/home/mip/public_html_/old-website/brokerxxx/report_applicant_taiwan.php
<?
session_start();
require_once("func_all.php");

do_report_header2a("Taiwan Format - ".get_applicantname($applicant_id));
$company = getdata_one("*","company",1,1);  	
$applicant = getdata_one("*","personal","applicant_id",$applicant_id);
if(!strcasecmp(getname($applicant['country_id'],"country","country_id"),'Taiwan'))// if 1st country is equal to Taiwan in case insensitive way
   $applicantid_taiwan = $applicant['applicant_id1']; 
elseif(!strcasecmp(getname($applicant['country_id2'],"country","country_id"),'Taiwan'))// if 2nd country is equal to Taiwan in case insensitive way
   $applicantid_taiwan = $applicant['applicant_id2']; 
	 
$process = getdata_one("*","process","applicant_id",$applicant_id);   							
$medical = getdata("select m.status from medical as m,clinics as c where m.clinic_id=c.clinic_id and applicant_id='$applicant_id' order by date desc limit 1");
$education = getdata("select * from education where applicant_id='$applicant_id' order by from_date desc limit 1");
$dependents = getdata_one("*","dependents","applicant_id","$applicant_id");
$children = getdata("select bday from children where applicant_id='$applicant_id' order by bday asc");
$num_children = count($children);
$employment = getdata("select *,DATE_FORMAT(from_date,'%b %Y') AS frm_date, IF(to_date,DATE_FORMAT(to_date,'%b %Y'),'PRESENT') as t_date from employment where applicant_id='$applicant_id' and overseas=0 order by from_date desc limit 3");
$num_emp = count($employment);
$employment2 = getdata("select *,DATE_FORMAT(from_date,'%b %Y') AS frm_date, IF(to_date,DATE_FORMAT(to_date,'%b %Y'),'PRESENT') as t_date from employment where applicant_id='$applicant_id' and overseas=1 order by from_date desc limit 2");
$num_emp2 = count($employment2);
$questions = getdata_one("*","questions","applicant_id","$applicant_id");
$prequalify = getdata_one("*","prequalify","applicant_id","$applicant_id");
?> 	
<tr><td height="100%" align=center valign="top">
<table align=center cellpadding='2' cellspacing='2' border=0 width=100%>

  
 <tr><td valign=top width=100%>
 <table border=0 align=center width="100%" cellpadding=3>
			 
			 <tr>
			 		 <td align="center">
					 <img src="<?=$img_dir?>jakelogoonly.jpg" align="center"><br>
					 <span class="smallest">POEA License # 084-LB-082506-R</span>					 					 
					 </td>
			 </tr>		 
			 <tr>
			 		 <td align="center" class="smaller"><b>
					 <?=$company['agency_address']?><br>
					 Tel.: <?=$company['agency_tel']?> * Fax: <?=$company['agency_fax']?><br>
					 Email: <?=$company['agency_email']?></b>					 					 					 
					 </td>
			 </tr>
			 <tr><td><br></td></tr>
			 <tr>
			 		 <td>
					 		 <table width="100%" cellpadding=0 cellspacing=0>

										<tr>
												<td width="110" class="font12">&#22283;&#22806;&#20210;&#20171;<br>Name of Agency:</td>
												<td width="" class="line" valign="bottom">&nbsp;<?=$company['agency_name']?></td>
												<td width=10></td>
												<td width="100" class="font12">&#32232;&#34399;<br>Reference No.:</td>
												<td class="line" valign="bottom" width=150>&nbsp;<?=$applicantid_taiwan?></td>
										</tr>
												
							 </table>
					 </td>
			 </tr>		 		 
			 <tr>
			 		 <td>					
							 <table width="100%" cellpadding=0 cellspacing=0>

										<tr>
												<td align="center"><br><i><b><font size=3>BIO-DATA</font><br><br></td>
										</tr>
												
							 </table>
						</td>
				</tr>
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=0 cellspacing=0 border=0>

										<tr>
												<td width=40 class="font12">&#22995;&#21517;<br>NAME:</td>
												<td class="line" valign="bottom">&nbsp;<?=$applicant['fname']." ".$applicant['mname']." ".$applicant['lname']?></td>
												<td width=30 class="font12">&#40801;<br>AGE:</td>
												<td class="line" valign="bottom" width=70>&nbsp;<?=get_age($applicant['birthdate'])?></td>
												<td width=40 class="font12">&#24615;&#21035;<br>SEX:</td>
												<td width=25 class="font12" valign="bottom" align="center">&nbsp;<?=($applicant[sex]=="M")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?></td>
												<td width=50 class="font12" valign="bottom">&#30007;<br>Male</td>
												<td width=25 class="font12" valign="bottom" align="center"><?=($applicant[sex]=="F")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?></td>
												<td width=50 class="font12" valign="bottom">&#22899;<br>Female</td>
										</tr>
												
							 </table>
					 </td>
				</tr>	 		 
				<tr>
			 		 <td>						
							 <table width="100%" cellpadding=0 cellspacing=0>

										<tr>
												<td width=100 class="font12">&#20986;&#29983;&#26085;&#26399;<br>BIRTHDATE:</td>
												<td class="line" valign="bottom" width=40%>&nbsp;<?=dateformat($applicant['birthdate'])?></td>
												<td width=100 class="font12">&#20986;&#29983;&#22320;&#40670;<br>BIRTHPLACE:</td>
												<td class="line" valign="bottom" width=40%>&nbsp;<?=$applicant['birthplace']?></td>												
										</tr>
												
