Merci Sylvunix pour votre réponse, mais le site en question est fermé pour le moment, je vous donne quand même l'url:
[ Lien ] (page d'accueil)
Puisque le site est fermé, je crois que ce qui vous intéresse c'est la page du formulaire, pendant mes recherches antérieures j'ai sauvegardé la source de cette page la voici :
<html>
<head>
<meta HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1256">
<meta NAME="Generator" CONTENT="Microsoft Word 97">
<meta http-equiv="Expires" CONTENT="0">
<meta http-equiv="Cache-Control" CONTENT="no-cache">
<meta http-equiv="Pragma" CONTENT="no-cache">
<title></title>
</head>
<STYLE TYPE="text/css">h1 { font-family:Arial;font-size:10pt}h2 { font-family:Arial;font-size:12pt}h3 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #000000}
h4 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #000000;}
h5 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #0000FF;}
h6 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #FFFFFF;text-align: center;}
</STYLE>
<BODY background="" TOPMARGIN="0" LEFTMARGIN="0" MARGINWIDTH="0" MARGINHEIGHT="0">
<!--<FORM name="form1" action="Visa_Company_a_Save.asp?lang=1" method="post" ENCTYPE="multipart/form-data" >-->
<FORM name="Form3" action="Visa_Company_a.asp" method="post" autocomplete=off >
<input type=hidden name='visakindid' value="4">
<input type=hidden name='lang' value="1">
</FORM>
<FORM name="form1" action="Visa_Company_a_Save.asp" method="post" autocomplete=off >
<input type=hidden name='visakindid' value="4">
<input type=hidden name='lang' value="1">
<P ALIGN="CENTER">
<TABLE BORDER=0 CELLSPACING=1 CELLPADDING=0 WIDTH=750 DIR=LTR>
<TR>
<TD COLSPAN='1' DIR=LTR width="100%" ><center>
<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=781 DIR=LTR>
<TR><td background="/images/header_01_1.jpeg" height="123" VALIGN="BOTTOM" ALIGN=></td></TR>
<TR>
<td VALIGN="MIDDLE" ALIGN=CENTER background="/images/header_02_1.jpeg" width="100%">
<SPAN style="FONT-SIZE: 16pt;height:43px;color:'#FF0000'"><b></FONT></span>
</TD>
</TR>
</TABLE>
</TD>
</TR>
<STYLE TYPE="text/css">h1 { font-family:Arial;font-size:10pt}h2 { font-family:Arial;font-size:12pt}h3 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #000000}
h4 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #000000;}
h5 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #0000FF;}
h6 { font-family: Arial; font-size: 10pt; font-weight: bold; color: #FFFFFF;text-align: center;}
</STYLE>
<TR>
<TD COLSPAN='1' DIR=LTR width="100%" ><center>
<P ALIGN='CENTER'>
<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH='100%' DIR=LTR><center>
<TR>
<TD VALIGN='TOP' WIDTH='100%' COLSPAN=9 ><FONT FACE="Tahoma (Arabic)" SIZE=4 COLOR="#4040FF"><P ALIGN="CENTER">
Visa Request Form
</P></FONT>
</TD>
</TR>
<TD WIDTH="100%" VALIGN="TOP"><P ALIGN="CENTER">
<TABLE BORDER=0 cellPadding='0' cellSpacing='2' width=80% DIR=LTR>
<TR>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 width='5%'><h2><P ALIGN='center'><FONT COLOR='#000000'><b>Office Name</b></FONT></TD>
<TD VALIGN='TOP' WIDTH='85%' DIR=LTR COLSPAN=6><h2><P ALIGN=><FONT COLOR='#000000'>
<INPUT Readonly TYPE=TEXT style="width:'100%'" value='ÕæáíÑ ÝæÇíÇÌ'>
</TD>
</TR>
<TR>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Embassy In</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=3>
<select id=embassy_code name='embassy_code' style='width:180' size=1 >
<OPTION VALUE="403" >Paris</option>
</select>
</TD>
<TD width="150" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Visa Type</TD>
<TD width="250" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=3>
<select id=visa_id name='visa_id' onchange=goselvisa() style='width:150' size=1>
<OPTION VALUE='1' >WORK</option>
<OPTION VALUE='2' >VISIT</option>
<OPTION VALUE='3' >RESIDENT</option>
<OPTION VALUE='4' selected>HAJJ</option>
<OPTION VALUE='6' >TRANSIT</option>
<OPTION VALUE='11' >MEDICAL</option>
<OPTION VALUE='12' >EDUCATIONAL</option>
<OPTION VALUE='13' >Temporary Work</option>
<OPTION VALUE='14' >PRODUCT Delivery</option>
<OPTION VALUE='23' >COMMERCIAL VISIT</option>
<OPTION VALUE='24' >FAMILY VISIT</option>
<select>
</TD>
</TR>
<input type=hidden name="visa_number">
<TR>
<TD width="50" VALIGN="TOP" ALIGN= COLSPAN=1 DIR=LTR>First Name</TD>
<TD width="10%" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR><INPUT NAME=efirstname maxlength=15 style="width:70"></TD>
<TD width="10%" VALIGN="middle" ALIGN="LEFT" COLSPAN=1 DIR='LTR'>Father</TD>
<TD width="10%" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR><INPUT NAME=efather maxlength=15 style="width:70"></TD>
<TD width="10%" VALIGN="middle" ALIGN="LEFT" COLSPAN=1 DIR='LTR'>Grand F.</TD>
<TD width="10%" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR><INPUT NAME=egrand maxlength=15 style="width:70"></TD>
<TD width="10%" VALIGN="middle" ALIGN="LEFT" COLSPAN=1 DIR='LTR'>Family</TD>
