Lastname"});
f1.add(Validate.Format,{pattern: /^[a-zA-Z\s]+$/i ,failureMessage:" It allows only characters"});
f1.add(Validate.Format,{pattern: /^[a-zA-Z][a-zA-Z\s]{0,}$/,failureMessage:" Invalid Lastname"});
</script>
</label>
</span></td>
</tr>
<tr bgcolor="#999999">
<td height="28" align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style19" style="color: #000000">Gender:</span>
<td align="left" bgcolor="#FFFFFF">
<span class="style15 style3">
<label>
<input type="radio" name="gender" value="Male">Male</label>
<label>
<input type="radio" name="gender" value="Female">Female</label>
</span></td>
</tr>
<tr>
<td height="60" align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style19" style="color: #000000"> Address:</span>
<td align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<label>
<script type="text/javascript">
var f1 = new LiveValidation('address');
f1.add(Validate.Presence,{failureMessage: " Please enter Address"});
//f1.add(Validate.Format,{pattern: /^[a-zA-Z\s]+$/i ,failureMessage:
// " It allows only characters"});
//f1.add(Validate.Format,{pattern: /^[a-zA-Z][a-zA-Z\s]{0,}$/,failureMessage:" Invalid Address"});
</script>
</label>
</span><span class="style15 style3">
<textarea name="address" cols="32" rows="3" id="address"></textarea>
</span></td>
</tr>
<tr bgcolor="#993366">
<td height="46" align="right" valign="middle" bgcolor="#FFFFFF"><span class="style19" style="color: #000000">City:</span></td>
<td align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<select name="city" size="1" id="city" >
<option>----select----</option>
<?php
$cityQuery = "select *from mstr_city";
$rsCity = mysql_query($cityQuery);
while($rowCity = mysql_fetch_array($rsCity))
{
?>
<option value="<?php echo $rowCity['city_id']?>"><?php echo $rowCity['city_name']?></option>
<?php }?>
<script type="text/javascript">
var f1 = new LiveValidation('city');
f1.add(Validate.Presence,{failureMessage: "Please enter city name"});
</script>
</select>
</span></td>
</tr>
<tr bgcolor="#993366">
<td align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style19" style="color: #000000">Pin-code:</span></td>
<td align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<input name="pincode" type="text" id="pincode" maxlength="6">
<script type="text/javascript">
var f1 = new LiveValidation('pincode');
f1.add(Validate.Presence,{failureMessage: " It cannot be empty"});
f1.add(Validate.Format,{pattern: /^[0-9]+$/ ,failureMessage: " It allows only numbers"});
f1.add( Validate.Length, { minimum: 6, maximum: 6 } );
</script>
</span></td>
</tr>
<tr bgcolor="#999999">
<td align="right" valign="middle" bgcolor="#FFFFFF">
<span class="style19" style="color: #000000">Contact number: </span>
<td align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<label>
<input type="text" name="contactno" id="contactno" maxlength="12">
<script type="text/javascript">
var f1 = new LiveValidation('contactno');
f1.add(Validate.Presence,{failureMessage: " It cannot be empty"});
f1.add(Validate.Format,{pattern: /^[0-9]+$/ ,failureMessage: " It allows only numbers"});
f1.add( Validate.Length, { minimum: 6, maximum: 12 } );
</script>
</label>
</span></td>
</tr>
<tr bgcolor="#993366">
<td align="right" valign="middle" bgcolor="#FFFFFF"><span class="style19" style="color: #000000">Email-id:</span>
<td align="left" bgcolor="#FFFFFF">
<input name="emailid" type="text" id="emailid" size="35" maxlength="254" />
<script type="text/javascript">
var f1 = new LiveValidation('emailid');
f1.add(Validate.Presence,{failureMessage: " Please enter email-id"});
f1.add( Validate.Email );
</script> </td>
</tr>
<?php /*?><tr bgcolor="#993366">
<td align="right" valign="middle" bgcolor="#FFFFFF"><span class="style3">Choose Id-Proof: </span>
<td colspan="3" align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<select name="idproof" size="1" id="idproof" >
<option value="Election Card">Election Card</option>
<option value="PAN Card">PAN Card</option>
<option value="License Card">License Card</option>
<option value="Electricity Bill">Electricity Bill</option>
<script type="text/javascript">
var f1 = new LiveValidation('idproof');
f1.add(Validate.Presence,{failureMessage: "Please enter identification proof"});
</script>
</select>
</span></td>
</tr>
<tr bgcolor="#993366">
<td align="right" valign="middle" bgcolor="#FFFFFF"><span class="style3">Number of Id-Proof:</span>
<td colspan="3" align="left" bgcolor="#FFFFFF"><span class="style15 style3">
<label>
<input type="text" name="idproofno" id="idproofno" maxlength="12">
<script type="text/javascript">
var f1 = new LiveValidation('idproofno');
f1.add(Validate.Presence,{failureMessage: " It cannot be empty"});
f1.add(Validate.Format,{pattern: /^[0-9]+$/ ,failureMessage: " It allows only numbers"});
f1.add( Validate.Length, { minimum: 6, maximum: 12 } );
</script>
</label>
</span></td>
</tr><?php */?>
</table>
<p> </p>
<input name="reset" type="reset" class="header-button" value="Reset" />
<input name="submit" type="submit" class="header-button" id="submit" value="Submit"/>
<p> </p>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!--footer-->
<div class="footer clear">
<span>crime reporting of kenya © 2016 | <a href="#">Privacy Policy</a></span>
<a href="http://www.joomla.org/">Joomla!</a> is Free Software
released under the GNU/GPL License. <!--{%FOOTER_LINK} -->
</div>
</div>
<!--osc3.template-help.com -->
</body></html>