<form method="post" action="profileform.php" onsubmit="return validate.check(this)">
<table class="form" style="line-height:35px;">
<tr>
<td valign="middle">First Name:<span class="required_star">*</span></td>
<td><input name="First_Name" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Last Name:<span class="required_star">*</span></td>
<td><input name="Last_Name" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Email:<span class="required_star">*</span></td>
<td><input name="Email" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Contact No:<span class="required_star">*</span></td>
<td><input name="Contact_No" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Nationality:</td>
<td><input name="Nationality" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Current Location:</td>
<td><input name="Current_Location" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Gender:<span class="required_star">*</span></td>
<td><input name="Gender" type="radio" checked>Male
<input name="Gender" type="radio" >Female</td>
</tr>
<tr>
<td valign="middle">Job Type:<span class="required_star">*</span></td>
<td><select name="Job_Type" size="1" class="forminput" style="background:#ffffff;">
<option value="1">Trainee</option>
<option value="1">Web / Graphics Designer</option>
<option value="2">PHP Developer / Programmer</option>
<option value="3">Dot.Net Developer / Programmer</option>
<option value="4">Search Engine Optimizer (SEO)</option>
<option value="5">SEO Content Writer</option>
<option value="6">Business Development Executive</option>
</select></td>
</tr>
<td valign="middle">Experience:<span class="required_star">*</span></td>
<td><input name="Exp_1" size="1">
<select name="Exp_2" size="1" style="background:#ffffff;">
<option value="1">mth</option>
<option value="2">yrs</option>
</select></td>
<tr>
<td valign="middle">Current Industry:</td>
<td><input name="Current_Industry" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td valign="middle">Key Skills:</td>
<td><input name="Key_Skills" type="text" class="forminput" size="20"></td>
</tr>
<tr>
<td colspan="2" style="text-align:center" >
<div class="antispammessage">
<div class="antispamquestion">
<span class="required_star"> * </span>
only numbers, Enter 25 number in box &nbsp;

<script type="text/javascript">
function antispam1clearFocus(){
var AntiSpam1 = document.getElementById('AntiSpam1')
if(AntiSpam1.value=="25"){
AntiSpam1.value="";
};
}
function antispam1clearBlur(){
var AntiSpam1 = document.getElementById('AntiSpam1')
if(AntiSpam1.value==""){
AntiSpam1.value="25";
};
}
</script>
<input type="text" name="AntiSpam1" id="AntiSpam1" maxlength="100" style="width:30px" class="forminput" value="25" onBlur="antispam1clearBlur()" onFocus="antispam1clearFocus();">
</div>
</div>
</td>
</tr>
<tr>
<td colspan="2"><input type="submit" value="Send" class="subscribe_button">
<input type="reset" class="subscribe_button">
</td> </tr>
</table>
</form>



<?php

if(isset($_POST['Email_Address'])) {
include 'freecontactformsettings.php';

function died($error) {
echo "Sorry, but there were error(s) found with the form you submitted. ";
echo "These errors appear below.<br /><br />";
echo $error."<br /><br />";
echo "Please go back and fix these errors.<br /><br />";
die();
}

if(!isset($_POST['First_Name']) ||
!isset($_POST['Last_Name']) ||
!isset($_POST['Email']) ||
!isset($_POST['Contact_No']) ||
!isset($_POST['Nationality']) ||
!isset($_POST['Current_Location']) ||
!isset($_POST['Gender']) ||
!isset($_POST['Job_Type']) ||
!isset($_POST['Exp_1']) ||
!isset($_POST['Exp_2']) ||
!isset($_POST['Current_Industry']) ||
!isset($_POST['Key_Skills']) ||
!isset($_POST['AntiSpam'])
) {
died('Sorry, there appears to be a problem with your form submission.');
}

$first_name = $_POST['First_Name']; // required
$last_name = $_POST['Last_Name']; // required
$email_from = $_POST['Email']; // required
$contact_no = $_POST['Contact_No']; // required
$nationality = $_POST['Nationality']; // not required
$current_location = $_POST['Current_Location']; // not required
$gender = $_POST['Gender']; // required
$job_type = $_POST['Job_Type']; // required
$exp_1 = $_POST['Exp_1']; // not required
$exp_2 = $_POST['Exp_2']; // not required
$current_industry = $_POST['Current_Industry']; // not required
$key_skills = $_POST['Key_Skills']; // not required
$antispam = $_POST['AntiSpam']; // required

$error_message = "";

$email_exp = '/^[A-Za-z0-9._%-]+@[A-Za-z0-9.-]+\.[A-Za-z]{2,4}$/';
if(preg_match($email_exp,$email_from)==0) {
$error_message .= 'The Email Address you entered does not appear to be valid.<br />';
}
if(strlen($first_name) < 2) {
$error_message .= 'Your Name does not appear to be valid.<br />';
}
if(strlen($last_name) < 2) {
$error_message .= 'Your Name does not appear to be valid.<br />';
}
if(strlen($contact_no) < 2) {
$error_message .= 'Contact No does not appear to be valid.<br />';
}

if(strlen($gender) < 2) {
$error_message .= 'Gender does not appear to be valid.<br />';
}
if(strlen($job_type) < 2) {
$error_message .= 'Job Type does not appear to be valid.<br />';
}


if($antispam <> $antispam_answer) {
$error_message .= 'The Anti-Spam answer you entered is not correct.<br />';
}

if(strlen($error_message) > 0) {
died($error_message);
}
$email_message = "Form details below.\r\n";

function clean_string($string) {
$bad = array("content-type","bcc:","to:","cc:");
return str_replace($bad,"",$string);
}

$email_message .= "First Name: ".clean_string($first_name)."\r\n";
$email_message .= "Last Name: ".clean_string($last_name)."\r\n";
$email_message .= "Email: ".clean_string($email_from)."\r\n";
$email_message .= "Contact No: ".clean_string($contact_no)."\r\n";
$email_message .= "Nationality: ".clean_string($nationality)."\r\n";
$email_message .= "Current Location: ".clean_string($current_location)."\r\n";
$email_message .= "Gender: ".clean_string($gender)."\r\n";
$email_message .= "Job Type: ".clean_string($job_type)."\r\n";
$email_message .= "Experience: ".clean_string($exp_1)."\r\n";
$email_message .= "Experience: ".clean_string($exp_2)."\r\n";
$email_message .= "Current Industry: ".clean_string($current_industry)."\r\n";
$email_message .= "Key Skills: ".clean_string($key_skills)."\r\n";

$headers = 'From: '.$email_from."\r\n".
'Reply-To: '.$email_from."\r\n" .
'X-Mailer: PHP/' . phpversion();
@mail($email_to, $email_subject, $email_message, $headers);
header("Location: $thankyou");
?>
<script>location.replace('<?php echo $thankyou;?>')</script>
<?php
}
die();
?>