File Manager

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<meta http-equiv="Content-Type" content="text/html; charset=windows-874">
<html>
  <head>
    
	<link href="https://fonts.googleapis.com/css2?family=Trirong:wght@500&display=swap" rel="stylesheet">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <title>��û����Թ�����ͺ����ҹ�آ�Ҿ��оĵԡ����آ�Ҿ�����ѡ����§�</title>
    <meta name="description" content="">
    <meta name="author" content="templatemo">

<style>
body {
  font-family: "Trirong", Helvetica, Arial, sans-serif;
  font-weight: 100;
  font-size: 18px;
  line-height: 30px;
  color: #000000;
  background: #39ADB4;
}

.container {
  max-width: 150%;
  width: 150%;
  margin: 0 auto;
  position: relative;
}

#contact input[type="text"],
#contact input[type="email"],
#contact input[type="tel"],
#contact input[type="url"],
#contact textarea,
#contact button[type="submit"] {
  font: 400 12px/16px "Trirong", Helvetica, Arial, sans-serif;
}

#contact {
  background: #F9F9F9;
  padding: 25px;
  margin: 150px 0;
  box-shadow: 0 0 20px 0 rgba(0, 0, 0, 0.2), 0 5px 5px 0 rgba(0, 0, 0, 0.24);
}

#contact h3 {
  display: block;
  font-size: 33px;
  font-weight: 500;
  margin-bottom: 10px;

}
#contact h2 {
  display: block;
  font-size: 35px;
  font-weight: 400;
  margin-bottom: 5px;
  text-align: left;

}
h5 {

text-indent: 1.5em;
}

#contact h4 {
  margin: 5px 0 15px;
  display: block;
  font-size: 20px;
  font-weight: 400;
}

fieldset {
  border: medium none !important;
  margin: 0 0 10px;
  min-width: 100%;
  padding: 0;
  width: 100%;
  background: #FFF;
  
}

#contact input[type="text"],
#contact input[type="email"],
#contact input[type="tel"],
#contact input[type="url"],
#contact textarea {
  width: 100%;
  border: 1px solid #ccc;
  background: #FFF;
  margin: 0 0 5px;
  padding: 10px;
  height: 4em;
  font-size: 18px;
}

#contact input[type="text"]:hover,
#contact input[type="email"]:hover,
#contact input[type="tel"]:hover,
#contact input[type="url"]:hover,
#contact textarea:hover {
  -webkit-transition: border-color 0.3s ease-in-out;
  -moz-transition: border-color 0.3s ease-in-out;
  transition: border-color 0.3s ease-in-out;
  border: 1px solid #aaa;
  
}

#contact textarea {
  height: 100px;
  max-width: 100%;
  resize: none;
}
#contact input[type="radio"] {
    border: 0px;
    width: 4em;
    height: 4em;

}
#contact input[type="number"] {
    font-size: 22px;
	border: 1px solid #000000;
    width: 5em;
    height: 3em;

}
#contact input[type="checkbox"] {
    border: 0px;
    width: 4em;
    height: 4em;

}

#contact button[type="submit"] {
  cursor: pointer;
  width: 100%;
  border: none;
  background: #0000ff;
  color: #FFF;
  margin: 5px 5px 5px;
  padding: 20px;
  font-size: 29px;
  line-height: 150%;
}

#contact button[type="submit"]:hover {
  background: #00ccff;
  -webkit-transition: background 0.3s ease-in-out;
  -moz-transition: background 0.3s ease-in-out;
  transition: background-color 0.3s ease-in-out;
}

#contact button[type="submit"]:active {
  box-shadow: inset 0 1px 3px rgba(0, 0, 0, 0.5);
}

.copyright {
  text-align: center;
}

#contact input:focus,
#contact textarea:focus {
  outline: 0;
  border: 1px solid #aaa;
}

::-webkit-input-placeholder {
  color: #888;
}

:-moz-placeholder {
  color: #888;
}

::-moz-placeholder {
  color: #888;
}

:-ms-input-placeholder {
  color: #888;
}
p {
  border: 0px solid green; 
  padding: 30px 10px;
}
	label {
  font-size: 25px;

vertical-align: left;
  