							 </table>
					 </td>
			 </tr>
			 
			 <tr>
			 		 <td>						
							 <table width="100%" cellpadding=0 cellspacing=0 border=0>

										<tr>
												<td width=60 class="font12">&#36523;&#39640;<br>HEIGHT:</td>
												<td class="line" valign="bottom" width=100>&nbsp;<?=($applicant['height2']=='cm')? $applicant['height1'] : ''?></td>
												<td valign="bottom" class="font12">cm.</td>
												<td width=60 class="font12">&#39636;&#37325;<br>WEIGHT:</td>
												<td class="line" valign="bottom" width=100>&nbsp;<?=($applicant['weight2']=='kg')? $applicant['weight1'] : ''?></td>
												<td valign="bottom" class="font12">kg.</td>												
												<td width=70 class="font12">&#23447;&#25945;<br>RELIGION:</td>
												<td class="line" valign="bottom" width=250>&nbsp;<?=$applicant['religion']?></td>												
										</tr>
												
							 </table>
					 </td>
			 </tr>
			 <tr>
			 		 <td>							 
							 <table cellpadding=0 cellspacing=0 border=0>

										<tr>
												<td width=120 class="font12">&#23130;&#23035;<br>MARITAL STATUS:</td>
												<td valign="bottom" class="font12">&nbsp;<?=($applicant['civil_status']=="Single")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12"  width=100>&#26410;&#23130;<br>SINGLE&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12">&nbsp;<?=($applicant['civil_status']=="Single Mother")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12"  width=150>&#21934;&#36523;&#27597;&#35242;<br>SINGLE MOTHER&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12">&nbsp;<?=($applicant['civil_status']=="Married")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12"  width=130>&#24050;&#23130;<br>MARRIED&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12">&nbsp;<?=($applicant['civil_status']=="Widow")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>&nbsp;&nbsp;&nbsp;&nbsp;</td>
												<td valign="bottom" class="font12"  width=130>&#23521;&#23142;<br>WIDOW</td>
										</tr>
												
							 </table>
					 </td>
				</tr>	 		 		   
				<tr><td><br></td></tr>
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=0 cellspacing=0 border=0 bordercolor=whiteviolet>
										<tr>
												<td valign="top">
												   <table class='report'>
													    <tr>
																	<td class='report' width=351 height=473 align='center'><!--width=351 height=473-->
																	<?if ($applicant[picture_body]){print resize_pic1(351,473,$pic_dir1.$applicant[picture_body],"","","",1);}else{echo "<font size=2>PHOTO<br>WHOLE BODY</font>";}?>
																	</td>
															</tr>
													 </table>
												</td>
												<td valign="top">
												   <table class='report'>
													    <tr>
																	<td class='report' width=160 height=160 align='center' valign='middle'>
																	<?if ($applicant[picture]){print resize_pic1(160,160,$pic_dir1.$applicant[picture],"","","",1);}else{echo "<font size=2>Photo</font>";}?>
																	</td>
															</tr>
													 </table>
													 <br><br><br>
													 <table cellpadding=3 cellspacing=2>
													 		<tr>
																	<td></td>
																	<td class="font12">&#30446;&#21069;&#24050;&#20633;&#20491;&#20154;&#25991;&#20214;<br>Presently Ready Documents:<br><br></td>
															</tr>
															<tr>
																	<td valign="bottom" class="font12">&nbsp;<?=($process['passport'])? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?></td>
																	<td valign="bottom" class="font12">PASSPORT &#35703;&#29031;</td>
															</tr>
															<tr>		
																	<td valign="bottom" class="font12">&nbsp;<?=($applicant['PNBI'])? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?></td>
																	<td valign="bottom" class="font12">NBI &#33391;&#27665;&#35657;</td>
															</tr>
															<tr>		
																	<td valign="bottom" class="font12">&nbsp;<?=($medical[1]['status']=='Fit')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?></td>
																	<td valign="bottom" class="font12">MEDICAL &#39636;&#27298;</td>
															</tr>																					
													 </table>													 
												</td>
										</tr>												
							 </table>
					 </td>
				</tr>	 		 		   
 </table>						
 </td></tr>
 
 <tr><td><div  style='page-break-after:always'></div></td></tr>
 
 <tr><td valign=top width=100%>
 <table border=0 align=center width="100%" cellpadding=3>
				
				<tr><td><i><b><font size=3>I. &nbsp;&nbsp;&nbsp;EDUCATIONAL ATTAINMENT</b> &#25945;&#32946;&#32972;&#26223;<br><br></td></tr>
				
