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119.59.104.17 / www.hrdigest.co.th
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files >> /home/hrdigest/public_html/page_autoform.php
<? // *****Copy right 2003 ,TNS NETWORK LTD.,PART.***** // require("inc/function.php"); if(!empty($_POST[action])){ // Start Program Update And Insert Data Base $a_in = ""; $b_in = ""; $a_up = ""; $fields = array_keys($_POST); for($i = 0; $i < count($fields); $i++){ $actual_var = $fields[$i]; $actual_val = stripslashes($_POST[$actual_var]); $actual_val = addslashes($actual_val); if($actual_var <> "Submit"){ if($actual_var <> "submit"){ if($actual_var <> "action"){ if($actual_var <> "id"){ if($actual_var <> "Code"){ $a_in .= " `$actual_var` ,"; $b_in .= " '$actual_val' ,"; $a_up .= " `$actual_var` = '$actual_val' ,"; $f_mail .= "$actual_var = $actual_val\n"; $create_table .= " `$actual_var` text NULL, "; } } } } } } $a_in = substr($a_in,0,-1); $b_in = substr($b_in,0,-1); $a_up = substr($a_up,0,-1); $fields = array_keys($_FILES); for($i = 0; $i < count($fields); $i++){ $Picture = $fields[$i]; $$Picture = $_FILES[$Picture][tmp_name]; $$Picture_size = $_FILES[$Picture][size]; if(!empty($$Picture)){ $md5 = md5(time() . $Picture); $explode = explode(".", ereg_replace(" ", "", $_FILES[$Picture]["name"])); $$Picture_name = substr($md5, 0, 4) . substr($md5, -4, 4) . "." . strtolower($explode[count($explode) - 1]); if(!empty($images[$Picture])){ @unlink("images/webpage/$images[$Picture]"); } @copy($$Picture , "images/webpage/" . $$Picture_name); $a_in .= " , `$Picture`"; $b_in .= " , '" . $$Picture_name . "'"; $a_up .= " , `$Picture` = '" . $$Picture_name . "'"; $create_table .= " `$Picture` text NULL, "; } } //=====ชื่อเมล์ที่ต้องการส่ง //$to_mail = "sales@siam2design.com"; //=============== $to = $email . ', '; $to .= $to_mail; $subject = "***MEMBER FORM****"; $header = "From: ". $to_mail . " <" . $to_mail . ">\r\n"; //optional headerfields //mail($to , $subject ,$f_mail,$header); $a_date = date("Y:m:d"); // 1. สำหรับสร้าง Table ใหม่ // ขึ้นต้น ด้วย form_ และตามด้วยชื่อที่ต้องการตั้ง $tb = "form_member"; mysql_query("CREATE TABLE `$tb` ( `id` int(10) NOT NULL auto_increment, $create_table `a_date` DATE NOT NULL , PRIMARY KEY (`id`)) ENGINE=MyISAM DEFAULT CHARSET=utf8 AUTO_INCREMENT=1"); // 2. สำหรับ เพิ่มข้อมูลลงดาต้าเบส echo ("Insert Into `$tb` (`id`, $a_in , `a_date` ) Values ( '', $b_in , '$a_date' )"); mysql_query("Insert Into `$tb` (`id`, $a_in , `a_date` ) Values ( '', $b_in , '$a_date' )"); } $text = "ABCDEFGHIJKLMNOPQRSTUVWXYZ123456789"; $A = ""; $_SESSION[Code1] = ""; $_SESSION[Code2] = ""; for($M=0;$M<6;$M++){ $A = rand(34,1); $_SESSION[Code1] .= $text[$A] . " "; $_SESSION[Code2] .= $text[$A]; } //echo $_SESSION["Code2"]; ?> <html> <head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <link href="index.css" rel="stylesheet" type="text/css"> <script language="JavaScript" src="check_form.js"></script> <style type="text/css"> <!-- .style1 {font-size: 18px} --> </style> </head> <body > <? if (empty($_POST[action])) { ?> <form name="form2" method="post" action="" enctype="multipart/form-data" onSubmit="return check_form3(this)"> <table width="100%" border="0" align="center" cellpadding="0" cellspacing="0" class="main"> <tr> <td> <div class="fb-form-header" id="fb-form-header1"> <a class="fb-link-logo" id="fb-link-logo1" style="max-width: 104px;" target="_blank"><img title="Alternative text" class="fb-logo" id="fb-logo1" style="width: 100%; display: none;" alt="Alternative text" src="common/images/image_default.png"/></a> </div> <div class="section" id="section1"> <div class="column ui-sortable" id="column1"> <div class="fb-item fb-100-item-column" id="item1" style="opacity: 1;"> <div class="fb-header fb-item-alignment-center"> <h2 style="font-size: 18px; display: inline;"> Questions that require an answer are marked with/คำถามที่ขอให้ตอบ * </h2> </div> </div> <div class="fb-item fb-100-item-column" id="item4"> <div class="fb-header"> <h2 