}
#customers {
  
  border-collapse: collapse;
  width: 100%;
}

#customers td, #customers th {
  border: 1px solid #ddd;
  padding: 8px;
  text-align: center;
  background-color: #f2f2f2;
}

#customers tr:nth-child(even){background-color: #f2f2f2;}

#customers tr:hover {background-color: #ddd;}

#customers th {
  padding-top: 12px;
  padding-bottom: 12px;
  text-align: center;
  background-color: #39ADB4;
  color: white;
  font-size: 22px;
}

#customers2 {
  
  border-collapse: collapse;
  width: 100%;
}

#customers2 td, #customers th {
  border: 1px solid #ddd;
  padding: 8px;
  text-align: center;
  background-color: #f2f2f2;
}

#customers2 tr:nth-child(even){background-color: #f2f2f2;}

#customers2 tr:hover {background-color: #ddd;}

#customers2 th {
  padding-top: 12px;
  padding-bottom: 12px;
  text-align: center;
  background-color: #0000cc;
  color: white;
  font-size: 22px;
}

* { box-sizing: border-box; }

.autocomplete {
  /*the container must be positioned relative:*/
  position: relative;
  display: inline-block;
}

.autocomplete-items {
  position: absolute;
  border: 1px solid #d4d4d4;
  border-bottom: none;
  border-top: none;
  z-index: 99;
  /*position the autocomplete items to be the same width as the container:*/
  top: 100%;
  left: 0;
  right: 0;
}
.autocomplete-items div {
  padding: 10px;
  cursor: pointer;
  background-color: #fff;
  border-bottom: 1px solid #d4d4d4;
}
.autocomplete-items div:hover {
  /*when hovering an item:*/
  background-color: #e9e9e9;
}
.autocomplete-active {
  /*when navigating through the items using the arrow keys:*/
  background-color: DodgerBlue !important;
  color: #ffffff;
}
    </style>
<script>
    function onlyNumberKey(evt) {
          
        // Only ASCII character in that range allowed
        var ASCIICode = (evt.which) ? evt.which : evt.keyCode
        if (ASCIICode > 31 && (ASCIICode < 48 || ASCIICode > 57))
            return false;
        return true;
    }
</script>
<script type="text/javascript">

function check() {
  if (document.getElementById("l5").checked==true) && (document.getElementById("lo").value=="")
  {
	  	  alert("5.��ҹ���������Ѻ -�ؤ���� �- ��س��к�");
		//document.getElementById("lo").focus();

}
  if (document.getElementById("t14").checked==true) 
	{
		alert("7.��ҹ����觷��ͺ��������ҧ�����ú�ҧ -��� �- ��س��к�");
	}

}

</script>
<script language="javascript" type="text/javascript">

</script>
  </head>
  <body>

<div class="templatemo-content-container">
          <div class="templatemo-content-widget w1-bg"><img src="images/Srinakharinwirot_Logo_TH_Color.png" width="100" height="100" border="0" alt=""><img src="images/logo_NRCT.jpg"  height="100" border="0" alt="">
		  <h3 class="margin-bottom-10">��û����Թ "��ѧ" �����������Ԩ����</h3>
            <h2 class="margin-bottom-10">�����ͺ����ҹ�آ�Ҿ��оĵԡ����آ�Ҿ�����ѡ����§</h2>
			<h3 class="margin-bottom-10">�� ʶҺѹ�Ԩ�¾ĵԡ�����ʵ��  ����Է�������չ��Թ�����ò
</h3>
            <p>(���ͺ���� ������¼���˭����� 20-65 �� ���� �ѡ�֡�� ���ӧҹ�ͧ����Ҥ�Ѱ/�͡����л�ЪҪ�㹪����)</p>
				<h4 class="margin-bottom-10">�Ӫ��ᨧ</h4>
	<p>����֡�Ҥ��駹������ǹ˹�觢ͧ <strong>�����Ԩ����оѲ������ͧ��ͻ����Թ�����ͺ����ҹ�آ�Ҿ��оĵԡ����آ�Ҿ�����ѡ����§���µ��ͧ�ҧ�ԨԷ����С������ѡ�ٵ�������������ͺ����ҹ�آ�Ҿ����Ŵ�ä���Դ���������ѧ (NCDs) 㹡��������§��·ӧҹ�</strong> �����ѵ�ػ��ʧ�����ͻ����Թ�дѺ�����ͺ����ҹ�آ�Ҿ��оĵԡ����آ�Ҿ�����ѡ����§��ҹ�к��ԨԷ�������ӡѺ�Դ��� �š������ѡ�ٵá��������������ͺ����ҹ�آ�Ҿ���������§�ä NCDs �� ����ҹ �����ѹ���Ե�٧ ��ѹ�٧ ���������ʹ���ʹ �ä��ǹ �ä� ����� �繵�
	<p>Ẻ�ͺ���������� 3 �͹ ��� 67 ��� ���   
    