<TD width="10%" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR><INPUT NAME=efamily maxlength=15 style="width:70"></TD>
</TR>
<TR>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Passport Number</TD>
<TD width="150" VALIGN="middle" DIR=LTR COLSPAN=3><INPUT NAME=passport_no maxlength=20 style="width:150" ></TD>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Passport Type</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=3>
<select name=passport_type style="width:150 " size=1 >
<OPTION VALUE="1" >NORMAL</option>
<OPTION VALUE="2" >DIPLOMATIC</option>
<OPTION VALUE="3" >SPECIAL</option>
<OPTION VALUE="4" >HAJJ CERT</option>
<OPTION VALUE="5" >TRAVEL CERT</option>
</select>
</TD>
</TR>
<TR>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Place of Issue</TD>
<TD width="150" VALIGN="middle" DIR=LTR COLSPAN=7><INPUT NAME=passport_issue_place maxlength=30 style="width:483" ></TD>
</TR>
<TR>
<TD width="70" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Date of Issue</TD>
<TD width="200" VALIGN="middle" DIR=LTR COLSPAN=2>
<select name='pid' style="width:40" size=1 ></select>
<select name='pim' style="width:40" size=1 ></select>
<select name='piy' style="width:60" size=1 ></select>
</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>Expiry Date</TD>
<TD width="150" VALIGN="middle" DIR=LTR COLSPAN=2>
<select name='ped' style="width:40" size=1 ></select>
<select name='pem' style="width:40" size=1 ></select>
<select name='pey' style="width:60" size=1 ></select>
</TD>
</TR>
<TR>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1 >Place of Birth</TD>
<TD width="150" VALIGN="middle" DIR=LTR COLSPAN=2><INPUT NAME=birth_place maxlength=20 style="width:150" ></TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>Date of Birth</TD>
<TD width="250" VALIGN="middle" DIR=LTR COLSPAN=2>
<select name='pdd' style="width:40" size=1 ></select>
<select name='pdm' style="width:40" size=1 ></select>
<select name='pdy' style="width:60 " size=1 ></select>
</TD>
</TR>
<TR>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1 >Nationality</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>
<select name=nationality style="width:150 " size=1 value="" >
<OPTION VALUE='ABW' >Aruba</option>
<OPTION VALUE='AFG' >Afghanistan</option>
<OPTION VALUE='AIA' >Anguilla</option>
<OPTION VALUE='BEL' >Belgium</option>
<OPTION VALUE='BGD' >Bangladesh</option>
<OPTION VALUE='CZE' >Czech Republic</option>
<OPTION VALUE='GNB' >Guinea-Bissau</option>
<OPTION VALUE='LAO' >Lao People's Democratic Republic</option>
<OPTION VALUE='LTU' >Lithuania</option>
<OPTION VALUE='NRU' >Nauru</option>
<OPTION VALUE='PAN' >Panama</option>
<OPTION VALUE='PYF' >French Polynesia</option>
<OPTION VALUE='RWA' >Rwanda</option>
<OPTION VALUE='SJM' >Svalbard And Jan Mayen Islands</option>
<OPTION VALUE='SYR' >Syrian Arab Republic</option>
<OPTION VALUE='TON' >Tonga</option>
<OPTION VALUE='VAT' >Holy See(Vatican City State)</option>
<OPTION VALUE='UMI' >United States Minor Outlying Islands</option>
<OPTION VALUE='AGO' >Angola</option>
<OPTION VALUE='AND' >Andorra</option>
<OPTION VALUE='ARE' >United Arab Emirates</option>
<OPTION VALUE='ATA' >Antarctic</option>
<OPTION VALUE='AUT' >Austria</option>
<OPTION VALUE='AUS' >Australia</option>
<OPTION VALUE='BEN' >Benin</option>
<OPTION VALUE='BFA' >Burkina Faso</option>
<OPTION VALUE='BGR' >Bulgaria</option>
<OPTION VALUE='BHR' >Bahrain</option>
<OPTION VALUE='BLZ' >Belize</option>
<OPTION VALUE='BMU' >Bermuda</option>
<OPTION VALUE='BOL' >Bolivia</option>
<OPTION VALUE='BRA' >Brazil</option>
<OPTION VALUE='BRB' >Barbados</option>
<OPTION VALUE='BWA' >Botswana</option>
<OPTION VALUE='CAN' >Canada</option>
<OPTION VALUE='CHE' >Switzerland</option>
<OPTION VALUE='COG' >Congo</option>
<OPTION VALUE='COM' >Comoros</option>
<OPTION VALUE='CPV' >Cape Verde</option>
<OPTION VALUE='CRI' >Costa Rica</option>
<OPTION VALUE='DEU' >Germany</option>
<OPTION VALUE='DNK' >Denmark</option>
<OPTION VALUE='ECU' >Ecuador</option>
<OPTION VALUE='EST' >Estonia</option>
<OPTION VALUE='FIN' >Finland</option>
<OPTION VALUE='FJI' >Fiji</option>
<OPTION VALUE='FRA' selected>France</option>
<OPTION VALUE='GAB' >Gabon</option>
<OPTION VALUE='GHA' >Ghana</option>
<OPTION VALUE='GIN' >Guinea</option>
<OPTION VALUE='GRD' >Grenada</option>
<OPTION VALUE='GUF' >French Guiana</option>
<OPTION VALUE='HKG' >Hong Kong</option>
<OPTION VALUE='IRN' >Iran</option>
<OPTION VALUE='IRQ' >Iraq</option>
<OPTION VALUE='ISL' >Iceland</option>
<OPTION VALUE='JAM' >Jamaica</option>
<OPTION VALUE='JOR' >Jordan</option>
<OPTION VALUE='JPN' >Japan</option>
<OPTION VALUE='KEN' >Kenya</option>
<OPTION VALUE='KHM' >Cambodia</option>
<OPTION VALUE='KNA' >Saint Kitts and Nevis</option>
<OPTION VALUE='LCA' >Saint Lucia</option>
<OPTION VALUE='LVA' >Latvia</option>
