{"id":490,"date":"2015-01-10T02:53:05","date_gmt":"2015-01-09T17:53:05","guid":{"rendered":"http:\/\/www.kummooyeh.org\/?page_id=490"},"modified":"2020-03-23T21:02:54","modified_gmt":"2020-03-23T12:02:54","slug":"ibp-registration","status":"publish","type":"page","link":"https:\/\/hapkimooyeh.org\/?page_id=490","title":{"rendered":"IBP\/ITP\/MTP Application"},"content":{"rendered":"<style type=\"text\/css\">\n\n    .main_container_form\n    {\n        display: inline-block !important;\n        width: 100% !important;\n    }\n    .cb_form_wrapper\n    {\n        overflow: inherit;\n        margin: 10px 0;\n        max-width: 98%\n    }\n\t.label_control\n    {\n        font-family: inherit !important;\n        color: #000000 !important;\n                        font-weight: normal !important;\n                    \tfloat: none !important;\n            \ttext-align: left !important;\n            \t        font-size: 16px !important;\n        \n        display: inline-block !important;\n        direction: inherit !important;\n    }\n    .input_control\n\t{\n\t\t\n\t\tfont-family: inherit !important;\n\t\tcolor: #000000 !important;\n\t\t\t\t\t\tfont-weight: normal !important;\n\t\t\t\tbackground-color: #ffffff !important;\n\t\tfont-size: 14px !important;\n\t\tborder: 1px solid#e5e5e5  !important;\n\t\tborder-radius: 0px !important;\n\t\t-moz-border-radius: 0px !important;\n\t\t-webkit-border-radius: 0px !important;\n\t\t-khtml-border-radius: 0px !important;\n\t\t-o-border-radius: 0px !important;\n\t\ttext-align: left !important;\n\t\tdirection: inherit !important;\n\t}\n\t.layout_according_label_position\n\t{\n\t\t        \tmargin-left: 0px !important;\n        \t\t}\n\t.field_description\n\t{\n\t\tfont-family: inherit !important;\n\t\tfont-style: italic !important;\n\t\tcolor: #000000 !important;\n\t\t\t\t\tfont-weight: normal !important;\n\t\t\t\tfont-size: 11px !important;\n\t\ttext-align: left !important; \n\t}\n\t.btn_submit\n\t{\n\t\t\t\t\tfont-weight: normal !important;\n\t\t\t\theight:30px !important;\n\t\tfont-family: inherit !important;\n\t\tfont-size: 12px !important;\n\t\twidth: 110px !important;\n\t\tbackground-color: #B8B8B8 !important;\n\t\tcolor: #000000 !important;\n\t\tborder: 1px Solid#B8B8B8  !important;\n\t\tborder-radius: 2px !important;\n\t\t-moz-border-radius: 2px !important;\n\t\t-webkit-border-radius: 2px !important;\n\t\t-khtml-border-radius: 2px !important;\n\t\t-o-border-radius: 2px !important;\n\t\ttext-align: left !important;\n\t\tdirection: inherit !important;\n\t}\n\t.btn_submit:hover\n\t{\n\t\tbackground-color: #e5e5e5 !important;\n\t}\n\t.success_message\n\t{\n\t\t\n\t\tbackground-color: #e5ffd5 !important;\n\t\tborder: 2px Solid #e5ffd5  !important;\n\t\tcolor: #6aa500 !important;\n\t\ttext-align: left !important;\n\t\tdirection: inherit !important;\n\t\tbackground: url(https:\/\/hapkimooyeh.org\/wp-content\/plugins\/contact-bank-eco-edition\/assets\/images\/icons\/icon-succes.png) no-repeat 1px 8px #EBF9E2;\n\t}\n\t.sucess_message_text\n\t{\n\t\tfont-family: inherit !important;\n\t\tfont-size: 12px !important;\n\t}\n\tlabel.error_field\n\t{\n\t\tfont-family: inherit !important;\n\t\tfont-size: 12px !important;\n\t\tbackground-color: #ffcaca !important;\n\t\tborder: 2px Solid #ffcaca  !important;\n\t\tcolor: #ff2c38 !important;\n\t\ttext-align: left !important;\n\t\tdirection: inherit !important;\n\t\t\t}\n\t.error_field_required \n\t{\n\t color: #b94a48 !important;\n\t display: inline-block;\n\t margin-left: 5px;\n\t}\n<\/style>\n<div class=\"cb_form_wrapper\" id=\"cb_form_wrapper_2\">\n    <form id=\"ux_frm_front_end_form_2\" method=\"post\" action=\"#\" class=\"layout-form\">\n    \t<div class=\"fluid-layout\">\n\t\t\t<div class=\"layout-span12\">\n\t\t\t\t<div id=\"form_success_message_frontend\" class=\"message success_message\" style=\"display: none;margin-bottom: 10px;\">\n\t\t\t\t\t<span class=\"sucess_message_text\" >\n\t\t\t\t\t\t<strong>Thank you!\n\nA confirmation email will be sent to your email soon. If you do not receive it within 10 minutes, please contact us as your application may not be submitted correctly.\n\nRedirecting to the payment page...<\/strong>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div id=\"form_error_message_frontend\" class=\"message red\" style=\"display: none;margin-bottom: 10px;\">\n\t\t\t\t\t<span class=\"sucess_message_text\" >\n\t\t\t\t\t\t<strong id=\"captcha_error_message\"><\/strong>\n\t\t\t\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"widget-layout\">\n\t\t\t\t\t<div class=\"widget-layout-title\">\n\t\t\t\t\t\t<h4><\/h4>\n\t\t\t\t\t<\/div>\n\t\t\t  \t\t<div style=\"margin-left: 15px;\" class=\"layout-control-group\">\n\t\t\t  \t\t\t<span><\/span>\n\t\t\t  \t\t<\/div>\n\t\t\t\t\t\t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tProgram Level :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position hovertip\" data-original-title=\"Please select program.