Your IP : 216.73.217.79
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta content="text/html; charset=utf-8" http-equiv="Content-Type" />
<title>CESA Membership Application</title>
<link href="../js/jqueryui/jquery-ui.css" rel="stylesheet" />
<link href="../js/jquery.steps.css" rel="stylesheet" type="text/css" />
<script src="../js/jquery-3.2.1.min.js"></script>
<script src="../js/jquery.steps.min.js"></script>
<script src="../js/jquery.validate.js"></script>
<script src="../js/jqueryui/jquery-ui.js"></script>
<script>
function CheckForm(objForm) {
return true;
}
</script>
<style>
body, td, p {
font-family:Arial, Helvetica, sans-serif;
font-size:12px;
}
</style>
</head>
<body>
<h1>
<img align="middle" alt="CESA" height="82" hspace="10" src="../images/CESAlogo.jpg" width="237" />Membership
Application</h1>
<?php
function UniqueFilename($sDir, $sFilename) {
$i=1;
$sNewFilename=str_replace(array("'",'"',",",'#'),"_",$sFilename);
while (file_exists($sDir.$sNewFilename)) {
$sNewFilename=$i."_".$sFilename;
$i++;
}
return $sDir.$sNewFilename;
}
$bShowForm=true;
if (isset($_REQUEST["id"])) $iID=$_REQUEST["id"];
if (isset($_REQUEST["go"])) {
include_once( '../php/inc_db.php' );
$target_dir = "uploads/";
$sAppForm="";
if (isset($_FILES["AppForm"]["name"]) && !empty($_FILES["AppForm"]["name"])) {
$target_file = UniqueFilename($target_dir,basename($_FILES["AppForm"]["name"]));
if (move_uploaded_file($_FILES["AppForm"]["tmp_name"], $target_file)) $sAppForm=basename($target_file);
}
$sCIPCReg="";
if (isset($_FILES["CIPCReg"]["name"]) && !empty($_FILES["CIPCReg"]["name"])) {
$target_file = UniqueFilename($target_dir,basename($_FILES["CIPCReg"]["name"]));
if (move_uploaded_file($_FILES["CIPCReg"]["tmp_name"], $target_file)) $sCIPCReg=basename($target_file);
}
$sMPRes="";
if (isset($_FILES["MPRes"]["name"]) && !empty($_FILES["MPRes"]["name"])) {
$target_file = UniqueFilename($target_dir,basename($_FILES["MPRes"]["name"]));
if (move_uploaded_file($_FILES["MPRes"]["tmp_name"], $target_file)) $sMPRes=basename($target_file);
}
$sPIInsurance="";
if (isset($_FILES["PIInsurance"]["name"]) && !empty($_FILES["PIInsurance"]["name"])) {
$target_file = UniqueFilename($target_dir,basename($_FILES["PIInsurance"]["name"]));
if (move_uploaded_file($_FILES["PIInsurance"]["tmp_name"], $target_file)) $sPIInsurance=basename($target_file);
}
$sLetterhead="";
if (isset($_FILES["Letterhead"]["name"]) && !empty($_FILES["Letterhead"]["name"])) {
$target_file = UniqueFilename($target_dir,basename($_FILES["Letterhead"]["name"]));
if (move_uploaded_file($_FILES["Letterhead"]["tmp_name"], $target_file)) $sLetterhead=basename($target_file);
}
$sql="INSERT INTO Applications (FirmName, PhysicalAddress, FoundingDate, VATNumber, AppForm, CIPCReg, MPRes, PIInsurance, Letterhead)
VALUES ('".addslashes($_REQUEST["FirmName"])."', '".addslashes($_REQUEST["PhysicalAddress"])."', '".addslashes($_REQUEST["FoundingDate"])."',
'".addslashes($_REQUEST["VATNumber"])."', '".$sAppForm."', '".$sCIPCReg."', '".$sMPRes."', '".$sPIInsurance."',
'".$sLetterhead."')";
// echo $sql;
mysqli_query($conni,$sql);
$iID=mysqli_insert_id($conni);
for ($iP=1; $iP<=10; $iP++) {
$sCV="";
if (isset($_FILES["CV".$iP]["name"]) && !empty($_FILES["CV".$iP]["name"])) {
$target_file = UniqueFilename($target_dir,basename($_FILES["CV".$iP]["name"]));
if (move_uploaded_file($_FILES["CV".$iP]["tmp_name"], $target_file)) $sCV=basename($target_file);
}
if (!empty($_POST["PrincipalName".$iP])) {
$sql="INSERT INTO ApplicationCVs (ApplicationID, PrincipalName, OfficeName, CVFile) VALUES (".$iID.", '".addslashes($_POST["PrincipalName".$iP])."', '".addslashes($_POST["OfficeName".$iP])."', '".$sCV."')";
mysqli_query($conni,$sql);
}
}
$sql="INSERT INTO ADec_tblMemberFirms (Prev_FirmID, FirmName, MemberStatus, ApplicationID) VALUES (".(10000+$iID).", '".addslashes($_REQUEST["FirmName"])."', 'Application', ".$iID.")";
mysqli_query($conni,$sql);
$iFirmID=mysqli_insert_id($conni);
$sql="INSERT INTO ADec_tblMemberFirmOffices (FirmID, Prev_FirmID, OfficeName, OfficeStatus, FullOrPartTime, TownCity, Country, Province, GeoLocation) VALUES (".$iFirmID.", ".(10000+$iID).",
'".addslashes($_REQUEST["FirmName"])."', '".$_REQUEST["OfficeStatus"]."', 'Full Time', '".addslashes($_REQUEST["TownCity"])."', 'South Africa', '".addslashes($_REQUEST["Province"])."', '".addslashes($_REQUEST["TownCity"])."')";