<OPTION VALUE='MDA' >Moldova, Republic of</option>
<OPTION VALUE='MLI' >Mali</option>
<OPTION VALUE='MMR' >Myanmar</option>
<OPTION VALUE='MNG' >Mongolia</option>
<OPTION VALUE='MOZ' >Mozambique</option>
<OPTION VALUE='MRT' >Mauritania</option>
<OPTION VALUE='MTQ' >Martinique</option>
<OPTION VALUE='MUS' >Mauritius</option>
<OPTION VALUE='MWI' >Malawi</option>
<OPTION VALUE='MYT' >Mayotte</option>
<OPTION VALUE='NGA' >Nigeria</option>
<OPTION VALUE='NLD' >Netherlands</option>
<OPTION VALUE='NOR' >Norway</option>
<OPTION VALUE='NZL' >New Zealand</option>
<OPTION VALUE='PCN' >Pitcairn Islands</option>
<OPTION VALUE='POL' >Poland</option>
<OPTION VALUE='PRY' >Paraguay</option>
<OPTION VALUE='QAT' >Qatar</option>
<OPTION VALUE='REU' >Reunion</option>
<OPTION VALUE='SLE' >Sierra Leone</option>
<OPTION VALUE='SLV' >El Salvador</option>
<OPTION VALUE='SPM' >Saint pierre and Miquelon</option>
<OPTION VALUE='STP' >Sao Tome And Principe</option>
<OPTION VALUE='SWZ' >Swaziland</option>
<OPTION VALUE='SYC' >Seychelles</option>
<OPTION VALUE='TJK' >Tajikistan</option>
<OPTION VALUE='TTO' >Trinidad and tobago</option>
<OPTION VALUE='TUV' >Tuvalu</option>
<OPTION VALUE='TZA' >Tanzania, United Republic of</option>
<OPTION VALUE='USA' >United States</option>
<OPTION VALUE='UZB' >Uzbekistan</option>
<OPTION VALUE='VCT' >Saint Vincent and the Grenadines</option>
<OPTION VALUE='VNM' >Vietnam</option>
<OPTION VALUE='FXX' >France, Meteropolitan</option>
<OPTION VALUE='WSM' >Samoa</option>
<OPTION VALUE='ALB' >Albania</option>
<OPTION VALUE='ARG' >Argentina</option>
<OPTION VALUE='BHS' >Bahamas</option>
<OPTION VALUE='BIH' >Bosnia</option>
<OPTION VALUE='BLR' >Belarus</option>
<OPTION VALUE='BRN' >Brunei Darussalam</option>
<OPTION VALUE='BTN' >Bhutan</option>
<OPTION VALUE='CAF' >Central African Republic</option>
<OPTION VALUE='CCK' >Cocos Island</option>
<OPTION VALUE='CHL' >Chile</option>
<OPTION VALUE='COL' >Colombia</option>
<OPTION VALUE='CXR' >Christmas Island</option>
<OPTION VALUE='CYP' >Cyprus</option>
<OPTION VALUE='DJI' >Djibouti</option>
<OPTION VALUE='DMA' >Dominica</option>
<OPTION VALUE='EGY' >Egypt</option>
<OPTION VALUE='ESP' >Spain</option>
<OPTION VALUE='ETH' >Ethiopia</option>
<OPTION VALUE='FLK' >Falkland Islands</option>
<OPTION VALUE='GBR' >United Kingdom</option>
<OPTION VALUE='GEO' >Georgia</option>
<OPTION VALUE='GIB' >Gibraltar</option>
<OPTION VALUE='GRL' >Greenland</option>
<OPTION VALUE='HRV' >Croatia</option>
<OPTION VALUE='HTI' >Haiti</option>
<OPTION VALUE='IND' >India</option>
<OPTION VALUE='IRL' >Ireland</option>
<OPTION VALUE='ITA' >Italy</option>
<OPTION VALUE='KIR' >Kiribati</option>
<OPTION VALUE='LBY' >Libya Arab Jamahiriya</option>
<OPTION VALUE='LKA' >Sri Lanka</option>
<OPTION VALUE='LSO' >Lesotho</option>
<OPTION VALUE='LUX' >Luxembourg</option>
<OPTION VALUE='MAC' >Macau</option>
<OPTION VALUE='MDG' >Madagascar</option>
<OPTION VALUE='MLT' >Malta</option>
<OPTION VALUE='FSM' >Micronesia , Federated Stat</option>
<OPTION VALUE='MYS' >Malaysia</option>
<OPTION VALUE='NAM' >Namibia</option>
<OPTION VALUE='ATN' >Netherlands Antilles</option>
<OPTION VALUE='NCL' >New Caledonia</option>
<OPTION VALUE='NER' >Niger</option>
<OPTION VALUE='NFK' >Norfolk Island</option>
<OPTION VALUE='NIC' >Nicaragua</option>
<OPTION VALUE='NIU' >Niue</option>
<OPTION VALUE='NPL' >Nepal</option>
<OPTION VALUE='PAK' >Pakistan</option>
<OPTION VALUE='PHL' >Philippines</option>
<OPTION VALUE='PNG' >Papua New Guinea</option>
<OPTION VALUE='PRK' >Korea, Democratic People's Republic of</option>
<OPTION VALUE='PRT' >Portugal</option>
<OPTION VALUE='ROM' >Romania</option>
<OPTION VALUE='RUS' >Russian Federation</option>
<OPTION VALUE='SDN' >Sudan</option>
<OPTION VALUE='SEN' >Senegal</option>
<OPTION VALUE='SGS' >South Georgia and The South Sandwich Islands</option>
<OPTION VALUE='SOM' >Somalia</option>
<OPTION VALUE='SUR' >Suriname</option>
<OPTION VALUE='SVK' >Slovak Republic</option>
<OPTION VALUE='SVN' >Slovenia</option>
<OPTION VALUE='TCD' >Chad</option>
<OPTION VALUE='TKL' >Tokelau</option>
<OPTION VALUE='TWN' >Taiwan, Province Of China</option>
<OPTION VALUE='URY' >Uruguay</option>
<OPTION VALUE='VEN' >Venezuela</option>
<OPTION VALUE='VGB' >Virgin Islands(British)</option>
<OPTION VALUE='YEM' >Yemen</option>
<OPTION VALUE='ZAF' >South Africa</option>
<OPTION VALUE='ZWE' >Zimbabwe</option>
<OPTION VALUE='IOT' >British Indian Ocean Territory</option>
<OPTION VALUE='MNP' >Northern Mariana Islands</option>
<OPTION VALUE='PSE' >Palestinian Territory, Occupied</option>
<OPTION VALUE='YUG' >Yugoslavia</option>
<OPTION VALUE='ERI' >Eritrea</option>
<OPTION VALUE='ARM' >Armenia</option>
<OPTION VALUE='ASM' >American Samoa</option>
<OPTION VALUE='ATF' >French Southern and Antarctic</option>
<OPTION VALUE='ATG' >Antigua And Barbuda</option>
<OPTION VALUE='AZE' >Azerbaijan</option>