\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t                                <input  type=\"radio\" class=\"hovertip\" id=\"ux_rdl_control_7489\"\n\t\t\t\t\t\t\t                                       name=\"76480_rdl\"\n\t\t\t\t\t\t\t                                       value =\"IBP\" \/>\n\t\t\t\t\t\t\t                                <label style=\"margin:0px;vertical-align: middle;\" id=\"rdl_id_7489\">\n\t\t\t\t\t\t\t                                    IBP\t\t\t\t\t\t\t                                <\/label>\n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                            \t\t\t\t\t\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t                                <input  type=\"radio\" class=\"hovertip\" id=\"ux_rdl_control_3469\"\n\t\t\t\t\t\t\t                                       name=\"76480_rdl\"\n\t\t\t\t\t\t\t                                       value =\"ITP\" \/>\n\t\t\t\t\t\t\t                                <label style=\"margin:0px;vertical-align: middle;\" id=\"rdl_id_3469\">\n\t\t\t\t\t\t\t                                    ITP\t\t\t\t\t\t\t                                <\/label>\n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                            \t\t\t\t\t\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t                                <input  type=\"radio\" class=\"hovertip\" id=\"ux_rdl_control_1458\"\n\t\t\t\t\t\t\t                                       name=\"76480_rdl\"\n\t\t\t\t\t\t\t                                       value =\"MTP\" \/>\n\t\t\t\t\t\t\t                                <label style=\"margin:0px;vertical-align: middle;\" id=\"rdl_id_1458\">\n\t\t\t\t\t\t\t                                    MTP\t\t\t\t\t\t\t                                <\/label>\n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                            \t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tCountry :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t                          \t <div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t                             <select class=\"hovertip input_control layout-span6\" type=\"select\" id=\"ux_select_default_8599\"\n\t\t\t\t                                    data-original-title=\"\"\n\t\t\t\t                                    name=\"ux_select_default_8599\">\n\t\t\t\t                                <option value=\"\">Select Option<\/option>\n\t\t\t\t                                \t\t\t\t                                    \t<option value=\"Argentina\">Argentina<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Australia\">Australia<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Austria\">Austria<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Belgium\">Belgium<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Brazil\">Brazil<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Canada\">Canada<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Chile\">Chile<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"China\">China<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Colombia\">Colombia<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Denmark\">Denmark<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Ethiopia\">Ethiopia<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Finland\">Finland<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"France\">France<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Germany\">Germany<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Greece\">Greece<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Hong Kong\">Hong Kong<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Hungary\">Hungary<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"India\">India<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Iran\">Iran<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Ireland\">Ireland<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Israel\">Israel<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Italy\">Italy<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Japan\">Japan<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Malaysia\">Malaysia<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Mexico\">Mexico<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Morocco\">Morocco<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Netherlands\">Netherlands<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"New Zealand\">New