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=1 cellspacing=1>
							 			<tr>
												<td class="font12">HIGHEST EDUCATIONAL ATTAINMENT &#26368;&#39640;&#23416;&#27511;:</td>
										</tr>
										<tr>
												<td>
														<table width="100%" cellpadding=3 border=0 bordercolor="whiteviolet">	
																		<tr>
																				<td valign="bottom" class="font12">
																				<?=($education[1]['education']=="Elementary")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				ELEMENTARY &#22283;&#23567;
																				</td>
																				<td valign="bottom" class="font12">
																				<?=($education[1]['education']=="Secondary")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				HIGH SCHOOL &#39640;&#20013;
																				</td>
																				<td valign="bottom" colspan=2 class="font12">
																				<?=($education[1]['education']=="College/University")? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				COLLEGE/UNIVERSITY &#22823;&#23416;
																				</td>
																		</tr>
																		<tr>
																				<td valign="bottom" class="font12">
																				<?=($education[1]['to_date']>0)? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				GRADUATE &#30050;&#26989;
																				</td>
																				<td valign="bottom" class="font12">
																				<?=($education[1]['to_date']<=0)? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				UNDERGRADUATE &#32900;&#26989;
																				</td>
																				<td valign="bottom" width=235 class="font12">
																				ATTENDED HOW MANY YEARS &#35712;&#24190;&#24180;
																				</td>
																				<td valign="bottom" class="line" width=20%>&nbsp;&nbsp;
																				<?=($education[1]['to_date']>0)? $education[1]['to_date']-$education[1]['from_date'] : ""?>
																				</td>
																		</tr>																		
														</table>
												 </td>		
										</tr>
										<tr>
												<td>
														<table width="100%">																			
																		<tr>
																				<td valign="bottom" width=280 class="font12">
																				NAME OF SCHOOL LAST ATTENDED &#23416;&#38498;&#21517;&#31281;
																				</td>
																				<td valign="bottom" class="line">&nbsp;&nbsp;
																				<?=$education[1]['school']?>
																				</td>
																		</tr>
															</table>
															<table width="100%">			
																		<tr>
																				<td valign="bottom" width=100 class="font12">
																				COURSE &#31185;&#31992;
																				</td>
																				<td valign="bottom" class="line">&nbsp;&nbsp;
																				<?=$education[1]['course']?>
																				</td>
																		</tr>
														</table>
												 </td>		
										</tr>		
							 </table>
					 </td>
				</tr>	 		 		   
				
				<tr><td><br><br><i><b><font size=3>II. &nbsp;&nbsp;FAMILY BACKGROUND</b> &#24237;&#29376;&#27841;</div></td></tr>
				
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=1 cellspacing=1>
										<tr>
												<td>
														<table width="100%" cellpadding=2 border=0>	
																		<tr>
																				<td valign="bottom" width=25% class="font12">NAME OF FATHER &#29238;&#35242;&#22995;&#21517;</td>
																				<td valign="bottom" width=20% class="line">&nbsp;<?=$dependents['f_fname']." ".$dependents['f_lname']?></td>
																				<td valign="bottom" width=8% class="font12" align="right">AGE &#24180;&#40801;</td>
																				<td valign="bottom" width=9% class="line">&nbsp;<?=get_age($dependents['f_bday'])?></td>
																				<td valign="bottom" widht=18% class="font12"  align="right">OCCUPATION &#32887;&#26989;</td>
																				<td valign="bottom" width=20% class="line">&nbsp;<?=($dependents['f_status']=='Employed')? $dependents['f_occup'] : $dependents['f_status']?></td>
																		</tr>
																		<tr>
																				<td valign="bottom" class="font12">NAME OF MOTHER &#27597;&#35242;&#22995;&#21517;</td>
																				<td valign="bottom" class="line">&nbsp;<?=$dependents['m_fname']." ".$dependents['m_lname']?></td>
																				<td valign="bottom" class="font12" align="right">AGE &#24180;&#40801;</td>
																				<td valign="bottom" class="line">&nbsp;<?=get_age($dependents['m_bday'])?></td>
																				<td valign="bottom" class="font12" align="right">OCCUPATION &#32887;&#26989;</td>
																				<td valign="bottom" class="line">&nbsp;<?=($dependents['m_status']=='Employed')? $dependents['m_occup'] : $dependents['m_status']?></td>
																		</tr>
																		<tr>
																				<td colspan=6>
																						<table width="100%" cellpadding=0 cellspacing=0>																			
																									 <tr>
																									 		 <td valign="bottom" class="font12" width=220>NUMBER OF BROTHERS &#20804;&#24351;&#24190;&#20301;</td>
																											 <td valign="bottom" class="line">&nbsp;&nbsp;<?=$dependents['num_bro']?></td>
																											 <td valign="bottom" class="font12" width=190 align="right">NUMBER OF SISTERS &#22992;&#22969;&#24190;&#20301;</td>
																											 <td valign="bottom" class="line">&nbsp;&nbsp;<?=$dependents['num_sis']?></td>
																									</tr>
																						</table>
																				</td>
																	  </tr>
																	  <tr>
																			<td colspan=6>														
																					<table width="100%" cellpadding=0 cellspacing=0 border=0 bordercolor=red>																			
																								 <tr>
																								 		 <td valign="bottom" width=275 class="font12">&#20320;&#26159;&#23478;&#20013;&#25490;&#34892;&#31532;&#24190;&#20301;? YOU ARE THE NUMBER</td>
																										 <td valign="bottom" class="line">&nbsp;&nbsp;<?=$dependents['num_family']?>&nbsp;&nbsp;</td>
																										 <td valign="bottom" class="font12">IN THE FAMILY</td>
																								 </tr>
																					</table>
												 						  </td>		
																     </tr>
																	 <tr>
																				<td valign="bottom" class="font12">NAME OF SPOUSE &#20276;&#20406;&#22995;&#21517; :</td>
																				<td valign="bottom" class="line">&nbsp;<?=$dependents['spouse_fname']." ".$dependents['spouse_lname']?></td>
																				<td valign="bottom" class="font12" align="right">AGE &#24180;&#40801;</td>
																				<td valign="bottom" class="line">&nbsp;<?=get_age($dependents['spouse_bday'])?></td>
																				<td valign="bottom" class="font12" align="right">OCCUPATION &#32887;&#26989;</td>
																				<td valign="bottom" class="line">&nbsp;<?=$dependents['spouse_occup']?></td>
																		</tr>
																		<tr>
																				<td colspan=6>
																						<table width="100%" cellpadding=0 cellspacing=0 border=0 bordercolor=whiteviolet>																			
																									 <tr>
																									 		 <td valign="bottom" class="font12" width=210>NO. OF CHILDREN &#20818;&#22899;&#24190;&#20301;</td>
																											 <td valign="bottom" class="line" width=90>&nbsp;&nbsp;<?=$num_children?></td>
																											 <td valign="bottom" class="font12" width=200 align="right">AGE OF ELDEST &#26368;&#22823;&#24180;&#40801;</td>
																											 <td valign="bottom" class="line" width=90>&nbsp;<?=get_age($children[1]['bday'])?></td>
																											 <td valign="bottom" class="font12" width=210 align="right">AGE OF YOUNGEST &#26368;&#23567;&#24180;&#40801;</td>
																											 <td valign="bottom" class="line" width=90>&nbsp;<?=get_age($children[$num_children]['bday'])?></td>
																										</tr>
																						</table>
																				</td>
																	  </tr>						
														</table>
												 </td>		
										</tr>
										