mysqli_query($conni,$sql);
$iOfficeID=mysqli_insert_id($conni);
$sql="INSERT INTO ADec_Contacts (ContactFirstName, ContactSurname, ContactInitials, CellPhone, PersonalTel, PreferredEmail) VALUES ('".addslashes($_REQUEST["ContactFirstName"])."',
'".addslashes($_REQUEST["ContactSurname"])."', '".substr($_REQUEST["ContactFirstName"],0,1)."', '".addslashes($_REQUEST["CellPhone"])."', '".addslashes($_REQUEST["PersonalTel"])."',
'".addslashes($_REQUEST["PreferredEmail"])."')";
mysqli_query($conni,$sql);
$iContactsID=mysqli_insert_id($conni);
$sql="INSERT INTO ADec_OfficeContacts (ContactsID, OfficeID, MandatedPrincipal) VALUES (".$iContactsID.", ".$iOfficeID.", 1)";
mysqli_query($conni,$sql);
?>
<p>Thank you for your application. You now need to complete the Annual Declaration.</p>
<p>If you would like to return to this page later to complete your Annual Declaration, please save this link:<br>
<a href="https://www.cesa.co.za/apply/index.php?id=<?php echo $iID; ?>">https://www.cesa.co.za/apply/index.php?id=<?php echo $iID; ?></a>
</p>
<?php
$bShowForm=false;
}
if (isset($iID)) {
$bShowForm=false;
?>
<p>Please complete <b>both</b> parts of the online annual declaration via the buttons below:</p>
<p><input name="Button1" type="button" value="Complete the Annual Declaration - Part 1" onclick="javascript:window.open('http://www.cesa.co.za/members/AnnualDeclaration_Part1/annualGENERIC4.php4?appid=<?php echo md5($iID); ?>')" /></p>
<p><input name="Button1" type="button" value="Complete the Annual Declaration - Part 2" onclick="javascript:window.open('http://www.cesa.co.za/members/AnnualDeclaration_Part1/annualpart2.php4?appid=<?php echo md5($iID); ?>')" /></p>
<p>Please contact Gillian Wands on 011 463 2022 with any queries.</p>
<?php
}
if ($bShowForm) {
?>
<div style="width:800px">
<form method="POST" action="index.php" enctype="multipart/form-data" onsubmit="return CheckForm(this);" id="appform">
<input type="hidden" name="go" value="1" />
<input type="hidden" name="ADec_AppRef" value="<?php echo $sAppRef; ?>" />
<div>
<h3>Application</h3>
<section>
<h4>Application</h4>
<p>I/We hereby apply for admission as a Member of Consulting Engineers
South Africa.</p>
<table cellpadding="5" cellspacing="0" style="width: 600px">
<tr>
<td style="width: 159px" valign="top">Full Name of Firm:</td>
<td><input name="FirmName" style="width: 400px" type="text" id="FirmName" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Full Street Address:</td>
<td><textarea cols="40" name="PhysicalAddress" rows="4" id="PhysicalAddress" required></textarea></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Town / City of Head Office:</td>
<td>
<input name="TownCity" type="text" id="TownCity" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Province:</td>
<td><select name="Province" required>
<option>Eastern Cape</option>
<option>Free State</option>
<option>Gauteng</option>
<option>Kwazulu-Natal</option>
<option>Limpopo</option>
<option>Mpumalanga</option>
<option>Northern Cape</option>
<option>North West</option>
<option>Western Cape</option>
</select></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Date of Founding:</td>
<td><input name="FoundingDate" type="text" id="FoundingDate" required /> <br />
PLEASE NOTE: As a general rule all firms that apply for Membership
of CESA should have been in practice for at least one year</td>
</tr>
<tr>
<td style="width: 159px" valign="top">VAT Number:</td>
<td><input name="VATNumber" type="text" id="VATNumber" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Total Number of Offices / Branches in Firm:</td>
<td><select name="OfficeStatus" id="OfficeStatus" required>
<option value="Only Office">One</option>
<option value="Head Office">More than one</option>
</select></td>
</tr>
</table>
</section>
<h3>Mandated Principal</h3>
<section>
<h4>Mandated Principal</h4>
<table cellpadding="5" cellspacing="0" style="width: 600px">
<tr>
<td colspan="2"><strong>Mandated Principal:</strong></td>
</tr>
<tr>
<td style="width: 159px" valign="top">First Name:</td>
<td><input name="ContactFirstName" type="text" id="ContactFirstName" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Surname:</td>
