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System: Linux vps.panamaemb.org.sg 3.10.0-1160.80.1.vz7.191.4 #1 SMP Thu Dec 15 20:31:06 MSK 2022 x86_64
User: panama (500)
PHP: 5.2.17
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File: /home/panama/public_html_old/visaformprint.php
<?php require_once ("./include/ewconfig.php") ?>
<?php require_once ("./include/db.php") ?>
<? 
	include("include/config.php"); 	
	$db_sel = new database();
	$pageid=6;
	$db_sel->where("pageid=".$pageid);
	$db_sel->selectstmt("cmspagemaster");
	$pagetitle = $db_sel->f_pagetitle;
	$pagemeta = $db_sel->f_pagemeta;
	$pagemetadesc = $db_sel->f_pagemetadesc;
	//$str_len=strlen($db_sel->f_pagedesc);
	//if($str_len>1100) 
	//$description = substr($db_sel->f_pagedesc,0,1100)."...";
	//else 
	$description = $db_sel->f_pagedesc;
?>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta name="description" content="<?=$pagemetadesc?>" />
<meta name="keywords" content="<?=$pagemeta?>"/>
<title>Visa Form Print</title>
<!-- Stylesheets -->
<!-- Javascript -->
<!--[if IE 6]><script src="js/ie6.js"></script><![endif]--> 
<? include('includescript.php')?>
</head>
<body>
          <p align="center" style="line-height: 0">REPUBLICA DE PANAMA</p>
          <p align="center" style="line-height: 0">REPUBLIC OF PANAMA</p>
          <font size="3">Click <a href="javascript:window.print();">Here</a> to Print this Form.</font>
<script type="text/javascript" language="javascript">
					function checkInput(appform)
					{
						if(appform.txtFirstName.value=="" && appform.txtMiddleName.value=="" && appform.txtSurname.value=="")
						{
							alert("Name Can not be all empty!");
							appform.txtFirstName.focus();
							return false;
						}
						if(appform.txtPassportNo.value=="")
						{
							alert("Passport No Can not be empty!");
							appform.txtPassportNo.focus();
							return false;
						}
						if(appform.txtNationality.value=="")
						{
							alert("Nationality Can not be empty!");
							appform.txtNationality.focus();
							return false;
						}
						if(appform.txtCountry.value=="")
						{
							alert("Country of Birth Can not be empty!");
							appform.txtCountry.focus();
							return false;
						}
						if(appform.txtCity.value=="")
						{
							alert("City Can not be empty!");
							appform.txtCity.focus();
							return false;
						}
						if(appform.txtDay.value=="")
						{
							alert("Day of Birth Can not be empty!");
							appform.txtDay.focus();
							return false;
						}
						if(appform.txtMonth.value=="")
						{
							alert("Month of Birth Can not be empty!");
							appform.txtMonth.focus();
							return false;
						}
						if(appform.txtYear.value=="")
						{
							alert("Year of Birth Can not be empty!");
							appform.txtYear.focus();
							return false;
						}
						
						if(appform.txtEmployerAddress.value=="")
						{
							alert("Address Can not be empty!");
							appform.txtEmployerAddress.focus();
							return false;
						}
						return true;
					}
					</script>
              <table border="1" width="955" id="table1" height="auto" bordercolor="#000000" style="border-collapse: collapse">
              <?php
				  	if (@$_GET["userid"] <> "")
					{
						$userid=@$_GET["userid"];
						$action=@$_GET["action"];
						$appid=@$_GET["appid"];
						$viewuser=@$_GET["viewuser"];
						$conn = phpmkr_db_connect(HOST, USER, PASS, DB, PORT);
						MySQL_query("SET NAMES 'utf8'");
						/*Action 1.New 2.Edit 3.Delete 4.View*/
					if($action=="1")
					{
						
