/home/mip/public_html_/old-website/employerxxx/backup/report_applicant_taiwan2.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);   							

$dependents = getdata_one("*","dependents","applicant_id","$applicant_id");
$sql  ="select * from children where applicant_id =" . $applicant_id. " order by sex DESC";
$siblings = getdata($sql);
$siblings_num = count($siblings);


$reference = getdata("Select * from reference where applicant_id ='" . $applicant_id . "' order by name ");
$reference_num = count($reference);

$employment = getdata("select *,DATE_FORMAT(from_date,'%b %Y') AS frm_date, IF(to_date,DATE_FORMAT(to_date,'%b %Y'),'PRESENT') as t_date from employment where applicant_id='$applicant_id'  order by from_date desc limit 3");
$num_emp = count($employment);

?> 	
<tr><td height="100%" align=center valign="top">
<table align=center cellpadding='2' cellspacing='2' border=0 width=100%>
<script language="JavaScript"><!--
				function cent(amount) {
          // returns the amount in the .99 format 
              amount -= 0;
              amount = (Math.round(amount*100))/100;
              return (amount == Math.floor(amount)) ? amount + '.00' : (  (amount*10 == Math.floor(amount*10)) ? amount + '0' : amount);
         }
</script>  
 <tr><td valign=top width=100%>
 <table border=0 align=center width="100%" cellpadding=3  bordercolor="whiteviolet">
			 
			 <tr>
			 		 <td align="center" style="padding-right:55px;" valign='bottom'>
					 <img src="<?=$img_dir?>/jakelogoonly.jpg" align="center"><br>
					  					 
				</td>
			 </tr>		 
			 <tr>
			 		 <td align="center" class="smaller">
					  <font color="green">
					 POEA License # 176-LB-122804-PL<br>					
					 <b>
					<?=$company['agency_address']?><br>
					 <?=$company['agency_tel']?> * Fax: <?=$company['agency_fax']?><br>
					 Email: <?=$company['agency_email']?></font></b>					 					 					 
					 </td>
			 </tr>
			 <tr><td><br></td></tr>
			 <tr>
			 		 <td>
					 		 <table border=0 width="100%" cellpadding=0 cellspacing=0 bordercolor="#f1f1f1">

										<tr height=20>
												<td width="33%" class="report">&nbsp;</td>
												<td width="34%" class="report" valign="bottom" align="right">&nbsp;<b>NO. &#32232;&#34399;</b></td>												
												<td width="33%" class="report" valign="bottom">&nbsp;</td>
										</tr>
												
							 </table>
					 </td>
			 </tr>		 		 
			 <tr>
			 		 <td>					
							 <table width="100%" cellpadding=0 cellspacing=0 border=0>

										<tr>
												<td align="center"><br><b><font size=3>PERSONAL INFORMATION</font><br><br></td>
										</tr>
												
							 </table>
						</td>
				</tr>
				<tr>
			 		 <td>							 
							 <table width="100%" cellpadding=0 cellspacing=0 border=0 bordercolor="maroon" class="report">

										<tr>
												<td class="report"><b>NAME ENGLISH:</td>
												<td colspan=7 class="report">&nbsp;<?=$applicant['fname']." ".$applicant['mname']." ".$applicant['lname']?></td>
												<td colspan=2 rowspan=8 class="report" align='center' width=20% valign='middle'>
												<?if ($applicant[picture]){print resize_pic1(200,200,$pic_dir1.$applicant[picture],"","","",1);}else{?><img src="<?=$img_dir1?>/blank.jpg" alt="PHOTO 2 X 2" width=200 height=200 border=0><?}?>

												</td>
												
										</tr>
										<tr>
										<td class="report"><b>&#22995;&#21517;&nbsp;&#33521;&#35486;</b></td>
										<td class="report" colspan=7>&nbsp;</td>
										
										
										