Zealand<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Norway\">Norway<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Pakistan\">Pakistan<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Panama\">Panama<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Philippines\">Philippines<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Poland\">Poland<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Portugal\">Portugal<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Puerto Rico\">Puerto Rico<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Singapore\">Singapore<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"South Korea\">South Korea<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Sweden\">Sweden<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Switzerland\">Switzerland<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"Turkey\">Turkey<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"United Arab Emirates\">United Arab Emirates<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"United Kingdom\">United Kingdom<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"United States\">United States<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"(not listed)\">(not listed)<\/option>\n\t\t\t\t                                \t\t\t\t\t                            <\/select>\n\t\t\t\t                            <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tCountry :\t\t                       <\/label>\n\t                        \t\t\t\t                             <div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t                            <input class=\"hovertip input_control layout-span6\"\n\t\t\t\t\t                                   type=\"text\"  id=\"ux_txt_control_56023\"\n\t\t\t\t\t                                   name=\"ux_txt_control_56023\"\n\t\t\t\t\t                                   data-original-title=\"\"\n\t\t\t\t\t                                   placeholder=\"\"\n\t\t\t\t\t                                   data-alpha=\"0\"\n\t\t\t\t\t                                   data-alpha_num=\"0\"\n\t\t\t\t\t                                   data-digit=\"0\"\n\t\t\t\t\t                                   data-strip=\"0\"\n\t\t\t\t\t                                   data-trim=\"0\"\n\t\t\t\t\t                                   onkeypress=\"impliment_filters(event,this.id,56023);\"\n\t\t\t\t\t                                   onfocus=\"prevent_paste(this.id);\"\/>\n\t\t\t\t\t                                   <br\/>\n\t\t\t\t\t                                   <span class=\"field_description\" id=\"txt_description_\">If your country does not appear on the above list, please enter your country here.<\/span>\n\t\t\t\t\t                         <\/div>\n\t\t\t\t\t\t                    \n\t\t\t\t                            \t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tName in Full :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t\t                            <input class=\"hovertip input_control layout-span6\"\n\t\t\t\t\t\t                                   type=\"text\"  id=\"ux_txt_name_control_38263\"\n\t\t\t\t\t\t                                   name=\"ux_txt_name_control_38263\"\n\t\t\t\t\t\t                                   data-original-title=\"\"\n\t\t\t\t\t\t                                   placeholder=\"Full name for the certificate and black belt\"\n\t\t\t\t\t\t                                   onfocus=\"prevent_paste(this.id);\"\/>\n\t\t\t\t\t\t                         <br\/>\n\t\t\t\t\t                            <span class=\"field_description\" id=\"txt_description_\">The name that you type here will be printed on the certificate and black belt.<\/span>          \n\t\t\t\t\t\t                        <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tPhone :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t                             <input class=\"hovertip input_control layout-span6\"\n\t\t\t\t\t                                   type=\"text\"  id=\"ux_txt_phone_control_66169\"\n\t\t\t\t\t                                   name=\"ux_txt_phone_control_66169\"\n\t\t\t\t\t                                   data-original-title=\"\"\n\t\t\t\t\t                                   placeholder=\"\"\n\t\t\t\t\t                                   onfocus=\"prevent_paste(this.id);\" onkeypress=\"return OnlyNumbers_phone(event)\"\/>\n\t\t\t\t                                  <br\/>\n\t\t\t\t\t                            <span class=\"field_description\" id=\"txt_description_\"><\/span>          \n\t\t\t\t\t\t                        <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tAddress :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t                            \t<textarea class=\"hovertip input_control layout-span6\" id=\"ux_txt_address_control_2422\"\n\t\t\t\t\t                                      placeholder=\"\" name=\"ux_txt_address_control_2422\"\n\t\t\t\t\t                                      onfocus=\"prevent_paste(this.id);\" data-original-title=\"\"><\/textarea>\n\t\t\t\t\t                            <br\/>\n\t\t\t\t\t                            <span class=\"field_description\" id=\"txt_description_\">The package will be sent to this address.