							 </table>
					 </td>
				</tr>	 		 	
				
				<tr><td><br><br><i><b><font size=3>III. &nbsp;EMPLOYMENT BACKGROUND</b> &#24037;&#20316;&#32147;&#39511;</td></tr>				
								
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=1 cellspacing=1>
							 			<tr>
												<td class="font12"><B>LOCAL EXPERIENCE</B> &#22283;&#20839;&#32147;&#39511;:</td>
										</tr>
										<tr>
												<td>
														<table width="100%" cellpadding=3 cellspacing=5>	
																		
																		<tr>
																				<td valign="bottom" align="center" class="font12" >EMPLOYER &#20721;&#20027;</td>
																				<td valign="bottom" align="center" class="font12" >POSITION &#32887;&#31281;</td>
																				<td valign="bottom" align="center" class="font12" >DURATION &#24037;&#20316;&#26085;&#26399;</td>
																				<td valign="bottom" align="center" class="font12">SALARY &#34218;&#36039;</td>
																				<td valign="bottom" align="center" class="font12">REASON OF LEAVING &#38626;&#32887;&#21407;&#22240;</td>
																		</tr>		
																		<?for($i=1;$i<=3;$i++){?>
																		<tr>
																				<td valign="bottom" class="line">&nbsp;<?=$employment[$i]['company']?></td>
																				<td valign="bottom" class="line">&nbsp;<?=$employment[$i]['position']?></td>
																				<td valign="bottom" class="line" align="center">&nbsp;<?=$employment[$i]['frm_date']." - ".$employment[$i]['t_date']?>&nbsp;</td>
																				<td valign="bottom" class="line" align="center">&nbsp;<?=$employment[$i]['salary']?>&nbsp;</td>
																				<td valign="bottom" class="line"><?=$employment[$i]['reason_for_leaving']?>&nbsp;</td>																				
																		</tr>													
																		<?}?>																							
														</table>
												 </td>		
										</tr>											
										<tr>
												<td class="font12"><B>OVERSEAS EXPERIENCE</b> &#22283;&#22806;&#32147;&#39511;:</td>
										</tr>
										<tr>
												<td>
														<table width="100%" cellpadding=3 cellspacing=5>	
																		