						$showfile1=".\\visattach\\nofile.jpg";
						$filelink1="";
						$showfile2=".\\visattach\\nofile.jpg";
						$filelink2="";
						$showfile3=".\\visattach\\nofile.jpg";
						$filelink3="";
					}
				  	if($action=="2" or $action=="4")/*Edit App or View App*/
					{
						if($userid=="0")
						{ 
							$StrSel="Select * from visa_form Where userid=".$viewuser." and appid='".$appid."'";
						}
						else
						{
							$StrSel="Select * from visa_form Where userid=".$userid." and appid='".$appid."'";
						}
						$query = phpmkr_query($StrSel, $conn) or die("<font color='#FF0000'>ERROR: Failed to execute query at line " . __LINE__ . ": " . phpmkr_error($conn) . '<br>SQL: ' . $sSql."</font>");
						$row = @phpmkr_fetch_array($query);
						$query = phpmkr_query($StrSel, $conn) or die("<font color='#FF0000'>ERROR: Failed to execute query at line " . __LINE__ . ": " . phpmkr_error($conn) . '<br>SQL: ' . $sSql."</font>");
						if (phpmkr_num_rows($query) > 0)
						{
							//Edit App Load App Information
							$imgfolder=".\\visattach\\";
							$pdfico="pdfile.png";
							$firstname=$row["firstname"];
							$middlename=$row["middlename"];
							$surname=$row["surname"];
							$passport=$row["passport"];
							$nationality=$row["nationality"];
							$country=$row["country"];
							$city=$row["city"];
							$day=$row["daybirth"];
							$month=$row["monthbirth"];
							$year=$row["yearbirth"];
							$address=$row["employeraddress"];
							$fun1=$row["function1"];
							$fun2=$row["function2"];
							$fun3=$row["function3"];
							$fun4=$row["function4"];
							$fun5=$row["function5"];
							$level1=$row["level1"];
							$level2=$row["level2"];
							$level3=$row["level3"];
							$level4=$row["level4"];
							$level5=$row["level5"];
							$funclimit1=$row["funclimit1"];
							$funclimit2=$row["funclimit2"];
							$funclimit3=$row["funclimit3"];
							$funclimit4=$row["funclimit4"];
							$funclimit5=$row["funclimit5"];
							$cargo1=$row["cargo1"];
							$cargo2=$row["cargo2"];
							$cargo3=$row["cargo3"];
							$cargo4=$row["cargo4"];
							$cargolimit1=$row["cargolimit1"];
							$cargolimit2=$row["cargolimit2"];
							$cargolimit3=$row["cargolimit3"];
							$cargolimit4=$row["cargolimit4"];
							$indicatepos=$row["indipos"];
							
							$cap1=$row["cap1"];
							$cap2=$row["cap2"];
							$cap3=$row["cap3"];
							$cap4=$row["cap4"];
							$cap5=$row["cap5"];
							$cap6=$row["cap6"];
							
							$specialtrain1=$row["specialtrain1"];
							$specialtrain2=$row["specialtrain2"];
							$specialtrain3=$row["specialtrain3"];
							$specialtrain4=$row["specialtrain4"];
							$specialtrain5=$row["specialtrain5"];
							$specialtrain6=$row["specialtrain6"];
							$specialtrain7=$row["specialtrain7"];
							$specialtrain8=$row["specialtrain8"];
							
							$file1=$row["file1"];
							$file2=$row["file2"];
							$file3=$row["file3"];
							if($file1=="")
							{
								$showfile1=".\\visattach\nofile.jpg";
								$filelink1="";
							}
							else
							{
								if(substr(strrchr($file1,"."),1)=="pdf")
								{
									$showfile1=".\\visattach\pdfile.png";
								}
								else
								{
									$showfile1=$imgfolder.$file1;
								}
								$filelink1=$imgfolder.$file1;
							}
							if($file2=="")
							{
								$showfile2=".\\visattach\nofile.jpg";
								$filelink2="";
							}
							else
							{								
								if(substr(strrchr($file2,"."),1)=="pdf")
								{
									$showfile2=".\\visattach\pdfile.png";
								}
								else
								{
									$showfile2=$imgfolder.$file2;
								}
								$filelink2=$imgfolder.$file2;
							}
							if($file3=="")
							{
								$showfile3=".\\visattach\\nofile.jpg";
								$filelink3="";
							}
							else
							{
								if(substr(strrchr($file3,"."),1)=="pdf")
								{
									$showfile3=".\\visattach\pdfile.png";
								}
								else
								{
									$showfile3=$imgfolder.$file3;
								}
								$filelink3=$imgfolder.$file3;
							}
						}
						else
						{
							
						}
					} 
					}
                  ?>
                <tr>
                  <td align="left" height="6" valign="middle" colspan="2"><p align="left"><font color="#000000" size="2"><b>NOMBRE</b>-Name(First):<?php echo $firstname ?></font></p></td>
                  <td height="6" colspan="2" align="left" valign="middle"><p align="left" style="text-align: left"><b><font size="2">MEDIO</font></b><font size="2">-Middle Name:<?php echo $middlename ?></font><font face="Arial, Helvetica, sans-serif">
                  </font></p></td>
                  <td height="6" colspan="2" align="left" valign="middle" width="510"><p align="left"><b><font size="2"> APELLIDO</font></b><font size="2">-Surname:<?php echo $surname ?></font><font face="Arial, Helvetica, sans-serif">
                  </font></p></td>
                </tr>
                <tr>
                  <td align="left" height="6" valign="middle" colspan="2">
					<p align="left" style="text-align: left; margin-bottom:0em"><b> <font size="2">No. DE PASAPORTE</font></b><font size="2">- 
                    Passport No.:<?php echo $passport ?></font><font face="Arial, Helvetica, sans-serif">
                  <input type="text" name="txtuserid"  id="txtuserid" value="<?php echo $userid ?>" style="display:none">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </font></td> 
                                  <td height="6" colspan="2" align="left" valign="middle" bordercolor="#000000"> </td>                                 
				  <td><b><font size="2"> NACIONALIDAD</font></b><font size="2">-Nationality:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo $nationality ?></font><font face="Arial, Helvetica, sans-serif">
                  <input type="text" name="txtappid"  id="txtappid" value="<?php echo $appid ?>" style="display:none"></font></p></td>    
                </tr>
                <tr>
                  <td align="left" colspan="6" valign="middle" height="6">
					<p align="left" style="text-align: left; line-height:5px"> <b><font size="2">PAIS NATAL</font></b><font size="2">-Country 
                    of birth&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo $country ?></font><font face="Arial, Helvetica, sans-serif">
                                   &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                                </font><font size="2"> CIUDAD-City
                               &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<?php echo $city ?></font><font face="Arial, Helvetica, sans-serif">
                  </font></p></td>
                </tr>
                <tr>
                  <td align="left" colspan="8" valign="top"><font size="2">FECHA 
                    DE NACIMIENTO-Date of Birth&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; DIA-DAY</font><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtDay" value="<?php echo $day ?>" <?php if($action=="4") echo "disabled"; ?> size="5" /></font><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; MES-MONTH</font><font face="Arial, Helvetica, sans-serif"><input type="text" name="txtMonth" value="<?php echo $month ?>" <?php if($action=="4") echo "disabled"; ?> size="5" /></font><font size="2">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ano-YEAR</font><font face="Arial, Helvetica, sans-serif">
                  <input type="text" name="txtYear" value="<?php echo $year ?>" <?php if($action=="4") echo "disabled"; ?> size="5" /></font></td>
                </tr>
                