										</tr>
										<tr>
												<td class="report"><b>BIRTH DATE: &nbsp;&#20986;&#29983; &#26085;&#26399;</td>
												<td class="report" colspan=3>&nbsp;<?=dateformat($applicant['birthdate'])?></td>
												<td class="report" class="report"><b>HEIGHT: &nbsp;&#36523;&#39640;</td>
												<td class="report" colspan=2 align='center'>&nbsp;
												<?if($applicant['height2']=="ft"){
												      list($feet, $inch) = split("[.]", $applicant["height1"]);
																 
															$ft =	($feet)*100/3.28;
                  						$in = ($inch/12)*100/3.28;
															echo "<b>" . $converted_cm = round($ft+$in,2);	                  				
													}else{
													    echo $applicant["height1"];
													}
																
													 							
												?>
												</td>
												<td class="report" align="center"><b>CM</b></td>
									  </tr>
										<tr>
												<td class="report" ><b>BIRTH PLACE: &nbsp;&#20986;&#29983;&#22320;</td>
												<td class="report" colspan=3>&nbsp;<?=$applicant['birthplace']?></td>
												<td class="report" class="report"><b>WEIGHT: &nbsp;&#24910;&#37325;</td>
												<td class="report" colspan=2 align="center">&nbsp;
												<?=($applicant['weight2']=="lbs")?round(($applicant['weight1']/2.2),2):$applicant['weight1'];?>	
												</td>
												<td class="report" align="center"><b>KGS</b></td>
									  </tr>
										<tr>
												<td class="report" colspan=1><b>RELIGION:</td>
												<td class="report" colspan=3 rowspan=2 valign='top'>&nbsp;<?=$applicant['religion']?></td>
												<td class="report" colspan=1 class="report"><b>AGE:</td>
												<td class="report" colspan=3 rowspan=2 valign='top'><?=get_age($applicant['birthdate'])?></td>
												
									  </tr>
											<tr>
												<td class="report" colspan=1><b>&#23447;&#25945;&#20449;&#20208;</td>
												
												<td class="report" colspan=1 class="report"><b>&nbsp;&#24180;&#40801;</td>
												
												
									  </tr>
											<tr>
												<td class="report" colspan=4><b>NATIONALITY&nbsp;&#22283;&#27665;&#24615;</td>
											
												<td class="report" colspan=4 class="report"><b>PASSPORT&nbsp;&#35703;&#29031;&#34399;&#30908;</td>
												
									  </tr>
											<tr>				
											  <td class="report" colspan=4 align="center"><?=$applicant["nationality"]?></td>								
												<td class="report" colspan=4 align="center">&nbsp;<?=getfield("passport", "process" , "applicant_id", $applicant["applicant_id"])?></td>
													
									  </tr>
											<tr height=30>
											  
												<td class="report"><b>MALE&nbsp;&#30007;</td>
											
												<td class="report" align='center'>	<?if($applicant['sex'] == 'M'){
												     print "<img src='img\maycheck.gif'>";
													}else{
														 print "<img src='img\walacheck.gif'>";
													}		 ?></td>
												<td class="report" align='center'><b>FEMALE&nbsp;&#22899;</td>
												<td class="report" align="center"><?if($applicant['sex'] == 'F'){
												     print "<img src='img\maycheck.gif'>";
													}else{
														 print "<img src='img\walacheck.gif'>";
													}		 ?></td>
												<td class="report"><b>MARRIED&nbsp;&#24050;&#23130;</b></td>
												<td class="report" align="center"><?if($applicant['civil_status'] == 'Married'){
												     print "<img src='img\maycheck.gif'>";
													}else{
														 print "<img src='img\walacheck.gif'>";
													}		 ?></td>
												<td class="report"><b>SINGLE&nbsp;&#28961;&#23130;</td>
												<td class="report" align="center"><?if($applicant['civil_status'] == 'Single'){
												     print "<img src='img\maycheck.gif'>";
													}else{
														 print "<img src='img\walacheck.gif'>";
													}		 ?></td>
												<td class="report" style="padding-left:0;" width=120><b>DIVORCED&nbsp;&#38626;&#23130;</td>
												<td class="report" align="center"><?if($applicant['civil_status'] == 'Divorced'){
												     print "<img src='img\maycheck.gif'>";
													}else{
														 print "<img src='img\walacheck.gif'>";
													}		 ?></td>
										    