<\/span>          \n\t\t\t\t\t\t                        <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tPostcode :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t                             <div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t                            <input class=\"hovertip input_control layout-span6\"\n\t\t\t\t\t                                   type=\"text\"  id=\"ux_txt_control_89308\"\n\t\t\t\t\t                                   name=\"ux_txt_control_89308\"\n\t\t\t\t\t                                   data-original-title=\"\"\n\t\t\t\t\t                                   placeholder=\"postcode\"\n\t\t\t\t\t                                   data-alpha=\"0\"\n\t\t\t\t\t                                   data-alpha_num=\"0\"\n\t\t\t\t\t                                   data-digit=\"0\"\n\t\t\t\t\t                                   data-strip=\"0\"\n\t\t\t\t\t                                   data-trim=\"0\"\n\t\t\t\t\t                                   onkeypress=\"impliment_filters(event,this.id,89308);\"\n\t\t\t\t\t                                   onfocus=\"prevent_paste(this.id);\"\/>\n\t\t\t\t\t                                   <br\/>\n\t\t\t\t\t                                   <span class=\"field_description\" id=\"txt_description_\"><\/span>\n\t\t\t\t\t                         <\/div>\n\t\t\t\t\t\t                    \n\t\t\t\t                            \t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tDate of Birth :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t\t                            <select class=\"hovertip input_control layout-span2\" id=\"ux_ddl_select_day_67796\"\n\t\t\t\t\t\t                            \tdata-original-title=\"\" \n\t\t\t\t\t\t                            \ttype=\"date1\" name=\"ux_ddl_select_day_67796\">\n\t\t\t\t\t\t                                <option value=\"\" selected=\"selected\">Day<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option selected=\"selected\" value=\"1\">01<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\">02<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"3\">03<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"4\">04<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"5\">05<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"6\">06<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"7\">07<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"8\">08<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"9\">09<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=10>10<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=11>11<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=12>12<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=13>13<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=14>14<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=15>15<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=16>16<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=17>17<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=18>18<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=19>19<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=20>20<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=21>21<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=22>22<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=23>23<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=24>24<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=25>25<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=26>26<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=27>27<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=28>28<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=29>29<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=30>30<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=31>31<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/select>\n\t\t\t\t\t\t                            <select class=\"hovertip input_control layout-span4\" id=\"ux_ddl_select_month_67796\" \n\t\t\t\t\t\t                            \tname=\"ux_ddl_select_month_67796\" \n\t\t\t\t\t\t                            \ttype=\"date1\" onchange=\"current_year_leap_check(67796);\">\n\t\t\t\t\t\t                                <option value=\"\">Select Month<\/option>\n\t\t\t\t\t\t                                <option