	<p><strong>�͹��� 1 �ͺ��������ŷ����</strong>�ӹǹ 9 ���
	<p><strong>�͹��� 2 �ͺ��� �����ͺ����ҹ�آ�Ҿ</strong> �ӹǹ 28 ���
	<p><strong>�͹��� 3 �ͺ����ĵԡ����آ�Ҿ�����ѡ����§</strong>�ӹǹ 30 ���
	<p>�ͤ�����سҷ�ҹ��ҹ�Ӷ�����Т�����Ѵਹ������ͺ���ú�ء�͹�ء��� ��Т��Ѻ�ͧ��ҡ�õͺ�ͧ��ҹ���繤����Ѻ ������ա���кص�ǵ��ͧ��ҹ�ҡ��õͺ �繡����§ҹ����Ҿ�����ҹ�� �ҡ�բ��ʧ��� �Դ��� ungsinun@gmail.com ���� �ҡ ��ҹ���ѭ�ҷҧ��ҹ෤�Ԥ㹡�á�͡Ẻ�ͺ��� �Դ������� 0866071458 (��ʹ�)</p>
<div class="panel-heading border-radius-10">
<h2 class="margin-bottom-10">�͹��� 1 �����ŷ����</h2>
</div>
<form id="contact" action="add-1step.asp" class="templatemo-login-form" method="post">

</div>
            </div>
        </div>
		
		<div class="col-lg-12 form-group">                
           <label for="team">������....</label>
			<div class="row form-group">
                <div class="col-lg-12 form-group">                   
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team1" value="1" required>
                      <label for="team1" class="font-weight-400"><span></span>��� 1 �ͧ�آ�֡�� ���ʹѺʹع��ԡ���آ�Ҿ</label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team2" value="2" required>
                      <label for="team2" class="font-weight-400"><span></span>��� 2 ��С���Ҿ�ӺѴ ���</label>
                    </div>
                     <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team3" value="3" required>
                      <label for="team3" class="font-weight-400"><span></span>��� 3 �ç��Һ�ŷ�ǧ͡</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team4" value="4" required>
                      <label for="team4" class="font-weight-400"><span></span>��� 4 ��о�Һ����ʵ�����͡��س��  �.���Թ���</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team5" value="5" required>
                      <label for="team5" class="font-weight-400"><span></span>��� 5 ʶҺѹ�Ѳ���آ����ࢵ���ͧ ���͹����</label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team6" value="6" required>
                      <label for="team6" class="font-weight-400"><span></span>��� 6 �Է������Ҹ�ó�آ���Թ�� �ź���</label>
                    </div>
                     <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team7" value="7" required>
                      <label for="team7" class="font-weight-400"><span></span>���  7 þʵ. �.�ù��� �.�������</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team8" value="8" required>
                      <label for="team8" class="font-weight-400"><span></span>��� 8 �Ҹ�ó�آ�ѧ��Ѵ�ԧ�����</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team9" value="9" required>
                      <label for="team9" class="font-weight-400"><span></span>��� 9 ʶҹ��Һ��/��� �.��ù�¡</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="team" id="team10" value="10" required>
                      <label for="team10" class="font-weight-400"><span></span>��� 10 þʵ. ˹ͧ�ǧ �.������</label>
                    </div>
                </div>
            </div>