										</tr>
										<tr height=25>
												<td class="report" colspan=1><b>CITY ADDRESS</td>
												<td class="report" colspan=9 rowspan=2>
												         <?=$applicant['address1']?></td>
												
									  </tr>
										
										<tr height=25>
												<td class="report" colspan=1><b>&#22478;&#24066;&#20303;&#22336;</td>
												
												
									  </tr>	
										<tr height=25>
												<td class="report" colspan=1><b>PROVINCIAL ADDRESS</td>
												<td class="report" colspan=9 rowspan=2>
												         <?=$applicant['perm_no']?>, <?=$applicant['perm_st']?>, 
																 <?=$applicant['perm_city']?>, <?=$applicant['perm_prov']?> <?=$applicant['perm_zip']?></td>		  
										</tr>
									 
										<tr height=25>
												<td class="report" colspan=1><b>&#30465;&#20221;&#20303;&#22336;</td>
									  </tr>
										<tr height=45>
												<td class="report" colspan=10 align='center'><b>EDUCATION &#25945;&#32946;&#23416;</td>
									  </tr>
									   <tr height=25>
												<td class="report" colspan=1 align='center'><b>LEVEL &#20998;&#32026;</td>									 
												<td class="report" colspan=3 align='center'><b>NAME OF SCHOOL &#23416;&#26657;&#21517;&#31281;</td>
									  		<td class="report" colspan=3 align='center'><b>LOCATION &#22320;&#40670;</td>									 
												<td class="report" colspan=1 align='center'><b>FROM &#33258;</td>
												<td class="report" colspan=1 align='center'><b>TO &#21040;</td>									 
												<td class="report" colspan=1 align='center'><b>MAJOR &#20027;&#20462;</td>
										</tr>
										<?
										$educ_elem = getdata("select * from education where applicant_id=" .$applicant_id . " And education='Elementary'");
										$educ_high = getdata("select * from education where applicant_id=" .$applicant_id . " And education='Secondary'");
										$educ_college = getdata("select * from education where applicant_id=" .$applicant_id . " And education='College/University'");
										$educ_voc = getdata("select * from education where applicant_id=" .$applicant_id . " And education='Vocational'");
										$educ_voc_num  =count($educ_voc);
										$educ_post = getdata("select * from education where applicant_id=" .$applicant_id . " And education='Post Graduate'");
										$educ_post_num  =count($educ_post);
										$educ_lic = getdata("select * from education where applicant_id=" .$applicant_id . " And education='Licentiate'");
										$educ_lic_num  =count($educ_lic);
										?>
										
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>ELEM &#23567;&#23416;</td>									 
												<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_elem[1]["school"]?></td>
									  		<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_elem[1]["location"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_elem[1]["from_date"]?></td>
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_elem[1]["to_date"]?></td>									 
												<td class="report" colspan=1 align='center'><?=$educ_elem[1]["course"]?></td>
										</tr>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>HIGH &#20013;&#23416;</td>									 
												<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_high[1]["school"]?></td>
									  		<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_high[1]["location"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_high[1]["from_date"]?></td>
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_high[1]["to_date"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_high[1]["course"]?></td>
										</tr>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>COLLEGE &#22823;&#23416;</td>									 
												<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_college[1]["school"]?></td>
									  		<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_college[1]["location"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_college[1]["from_date"]?></td>
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_college[1]["to_date"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_college[1]["course"]?></td>
										</tr>
									
										
										<? if($educ_voc_num >= 1){ ?>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>OTHERS &#20854;&#20182;</b></td>
												<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_voc[1]["school"]?></td>
									  		<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_voc[1]["location"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_voc[1]["from_date"]?></td>
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_voc[1]["to_date"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_voc[1]["course"]?></td>
										</tr>
										<? }?>
										<? if($educ_post_num >= 1){ ?>
												