																		<tr>
																				<td valign="bottom" class="font12" align="center">EMPLOYER &#20721;&#20027;</td>
																				<td valign="bottom" class="font12" align="center" width=100>PLACE &#22320;&#26041;</td>																				
																				<td valign="bottom" class="font12" align="center">POSITION &#32887;&#31281;</td>
																				<td valign="bottom" class=font12" align="center">DURATION &#24037;&#20316;&#26085;&#26399;</td>
																				<td valign="bottom" class="font12" align="center">REASON FOR LEAVING &#38626;&#32887;&#21407;&#22240;</td>
																		</tr>		
																		<?for($i=1;$i<=2;$i++){?>
																		<tr>
																				<td valign="bottom" class="line">&nbsp;<?=$employment2[$i]['company']?></td>
																				<td valign="bottom" class="line" align="center"><?=$employment2[$i]['address']?>&nbsp;</td>
																				<td valign="bottom" class="line">&nbsp;<?=$employment2[$i]['position']?></td>
																				<td valign="bottom" class="line" align="center">&nbsp;<?=$employment2[$i]['frm_date']." - ".$employment2[$i]['t_date']?>&nbsp;</td>
																				<td valign="bottom" class="line"><?=$employment2[$i]['reason_for_leaving']?>&nbsp;</td>																				
																		</tr>													
																		<?}?>																							
														</table>
												 </td>		
										</tr>					
										<tr>
												<td>
												    <table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=370 class="font12">&#20320;&#26159;&#21542;&#26377;&#29031;&#39015;&#23344;&#23401;&#30340;&#32147;&#39511;
																			 <br>DO YOU HAVE EXPERIENCE IN TAKING CARE OF BABY(IES)?</td>
																			 <td valign="bottom" class="font12">
																				<?=($questions['exp_baby']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				YES&nbsp;&nbsp;&nbsp;
																				<?=($questions['exp_baby']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				NO
																				</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=350 class="font12">&#35531;&#23531;&#35703;&#29702;&#23344;&#23401;&#30340;&#32147;&#39511; / &#20818;&#31461;&#30340;&#24180;&#40801;
																			 <br>IF YES, STATE THE AGES OF THE BABIES / CHILDREN</td>
																			 <td valign="bottom" class="line"><?=$questions['ages_baby']?>&nbsp;</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=370 class="font12">HOW LONG DID YOU TAKE CARE OF THEM? &#29031;&#39015;&#20182;&#20497;&#22810;&#20037;?</td>
																			 <td valign="bottom" class="line"><?=$questions['duration_baby']?>&nbsp;</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=350 class="font12">WRITE IN DETAIL WHAT YOU HAVE DONE &#35531;&#35443;&#36848;&#20320;&#30340;&#32147;&#39511;</td>
																			 <td valign="bottom" class="line"><?=$questions['done_baby']?>&nbsp;</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=480 class="font12">&#20320;&#26159;&#21542;&#26377;&#30475;&#39015;&#24739;&#30149;&#30340;&#32147;&#39511;?
																			 <br>DO YOU HAVE EXPERIENCE LOOKING AFTER AGED, INVALID OR BEDRIDDEN?</td>
																			 <td valign="bottom" class="font12">
																				<?=($questions['exp_aged']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				YES&nbsp;&nbsp;&nbsp;
																				<?=($questions['exp_aged']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				NO
																				</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=350 class="font12">&#35531;&#25944;&#36848;&#20182;&#20497;&#30340;&#24180;&#40801;&#21644;&#24615;&#21029;
																			 <br>IF YES, STATE THE AGES AND SEX OF THESE PEOPLE</td>
																			 <td valign="bottom" class="line"><?=$questions['ages_aged']?>&nbsp;</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=380 class="font12">WHAT KIND OF ILLNESS DOES YOUR PATIENT HAVE? &#20160;&#40636;&#30149;?</td>
																			 <td valign="bottom" class="line"><?=$questions['illness_aged']?>&nbsp;</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=350 class="font12">HOW LONG DID YOU LOOK AFTER THEM? &#20320;&#29031;&#39015;&#20182;&#20497;&#22810;&#20037;?</td>
																			 <td valign="bottom" class="line"><?=$questions['duration_aged']?>&nbsp;</td>
																	 </tr>		 
														</table>
														<table border=0 width="100%" cellpadding=1 cellspacing=1>
														    	 <tr>
																	 		 <td valign="bottom" width=350 class="font12">WRITE IN DETAIL WHAT YOU HAVE DONE &#35531;&#35443;&#36848;&#20320;&#30340;&#32147;&#39511;</td>
																			 <td valign="bottom" class="line"><?=$questions['done_aged']?>&nbsp;</td>
																	 </tr>		 
														</table>
												</td>
										</tr>							
							 </table>
					 </td>
				</tr>	 		 		  	   
 </table>						
 </td></tr>
 
 <tr><td><div  style='page-break-after:always'></div></td></tr>
 
 <tr><td valign=top width=100%>
 <table border=0 align=center width="100%" cellpadding=3>
				
				<tr><td><i><b><font size=3>IV.</b> &#20320;&#26159;&#21542;&#39000;&#24847;&#25509;&#21463;&#20197;&#19979;&#20219;&#21209;? &#26377;&#27794;&#26377;&#32147;&#39511;? &#35531;&#22238;&#31572;&#26159;&#25110;&#21542;</td></tr>				
				
				<tr>
						<td class="font12">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;ARE YOU WILLING AND EXPERIENCE TO DO THE FOLLOWING AND WILLING TO ACCEPT ALL OF THESE DUTIES?  PLEASE WRITE DOWN YOUR ANSWER BY YES OR NO.
				    </td>
			  </tr>				
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=1 cellspacing=2 border=0>
							 				<tr>
													<td colspan="2"></td>
													<td valign="bottom" align="center" width=70 class="font12">&#39000;&#24847;<br>WILLING</td>
													<td width=10></td>
													<td valign="bottom" align="center" width=70 class="font12">&#32147;&#39511;<br>EXPERIENCE</td>
											</tr>
											<?
											$num_duties = count($array_duties);
											for($i=1;$i<=$num_duties;$i++){														 
												print "
																<tr>
																		<td class='font12' valign='bottom' align='right'>$i.</td>
																		<td class='font12' valign='bottom'>".$array_duties[$i]['duty']." ".$array_duties[$i]['chi']."</td>																		
																		<td valign='bottom' class='line' align='center'>&nbsp;";
															print $questions[$array_duties[$i]['field'].'_willing'];
											  			print "&nbsp;</td><td></td>";
															print "<td valign='bottom' class='line' align='center'>&nbsp;";
														  print $questions[$array_duties[$i]['field'].'_exp'];
															print "&nbsp;</td>
																</tr>";																			
											 }	
											?>				
							 </table>
					 </td>
				</tr>
					 		 					
 </table>						
 </td></tr>
 
 <tr><td valign=top width=100%>
 <table border=0 align=center width="100%" cellpadding=3 bordercolor="maroon">
				
				<tr><td><i><b><font size=3>V.</b> &#35531;&#30495;&#23526;&#30340;&#22238;&#31572;&#20197;&#19979;&#21839;&#38988;</td></tr>				
				