</div>
	
		<div class="col-lg-12 form-group">
		<div class="margin-right-15 templatemo-inline-block"> 
         <label for="weight">���˹ѡ</label>
		  <div class="row form-group">
                <div class="col-lg-12 form-group">
                   <input type="number"  id="weight" placeholder="" name="weight" required><label for="weight" class="font-weight-400"><span></span>���š���</label>
                </div>
           </div>
         </div>    
         </div>
		 <div class="col-lg-12 form-group">
		 <div class="margin-right-15 templatemo-inline-block"> 
         <label for="height">��ǹ�٧</label>
		  <div class="row form-group">
                <div class="col-lg-12 form-group">
                   <input type="number" class="form-control" id="height" placeholder="" name="height" required><label for="height" class="font-weight-400"><span></span>ૹ������</label>
                </div>
           </div>
		  </div>
        </div>
		<div class="col-lg-12 form-group">
		<div class="margin-right-15 templatemo-inline-block"> 
         <label for="bloodt">�дѺ�����ѹ���Ե��Ǻ�</label>
		  <div class="row form-group">
                <div class="col-lg-12 form-group">
                   <input type="number" class="form-control" id="bloodt" placeholder="" name="bloodt" required>�����ѹ���Ե������ ��Ǻ� 110-120 ��������û�ͷ
                </div>
           </div>
		   </div>
         </div>
		 <div class="col-lg-12 form-group">
		 <div class="margin-right-15 templatemo-inline-block"> 
         <label for="bloodb">�дѺ�����ѹ���Ե�����ҧ</label>
		  <div class="row form-group">
                <div class="col-lg-12 form-group">
                   <input type="number" class="form-control" id="bloodb" placeholder="" name="bloodb" required>�����ѹ���Ե������ �����ҧ 70-80  ��������û�ͷ
                </div>
           </div>
		   </div>
         </div>
	</div>

</div>
           </div>
             
         </div>
	</div>

</div>
	</div>
	<div class="row form-group">
    <div class="col-lg-12 form-group">                
       <label for="iage">3. ���آͧ�ѹ����㹪�ǧ</label>
         <div class="row form-group">
             <div class="col-lg-12 form-group">                   
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="age" id="age1" value="1" required>
                      <label for="age1" class="font-weight-400"><span></span>20 - 30 ��</label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="age" id="age2" value="2" required>
                      <label for="age2" class="font-weight-400"><span></span>31 - 40 ��</label>
                    </div>
                     <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="age" id="age3" value="3" required>
                      <label for="age3" class="font-weight-400"><span></span>41 - 50 ��</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="age" id="age4" value="4" required>
                      <label for="age4" class="font-weight-400"><span></span>51 - 59 ��</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="age" id="age5" value="5">
                      <label for="age5" class="font-weight-400"><span></span>60 - 65 ��</label>
                    </div>
					
                </div>
          </div>               
      </div> 
      </div>        
      <div class="row form-group">
         <div class="col-lg-12 form-group"> 
			<div class="margin-right-15 templatemo-inline-block">
                    <label for="edu">4. �дѺ����֡���٧�ش ���͡��ѧ�֡���дѺ����</label>
             <div class="row form-group">
                <div class="col-lg-12 form-group">                   
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="edu" id="edu1" value="1" required>
                      <label for="edu1" class="font-weight-400"><span></span>��ж��֡�� </label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="edu" id="edu2" value="2" required>
                      <label for="edu2" class="font-weight-400"><span></span>�Ѹ���֡��</label>
                    </div>
                     <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="edu" id="edu3" value="3" required>
                      <label for="edu3" class="font-weight-400"><span></span>͹ػ�ԭ��/�Ǫ./���.</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="edu" id="edu4" value="4" required>
                      <label for="edu4" class="font-weight-400"><span></span>��ԭ�ҵ�բ���</label>
                    </div>
					