										<tr height=25>
												<td class="report" colspan=1 align='center'>&nbsp;</td>							 
												<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_post[1]["school"]?></td>
									  		<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_post[1]["location"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_post[1]["from_date"]?></td>
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_post[1]["to_date"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_post[1]["course"]?></td>
										</tr>
										<? }?>
										<? if($educ_lic_num >= 1){ ?>
										<tr height=25>
												<td class="report" colspan=1 align='center'>&nbsp;</td>							 
												<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_lic[1]["school"]?></td>
									  		<td class="report" colspan=3 align='center'>&nbsp;<?=$educ_elem[1]["location"]?><?=$educ_lic[1]["location"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_lic[1]["from_date"]?></td>
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_lic[1]["to_date"]?></td>									 
												<td class="report" colspan=1 align='center'>&nbsp;<?=$educ_lic[1]["course"]?></td>							 
											
										</tr>
										<? }?>
										<tr height=25>
												<td class="report" colspan=1 salign='center'><b>SPECIAL SKILL</td>							 
												<td class="report" colspan=4 rowspan=2 align='center'>&nbsp;<?=$applicant["special_skills"]?></td>
									  		<td class="report" colspan=1 align='center'><b>SPORT &#27963;&#21205;</td>									 
												<td class="report" colspan=4 rowspan=2 align='center'>&nbsp;<?=$applicant["sport"]?></td>											
										</tr>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>&#29305;&#21029;&#25216;&#34899;</td>							 
									  		<td class="report" colspan=1 align='center'><b>&nbsp;</td>									 
																				
										</tr>
										  <tr height=25>
												<td class="report" colspan=1 align='center'><b>LANGUAGES &#35486;&#35328;</td>									 
												<td class="report" colspan=1 align='center'><b>READ &#35712;</td>
									  		<td class="report" colspan=1 align='center'><b>WRITE &#23531;</td>									 
												<td class="report" colspan=1 align='center'><b>SPEAK &#35611;</td>
												<td class="report" colspan=1 align='center'><b>HOBBIES &#21980;&#22909;</td>									 
												<td class="report" colspan=5 align='center'><b>&nbsp;</td>
										</tr>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>Filipino</td>									 
												<td class="report" colspan=1 align='center'>
												   <?=($applicant["fil_read"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>
									  		<td class="report" colspan=1 align='center'>
												   <?=($applicant["fil_write"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>									 
												<td class="report" colspan=1 align='center'>
												   <?=($applicant["fil_speak"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>
												
												<td class="report" colspan=6 align='center' rowspan=2>&nbsp;<b>HAVE YOU EVER BEEN ARRESTED? IF EVER, WHY?
												&#24744;&#26366;&#32147;&#34987;&#25304;&#25429;&#20102;&#21966;?
												&#22914;&#26524;&#26366;&#32147;?
												</b><br>
												<?=$applicant["arrested_y"]?>
												</td>									 
											
										</tr>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>English</td>									 
												<td class="report" colspan=1 align='center'>
												   <?=($applicant["eng_read"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>
									  		<td class="report" colspan=1 align='center'>
												   <?=($applicant["eng_write"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>									 
												<td class="report" colspan=1 align='center'>
												   <?=($applicant["eng_speak"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>
												
										</tr>
										<tr height=25>
												<td class="report" colspan=1 align='center'><b>Chinese</td>									 
												<td class="report" colspan=1 align='center'>
												   <?=($applicant["chi_read"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>
									  		<td class="report" colspan=1 align='center'>
												   <?=($applicant["chi_write"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>									 
												<td class="report" colspan=1 align='center'>
												   <?=($applicant["chi_speak"]==1)?"<img src='img\maycheck.gif'>": "<img src='img\walacheck.gif'>";?></td>
												<td class="report" colspan=6 align='center'>&nbsp;</td>	 
										</tr>
										