style="font-size: 14px; display: inline;"> ALUMNI ACCOUNT DETAILS </h2> </div> </div> <div class="fb-item fb-33-item-column" id="item6"> <div class="fb-grouplabel"> <label id="item6_label_0" style="font-weight: normal; display: inline;">Login Name:</label> </div> <div class="fb-input-box"> <input name="user_id" id="item6_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item7"> <div class="fb-grouplabel"> <label id="item7_label_0" style="font-weight: normal; display: inline;">Password:</label> </div> <div class="fb-input-box"> <input name="pass" id="item7_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item8"> <div class="fb-grouplabel"> <label id="item8_label_0" style="font-weight: normal; display: inline;">Confirm Password</label> </div> <div class="fb-input-box"> <input name="pass_confirm" id="item8_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-100-item-column" id="item9"> <div class="fb-header"> <h2 style="font-size: 14px; display: inline;"> PERSONAL DETAILS </h2> </div> </div> <div class="fb-item fb-33-item-column" id="item10"> <div class="fb-grouplabel"> <label id="item10_label_0" style="font-weight: normal; display: inline;">Title/คำนำหน้า *</label> </div> <div class="fb-input-box"> <input name="Title" id="item10_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item11"> <div class="fb-grouplabel"> <label id="item11_label_0" style="font-weight: normal; display: inline;">First name(s)/ ชื่อ *</label> </div> <div class="fb-input-box"> <input name="U_name" id="item11_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item12"> <div class="fb-grouplabel"> <label id="item12_label_0" style="font-weight: normal; display: inline;">Last name/นามสกุล *</label> </div> <div class="fb-input-box"> <input name="Last_name" id="item12_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item54"> <div class="fb-grouplabel"> <label id="item54_label_0" style="font-weight: normal; display: inline;">ชื่อภาษาอังกฤษ</label> </div> <div class="fb-input-box"> <input name="U_nameEng" id="item54_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item55"> <div class="fb-grouplabel"> <label id="item55_label_0" style="font-weight: normal; display: inline;">นามสกุลภาษาอังกฤษ</label> </div> <div class="fb-input-box"> <input name="U_surEng" id="item55_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item13"> <div class="fb-grouplabel"> <label id="item13_label_0" style="font-weight: normal; display: inline;">Middle Name/ชื่อกลาง</label> </div> <div class="fb-input-box"> <input name="U_Middle_name" id="item13_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item56"> <div class="fb-grouplabel"> <label id="item56_label_0" style="font-weight: normal; display: inline;">ชื่อเดิม</label> </div> <div class="fb-input-box"> <input name="text56" id="item56_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item57"> <div class="fb-grouplabel"> <label id="item57_label_0" style="font-weight: normal; display: inline;">นามสกุลเดิม</label> </div> <div class="fb-input-box"> <input name="U_surold" id="item57_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item14"> <div class="fb-grouplabel"> <label id="item14_label_0" style="font-weight: normal; display: inline;">Date of birth /วัน/เดือน/ปีเกิด</label> </div> <div class="fb-input-date"> <input name="birth_day" class="datepicker" id="item14_date_1" type="text" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item17"> <div class="fb-grouplabel"> <label id="item17_label_0" style="font-weight: normal; display: inline;">Previous name at graduation (if different )/</label> </div> <div class="fb-input-box"> <input name="Previous_name" id="item17_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item18"> <div class="fb-grouplabel"> <label id="item18_label_0" style="font-weight: normal; display: inline;">Previous Last name (if different )/</label> </div> <div class="fb-input-box"> <input name="Previous_Last_name" id="item18_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item19"> <div