				<tr>
						<td class="font12">PLEASE GIVE A TRUTHFUL ANSWER TO THE FOLLOWING QUESTION:</td>
			  </tr>				
				<tr>
			 		 <td valign="top">							 
							 <table width="100%" cellpadding=2 cellspacing=3 border=0>
							 				<?$count=1;?>
							 				<tr>
												  <td class="font" valign="top"><?=$count++?>.</td>
										 		  <td class="font12" valign="top">&#35443;&#36848;&#36523;&#28858;&#23478;&#24237;&#22899;&#20653;&#30340;&#32887;&#21209;
													<br>DESCRIBE WHAT ARE THE DUTIES OF A DOMESTIC HELPER?</td>
										  </tr>		
											<tr>
												  <td class="font12"></td>
										 		  <td valign="bottom" class="line"><?=$questions['duties_dh']?>&nbsp;</td>
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">&#35531;&#31777;&#36848;&#28858;&#20309;&#20320;&#35201;&#38626;&#38283;&#23478;&#24237;&#21450;&#35242;&#20154;&#20358;&#36889;&#35023;&#24037;&#20316;
													<br>STATE BRIEFLY WHY YOU WANT TO WORK ABROAD LEAVING YOUR FAMILY AND LOVED ONES BEHIND?</td>
										  </tr>		
											<tr>
												  <td></td>
										 		  <td valign="bottom" class="line"><?=$questions['why_workabroad']?>&nbsp;</td>
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">&#30070;&#20320;&#38626;&#23478;&#26178;&#35504;&#23559;&#29031;&#39015;&#20320;&#30340;&#23401;&#23376;&#23478;&#24237;?
													<br>WHO WILL LOOK AFTER YOUR CHILDREN / FAMILY WHILE YOU ARE AWAY?</td>
										  </tr>		
											<tr>
												  <td></td>
										 		  <td valign="bottom" class="line"><?=$questions['who_look_children']?>&nbsp;</td>
										  </tr>
											<tr>
												  <td valign="top"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">&#20320;&#26159;&#21542;&#33021;&#22312;&#19968;&#24180;&#20839;&#19981;&#24819;&#23478;&#24237;? &#35531;&#20320;&#35498;&#26126;&#22312;&#30041;&#21488;&#26399;&#38291;&#20320;&#22914;&#20309;&#20811;&#26381;&#24605;&#37129;&#24615;&#25079;?
													<br>DO YOU THINK YOU WON'T FEEL HOMESICK FOR ONE YEAR? DESCRIBE HOW YOU WILL ADJUST AND FIGHT HOMESICKNESS DURING YOUR STAY IN TAIWAN?</td>
										  </tr>		
											<tr>
												  <td class="font12"></td>
										 		  <td valign="bottom" class="line"><?=$questions['how_adjust']?>&nbsp;</td>
										  </tr>
											<tr>
												  <td class="font12" valign="top"><?=$count++?>.</td>
										 		  <td class="font12" valign="top">&#20320;&#26377;&#20219;&#20309;&#35242;&#23041;&#21644;&#26379;&#21451;&#22312;&#21488;&#28771;&#21966;? &#25944;&#36848;&#20182;&#20497;&#30340;&#22995;&#21517;&#21450;&#22320;&#22336
													<br>DO YOU HAVE ANY RELATIVES OR FRIENDS IN TAIWAN? STATE THEIR NAME(S) AND ADDRESS.</td>
										  </tr>		
											<tr>
												  <td></td>
										 		  <td valign="bottom" class="line"><?=$questions['relatives_taiwan']?>&nbsp;</td>
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">&#20320;&#33021;&#29544;&#33258;&#28310;&#20633;&#31777;&#21934;&#30340;&#39184;&#40670;&#21966;?  &#35531;&#35443;&#36848;&#20320;&#30340;&#28921;&#39146;&#32147;&#39511;
													<br>CAN YOU PREPARE SIMPLE MEAL WITHOUT SUPERVISION? PLEASE WRITE DOWN IN DETAILS YOUR COOKING EXPERIENCE?</td>
										  </tr>		
											<tr>
													<td></td>
										 		  <td valign="bottom" class="line"><?=$questions['prepare_meal']?>&nbsp;</td>
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">ARE YOU PREPARED TO WORK WITH A FAMILY OF MORE THAN SIX MEMBERS?</td>
										  </tr>		
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#21487;&#20197;&#25509;&#21463;&#28858;&#36229;&#36942;&#20845;&#20301;&#25104;&#21729;&#30340;&#23478;&#24237;&#21966;?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['prepared_work']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['prepared_work']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
															</table>					
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">ARE YOU WILLING TO TAKE DAY-OFF SET BY YOUR EMPLOYER?</td>
										  </tr>		
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#26159;&#21542;&#39000;&#24847;&#25509;&#21463;&#39015;&#20027;&#25152;&#23433;&#25490;&#30340;&#20241;&#20551;&#26085;?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['willing_dayoff']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['willing_dayoff']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
															</table>					
										  </tr>
											<tr><td colspan=2><div  style='page-break-after:always'></div></td></tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">ARE YOU WILLING TO WORK WITH NO DAY-OFF BUT WITH OVERTIME PAY?</td>
										  </tr>		
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#21487;&#20197;&#25509;&#21463;&#27794;&#26377;&#20551;&#26085;&#30340;&#24037;&#20316;&#21966;? &#21487;&#26159;&#26377;&#21152;&#29677;&#36027;?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['willing_nodayoff']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['willing_nodayoff']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
															</table>					
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">ARE YOU WILLING TO FINISH MORNING CHORES BEFORE YOU GO OUT ON DAY-OFF?</td>
										  </tr>		
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#22312;&#20241;&#24687;&#26085;&#39000;&#24847;&#29694;&#23436;&#25104;&#26089;&#19978;&#30340;&#38620;&#21209;&#25165;&#20986;&#38272;&#21966;?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['willing_finish']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['willing_finish']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
															</table>					
										  </tr>
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">ARE YOU WILLING TO COME ON DAY OFF NOT LATER THAN THE TIME SET BY YOUR EMPLOYER?</td>
										  </tr>		
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td class="font12" valign="bottom">&#20320;&#22312;&#20241;&#24687;&#26085;&#30070;&#20320;&#22806;&#20986;&#26178;&#20320;&#26159;&#21542;&#39000;&#24847;&#36981;&#29031;&#20721;&#20027;&#35215;&#23450;&#30340;&#26178;&#38291;&#20839;&#22238;&#23478;?</td>
																				 <td class="font12" valign="bottom" align="right">
																				 <?=($questions['willing_come']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['willing_come']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
															</table>					
										  </tr>   
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">CAN YOU EAT PORK? &#20320;&#21487;&#20197;&#21507;&#35948;&#32905;&#21966;?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['eat_pork']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['eat_pork']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
																			</tr>	 
															</table>		
													 </td>					
										  </tr>
											<tr>
													<td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td class="font12" valign="bottom">CAN YOU CUT AND HANDLE PORK? &#20320;&#21487;&#20197;&#20999;&#21644;&#25343;&#35948;&#32905;&#21966;?</td>
																				 <td class="font12" valign="bottom" align="right">
																				 <?=($questions['handle_pork']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['handle_pork']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
																			</tr>	 
															</table>		
													 </td>					
										  </tr>               
											<tr>
													<td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#26371;&#21205;&#36942;&#25163;&#34899;? HAVE YOU UNDERGONE OPERATION?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['undergone_operation']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['undergone_operation']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
																			</tr>	 
															</table>		
													 </td>					
										  </tr>
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0 border=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#22914;&#26524;&#26159;&#35531;&#35498;&#26126; IF YES, PLEASE SPECIFY</td>
																				 <td valign="bottom" class="line" width=200><?=$questions['what_operation']?>&nbsp;</td>
															</table>					
										  </tr>
											<tr>
													<td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#26371;&#24739;&#36942;&#22196;&#37325;&#38263;&#26399;&#30142;&#30149;&#21966;?
																				 HAVE YOU SUFFERED FROM ANY SERIOUS/LONG ILLNESS?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['long_illness']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['long_illness']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
																			</tr>	 
															</table>		
													 </td>					
										  </tr>
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#22914;&#26524;&#26159;&#35531;&#35498;&#26126;  IF YES, PLEASE SPECIFY</td>
																				 <td valign="bottom" class="line" width=200><?=$questions['what_illness']?>&nbsp;</td>
															</table>					
										  </tr>
											<tr>
													<td valign="top"><?=$count++?>.</td>
										 		  <td valign="top">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#20320;&#26377;&#27794;&#26377;&#30382;&#33178;&#36942;&#25935;&#23565;&#34277;&#29289;&#36942;&#25935;?
																				 DO YOU SUFFER FROM ANY SKIN ALLERGY/ ALLERGY TO MEDICINE?</td>
																				 <td valign="bottom" class="font12" align="right">
																				 <?=($questions['skin_allergy']=='Yes')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 YES &#26159; &nbsp;&nbsp;&nbsp;
																				 <?=($questions['skin_allergy']=='No')? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?>
																				 NO &#21542;
																				 </td>
																			</tr>	 
															</table>		
													 </td>					
										  </tr>
											<tr>
													<td valign="bottom"></td>
													<td valign="bottom">
															<table width="100%" cellpadding=0 cellspacing=0>
																		 <tr>
																		 		 <td valign="bottom" class="font12">&#22914;&#26524;&#26159;&#35531;&#35498;&#26126; IF YES, PLEASE SPECIFY</td>
																				 <td valign="bottom" class="line" width=200><?=$questions['what_allergy']?>&nbsp;</td>
															</table>					
										  </tr>       		       			       											                            
							 </table>
					 </td>
				</tr>
					 		 					