										<tr height=45>
												<td class="report" colspan=10 align='center'><b>EMPLOYMENT RECORD</td>									 										
										</tr>
										  <tr height=25>
												<td class="report" colspan=1 align='center'><b>FROM &#33258;</td>									 
												<td class="report" colspan=1 align='center'><b>TO&#21040;</td>
									  		<td class="report" colspan=2 align='center'><b>JOB TITLE <br>&#32887;&#32622;</td>									 
												<td class="report" colspan=3 align='center'><b>NAME & ADDRESS OF ORGANIZATION <br>&#32068;&#32340;&#22995;&#21517;&#21644;&#22320;&#22336;</td>
												<td class="report" colspan=3 align='center'><b>REASON FOR LEAVING <br>&#38626;&#38283;&#21407;&#22240;</td>									 
												
										</tr>
										<?for($i=1;$i<=$num_emp;$i++){?>
																		<tr>
																				<td valign="bottom" class="report" align="center">&nbsp;<?=$employment[$i]['frm_date']?>&nbsp;</td>
																				<td valign="bottom" class="report" align="center">&nbsp;<?=$employment[$i]['t_date']?>&nbsp;</td>																																																			
																				<td valign="bottom" class="report" colspan=2 align="center">&nbsp;<?=$employment[$i]['position']?></td>
																				<td valign="bottom" class="report" colspan=3>&nbsp;<?=$employment[$i]['address']?></td>
																				<td valign="bottom" class="report" colspan=3><?=$employment[$i]['reason_for_leaving']?>&nbsp;</td>																				
																		</tr>													
										<?}?>
										<tr height=45>
												<td class="report" colspan=10 align='center'><b>INFORMATION REGARDING FAMILY &#23478;&#24237;&#28040;&#24687;</td>									 										
										</tr>
										  <tr height=25>
												<td class="report" colspan=1 align='center'><b>RELATION &#38364;&#20418;</td>									 
												<td class="report" colspan=3 align='center'><b>NAME &#22995;&#21517;</td>
									  		<td class="report" colspan=2 align='center'><b>BIRTHDATE &#20986;&#29983;&#26085;&#26399;</td>									 
												<td class="report" colspan=4 align='center'><b>OCCUPATION &#32887;&#26989;</										 											
										</tr>			
										<tr>
												<td valign="bottom" class="report" align="center">&nbsp;father&nbsp;</td>
												<td valign="bottom" class="report" align="left" colspan=3>&nbsp;<?=$dependents["f_lname"]?>,&nbsp;<?=$dependents["f_fname"]?>&nbsp;<?=$dependents["f_mname"]?>&nbsp;</td>																																																			
												<td valign="bottom" class="report" colspan=2 align="center">&nbsp;<?=dateformat($dependents['f_bday'])?></td>
												<td valign="bottom" class="report" colspan=4 align="center"><?=$dependents['f_occup']?>&nbsp;</td>																				
										</tr>			
										<tr>
												<td valign="bottom" class="report" align="center">&nbsp;Mother</td>
												<td valign="bottom" class="report" align="left" colspan=3>&nbsp;<?=$dependents["m_lname"]?>,&nbsp;<?=$dependents["m_fname"]?>&nbsp;<?=$dependents["m_mname"]?>&nbsp;</td>																																																			
												<td valign="bottom" class="report" colspan=2 align="center">&nbsp;<?=dateformat($dependents['m_bday'])?></td>
												<td valign="bottom" class="report" colspan=4 align='center'><?=$dependents['m_occup']?>&nbsp;</td>																				
										</tr>	
										
										
										<?
										