<td><input name="ContactSurname" type="text" id="ContactSurname" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Tel:</td>
<td><input name="PersonalTel" type="text" id="PersonalTel" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Cell:</td>
<td><input name="CellPhone" type="text" id="CellPhone" required /></td>
</tr>
<tr>
<td style="width: 159px" valign="top">Email:</td>
<td><input name="PreferredEmail" type="text" id="PreferredEmail" required /></td>
</tr>
</table>
</section>
<h3>CVs of Principals</h3>
<section>
<div style="height:350px; overflow:scroll">
<h4>Upload Principals' CVs</h4>
<p>Upload the CV of each of your principals below.</p>
<table cellpadding="5" cellspacing="0" style="width: 600px">
<tr>
<td style="width: 308px">Name of Principal 1:</td>
<td><input name="PrincipalName1" type="text" required /></td>
</tr>
<tr>
<td style="width: 308px">Name of Office:</td>
<td><input name="OfficeName1" type="text" required /></td>
</tr>
<tr>
<td style="width: 308px">CV:</td>
<td><input name="CV1" type="file" required /></td>
</tr>
<?php
for ($iP=2; $iP<=10; $iP++) {
?>
<tr><td colspan="2"><hr></td></tr>
<tr>
<td style="width: 308px">Name of Principal <?php echo $iP; ?>:</td>
<td><input name="PrincipalName<?php echo $iP; ?>" type="text" /></td>
</tr>
<tr>
<td style="width: 308px">Name of Office:</td>
<td><input name="OfficeName<?php echo $iP; ?>" type="text" /></td>
</tr>
<tr>
<td style="width: 308px">CV:</td>
<td><input name="CV<?php echo $iP; ?>" type="file" /></td>
</tr>
<?php
}
?>
</table>
</div>
</section>
<h3>Upload Documents</h3>
<section>
<h4>Upload Documents</h4>
<p>Please <a href="APPLICATION_FORM.doc" target="_blank">click here to
download the Application Form</a>, which must be completed and signed. </p>
<p>Upload the signed application form and the following documents:</p>
<table cellpadding="5" cellspacing="0" style="width: 600px">
<tr>
<td style="width: 308px">Signed Application Form:</td>
<td><input name="AppForm" type="file" required /></td>
</tr>
<tr>
<td style="width: 308px">Firm's CIPC Registration Papers:</td>
<td><input name="CIPCReg" type="file" required /></td>
</tr>
<tr>
<td style="width: 308px">Resolution appointing the Mandated
Principal:</td>
<td><input name="MPRes" type="file" required /></td>
</tr>
<tr>
<td style="width: 308px">Copy of PI Insurance:</td>
<td><input name="PIInsurance" type="file" required /></td>
</tr>
<tr>
<td style="width: 308px">Company Letterhead:</td>
<td><input name="Letterhead" type="file" required /></td>
</tr>
</table>
</section>
<h3>Submit</h3>
<section>
<h4>Submit Application</h4>
<ul>
<li>I/We declare that my/our firm complies with the requirements of the
Memorandum of Incorporation (MoI) of Consulting Engineers South Africa
and specifically all the requirements of Clause 1.2 (11).</li>
<li>The Form of the firm and the names of the Principals will be disclosed
on the Annual Declaration.</li>
<li>I /We agree to abide by the MoI and By-laws and acknowledge having
read and understood them.</li>
<li>I/We agree to adhere to CESA’s Business Management Integrity
Guidelines.</li>
<li>I am/We are aware that the Council of CESA has the right to accept
or reject this application.</li>
<li>I/We undertake to complete the Annual Declaration each year as
required by Clause 15 of the By-laws.</li>
</ul>
<p><input name="Submit1" type="submit" value="Submit" id="FinishButton" /></p>
</section>
</div>
</form>
</div>
<script>
var form = $("#appform");
form.validate({
errorPlacement: function errorPlacement(error, element) { element.before(error); },
rules: {
confirm: {
equalTo: "#password"
}
}
});
form.children("div").steps({
headerTag: "h3",
bodyTag: "section",
transitionEffect: "slideLeft",
onStepChanging: function (event, currentIndex, newIndex)
{
form.validate().settings.ignore = ":disabled,:hidden";
return form.valid();
// return true;
},
onFinishing: function (event, currentIndex)
{
form.validate().settings.ignore = ":disabled";
return form.valid();
// return true;
},
onFinished: function (event, currentIndex)
{
document.getElementById('FinishButton').click();
// alert("Submitted!");
}
});
$( "#FoundingDate" ).datepicker({
changeMonth: true,
changeYear: true,
inline: true,
dateFormat: "yy-mm-dd",
yearRange: "1900:c+0"
});
</script>
<?php
}
?>
</body>
</html>