 </table>						
 </td></tr>
 
 <tr height=45><td align="center"><b><font size=3>DECLARATION OF APPLICANTS</b> &#30003;&#35531;&#20154;&#23459;&#35475;</td></tr>				
 
 <tr>
 		 <td class="font12">&#25105;&#35641;&#27492;&#23459;&#35475;&#20197;&#19978;&#25152;&#22635;&#23531;&#30340;&#36039;&#31185;, &#20840;&#37096;&#23660;&#23526;, &#32085;&#28961;&#34395;&#35328;.
		 <br>I, hereby confirm that all information and answer given are true and correct and that any deliberate falsification may result in my being repatriated back to my country of origin, at my expense.<br><br>		 
		 		<table align="center">
							 <tr>
							 		 <td class="line" width=200>&nbsp;</td>
									 <td width=40 rowspan=2></td>
									 <td class="line" width=200>&nbsp;</td>
							 </tr>
							 <tr>
							 		 <td valign="top" align="center" class="font12">SIGNATURE &#31805;&#21517;</td>
									 <td valign="top" align="center" class="font12">DATE &#26085;&#26399;</td>
							 </tr>
				</table>
 		 </td>
  </tr> 			
	
	<tr><td><hr class="dotted"></td></tr>
	
	<tr><td valign=top width=100%>
  <table border=0 align=center width="100%" cellpadding=3>
				