				</div>
              </div>
           </div>                          
       </div>
	
 
  <div class="col-lg-12 form-group">                   
    <div class="margin-right-15 templatemo-inline-block">                 
                    <label for="duty">5. �ѡɳЧҹ��ѡ��������㹪��Ե��Ш��ѹ��Ẻ�</label>
          <div class="row form-group">
                <div class="col-lg-12 form-group">                   
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="duty" id="duty1" value="1" required>
                      <label for="duty1" class="font-weight-400"><span></span>�ѡ���¹/���Ե/�ѡ�֡��</label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="duty" id="duty2" value="2" required>
                      <label for="duty2" class="font-weight-400"><span></span>�ӧҹ�˹��§ҹ�Ҥ�Ѱ</label>
                    </div>
                     <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="duty" id="duty3" value="3" required>
                      <label for="duty3" class="font-weight-400"><span></span>�ӧҹ�˹��§ҹ�Ҥ�͡��/�Ӹ�áԨ��ǹ���</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="duty" id="duty4" value="4" required>
                      <label for="duty4" class="font-weight-400"><span></span>�ɵá� �� �����/��/�ǹ/����� �繵�</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="duty" id="duty5" value="5" required>
                      <label for="duty5" class="font-weight-400"><span></span>������Ҫվ��Ш�/������ҹ/�Ѻ��ҧ�����</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="duty" id="duty6" value="6" required>
                      <label for="duty6" class="font-weight-400"><span></span>��� � �к�...</label>
					  <input type="text" class="form-control" id="duty_o" placeholder="" name="duty_o">
                    </div>
                </div>
              </div>                           
            </div> 
          </div>
        
   
<div class="col-lg-6 col-md-6 form-group">                  
                    <label for="income">6. �����/����Թ������ͧ�ѹ㹻Ѩ�غѹ </label>
    <div class="row form-group">
                <div class="col-lg-12 form-group">                   
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="income" id="income1" value="1" required>
                      <label for="income1" class="font-weight-400"><span></span>��§��/������� </label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="income" id="income2" value="2" required>
                      <label for="income2" class="font-weight-400"><span></span>��§��/������������ </label>
                    </div>
                     <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="income" id="income3" value="3" required>
                      <label for="income3" class="font-weight-400"><span></span>�����§��/�����˹�� </label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="income" id="income4" value="4" required>
                      <label for="income4" class="font-weight-400"><span></span>�����§��/��˹��  </label>
                    </div>
					
					
                </div>
     </div>               
</div> 
              </div>
<div class="row form-group">
<div class="col-lg-12 form-group">                   
<div class="margin-right-15 templatemo-inline-block">                 
                    <label for="province">7. �Ѩ�غѹ�ѹ���������㹨ѧ��Ѵ�����ѡ</label>
      <div class="row form-group">
      <div class="col-lg-12 form-group">                   
      <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov1" value="1" required>
                      <label for="prov1" class="font-weight-400"><span></span>��ا෾��ҹ��</label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov2" value="2" required>
                      <label for="prov2" class="font-weight-400"><span></span>�ԧ�����</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov3" value="3" required>
                      <label for="prov3" class="font-weight-400"><span></span>������</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov4" value="4" required>
                      <label for="prov4" class="font-weight-400"><span></span>��ù�¡</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov5" value="5" required>
                      <label for="prov5" class="font-weight-400"><span></span>�ź���</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov6" value="6" required>
                      <label for="prov6" class="font-weight-400"><span></span>�������</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="province" id="prov7" value="7" required>
                      <label for="prov7" class="font-weight-400"><span></span>��� � �к�...</label>
					  <input type="text" class="form-control" id="prov_o" placeholder="" name="prov_o">
                    </div>
				</div>	
        </div>
</div>    
        </div>
</div>  
<div class="row form-group">
<div class="col-lg-12 form-group">                   
<div class="margin-right-15 templatemo-inline-block">                 
                    <label for="commu">8. �ѡɳС�����������㹪�����ͧ��ҹ</label>
      <div class="row form-group">
      <div class="col-lg-12 form-group">                   
      <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="commu" id="commu1" value="1" required>
                      <label for="commu1" class="font-weight-400"><span></span>���ͧ</label>
                    </div>
                    <div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="commu" id="commu2" value="2" required>
                      <label for="commu2" class="font-weight-400"><span></span>������ͧ��觪���</label>
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="radio" name="commu" id="commu3" value="3" required>
                      <label for="commu3" class="font-weight-400"><span></span>��� � �к�...</label>
					  <input type="text" class="form-control" id="commu_o" placeholder="" name="commu_o">
                    </div>
				</div>	
        </div>
</div>    
        </div>
</div> 
<div class="row form-group">
<div class="col-lg-12 form-group">                   
<div class="margin-right-15 templatemo-inline-block">
                 