value=\"1\">January<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"2\">February<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"3\">March<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"4\">April<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"5\">May<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"6\">June<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"7\">July<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"8\">August<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"9\">September<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"10\">October<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"11\">November<\/option>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<option value=\"12\">December<\/option>\n\t\t\t\t\t\t                            <\/select>\n\t\t\t\t\t\t                            <select class=\"hovertip input_control layout-span2\" id=\"ux_ddl_select_year_67796\" \n\t\t\t\t\t\t                            \tname=\"ux_ddl_select_year_67796\" \n\t\t\t\t\t\t                            \ttype=\"date1\" onchange=\"current_year_leap_check(67796);\">\n\t\t\t\t\t\t                                <option value=\"\" selected=\"selected\">Year<\/option>\n\t\t\t\t\t\t                            <\/select>\n\t\t\t\t\t\t                           <br\/>\n\t\t\t\t\t                            <span class=\"field_description\" id=\"txt_description_\"><\/span>\n\t\t\t\t\t\t                       \n\t\t\t\t\t\t                        <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tEmail :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t\t                            <input class=\"hovertip input_control layout-span6\"\n\t\t\t\t\t\t                                   type=\"text\"  id=\"ux_txt_email_15053\"\n\t\t\t\t\t\t                                   name=\"ux_txt_email_15053\"\n\t\t\t\t\t\t                                   data-original-title=\"\"\n\t\t\t\t\t\t                                   placeholder=\"\"\n\t\t\t\t\t\t                                   onfocus=\"prevent_paste(this.id);\"\/>\n\t\t\t\t\t\t                                 <br\/>\n\t\t\t\t\t                                   <span class=\"field_description\" id=\"txt_description_\"><\/span>\n\t\t\t\t\t                           <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tDojang \/ Club Name :\t\t                       <\/label>\n\t                        \t\t\t\t                             <div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t                            <input class=\"hovertip input_control layout-span6\"\n\t\t\t\t\t                                   type=\"text\"  id=\"ux_txt_control_72331\"\n\t\t\t\t\t                                   name=\"ux_txt_control_72331\"\n\t\t\t\t\t                                   data-original-title=\"\"\n\t\t\t\t\t                                   placeholder=\"\"\n\t\t\t\t\t                                   data-alpha=\"0\"\n\t\t\t\t\t                                   data-alpha_num=\"0\"\n\t\t\t\t\t                                   data-digit=\"0\"\n\t\t\t\t\t                                   data-strip=\"0\"\n\t\t\t\t\t                                   data-trim=\"0\"\n\t\t\t\t\t                                   onkeypress=\"impliment_filters(event,this.id,72331);\"\n\t\t\t\t\t                                   onfocus=\"prevent_paste(this.id);\"\/>\n\t\t\t\t\t                                   <br\/>\n\t\t\t\t\t                                   <span class=\"field_description\" id=\"txt_description_\"><\/span>\n\t\t\t\t\t                         <\/div>\n\t\t\t\t\t\t                    \n\t\t\t\t                            \t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tDojang \/ Club Address :\t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t\t                            \t<textarea class=\"hovertip input_control layout-span6\" id=\"ux_txt_address_control_94976\"\n\t\t\t\t\t                                      placeholder=\"\" name=\"ux_txt_address_control_94976\"\n\t\t\t\t\t                                      onfocus=\"prevent_paste(this.id);\" data-original-title=\"\"><\/textarea>\n\t\t\t\t\t                            <br\/>\n\t\t\t\t\t                            <span class=\"field_description\" id=\"txt_description_\"><\/span>          \n\t\t\t\t\t\t                        <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tGender :\t\t                            <span class=\"error_field_required\">*<\/span>\n\t\t                           \t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position hovertip\" data-original-title=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t                                <input  type=\"radio\" class=\"hovertip\" id=\"ux_rdl_control_8350\"\n\t\t\t\t\t\t\t                                       