<OPTION VALUE='BDI' >Burundi</option>
<OPTION VALUE='BVT' >Bouvet Island</option>
<OPTION VALUE='CHN' >China</option>
<OPTION VALUE='CIV' >Cote Divoire</option>
<OPTION VALUE='CMR' >Cameroon</option>
<OPTION VALUE='COK' >Cook Island</option>
<OPTION VALUE='CUB' >Cuba</option>
<OPTION VALUE='CYM' >Cayman Island</option>
<OPTION VALUE='DOM' >Dominican Republic</option>
<OPTION VALUE='DZA' >Algeria</option>
<OPTION VALUE='ESH' >Western Sahara</option>
<OPTION VALUE='FRO' >Faroe Islands</option>
<OPTION VALUE='GLP' >Guadeloupe</option>
<OPTION VALUE='GMB' >Gambia</option>
<OPTION VALUE='GNQ' >Equatorial Guinea</option>
<OPTION VALUE='GRC' >Greece</option>
<OPTION VALUE='GTM' >Guatemala</option>
<OPTION VALUE='GUM' >Guam</option>
<OPTION VALUE='GUY' >Guyana</option>
<OPTION VALUE='HMD' >Heard Island and Mcdonald Island</option>
<OPTION VALUE='HND' >Honduras</option>
<OPTION VALUE='HUN' >Hungary</option>
<OPTION VALUE='IDN' >Indonesia</option>
<OPTION VALUE='KAZ' >Kazakhstan</option>
<OPTION VALUE='KGZ' >Kyrgyzstan</option>
<OPTION VALUE='KOR' >Korea , Republic of</option>
<OPTION VALUE='KWT' >Kuwait</option>
<OPTION VALUE='LBN' >Lebanon</option>
<OPTION VALUE='LBR' >Liberia</option>
<OPTION VALUE='LIE' >Liechtenstein</option>
<OPTION VALUE='MAR' >Morcco</option>
<OPTION VALUE='MCO' >Monaco</option>
<OPTION VALUE='MDV' >Maldives</option>
<OPTION VALUE='MEX' >Mexico</option>
<OPTION VALUE='MHL' >Marshall Islands</option>
<OPTION VALUE='MSR' >Montserrat</option>
<OPTION VALUE='OMN' >Oman</option>
<OPTION VALUE='PER' >Peru</option>
<OPTION VALUE='PRI' >Puerto Rico</option>
<OPTION VALUE='SAU' >Kingdom Saudi Arabia</option>
<OPTION VALUE='SGP' >Singapore</option>
<OPTION VALUE='SLB' >Solomon Islands</option>
<OPTION VALUE='SMR' >San Marino</option>
<OPTION VALUE='SWE' >Sweden</option>
<OPTION VALUE='TCA' >Turks and Caicos Islands</option>
<OPTION VALUE='TGO' >Togo</option>
<OPTION VALUE='THA' >Thailand</option>
<OPTION VALUE='TKM' >Turkmenistan</option>
<OPTION VALUE='TUN' >Tunisia</option>
<OPTION VALUE='TUR' >Turkey</option>
<OPTION VALUE='UGA' >Uganda</option>
<OPTION VALUE='UKR' >Ukraine</option>
<OPTION VALUE='VUT' >Vanuatu</option>
<OPTION VALUE='WLF' >Wallis and Futuna Islands</option>
<OPTION VALUE='COD' >Zaire</option>
<OPTION VALUE='ZMB' >Zambia</option>
<OPTION VALUE='TMP' >East Timor</option>
<OPTION VALUE='MKD' >Macedonia, The Former Yugoslav Republic of</option>
<OPTION VALUE='PLW' >Palau</option>
<OPTION VALUE='SHN' >ST. Helena</option>
<OPTION VALUE='VIR' >Virgin Islands(U.S.)</option>
</select>
</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>Previous Nationality</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>
<select name='nationality_first' style="width:150 " size=1 >
<OPTION selected VALUE='1' >NULL</option><OPTION VALUE="ABW" >Aruba</option>
<OPTION VALUE="AFG" >Afghanistan</option>
<OPTION VALUE="AIA" >Anguilla</option>
<OPTION VALUE="BEL" >Belgium</option>
<OPTION VALUE="BGD" >Bangladesh</option>
<OPTION VALUE="CZE" >Czech Republic</option>
<OPTION VALUE="GNB" >Guinea-Bissau</option>
<OPTION VALUE="LAO" >Lao People's Democratic Republic</option>
<OPTION VALUE="LTU" >Lithuania</option>
<OPTION VALUE="NRU" >Nauru</option>
<OPTION VALUE="PAN" >Panama</option>
<OPTION VALUE="PYF" >French Polynesia</option>
<OPTION VALUE="RWA" >Rwanda</option>
<OPTION VALUE="SJM" >Svalbard And Jan Mayen Islands</option>
<OPTION VALUE="SYR" >Syrian Arab Republic</option>
<OPTION VALUE="TON" >Tonga</option>
<OPTION VALUE="VAT" >Holy See(Vatican City State)</option>
<OPTION VALUE="UMI" >United States Minor Outlying Islands</option>
<OPTION VALUE="AGO" >Angola</option>
<OPTION VALUE="AND" >Andorra</option>
<OPTION VALUE="ARE" >United Arab Emirates</option>
<OPTION VALUE="ATA" >Antarctic</option>
<OPTION VALUE="AUT" >Austria</option>
<OPTION VALUE="AUS" >Australia</option>
<OPTION VALUE="BEN" >Benin</option>
<OPTION VALUE="BFA" >Burkina Faso</option>
<OPTION VALUE="BGR" >Bulgaria</option>
<OPTION VALUE="BHR" >Bahrain</option>
<OPTION VALUE="BLZ" >Belize</option>
<OPTION VALUE="BMU" >Bermuda</option>
<OPTION VALUE="BOL" >Bolivia</option>
<OPTION VALUE="BRA" >Brazil</option>
<OPTION VALUE="BRB" >Barbados</option>
<OPTION VALUE="BWA" >Botswana</option>
<OPTION VALUE="CAN" >Canada</option>
<OPTION VALUE="CHE" >Switzerland</option>
<OPTION VALUE="COG" >Congo</option>
<OPTION VALUE="COM" >Comoros</option>
<OPTION VALUE="CPV" >Cape Verde</option>
<OPTION VALUE="CRI" >Costa Rica</option>
<OPTION VALUE="DEU" >Germany</option>
<OPTION VALUE="DNK" >Denmark</option>
<OPTION VALUE="ECU" >Ecuador</option>
<OPTION VALUE="EST" >Estonia</option>
<OPTION VALUE="FIN" >Finland</option>
<OPTION VALUE="FJI" >Fiji</option>
<OPTION VALUE="FRA" >France</option>
<OPTION VALUE="GAB" >Gabon</option>
<OPTION VALUE="GHA" >Ghana</option>
<OPTION VALUE="GIN" >Guinea</option>