                    <label for="ncd">9. �ѹ����������§����ä���Դ���������ѧ (NCDs) �� �ä����ҹ �ä����  �ä��ʹ���ʹ��ͧ �ä����� �ä�����ѹ���Ե�٧ �繵� (����ö�ͺ���ҡ���� 1 ���) </label>
      <div class="row form-group">
                <div class="col-lg-12 form-group">                   
                    <div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd2" id="n2" value="1" > 
                      <label for="n2" class="font-weight-400"><span></span>���� ���� ��ǹ ���� ��ǹŧ�ا </label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd3" id="n3" value="1"> 
                      <label for="n3" class="font-weight-400"><span></span>���Ф����ѹ���Ե�٧</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd4" id="n4" value="1"> 
                      <label for="n4" class="font-weight-400"><span></span>�չ�ӵ������ʹ�٧</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd5" id="n5" value="1"> 
                      <label for="n5" class="font-weight-400"><span></span>����ѹ����ʹ�٧</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd6" id="n6" value="1"> 
                      <label for="n6" class="font-weight-400"><span></span>����ѹ��еѺ</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd7" id="n7" value="1"> 
                      <label for="n7" class="font-weight-400"><span></span>�Թ���������ҹ ���� �ѹ ���� ����Ѵ </label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd8" id="n8" value="1"> 
                      <label for="n8" class="font-weight-400"><span></span>����������¹�ŧ����</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd9" id="n9" value="1"> 
                      <label for="n9" class="font-weight-400"><span></span>����͡ ���� ᷺����͡���ѧ��� </label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd10" id="n10" value="1"> 
                      <label for="n10" class="font-weight-400"><span></span>�ٺ�������繻�Ш�</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd11" id="n11" value="1"> 
                      <label for="n11" class="font-weight-400"><span></span>��������ͧ�����������š������繻�Ш� </label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <input type="checkbox" name="ncd12" id="n12" value="1"> 
                      <label for="n12" class="font-weight-400"><span></span>�վ�����/������/����� �������͵�´����ä���Դ���������ѧ</label> 
                    </div>
					<div class="templatemo-block margin-bottom-5">
                      <label for="n13" class="font-weight-400"><span></span>��� � (�����) �к�</label> 
					  <input type="text" class="form-control" id="n13" placeholder="" name="ncd_o">
                    </div>
					
					
				</div>	
      
	  </div>

</div>

</div>

</div>    
<%
author=request("r")
'round ������ͺ��� 0 pre 2 post 3 follow ��˹�������ͺ � �
'Response.write "<tr><td colspan=2>vvv"&author&"<td><tr>"
%>
<input type="hidden" name="author" value=<%=author%>>

