📄 regist.htm
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<html>
<head><title>helpline</title></head>
<body background="F:\java27-projs\blood bank\BACKGR16.jpg">
<Script Language = "JavaScript">
function isPhone(thefield)
{
var theInput=thefield.value;
var theLength=theInput.length;
var goodPhone=true;
if(theLength==11)
{
for(var i=0;i<theLength;i++)
{
var theChar=theInput.substring(i,i+1)
if(theChar<"0" ||theChar>"9")
{
goodPhone=false;
}
if(i==3||i==4||i==5 && theChar=='-')
{
goodPhone=true;
}
}
}
else
{
goodPhone=false
}
if(goodPhone==false)
{
alert("this does not appear to be a valid phone no:"+theInput);
}
}
function isAge(thefield)
{
var theInput=thefield.value;
var theLength=theInput.length;
var goodAge=true;
if(theLength>=1)
{
for(var i=0;i<theLength;i++)
{
var theChar=theInput.substring(i,i+1)
if(theChar<"0" ||theChar>"9")
{
goodAge=false;
}
}
}
else
{
goodAge=false;
}
if(goodAge==false||theInput==" ")
{
alert("this must be a number:"+theInput);
}
}
function isWeight(thefield)
{
var theInput=thefield.value;
var theLength=theInput.length;
var goodWeight=true;
if(theLength>=1)
{
for(var i=0;i<theLength;i++)
{
var theChar=theInput.substring(i,i+1)
if(theChar<"0" ||theChar>"9")
{
goodWeight=false;
}
}
}
else
{
goodWeight=false;
}
if(goodWeight==false||theInput==" ")
{
alert("this must be a number:"+theInput);
}
}
function isEmpty(thefield)
{
if(thefield.length==0)
{
return true;
}
else
{
return false;
}
}
function isRequired(tm){
var Empty =false;
if(Empty ==false && isEmpty(tm.name.value)){
Empty=true;
}
if(Empty ==false && isEmpty(tm.addr.value))
{
Empty =true;
}
if(Empty ==false && isEmpty(tm.city.value))
{
Empty =true;
}
if(Empty ==false && isEmpty(tm.email.value))
{
Empty =true;
}
if(Empty ==false && isEmpty(tm.org.value))
{
Empty =true;
}
if(Empty ==false && isEmpty(tm.fdoc.value))
{
Empty =true;
}
if(Empty==false)
{
tm.submit();
}
else{
alert("Please enter all fields");
}
}
</SCRIPT>
<body background="<body background="F:\books&project\java27-projs\blood bank\BACKGR16.jpeg">">
<h1><font face='arial' size=6 color='maroon'><marquee behavior=alternate>HELPLINE</marquee>
<h3><center>Blood Donation Registration Form</center></h3></font>
<hr color='maroon'>
<Form name="form1" action="http://localhost:8080/servlet/registinput" method="post" >
<table border=0 cellspacing=6>
<tr>
<th align='left'> Name :</th>
<td>
<input type="text" name="name" size=30>
</td>
</tr>
<tr>
<th align='left'>(SurName FirstName Middle Name) :</th>
</tr>
<tr>
<th align='left'>Address :</th>
<td>
<input type='text' name='addr' size=30 >
</td>
</tr>
<tr>
<th align='left'>City :</th>
<td>
<input type='text' name='city' size=15>
</td>
</tr>
<tr>
<th align='left'>State :</th>
<td>
<select name="state">
<option>Andrapradesh</option>
<option>Maharashtra</option>
<option>Arunachalpradesh</option>
<option >Tamilnadu</option>
<option >Kerla</option>
<option >Karnataka</option>
<option >Orissa</option>
<option>Madyapradesh</option>
<option>WestBengal</option>
<option>Utterpradesh</option>
<option>Gujrat</option>
<option >JammuKashmir</option>
<option >Goa</option>
<option >Rajastan</option>
<option >meghalaya</option>
<option >Asam</option>
<option >Sikkim</option>
<option >Bihar</option>
<option >Hariyana</option>
<option >Tripura</option>
</select>
</td>
</tr>
<tr>
<th align='left'>E-Mail Id :</th>
<td>
<input type='text' name='email' size=45>
</td>
</tr>
<tr>
<th align='left'>Phone(Office) :</th>
<td>
<input type='text' name='phoneo' size=15 onBlur="isPhone(this.form.phoneo)">
</td>
</tr>
<tr>
<th align='left'>Phone(Res) :</th>
<td>
<input type='text' name='phoner' size=15 onBlur="isPhone(this.form.phoner)">
</td>
</tr>
<tr>
<td><h4>eg.020-5658692 or 0256-786868 or 02712-35353</h4> </td>
</tr>
<tr>
<th align='left'>Organisation :</th>
<td>
<input type='text' name='org' size=20>
</td>
</tr>
<tr>
<th align='left'>Age :</th>
<td>
<input type='text' name='age' size=2 onBlur="isAge(this.form.age)">
</tr>
<tr>
<th align='left'>Sex :</th>
<td>
<input type='radio' name='pg' checked value='male'>Male
<input type='radio' name='pg' value='female'>Female
</td>
</tr>
<tr>
<th align='left'>Weight in Kg :</th>
<td>
<input type='text' name='weight' size=3 onBlur="isWeight(this.form.weight)">
</td>
</tr>
<tr>
<th align='left'>Blood Group :</th>
<td>
<select name="bg">
<option value="O+">O Rh +ve</option>
<option value="O-">O Rh -ve</option>
<option value="A+">A Rh +ve </option>
<option value="A-">A Rh -ve</option>
<option value="B+">B Rh +ve</option>
<option value="B-">B Rh -ve</option>
<option value="AB+">AB Rh +ve</option>
<option value="AB-">AB Rh -ve</option>
</select>
</td>
</tr>
<tr>
<tr>
<th align='left'>Family Doctor :</th>
<td>
<input type='text' name='fdoc' size=15>
</td>
</tr>
</table>
<br>
<hr color='maroon'>
<table border=0 align='center'>
<tr>
<td>
<input type="Button" value="Submit" onClick="isRequired(form)" >
</td><td></td>
<td>
<input type='reset' value='Clear'>
</td>
</tr>
</table>
<table border=0 align='center'>
<tr>
<td>
<a href=c:\project1\ch.htm>Search For Blood Group Donar |</a>
</td>
<td>
<a href="mailto:shashi2000@rediff.com">E_mail us</a>
</td>
</tr>
</table>
</table>
</form>
<font face='arial' size=4 color='maroon'>
<marquee behavior=alternate><h3>Fill this Form to Register </h3></marquee>
</font>
</center>
</body>
</html>
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