<OPTION VALUE="GRD" >Grenada</option>
<OPTION VALUE="GUF" >French Guiana</option>
<OPTION VALUE="HKG" >Hong Kong</option>
<OPTION VALUE="IRN" >Iran</option>
<OPTION VALUE="IRQ" >Iraq</option>
<OPTION VALUE="ISL" >Iceland</option>
<OPTION VALUE="JAM" >Jamaica</option>
<OPTION VALUE="JOR" >Jordan</option>
<OPTION VALUE="JPN" >Japan</option>
<OPTION VALUE="KEN" >Kenya</option>
<OPTION VALUE="KHM" >Cambodia</option>
<OPTION VALUE="KNA" >Saint Kitts and Nevis</option>
<OPTION VALUE="LCA" >Saint Lucia</option>
<OPTION VALUE="LVA" >Latvia</option>
<OPTION VALUE="MDA" >Moldova, Republic of</option>
<OPTION VALUE="MLI" >Mali</option>
<OPTION VALUE="MMR" >Myanmar</option>
<OPTION VALUE="MNG" >Mongolia</option>
<OPTION VALUE="MOZ" >Mozambique</option>
<OPTION VALUE="MRT" >Mauritania</option>
<OPTION VALUE="MTQ" >Martinique</option>
<OPTION VALUE="MUS" >Mauritius</option>
<OPTION VALUE="MWI" >Malawi</option>
<OPTION VALUE="MYT" >Mayotte</option>
<OPTION VALUE="NGA" >Nigeria</option>
<OPTION VALUE="NLD" >Netherlands</option>
<OPTION VALUE="NOR" >Norway</option>
<OPTION VALUE="NZL" >New Zealand</option>
<OPTION VALUE="PCN" >Pitcairn Islands</option>
<OPTION VALUE="POL" >Poland</option>
<OPTION VALUE="PRY" >Paraguay</option>
<OPTION VALUE="QAT" >Qatar</option>
<OPTION VALUE="REU" >Reunion</option>
<OPTION VALUE="SLE" >Sierra Leone</option>
<OPTION VALUE="SLV" >El Salvador</option>
<OPTION VALUE="SPM" >Saint pierre and Miquelon</option>
<OPTION VALUE="STP" >Sao Tome And Principe</option>
<OPTION VALUE="SWZ" >Swaziland</option>
<OPTION VALUE="SYC" >Seychelles</option>
<OPTION VALUE="TJK" >Tajikistan</option>
<OPTION VALUE="TTO" >Trinidad and tobago</option>
<OPTION VALUE="TUV" >Tuvalu</option>
<OPTION VALUE="TZA" >Tanzania, United Republic of</option>
<OPTION VALUE="USA" >United States</option>
<OPTION VALUE="UZB" >Uzbekistan</option>
<OPTION VALUE="VCT" >Saint Vincent and the Grenadines</option>
<OPTION VALUE="VNM" >Vietnam</option>
<OPTION VALUE="FXX" >France, Meteropolitan</option>
<OPTION VALUE="WSM" >Samoa</option>
<OPTION VALUE="ALB" >Albania</option>
<OPTION VALUE="ARG" >Argentina</option>
<OPTION VALUE="BHS" >Bahamas</option>
<OPTION VALUE="BIH" >Bosnia</option>
<OPTION VALUE="BLR" >Belarus</option>
<OPTION VALUE="BRN" >Brunei Darussalam</option>
<OPTION VALUE="BTN" >Bhutan</option>
<OPTION VALUE="CAF" >Central African Republic</option>
<OPTION VALUE="CCK" >Cocos Island</option>
<OPTION VALUE="CHL" >Chile</option>
<OPTION VALUE="COL" >Colombia</option>
<OPTION VALUE="CXR" >Christmas Island</option>
<OPTION VALUE="CYP" >Cyprus</option>
<OPTION VALUE="DJI" >Djibouti</option>
<OPTION VALUE="DMA" >Dominica</option>
<OPTION VALUE="EGY" >Egypt</option>
<OPTION VALUE="ESP" >Spain</option>
<OPTION VALUE="ETH" >Ethiopia</option>
<OPTION VALUE="FLK" >Falkland Islands</option>
<OPTION VALUE="GBR" >United Kingdom</option>
<OPTION VALUE="GEO" >Georgia</option>
<OPTION VALUE="GIB" >Gibraltar</option>
<OPTION VALUE="GRL" >Greenland</option>
<OPTION VALUE="HRV" >Croatia</option>
<OPTION VALUE="HTI" >Haiti</option>
<OPTION VALUE="IND" >India</option>
<OPTION VALUE="IRL" >Ireland</option>
<OPTION VALUE="ITA" >Italy</option>
<OPTION VALUE="KIR" >Kiribati</option>
<OPTION VALUE="LBY" >Libya Arab Jamahiriya</option>
<OPTION VALUE="LKA" >Sri Lanka</option>
<OPTION VALUE="LSO" >Lesotho</option>
<OPTION VALUE="LUX" >Luxembourg</option>
<OPTION VALUE="MAC" >Macau</option>
<OPTION VALUE="MDG" >Madagascar</option>
<OPTION VALUE="MLT" >Malta</option>
<OPTION VALUE="FSM" >Micronesia , Federated Stat</option>
<OPTION VALUE="MYS" >Malaysia</option>
<OPTION VALUE="NAM" >Namibia</option>
<OPTION VALUE="ATN" >Netherlands Antilles</option>
<OPTION VALUE="NCL" >New Caledonia</option>
<OPTION VALUE="NER" >Niger</option>
<OPTION VALUE="NFK" >Norfolk Island</option>
<OPTION VALUE="NIC" >Nicaragua</option>
<OPTION VALUE="NIU" >Niue</option>
<OPTION VALUE="NPL" >Nepal</option>
<OPTION VALUE="PAK" >Pakistan</option>
<OPTION VALUE="PHL" >Philippines</option>
<OPTION VALUE="PNG" >Papua New Guinea</option>
<OPTION VALUE="PRK" >Korea, Democratic People's Republic of</option>
<OPTION VALUE="PRT" >Portugal</option>
<OPTION VALUE="ROM" >Romania</option>
<OPTION VALUE="RUS" >Russian Federation</option>
<OPTION VALUE="SDN" >Sudan</option>
<OPTION VALUE="SEN" >Senegal</option>
<OPTION VALUE="SGS" >South Georgia and The South Sandwich Islands</option>
<OPTION VALUE="SOM" >Somalia</option>
<OPTION VALUE="SUR" >Suriname</option>
<OPTION VALUE="SVK" >Slovak Republic</option>
<OPTION VALUE="SVN" >Slovenia</option>
<OPTION VALUE="TCD" >Chad</option>
<OPTION VALUE="TKL" >Tokelau</option>
<OPTION VALUE="TWN" >Taiwan, Province Of China</option>
<OPTION VALUE="URY" >Uruguay</option>
<OPTION VALUE="VEN" >Venezuela</option>
<OPTION VALUE="VGB" >Virgin Islands(British)</option>
<OPTION VALUE="YEM" >Yemen</option>
<OPTION VALUE="ZAF" >South Africa</option>