name=\"3473_rdl\"\n\t\t\t\t\t\t\t                                       value =\"Female\" \/>\n\t\t\t\t\t\t\t                                <label style=\"margin:0px;vertical-align: middle;\" id=\"rdl_id_8350\">\n\t\t\t\t\t\t\t                                    Female\t\t\t\t\t\t\t                                <\/label>\n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                            \t\t\t\t\t\t\t\t\t\t\t\t\t\t \n\t\t\t\t\t\t\t                                <input  type=\"radio\" class=\"hovertip\" id=\"ux_rdl_control_8938\"\n\t\t\t\t\t\t\t                                       name=\"3473_rdl\"\n\t\t\t\t\t\t\t                                       value =\"Male\" \/>\n\t\t\t\t\t\t\t                                <label style=\"margin:0px;vertical-align: middle;\" id=\"rdl_id_8938\">\n\t\t\t\t\t\t\t                                    Male\t\t\t\t\t\t\t                                <\/label>\n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                              \n\t\t\t\t\t\t\t                            \t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tMartial Arts Certificates :\t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t                            <textarea class=\"hovertip input_control layout-span6\" id=\"ux_textarea_control_58910\"\n\t\t\t\t                                      placeholder=\"\" name=\"ux_textarea_control_58910\"\n\t\t\t\t                                      onfocus=\"prevent_paste(this.id);\" \n\t\t\t\t                                      data-alpha=\"0\"\n\t\t\t\t\t                                  data-alpha_num=\"0\"\n\t\t\t\t\t                                  data-digit=\"0\"\n\t\t\t\t\t                                  data-strip=\"0\"\n\t\t\t\t\t                                  data-trim=\"0\"\n\t\t\t\t\t                                  onkeypress=\"impliment_filters(event,this.id,58910);\"\n\t\t\t\t                                      data-original-title=\"\"><\/textarea>\n\t\t\t\t                                      <br\/>\n\t\t\t\t\t                                  <span class=\"field_description\" id=\"txt_description_\"><\/span>\n\t\t\t\t\t                           <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tFile Upload :\t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"layout-controls layout_according_label_position\" id=\"container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input type=\"button\" id=\"pickfiles\"  data-original-title=\"jpg,png,gif,jpeg\" value=\"Upload Files\" class=\"btn hovertip btn-primary\" \/>\n\t\t                        \t\t\t\t <br\/>\n\t\t                        \t\t\t\t<span class=\"field_description\" id=\"txt_description_\">Please upload your photo image file and the image files of your latest Dan certificates.<\/span>          \n\t\t\t\t\t\t                        <div id=\"filelist\"><\/div>\n\t\t\t\t\t\t                        <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div class=\"layout-control-group\">\n\t\t\t\t\t\t\t\t\t\t<label class=\"label_control layout-control-label\">\n\t\t\t\t\t\t\t\tUniform Size :\t\t                       <\/label>\n\t                        \t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t                          \t <div class=\"layout-controls layout_according_label_position\">\n\t\t\t\t                             <select class=\"hovertip input_control layout-span6\" type=\"select\" id=\"ux_select_default_9615\"\n\t\t\t\t                                    data-original-title=\"\"\n\t\t\t\t                                    name=\"ux_select_default_9615\">\n\t\t\t\t                                <option value=\"\">Select Option<\/option>\n\t\t\t\t                                \t\t\t\t                                    \t<option value=\"150 (1)\">150 (1)<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"160 (2)\">160 (2)<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"170 (3)\">170 (3)<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"180 (4)\">180 (4)<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"190 (5)\">190 (5)<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"200 (6)\">200 (6)<\/option>\n\t\t\t\t                                \t\t\t\t\t                                    \t<option value=\"210 (7)\">210 (7)<\/option>\n\t\t\t\t                                \t\t\t\t\t                            <\/select>\n\t\t\t\t                            <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t       \t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t                   \t\t\t                \t<div class=\"widget-layout-body\">\n\t\t\t\t\t\t\t\t\t<div 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