class="fb-grouplabel"> <label id="item19_label_0" style="font-weight: normal; display: inline;">Previous Middle name at graduation</label> </div> <div class="fb-input-box"> <input name="Previous_Middle_name" id="item19_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item60" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item60_label_0" style="font-weight: normal; display: inline;">เลขบัตรประชาชน</label> </div> <div class="fb-input-box"> <input name="IdCard" id="item60_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item16" style="padding-bottom: 10px; opacity: 1;"> <div class="fb-grouplabel"> <label id="item16_label_0" style="font-weight: normal; display: inline;">Gender/เพศ</label> </div> <div class="fb-dropdown"> <select name="U_sex" id="item16_select_1" data-hint=""> <option id="item16_0_option" selected value="Male"> Male </option> <option id="item16_1_option" value="Female"> Female </option> </select> </div> </div> <div class="fb-item fb-33-item-column" id="item65"> <div class="fb-grouplabel"> <label id="item65_label_0">วันกิด</label> </div> <div class="fb-input-date"> <input name="U_birth" class="datepicker" id="item65_date_1" type="text" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item66"> <div class="fb-grouplabel"> <label id="item66_label_0" style="font-weight: normal; display: inline;">จังหวัดเกิด</label> </div> <div class="fb-input-box"> <input name="text66" id="item66_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-100-item-column" id="item20" style="opacity: 1;"> <div class="fb-header"> <h2 style="font-size: 14px; display: inline;"> ADDRESS </h2> </div> </div> <div class="fb-item fb-50-item-column" id="item23"> <div class="fb-grouplabel"> <label id="item23_label_0" style="font-weight: normal; display: inline;">Present address/บ้านเลขที่</label> </div> <div class="fb-input-box"> <input name="HomeNo" id="item23_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-25-item-column" id="item67" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item67_label_0" style="font-weight: normal; display: inline;">Soi/ซอย</label> </div> <div class="fb-input-box"> <input name="text67" id="item67_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-25-item-column" id="item24"> <div class="fb-grouplabel"> <label id="item24_label_0" style="font-weight: normal; display: inline;">Moo/หมู่ที่</label> </div> <div class="fb-input-box"> <input name="Moo" id="item24_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item25"> <div class="fb-grouplabel"> <label id="item25_label_0" style="font-weight: normal; display: inline;">Road/ถนน</label> </div> <div class="fb-input-box"> <input name="HomeRoad" id="item25_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item34"> <div class="fb-grouplabel"> <label id="item34_label_0" style="font-weight: normal; display: inline;">City/Amphur/อําเภอ/เขต</label> </div> <div class="fb-input-box"> <input name="HomeAmphur" id="item34_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item35" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item35_label_0" style="font-weight: normal; display: inline;">District /ตําบล/แขวง</label> </div> <div class="fb-input-box"> <input name="HomeTumbon" id="item35_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item36"> <div class="fb-grouplabel"> <label id="item36_label_0" style="font-weight: normal; display: inline;">Province/ จังหวัด</label> </div> <div class="fb-input-box"> <input name="HomeProvince" id="item36_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item37"> <div class="fb-grouplabel"> <label id="item37_label_0" style="font-weight: normal; display: inline;">Post code/ รหัสไปรษณีย์</label> </div> <div class="fb-input-box"> <input name="HomePostcode" id="item37_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item38"> <div class="fb-grouplabel"> <label id="item38_label_0" style="font-weight: normal; display: inline;">Country/ประเทศ</label> </div> <div class="fb-input-box"> <input