<OPTION VALUE="ZWE" >Zimbabwe</option>
<OPTION VALUE="IOT" >British Indian Ocean Territory</option>
<OPTION VALUE="MNP" >Northern Mariana Islands</option>
<OPTION VALUE="PSE" >Palestinian Territory, Occupied</option>
<OPTION VALUE="YUG" >Yugoslavia</option>
<OPTION VALUE="ERI" >Eritrea</option>
<OPTION VALUE="ARM" >Armenia</option>
<OPTION VALUE="ASM" >American Samoa</option>
<OPTION VALUE="ATF" >French Southern and Antarctic</option>
<OPTION VALUE="ATG" >Antigua And Barbuda</option>
<OPTION VALUE="AZE" >Azerbaijan</option>
<OPTION VALUE="BDI" >Burundi</option>
<OPTION VALUE="BVT" >Bouvet Island</option>
<OPTION VALUE="CHN" >China</option>
<OPTION VALUE="CIV" >Cote Divoire</option>
<OPTION VALUE="CMR" >Cameroon</option>
<OPTION VALUE="COK" >Cook Island</option>
<OPTION VALUE="CUB" >Cuba</option>
<OPTION VALUE="CYM" >Cayman Island</option>
<OPTION VALUE="DOM" >Dominican Republic</option>
<OPTION VALUE="DZA" >Algeria</option>
<OPTION VALUE="ESH" >Western Sahara</option>
<OPTION VALUE="FRO" >Faroe Islands</option>
<OPTION VALUE="GLP" >Guadeloupe</option>
<OPTION VALUE="GMB" >Gambia</option>
<OPTION VALUE="GNQ" >Equatorial Guinea</option>
<OPTION VALUE="GRC" >Greece</option>
<OPTION VALUE="GTM" >Guatemala</option>
<OPTION VALUE="GUM" >Guam</option>
<OPTION VALUE="GUY" >Guyana</option>
<OPTION VALUE="HMD" >Heard Island and Mcdonald Island</option>
<OPTION VALUE="HND" >Honduras</option>
<OPTION VALUE="HUN" >Hungary</option>
<OPTION VALUE="IDN" >Indonesia</option>
<OPTION VALUE="KAZ" >Kazakhstan</option>
<OPTION VALUE="KGZ" >Kyrgyzstan</option>
<OPTION VALUE="KOR" >Korea , Republic of</option>
<OPTION VALUE="KWT" >Kuwait</option>
<OPTION VALUE="LBN" >Lebanon</option>
<OPTION VALUE="LBR" >Liberia</option>
<OPTION VALUE="LIE" >Liechtenstein</option>
<OPTION VALUE="MAR" >Morcco</option>
<OPTION VALUE="MCO" >Monaco</option>
<OPTION VALUE="MDV" >Maldives</option>
<OPTION VALUE="MEX" >Mexico</option>
<OPTION VALUE="MHL" >Marshall Islands</option>
<OPTION VALUE="MSR" >Montserrat</option>
<OPTION VALUE="OMN" >Oman</option>
<OPTION VALUE="PER" >Peru</option>
<OPTION VALUE="PRI" >Puerto Rico</option>
<OPTION VALUE="SAU" >Kingdom Saudi Arabia</option>
<OPTION VALUE="SGP" >Singapore</option>
<OPTION VALUE="SLB" >Solomon Islands</option>
<OPTION VALUE="SMR" >San Marino</option>
<OPTION VALUE="SWE" >Sweden</option>
<OPTION VALUE="TCA" >Turks and Caicos Islands</option>
<OPTION VALUE="TGO" >Togo</option>
<OPTION VALUE="THA" >Thailand</option>
<OPTION VALUE="TKM" >Turkmenistan</option>
<OPTION VALUE="TUN" >Tunisia</option>
<OPTION VALUE="TUR" >Turkey</option>
<OPTION VALUE="UGA" >Uganda</option>
<OPTION VALUE="UKR" >Ukraine</option>
<OPTION VALUE="VUT" >Vanuatu</option>
<OPTION VALUE="WLF" >Wallis and Futuna Islands</option>
<OPTION VALUE="COD" >Zaire</option>
<OPTION VALUE="ZMB" >Zambia</option>
<OPTION VALUE="TMP" >East Timor</option>
<OPTION VALUE="MKD" >Macedonia, The Former Yugoslav Republic of</option>
<OPTION VALUE="PLW" >Palau</option>
<OPTION VALUE="SHN" >ST. Helena</option>
<OPTION VALUE="VIR" >Virgin Islands(U.S.)</option>
</select>
</TD>
</TR>
<TR>
<TD width="150" VALIGN="middle" ALIGN= COLSPAN=1 DIR=LTR>Marital Status</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>
<select name=social_status style="width:150 " size=1 >
<OPTION VALUE="1" >SINGLE</option>
<OPTION VALUE="2" >MARRIED</option>
<OPTION VALUE="3" >DIVORCED</option>
<OPTION VALUE="4" >WIDOW</option>
<OPTION VALUE="5" >OTHER</option>
</select>
</TD>
<TD width="50" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>Sex</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>
<select name='sextype' style="width:80 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</TR>
<TR>
<TD width="50" VALIGN="middle" ALIGN= COLSPAN=1>Religion</TD>
<TD width="150" VALIGN="middle" ALIGN=DIR=LTR COLSPAN=2>
<select name=religion style="width:150 " size=1 >
<OPTION VALUE="1" >MUSLEM</option>
</select>
</TD>
</TR>
<TR>
<TD width="70" VALIGN="middle" ALIGN= COLSPAN=1>Profession</TD>
<TD width="300" VALIGN="middle" DIR=LTR COLSPAN=7><INPUT NAME=job_or_relation maxlength=50 style="width:606" ></TD>
</TR>
<TR>
<TD width="70" VALIGN="middle" ALIGN= COLSPAN=1>Educational Background</TD>
<TD width="100" VALIGN="middle" DIR=LTR COLSPAN=2><INPUT NAME=degree maxlength=50 style="width:180" ></TD>
<TD width="100" VALIGN="middle" DIR=LTR COLSPAN=2>Reference</TD>
<TD width="300" VALIGN="middle" DIR=LTR COLSPAN=3><INPUT NAME=degree_source maxlength=50 style="width:218" ></TD>
</TR>
<TR>
<TD width="70" VALIGN="middle" ALIGN= COLSPAN=1>Residence Address</TD>
<TD width="400" VALIGN="middle" DIR=LTR COLSPAN=7><INPUT NAME=address_home maxlength=250 style="width:606" ></TD>
</TR>
<TR><TD width="70" VALIGN="middle" ALIGN= COLSPAN=1>Mahram Name</TD>
<TD width="400" VALIGN="middle" DIR=LTR COLSPAN=8><INPUT NAME=mahram_name maxlength=60 style="width:606" ></TD></TR>