<!--

-->

<div class="form-group text-right">
                
              </div>

</form>
          </div>
          
        </div>
      </div>
    </div>

<script type="text/javascript" src="js/jquery-1.11.2.min.js"></script>        
    <script type="text/javascript" src="js/bootstrap-filestyle.min.js"></script>  
    <script type="text/javascript" src="js/templatemo-script.js"></script>        
	<script>
function autocomplete(inp, arr) {
  /*the autocomplete function takes two arguments,
  the text field element and an array of possible autocompleted values:*/
  var currentFocus;
  /*execute a function when someone writes in the text field:*/
  inp.addEventListener("input", function(e) {
      var a, b, i, val = this.value;
      /*close any already open lists of autocompleted values*/
      closeAllLists();
      if (!val) { return false;}
      currentFocus = -1;
      /*create a DIV element that will contain the items (values):*/
      a = document.createElement("DIV");
      a.setAttribute("id", this.id + "autocomplete-list");
      a.setAttribute("class", "autocomplete-items");
      /*append the DIV element as a child of the autocomplete container:*/
      this.parentNode.appendChild(a);
      /*for each item in the array...*/
      for (i = 0; i < arr.length; i++) {
        /*check if the item starts with the same letters as the text field value:*/
        if (arr[i].substr(0, val.length).toUpperCase() == val.toUpperCase()) {
          /*create a DIV element for each matching element:*/
          b = document.createElement("DIV");
          /*make the matching letters bold:*/
          b.innerHTML = "<strong>" + arr[i].substr(0, val.length) + "</strong>";
          b.innerHTML += arr[i].substr(val.length);
          /*insert a input field that will hold the current array item's value:*/
          b.innerHTML += "<input type='hidden' value='" + arr[i] + "'>";
          /*execute a function when someone clicks on the item value (DIV element):*/
          b.addEventListener("click", function(e) {
              /*insert the value for the autocomplete text field:*/
              inp.value = this.getElementsByTagName("input")[0].value;
              /*close the list of autocompleted values,
              (or any other open lists of autocompleted values:*/
              closeAllLists();
          });
          a.appendChild(b);
        }
      }
  });
  /*execute a function presses a key on the keyboard:*/
  inp.addEventListener("keydown", function(e) {
      var x = document.getElementById(this.id + "autocomplete-list");
      if (x) x = x.getElementsByTagName("div");
      if (e.keyCode == 40) {
        /*If the arrow DOWN key is pressed,
        increase the currentFocus variable:*/
        currentFocus++;
        /*and and make the current item more visible:*/
        addActive(x);
      } else if (e.keyCode == 38) { //up
        /*If the arrow UP key is pressed,
        decrease the currentFocus variable:*/
        currentFocus--;
        /*and and make the current item more visible:*/
        addActive(x);
      } else if (e.keyCode == 13) {
        /*If the ENTER key is pressed, prevent the form from being submitted,*/
        e.preventDefault();
        if (currentFocus > -1) {
          /*and simulate a click on the "active" item:*/
          if (x) x[currentFocus].click();
        }
      }
  });
  function addActive(x) {
    /*a function to classify an item as "active":*/
    if (!x) return false;
    /*start by removing the "active" class on all items:*/
    removeActive(x);
    if (currentFocus >= x.length) currentFocus = 0;
    if (currentFocus < 0) currentFocus = (x.length - 1);
    /*add class "autocomplete-active":*/
    x[currentFocus].classList.add("autocomplete-active");
  }
  function removeActive(x) {
    /*a function to remove the "active" class from all autocomplete items:*/
    for (var i = 0; i < x.length; i++) {
      x[i].classList.remove("autocomplete-active");
    }
  }
  function closeAllLists(elmnt) {
    /*close all autocomplete lists in the document,
    except the one passed as an argument:*/
    var x = document.getElementsByClassName("autocomplete-items");
    for (var i = 0; i < x.length; i++) {
      if (elmnt != x[i] && elmnt != inp) {
        x[i].parentNode.removeChild(x[i]);
      }
    }
  }
  /*execute a function when someone clicks in the document:*/
  document.addEventListener("click", function (e) {
      closeAllLists(e.target);
  });
}