name="Country" id="item38_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item68" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item68_label_0" style="font-weight: normal; display: inline;">Email/อีเมลล์</label> </div> <div class="fb-input-box"> <input name="Email" id="item68_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item41" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item41_label_0" style="font-weight: normal; display: inline;">Phone Number</label> </div> <div class="fb-input-box"> <input name="Phone_Number" id="item41_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item40"> <div class="fb-grouplabel"> <label id="item40_label_0" style="font-weight: normal; display: inline;">Mobile Number</label> </div> <div class="fb-input-box"> <input name="Mobile_Number" id="item40_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-100-item-column" id="item42" style="opacity: 1;"> <div class="fb-header"> <h2 style="font-size: 14px; display: inline;"> Education </h2> </div> </div> <div class="fb-item fb-50-item-column" id="item69" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item69_label_0" style="font-weight: normal; display: inline;">มหาวิทยาลัย</label> </div> <div class="fb-input-box"> <input name="text69" id="item69_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item70" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item70_label_0" style="font-weight: normal; display: inline;">University</label> </div> <div class="fb-input-box"> <input name="UniversityEN" id="item70_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item43"> <div class="fb-grouplabel"> <label id="item43_label_0" style="font-weight: normal; display: inline;">Matriculation or start year/ปีที่เข้าศึกษา</label> </div> <div class="fb-input-box"> <input name="StartYear" id="item43_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item44"> <div class="fb-grouplabel"> <label id="item44_label_0" style="font-weight: normal; display: inline;">Graduation or End year /ปีที่สำเร็จการศึกษา</label> </div> <div class="fb-input-box"> <input name="GraduateYear" id="item44_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item46" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item46_label_0" style="font-weight: normal; display: inline;">Degree Level / ระดับการศึกษา*</label> </div> <div class="fb-dropdown"> <select name="LevelStudy" id="item46_select_1" required data-hint=""> <option id="item46_0_option" selected value=""> Choose one </option> <option id="item46_1_option" value="Bachelor Degree / ป. ตรี"> Bachelor Degree / ป. ตรี </option> <option id="item46_2_option" value="Option 2"> Option 2 </option> <option id="item46_3_option" value="Option 3"> Option 3 </option> <option id="item46_4_option" value="Higher Graduate Diploma/ประกาศนียบัตรชั้นสูง"> Higher Graduate Diploma/ประกาศนียบัตรชั้นสูง </option> </select> </div> </div> <div class="fb-item fb-50-item-column" id="item45"> <div class="fb-grouplabel"> <label id="item45_label_0" style="font-weight: normal; display: inline;">Student ID รหัสนักศึกษา*</label> </div> <div class="fb-input-box"> <input name="Student_ID" id="item45_text_1" required type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item47"> <div class="fb-grouplabel"> <label id="item47_label_0" style="font-weight: normal; display: inline;">คณะ/สถาบัน/วิทยาลัย/ศูนย์ *</label> </div> <div class="fb-dropdown"> <select name="FacultyTH" id="item47_select_1" required data-hint=""> <option id="item47_0_option" selected value=""> Choose one </option> <option id="item47_1_option" value="Option 1"> Option 1 </option> <option id="item47_2_option" value="Option 2"> Option 2 </option> <option id="item47_3_option" value="Option 3"> Option 3 </option> </select> </div> </div> <div class="fb-item fb-50-item-column" id="item74"> <div class="fb-grouplabel"> <label id="item74_label_0" style="font-weight: normal; display: inline;">Faculties/ Institutes/ Colleges/ Centers </label> </div> <div class="fb-dropdown"> <select