<TR><TD width="70" VALIGN="middle" ALIGN= COLSPAN=1>Relation</TD>
<TD width="400" VALIGN="middle" DIR=LTR COLSPAN=8><INPUT NAME=mahram_relation maxlength=10 style="width:294" ></TD></TR>
<TR><TD COLSPAN=8 ALIGN="CENTER">
<!--****************************************-->
<TABLE BORDER=0 cellPadding=0 cellSpacing=0 width=80% DIR=LTR>
<TR ><TD VALIGN='TOP' WIDTH=100% COLSPAN=2 >
<FONT FACE="Tahoma (Arabic)" SIZE=4 COLOR="#4040FF"><P ALIGN="CENTER">Companions Data</font></TD>
</TR>
<TR>
<TD COLSPAN=1 width='100%'><p align='center'>
<TABLE border=1 cellPadding=1 cellSpacing=1 DIR=LTR width='100%'>
<tr BGCOLOR='#21AB8A'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 width='40%'><h2><P ALIGN='center'><FONT COLOR='#000000'><b>Name</b></FONT></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 width='15%'><h2><P ALIGN='center'><FONT COLOR='#000000'><b>Date of Birth</b></FONT></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 width='40%'><h2><P ALIGN='center'><FONT COLOR='#000000'><b>Relation</b></FONT></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 width='5%'><h2><P ALIGN='center'><FONT COLOR='#000000'><b>Sex</b></FONT></TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME1' NAME='COMP_NAME1' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE1' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION1' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX1' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME2' NAME='COMP_NAME2' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE2' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION2' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX2' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME3' NAME='COMP_NAME3' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE3' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION3' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX3' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME4' NAME='COMP_NAME4' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE4' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION4' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX4' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME5' NAME='COMP_NAME5' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE5' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION5' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX5' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME6' NAME='COMP_NAME6' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE6' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION6' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX6' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
<tr BGCOLOR='#BBCA8C'>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=><INPUT maxlength=50 id= 'COMP_NAME7' NAME='COMP_NAME7' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=10 NAME='COMP_BIRTHDATE7' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><INPUT maxlength=20 NAME='COMP_RELATION7' style="width:100%"></TD>
<TD VALIGN='TOP' DIR=LTR COLSPAN=1 ><h2><P ALIGN='center'><FONT COLOR='#000000'><h2><P ALIGN=>
<select name='COMP_SEX7' style="width:60 " size=1 >
<OPTION selected VALUE='1' >Male</option> <OPTION VALUE='2' >Female</option>
</select>
</TD>
</tr>
</TABLE>
</TD></TR>
</TABLE>
<!--****************************************-->
</TD></TR>
</TABLE>
</TD>
</TR>
</TABLE>
<P ALIGN="CENTER">
<TABLE border=0 cellPadding=0 cellSpacing=0 width='70%'><P ALIGN="CENTER">
<tr>
<td><P ALIGN="CENTER">
<marquee behavior=alternate style="color: #800000; font-weight: bold; font-size: 12pt" scrolldelay="1" SCROLLAMOUNT="2" width="100%" height="20" direction=left>
I Hereby Undertake to fully respect and Comply with Saudi Law</font>
</marquee>
<TABLE align=cinter BORDER=2 BORDERCOLOR="#305F90" CLLSPACING=1 CELLPADDING=1 WIDTH="180">
<TR>
<TD BGCOLOR="#E0F7E0" BORDERCOLOR="#305F90" VALIGN="MIDDLE" ALIGN="CENTER" >
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<INPUT name= 'b1' type="button" VALUE='SUBMIT' onclick=SendData()>
<INPUT name= 'b2' type="button" VALUE='Back' onclick=GoBack()>
</TD>
</TR>
</TABLE>
</TD>
</TR>
</TABLE>
</td></tr></table>
</FORM>
<script language="JavaScript">
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<script language="vbScript">
lang=form3.lang.value
msg_date="bad date "
msg_afirstname="Enter the AFirst Name. "
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msg_efirstname="Enter the First Name. "
msg_efamily="Enter the Fmaily Name. "
msg_passport_no="Enter the Passport Number. "
msg_passport_issue_place="Check the issue's place of the Passport. "
msg_birth_place="Enter the place of Birth. "
msg_job_or_relation="Enter the Profession "
msg_degree="Please complete entering your Data."
msg_degree_source="Please complete entering your Data."