/*An array containing all the country names in the world:*/
var countries = ["��ا෾�",	
	"��к��",
	"�ҭ������",
	"����Թ���",
	"��ᾧྪ�",
	"�͹��",
	"�ѹ�����",
	"���ԧ���",
	"�ź���",
	"��¹ҷ",
	"�������",
	"�����",
	"��§����",
	"��§���",
	"��ѧ",
	"��Ҵ",
	"�ҡ",
	"��ù�¡",
	"��û��",
	"��þ��",
	"����Ҫ����",
	"�����ո����Ҫ",
	"������ä�",
	"�������",
	"��Ҹ����",
	"��ҹ",
	"�֧���",
	"���������",
	"�����ҹ�",
	"��ШǺ���բѹ��",
	"��Ҩչ����",
	"�ѵ�ҹ�",
	"��й�������ظ��",
	"�����",
	"�ѧ��",
	"�ѷ�ا",
	"�ԨԵ�",
	"��ɳ��š",
	"ྪú���",
	"ྪú�ó�",
	"���",
	"����",
	"�����ä��",
	"�ء�����",
	"�����ͧ�͹",
	"��ʸ�",
	"����",
	"�������",
	"�йͧ",
	"���ͧ",
	"�Ҫ����",
	"ž����",
	"�ӻҧ",
	"�Ӿٹ",
	"���",
	"�������",
	"ʡŹ��",
	"ʧ���",
	"ʵ��",
	"��طû�ҡ��",
	"��ط�ʧ����",
	"��ط��Ҥ�",
	"������",
	"��к���",
	"�ԧ�����",
	"��⢷��",
	"�ؾ�ó����",
	"����ɮ��ҹ�",
	"���Թ���",
	"˹ͧ���",
	"˹ͧ�������",
	"��ҧ�ͧ",
	"�ӹҨ��ԭ",
	"�شøҹ�",
	"�صôԵ��",
	"�ط�¸ҹ�",
	"�غ��Ҫ�ҹ�",
];

var socie = [
"��Ҥ���Ҽ���٧������觻������� ��ШӨѧ��Ѵ�ӻҧ",
"��þѲ�ҹ�ѵ�������͡����������آ�Ҿ�Ե��зѡ�зҧ��ͧ",
"����٧���ت������ҹ�����ŧ",
"���.��к��",
"����٧���� �.�ҧ��Ө״",
"����٧���� �.�ӹ�� �.�ҧ�ѹ",
"����٧���� �.�Ԫ� �.�Ԫ�",
"����٧�����Ⱥ�� �. ��ҧ",
"����٧���غ�ҹ˹ͧ�˭� �.����˭�",
"����٧�����Ⱥ�� �. ������",
"����٧�����Ⱥ�ŷ�Ҫ�ҧ �.�ҧ����",
"����٧�����Ⱥ�� �. ��ҹ����",
"����٧����Ⱥ�� �. �ҹ��к�� �.�ҹ��к��",
"�ç���¹����٧���بѧ��Ѵ�ѹ�����",
"����٧���� �. ˹ͧ�˹� ",
"����٧����Ҵ����",
"����٧����˹ͧ˭�ҹ���",
"��Ҥ���Ҥ����ͧ",
"����٧���ػ�Ъҹ���ȹ� 2 ���� 3",
"����٧�����Ҫ�ġ��",
"���͢��¤��ѡ��ҹ",
"����٧���� �.�������ǧ",
"����٧�����������ä�",
"�������ä� ͺ�.�֧�Ӿ���� ",
"����٧�����Ⱥ�� �.⾵�Ҵ��� ",
"���ʧ���� �.������ �.��з���ẹ",
"��Ҽ���٧����",
"��ҧ���غ��������",
"����٧���غ�ҹ�����ä�",
"����٧�����Ѵ��ȡ����",
"�ѡ���آ�Ҿ�Ѵ��ȡ����",
"����٧���� �. �ѧ���˭�",
"����٧���ش͡�ѡ���� ��Ң͹�ҧ",
"����٧���� �. ���",
"����٧���� �. ��Ǵ͹������ 1234",

];

/*initiate the autocomplete function on the "myInput" element, and pass along the countries array as possible autocomplete values:*/
autocomplete(document.getElementById("myInput"), countries);
autocomplete(document.getElementById("mysocie"), socie);
</script>
  </body>
</html>

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