name="FacultyEN" id="item74_select_1" required data-hint=""> <option id="item74_0_option" selected value=""> Choose one </option> <option id="item74_1_option" value="Option 1"> Option 1 </option> <option id="item74_2_option" value="Option 2"> Option 2 </option> <option id="item74_3_option" value="Option 3"> Option 3 </option> </select> </div> </div> <div class="fb-item fb-50-item-column" id="item73"> <div class="fb-grouplabel"> <label id="item73_label_0">สาขา</label> </div> <div class="fb-input-box"> <input name="BranchTH" id="item73_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item75"> <div class="fb-grouplabel"> <label id="item75_label_0" style="font-weight: normal; display: inline;">สาขา Eng</label> </div> <div class="fb-input-box"> <input name="text75" id="item75_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item76"> <div class="fb-grouplabel"> <label id="item76_label_0" style="font-weight: normal; display: inline;">ชื่อปริญญา</label> </div> <div class="fb-input-box"> <input name="DegreeTH" id="item76_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-50-item-column" id="item77"> <div class="fb-grouplabel"> <label id="item77_label_0" style="font-weight: normal; display: inline;">ชื่อปริญญา Eng</label> </div> <div class="fb-input-box"> <input name="text77" id="item77_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-100-item-column" id="item48" style="opacity: 1;"> <div class="fb-header"> <h2 style="font-size: 14px; display: inline;"> Occupation </h2> </div> </div> <div class="fb-item fb-33-item-column" id="item50"> <div class="fb-grouplabel"> <label id="item50_label_0" style="font-weight: normal; display: inline;">Employer Name/ชื่อสถานทีทำงาน</label> </div> <div class="fb-input-box"> <input name="Employer_Name" id="item50_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item51"> <div class="fb-grouplabel"> <label id="item51_label_0" style="font-weight: normal; display: inline;">Employer City/ ชื่อสถานทีทำงาน</label> </div> <div class="fb-input-box"> <input name="Employer_City" id="item51_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item52"> <div class="fb-grouplabel"> <label id="item52_label_0" style="font-weight: normal; display: inline;">Employer Country/ ประเทศทีทำงาน</label> </div> <div class="fb-input-box"> <input name="Employer_Country" id="item52_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item49" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item49_label_0" style="font-weight: normal; display: inline;">ประเภทอาชีพ</label> </div> <div class="fb-input-box"> <input name="Occupation" id="item49_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item78"> <div class="fb-grouplabel"> <label id="item78_label_0" style="font-weight: normal; display: inline;">ประเภทตำแหน่ง</label> </div> <div class="fb-input-box"> <input name="text78" id="item78_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item79"> <div class="fb-grouplabel"> <label id="item79_label_0" style="font-weight: normal; display: inline;">กลุ่มอาชีพ</label> </div> <div class="fb-input-box"> <input name="text79" id="item79_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item80"> <div class="fb-grouplabel"> <label id="item80_label_0" style="font-weight: normal;">ตำแหน่ง</label> </div> <div class="fb-input-box"> <input name="JobPosition" disabled id="item80_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item81"> <div class="fb-grouplabel"> <label id="item81_label_0" style="font-weight: normal; display: inline;">สถานที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="text81" id="item81_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item82"> <div class="fb-grouplabel"> <label id="item82_label_0" style="font-weight: normal; display: inline;">ที่อยูที่ทำงาน เลขที่</label> </div> <div class="fb-input-box"> <input name="text82" id="item82_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item84"> <div class="fb-grouplabel"> <label id="item84_label_0" style="font-weight: normal; display: inline;">ซอย