										for($a=1;$a<=$siblings_num;$a++){ 
										     if($siblings[$a]["sex"]=="M"){
												     $sibling = "brother";
												 }elseif($siblings[$a]["sex"]=="F"){
												     $sibling = "sister";
												 }else{
												     $sibling = "";
												 }
										?>
										<tr>										
												<td valign="bottom" class="report" align="center">&nbsp;<?=$sibling?></td>
												<td valign="bottom" class="report" align="left" colspan=3>&nbsp;<?=$siblings[$a]["lname"]?>,&nbsp;<?=$siblings[$a]["fname"]?>&nbsp;<?=$siblings[$a]["mname"]?>&nbsp;</td>																																																			
												<td valign="bottom" class="report" colspan=2 align="center">&nbsp;<?=dateformat($siblings[$a]['bday'])?></td>
												<td valign="bottom" class="report" colspan=4 align='center'><?=$siblings[$a]['occupation']?>&nbsp;</td>																				
										</tr>			
										<?}?>
										
										<tr height=45>
												<td class="report" colspan=10 align='center'><b>LIST THREE REFERENCES WHO ARE ABLE TO SUPPLY INFORMATION REGARDING YOUR CHARACTER AND ABILITY<br>
												&#21517;&#21934;&#19977;&#21443;&#32771;&#19990;&#30028;&#34907;&#29983;&#32068;&#32340;&#33021;&#25552;&#20379;&#36039;&#35338;&#38364;&#26044;&#24744;&#30340;&#23383;&#31526;&#21644;&#33021;&#21147;</td>									 										
										</tr>
										  <tr height=25>
												<td class="report" colspan=2 align='center'><b>NAME &#22995;&#21517;</td>									 
												<td class="report" colspan=2 align='center'><b>OCCUPATION &#32887;&#26989;</td>		
												<td class="report" colspan=3 align='center'><b>ADDRESS &#22320;&#22336;</td>						 												
												<td class="report" colspan=3 align='center'><b>TEL &#38651;&#35441;</td>									 
											
										</tr>
											<? if($reference_num >=1){
										 for($q=1;$q<=$reference_num;$q++){ ?>
										 <tr height=25>
												<td class="report" colspan=2 align='center'><?=$reference[$q]["name"]?></td>									 
												<td class="report" colspan=2 align='center'><?=$reference[$q]["occupation"]?></td>		
												<td class="report" colspan=3 align='center'><?=$reference[$q]["address"]?></td>						 												
												<td class="report" colspan=3 align='center'><?=$reference[$q]["tel"]?></td>									 												
										</tr>									
										<? } //end loop 
										   } //end if $reference_num
										?>
										<tr height=45>
												<td class="report" colspan=10 align='center'><b>PERSON TO NOTIFY IN CASE OF EMERGENCY &#20154;&#36890;&#22577;&#32202;&#24613;&#24773;&#27841;&#19979;<br>
												</td>									 										
										</tr>
										
										  <tr height=25>
												<td class="report" colspan=2 align='center'><b>NAME &#22995;&#21517;</td>									 
												<td class="report" colspan=2 align='center'><b>OCCUPATION &#32887;&#26989;</td>		
												<td class="report" colspan=3 align='center'><b>ADDRESS &#22320;&#22336;</td>						 												
												<td class="report" colspan=3 align='center'><b>TEL &#38651;&#35441;</td>									 												
										</tr>
									  <tr height=25>
									
									 <td class="report" colspan=2 align="center"><?=$applicant["con_name1"]?></td>
									 <td class="report" colspan=2 align="center"><?=$applicant["con_occupation1"]?></td>
									 <td class="report" colspan=3 align="center"><?=$applicant["con_address1"]?></td>
									 <td class="report" colspan=3 align="center"><?=$applicant["con_telephone1"]?></td>
									 </tr>
									  <tr height=25>
									
									 <td class="report" colspan=2 align="center"><?=$applicant["con_name2"]?></td>
									 <td class="report" colspan=2 align="center"><?=$applicant["con_occupation2"]?></td>
									 <td class="report" colspan=3 align="center"><?=$applicant["con_address2"]?></td>
									 <td class="report" colspan=3 align="center"><?=$applicant["con_telephone2"]?></td>
									 </tr>
									  <tr height=25>
									