				<tr><td><i><b><font size=3>VI. RESULT OF INTERVIEW</b> &#38754;&#35430;&#35413;&#35542;</td></tr>				
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=2 cellspacing=4 border=0>
							 				<?$count=1;?>
							 				<tr>
												  <td class="font12" valign="top" rowspan=4><?=$count++?>.</td>
										 		  <td class="font12" valign="top" colspan=3>&#35486;&#35328;&#33021;&#21147; LANGUAGE ABILITY</td>
										  </tr>		
											<tr>
										 			<td class="font12">&#33521;&#25991;&#35611;&#36890; SPOKEN ENGLISH</td>
													<td class="font12">
														 <?foreach($array_spoken as $ctr => $value){?>
														 <?=($prequalify['spoken_english']==$value)? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?> <?=$value?> <?=$array_spoken_chi[$ctr]?>&nbsp;&nbsp;&nbsp;&nbsp;																				 																				 																				 
														 <?}?>
													</td>
											</tr>
											<tr>
												  <td class="font12">&#23531;&#33521;&#25991; WRITTEN ENGLISH</td>
												  <td class="font12">
														 <?foreach($array_spoken as $ctr => $value){?>
														 <?=($prequalify['written_english']==$value)? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?> <?=$value?> <?=$array_spoken_chi[$ctr]?>&nbsp;&nbsp;&nbsp;&nbsp;																				 																				 																				 
														 <?}?>
												  </td>
											</tr>		 
											<tr>
												 <td valign="bottom" class="font12">&#20854;&#20182; OTHERS, PLEASE SPECIFY</td>
												 <td valign="bottom" class="line"><?=$prequalify['others']?>&nbsp;</td>
											</tr>							 
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">&#30382;&#33178;&#38991;&#33394; SKIN COLOR</td>
													<td valign="top" class="font12">
																				 <?foreach($array_skincolor as $ctr => $value){?>
																				 <?=($prequalify['skin_color']==$value)? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?> <?=$value?> <?=$array_skincolor_chi[$ctr]?>&nbsp;&nbsp;&nbsp;&nbsp;																				 																				 																				 
																				 <?}?>
													</td>
										  </tr>		
											<tr>
												  <td valign="top" class="font12"><?=$count++?>.</td>
										 		  <td valign="top" class="font12">&#21453;&#25033; RESPONSE</td>
												  <td valign="top" class="font12">
																				 <?foreach($array_skincolor as $ctr => $value){?>
																				 <?=($prequalify['response']==$value)? "<img src='img/maycheck.gif'>" : "<img src='img/walacheck.gif'>";?> <?=$value?> <?=$array_skincolor_chi[$ctr]?>&nbsp;&nbsp;&nbsp;&nbsp;																				 																				 																				 
																				 <?}?>
													</td>
										  </tr>
											<tr>
												  <td valign="top" rowspan=2 class="font12"><?=$count++?>.</td>
										 		  <td valign="top" colspan=3 class="font12">ARRANGE THE FOLLOWING DUTIES IN ORDER OF YOUR PREFERENCE: &#35531;&#23433;&#25490;&#20320;&#25152;&#35201;&#25812;&#20219;&#30340;&#24037;&#20316;&#20778;&#20808;&#27425;&#24207;</td>
										  </tr>		
											<tr>
													<td colspan=3>
														 <table>
														 				<tr>
																				<td valign="top" class="font12">A. CARE OF INFANT/CHILDREN/DH WORK</td>
																				<td width=70 rowspan=6></td>
																				<td valign="top" class="font12">1st PREFERENCE</td>
																				<td valign="top" class="line" align="center" WIDTH=50>&nbsp;<?=$prequalify['pref1']?>&nbsp;</td>
																				<td valign="top" class="font12">&#31532;&#19968;&#36984;&#25799;</td>
																		</tr>
																		<tr>
																				<td valign="top" class="font12">&#29031;&#39015;&#23344;&#20818;&#23401;&#31461;&#24171;&#20653;&#24037;&#20316;</td>
																		</tr>
																		
																		<tr>
																				<td valign="top" class="font12">B. CARE OF DISABLED/INVALID/DHWORK<br></td>
																				<td valign="top" class="font12">2nd PREFERENCE</td>
																				<td valign="top" class="line" align="center">&nbsp;<?=$prequalify['pref2']?>&nbsp;</td>
																				<td valign="top" class="font12">&#31532;&#20108;&#36984;&#25799;</td>
																		</tr>
																		<tr>
																				<td valign="top" class="font12">&#29031;&#39015;&#27544;&#24369;&#24739;&#30149;&#24202;&#32773;&#24171;&#20653;&#24037;&#20316;</td>
																		</tr>
																		<tr>
																				<td valign="top" class="font12">C. A AND B (ANY)<br></td>
																				<td valign="top" class="font12">3rd PREFERENCE</td>
																				<td valign="top" class="line" align="center">&nbsp;<?=$prequalify['pref3']?>&nbsp;</td>
																				<td valign="top" class="font12">&#31532;&#19977;&#36984;&#25799;</td>
																		</tr>
																		<tr>
																				<td valign="top" class="font12">A&#21644;B&#37117;&#21487;&#20197;</td>
																		</tr>				
														 </table>
													</td>
											</tr>							
											<tr>
												  <td valign="top" rowspan=2 class="font12"><?=$count++?>.</td>
										 		  <td valign="top" colspan=3 class="font12">&#20633;&#35387; REMARKS:</td>
										  </tr>
											<tr>
												 <td valign="bottom" class="line" colspan=3><?=$prequalify['remarks']?>&nbsp;</td>
											</tr>										       											                            
							 </table>
					 </td>
				</tr>
					 		 					
	</table>		
  </td></tr>
 	
	<tr>
 		 <td>		 
		 		<table align="right">							 
							 <tr>
							 		 <td valign="top" align="center" class="font12">INTERVIEWED BY &#38754;&#35430;&#20154; :</td>
									 <td valign="top" align="center" width=220 class="line">&nbsp;<?=$prequalify['RO']?>&nbsp;</td>
							 </tr>
				</table>
 		 </td>
  </tr> 			
	 	
 </table>		
 </td></tr>
<? 
do_report_footer();
?>