ที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="WorkSoi" id="item84_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item85"> <div class="fb-grouplabel"> <label id="item85_label_0" style="font-weight: normal; display: inline;">ถนน ที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="text85" id="item85_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item86" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item86_label_0" style="font-weight: normal; display: inline;">หมู่ ที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="text86" id="item86_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item87"> <div class="fb-grouplabel"> <label id="item87_label_0" style="font-weight: normal; display: inline;">ตำบล/แขวง ที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="text87" id="item87_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item88"> <div class="fb-grouplabel"> <label id="item88_label_0" style="font-weight: normal; display: inline;">อำเภอ/เขต ที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="text88" id="item88_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item89"> <div class="fb-grouplabel"> <label id="item89_label_0" style="font-weight: normal; display: inline;">จังหวัด ที่ทำงาน</label> </div> <div class="fb-input-box"> <input name="WorkProvince" id="item89_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-33-item-column" id="item90"> <div class="fb-grouplabel"> <label id="item90_label_0" style="font-weight: normal; display: inline;">รหัสไปรษณีย์</label> </div> <div class="fb-input-box"> <input name="WorkPostcode" id="item90_text_1" type="text" maxlength="254" placeholder="" autocomplete="off" data-hint="" /> </div> </div> <div class="fb-item fb-100-item-column fb-one-column" id="item53" style="opacity: 1;"> <div class="fb-grouplabel"> <label id="item53_label_0" style="color: rgb(153, 153, 153); display: none;"></label> </div> <div class="fb-checkbox" style="color: rgb(117, 117, 117);"> <label id="item53_0_label"><input name="update_resume[]" id="item53_0_checkbox" type="checkbox" data-hint="" value="อัพเดทประวัติส่วนตัว เพื่อบันทึกข้อมูลของท่านไว้ที่ฐานข้อมูลมหาวิทยาลัยมหิดล" /><span class="fb-fieldlabel" id="item53_0_span">อัพเดทประวัติส่วนตัว เพื่อบันทึกข้อมูลของท่านไว้ที่ฐานข้อมูลมหาวิทยาลัยมหิดล</span></label> <label id="item53_1_label"><input name="update_resume[]" id="item53_1_checkbox" type="checkbox" value="สมัครสมาชิก สมาคมศิษย์เก่ามหาวิทยาลัยมหิดล ในพระบรมราชูปถัมภ์ โดยท่านสามารถอ่านสิทธิประโยชน์และค่าธรรมเนียมเพิ่มเติมได้ที่นี่" /><span class="fb-fieldlabel" id="item53_1_span">สมัครสมาชิก สมาคมศิษย์เก่ามหาวิทยาลัยมหิดล ในพระบรมราชูปถัมภ์ โดยท่านสามารถอ่านสิทธิประโยชน์และค่าธรรมเนียมเพิ่มเติมได้ที่นี่</span></label> </div> </div> </div> </div> <div class="fb-captcha fb-item-alignment-center" id="fb-captcha_control" style="display: none; cursor: default;"> <img src="editordata/images/recaptchawhite.png" /> </div> <div class="fb-footer fb-item-alignment-center" id="fb-submit-button-div" style="min-height: 1px;"> <input class="fb-button-special" id="fb-submit-button" style="background-image: url('theme/default/images/btn_submit.png');" type="submit" data-regular="url('/theme/default/images/btn_submit.png')" value="Submit" /><input name="action" type="hidden" id="action" value="ok"> </div> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td><div align="center"> <input type="submit" name="Submit" value=" Submit "> <input name="action" type="hidden" id="action" value="ok"> </div></td> </tr> <tr> <td> </td> </tr> </table></td> </tr> </table> </form> <? } else { ?> <table width="100%" border="0" align="center" cellpadding="0" cellspacing="0" class="bmx"> <tr> <td height="280" align="center"><strong class="main1">Thank you.</strong><br> <br> <input name="Button" type="button" class="main1" id="Button" onClick="window.history.back();" value=" Back "> </td> </tr> </table> <p> <? } ?> </p> </body> </html>
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