									 <td class="report" colspan=2 align="center"><?=$applicant["con_name3"]?></td>
									 <td class="report" colspan=2 align="center"><?=$applicant["con_occupation3"]?></td>
									 <td class="report" colspan=3 align="center"><?=$applicant["con_address3"]?></td>
									 <td class="report" colspan=3 align="center"><?=$applicant["con_telephone3"]?></td>
									 </tr>
							 </table>
					 </td>
				</tr>	 		 
				<tr>
			 		 <td height=120>						
							 <table width="100%" cellpadding=0 cellspacing=0 border=1 height=100% class='report'>

										<tr>
										    <td class="report" colspan=10 align='left' valign="top"><b>SPACE FOR THE INTERVIEWER: <br>
												&#31354;&#38291;&#28858;&#25505;&#35370;&#32773;</b>
												<br>
												<?=$applicant["remarks"]?>
												</td>									 																			
										</tr>
												
							 </table>
					 </td>
			 </tr>
			 <tr>
			 		 <td height=40>						
							 <table width="100%" cellpadding=0 cellspacing=0 border=0 height=100% bordercolor="#f1f1f1" class='report'>
										<tr><td>
												&nbsp;
												</td>											
										</tr>
												
							 </table>
					 </td>
			 </tr>
			 <tr>
			 		 <td>						
							 <table width="100%" cellpadding=0 cellspacing=0 class='report'>

										<tr>
												<td class="report">
												<b>I AUTHORIZE INVESTIGATION OF ALL STATEMENT CONTAINED IN THIS FORM & UNDERSTAND THAT ANY FALSE STATEMENT MADE HEREIN WILL BE SUFFICIENT FOR TERMINATION. 
												
												&#25105;&#25209;&#20934;&#25152;&#26377;&#32882;&#26126;&#30340;&#35519;&#26597;&#21253;&#21547;&#20197;&#36889;&#24418;&#24335;&#21644;&#29554;&#24713;
												&#20219;&#19968;&#20551;&#20379;&#35422;&#27492;&#20013;&#34987;&#20570;&#23559;&#26159;&#20805;&#36275;&#30340;&#28858;&#32066;&#27490;
												</td>								
										</tr>
												
							 </table>
					 </td>
			 </tr>
			 <tr>
			 		 <td height=100>						
							 <table width="100%" cellpadding=0 cellspacing=0 height=100%>
									<tr height=45>
												<td colspan=10 align='center'>&nbsp;</td>
									</tr>
							 </table>
					 </td>
			 </tr>
			  <tr>
			 		 <td>						
							 <table width="100%" cellpadding=0 cellspacing=0 class='report'>
									
								 <tr height=25>
												<td class="report" width=25% align='left'><b>DATE &#26085;&#26399;</td>									 
												<td class="report" width=25% align='center'>
												<?=date("F, d Y", time());?>
												</td>		
												<td class="report" width=25% align='left'><b>SIGNATURE &#31805;&#21517;</td>						 												
												<td class="report" width=25% align='center'><b>&nbsp;</td>									 	
									</tr>
									<tr height=25>
												<td class="report" width=100% align='left' colspan=4>&nbsp;</td>									 
																			 	
									</tr>
												
							 </table>
					 </td>
			 </tr>
			 <tr>
			 		 <td>						
							 <table width="100%" cellpadding=0 cellspacing=0 height=100%>
									<tr>
												<td class="report" colspan=10 align='center'>
												<b>THIS APPLICATION WILL BE REMOVED FROM ACTIVE FILE IF NOT DEPLOYED WITHIN ONE YEAR FROM DATE OF SUBMISSION.
												&#36889;&#31278;&#25033;&#29992;&#23559;&#34987;&#21435;&#38500;&#24478;&#29694;&#29992;&#25991;&#20214;&#22914;&#26524;&#27794;&#37096;&#32626;&#22312;&#19968;&#24180;&#20043;&#20839;&#24478;&#25552;&#35696;&#26085;&#26399;
												</td>
									</tr>
							 </table>
					 </td>
			 </tr>
			 
	
	 	
 </table>		
 </td></tr>
<? 
do_report_footer();
?>