msg_address_home="Enter the Home Address. "
msg_mahram_name="Ente Mahram Name"
msg_mahram_relation="Enter Mahram Relation"
msg_COMP_name="Enter the Name"
msg_COMP_BIRTHDATE="Enter the Birth of Date"
msg_COMP_RELATION="Enter the RELATION"
function SendData()
if ChkDate ("pi") =false then exit function
if ChkDate ("pe") =false then exit function
if ChkDate ("pd") =false then exit function
' if trim(document.form1.mahram_name.value)="" THEN
' form1.mahram_name.value=""
' form1.mahram_name.focus()
' alert(msg_mahram_name)
' exit function
' end if
' if trim(document.form1.mahram_relation.value)="" THEN
' form1.mahram_relation.value=""
' form1.mahram_relation.focus()
' alert(msg_mahram_relation)
' exit function
' end if
if trim(document.form1.efirstname.value)="" THEN
form1.efirstname.value=""
form1.efirstname.focus()
alert(msg_efirstname)
exit function
end if
if trim(document.form1.efamily.value)="" THEN
form1.efamily.value=""
form1.efamily.focus()
alert(msg_efamily)
exit function
end if
if trim(document.form1.passport_no.value)="" THEN
form1.passport_no.value=""
form1.passport_no.focus()
alert(msg_passport_no)
exit function
end if
if trim(document.form1.passport_issue_place.value)="" THEN
form1.passport_issue_place.value=""
form1.passport_issue_place.focus()
alert(msg_passport_issue_place)
exit function
end if
if trim(document.form1.birth_place.value)="" THEN
form1.birth_place.value=""
form1.birth_place.focus()
alert(msg_birth_place)
exit function
end if
if trim(document.form1.job_or_relation.value)="" THEN
form1.job_or_relation.value=""
form1.job_or_relation.focus()
alert(msg_job_or_relation)
exit function
end if
if trim(document.form1.degree.value)="" THEN
' form1.degree.value=""
' form1.degree.focus()
' alert(msg_degree)
' exit function
end if
if trim(document.form1.degree_source.value)="" THEN
' form1.degree_source.value=""
' form1.degree_source.focus()
' alert(msg_degree_source)
' exit function
end if
if trim(document.form1.address_home.value)="" THEN
form1.address_home.value=""
form1.address_home.focus()
alert(msg_address_home)
exit function
end if
if trim(document.form1.COMP_NAME1.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE1.value)="" then
document.form1.COMP_BIRTHDATE1.value=""
form1.COMP_BIRTHDATE1.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION1.value)="" then
document.form1.COMP_RELATION1.value=""
form1.COMP_RELATION1.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME1.value=""
if trim(document.form1.COMP_BIRTHDATE1.value)<>"" or trim(document.form1.COMP_RELATION1.value)<>"" then
form1.COMP_NAME1.focus()
alert(msg_COMP_name)
exit function
end if
end if
if trim(document.form1.COMP_NAME2.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE2.value)="" then
document.form1.COMP_BIRTHDATE2.value=""
form1.COMP_BIRTHDATE2.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION2.value)="" then
document.form1.COMP_RELATION2.value=""
form1.COMP_RELATION2.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME2.value=""
if trim(document.form1.COMP_BIRTHDATE2.value)<>"" or trim(document.form1.COMP_RELATION2.value)<>"" then
form1.COMP_NAME2.focus()
alert(msg_COMP_name)
exit function
end if
end if
if trim(document.form1.COMP_NAME3.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE3.value)="" then
document.form1.COMP_BIRTHDATE3.value=""
form1.COMP_BIRTHDATE3.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION3.value)="" then
document.form1.COMP_RELATION3.value=""
form1.COMP_RELATION3.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME3.value=""
if trim(document.form1.COMP_BIRTHDATE3.value)<>"" or trim(document.form1.COMP_RELATION3.value)<>"" then
form1.COMP_NAME3.focus()
alert(msg_COMP_name)
exit function
end if
end if
if trim(document.form1.COMP_NAME4.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE4.value)="" then
document.form1.COMP_BIRTHDATE4.value=""
form1.COMP_BIRTHDATE4.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION4.value)="" then
document.form1.COMP_RELATION4.value=""
form1.COMP_RELATION4.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME4.value=""
if trim(document.form1.COMP_BIRTHDATE4.value)<>"" or trim(document.form1.COMP_RELATION4.value)<>"" then
form1.COMP_NAME4.focus()
alert(msg_COMP_name)
exit function
end if
end if
if trim(document.form1.COMP_NAME5.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE5.value)="" then
document.form1.COMP_BIRTHDATE5.value=""
form1.COMP_BIRTHDATE5.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION5.value)="" then
document.form1.COMP_RELATION5.value=""
form1.COMP_RELATION5.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME5.value=""
if trim(document.form1.COMP_BIRTHDATE5.value)<>"" or trim(document.form1.COMP_RELATION5.value)<>"" then
form1.COMP_NAME5.focus()
alert(msg_COMP_name)
exit function
end if
end if
if trim(document.form1.COMP_NAME6.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE6.value)="" then
document.form1.COMP_BIRTHDATE6.value=""
form1.COMP_BIRTHDATE6.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION6.value)="" then
document.form1.COMP_RELATION6.value=""
form1.COMP_RELATION6.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME6.value=""
if trim(document.form1.COMP_BIRTHDATE6.value)<>"" or trim(document.form1.COMP_RELATION6.value)<>"" then
form1.COMP_NAME6.focus()
alert(msg_COMP_name)
exit function
end if
end if
if trim(document.form1.COMP_NAME7.value) <>"" then
if trim(document.form1.COMP_BIRTHDATE7.value)="" then
document.form1.COMP_BIRTHDATE7.value=""
form1.COMP_BIRTHDATE7.focus()
alert(msg_COMP_BIRTHDATE)
exit function
end if
if trim(document.form1.COMP_RELATION7.value)="" then
document.form1.COMP_RELATION7.value=""
form1.COMP_RELATION7.focus()
alert(msg_COMP_RELATION)
exit function
end if
else
document.form1.COMP_NAME7.value=""
if trim(document.form1.COMP_BIRTHDATE7.value)<>"" or trim(document.form1.COMP_RELATION7.value)<>"" then
form1.COMP_NAME7.focus()
alert(msg_COMP_name)
exit function
end if
end if
' for(i=1;i<4;i++)
' {
' if (document.all("COMP_NAME" + i ).value!="" )
' {
' if (document.all("COMP_BIRTHDATE" + i ).value=="" )
' if(i==1) {alert("íÌÈ ÅÏÎÇá ÊÇÑíÎ ÇáãíáÇÏ");document.all("COMP_BIRTHDATE" + i ).focus();return}
' if (document.all("COMP_RELATION" + i ).value=="" )
' if(i==1) {alert("íÌÈ ÅÏÎÇá ÇáÚáÇÞÉ");document.all("COMP_RELATION" + i ).focus();return}
' }
' }
form1.submit()
end function
function ChkDate(wstr)
d=document.all(wStr & "d").value
m=document.all(wStr & "m").value
y=document.all(wStr & "y").value
pidate=d & "/" & m & "/" & y
ChkDate=True
if isdate(pidate)= false then
alert(msg_Date)
document.all(wStr & "d").focus()
ChkDate=false
exit function
end if
end function
</script>
</body>
</html>
Voilà je m'excuse pour ce message très long, mais j'ai pas pu faire mieux.
Espérons que ça va faire avancer les choses.
Merci encore et à bientôt