                <tr>
                  <td align="center" colspan="8" height="20"><p align="center" style="text-align: center"> <font size="2" color="#000000">DIRECCION POSTAL 
                    - Mailing Address</font></p></td>
                </tr>
                <tr>
                  <td align="center" colspan="4" height="86" valign="top">
					<p align="center" style="text-align: center; line-height:1px"> <font size="2" color="#000000">SOLICITANTE 
                    -Applicant</font></p>
                      <p align="center" style="text-align: center; line-height:1px"> <b> <font size="2" color="#000000">Embassy of Panama 
                        In Singapore</font></b></p>
                    <p align="center" style="text-align: center; line-height:1px"> <b> <font size="2" color="#000000">16 Raffles Qauy,#41-06</font></b></p>
                    <p align="center" style="text-align: center; line-height:1px"> <b> <font size="2" color="#000000">Hong Leong 
                      Building</font></b></p>
                    <p align="center" style="text-align: center; line-height:1px"> <b> <font size="2" color="#000000">Singapore 048581</font></b></p></td>
                  <td align="center" colspan="4" height="86" valign="top"><p align="center" style="text-align: center"> <font size="2" color="#000000">EMPLEADOR-Employer</font></p>
                      <p align="left" style="text-align: left"><font color="#000000" face="Arial, Helvetica, sans-serif">
                       <font size="2" color="#000000"><?php echo $address; ?></font>
                    </font></p></td>
                </tr>
                <tr>
                  <td align="center" colspan="8" valign="middle"><p align="center" style="text-align: center"> <font size="2" color="#000000">CARACTERISTICAS 
                    DEL CERTIFICADO SOLICITADO- Detail of 
                    Certificate of Competency requested</font></p></td>
                </tr>
                <tr>
                  <td align="center" colspan="2" height="17" valign="top"><p align="center" style="text-align: center"> <font size="2">FUNCTION-Function</font></p></td>
                  <td colspan="2" height="17" align="center" valign="top"><p align="center" style="text-align: center"><font size="2">NIVEL- 
                    Level</font></p></td>
                  <td colspan="4" height="17" align="center" valign="top"><p align="center" style="text-align: center"><font size="2"> LIMITACIONES-Limitations Applying(if any)</font></p></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtFunction1" value="<?php echo $fun1; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="2" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtLevel1" value="<?php echo $level1; ?>" <?php if($action=="4") echo "disabled"; ?> size="35" />
                  </font></td>
                  <td colspan="4" align="left"><font face="Arial, Helvetica, sans-serif">
                      <input type="text" name="txtFuncLimit1" value="<?php echo $funclimit1; ?>" <?php if($action=="4") echo "disabled"; ?> size="61" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtFunction2" value="<?php echo $fun2; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="2" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtLevel2" value="<?php echo $level2; ?>" <?php if($action=="4") echo "disabled"; ?> size="35" />
                  </font></td>
                  <td colspan="4" align="left"><font face="Arial, Helvetica, sans-serif">
                      <input type="text" name="txtFuncLimit2" value="<?php echo $funclimit2; ?>" <?php if($action=="4") echo "disabled"; ?> size="61" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtFunction3" value="<?php echo $fun3; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="2" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtLevel3" value="<?php echo $level3; ?>" <?php if($action=="4") echo "disabled"; ?> size="35" />
                  </font></td>
                  <td colspan="4" align="left"><font face="Arial, Helvetica, sans-serif">
                      <input type="text" name="txtFuncLimit3" value="<?php echo $funclimit3; ?>" <?php if($action=="4") echo "disabled"; ?> size="61" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtFunction4" value="<?php echo $fun4; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="2" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtLevel4" value="<?php echo $level4; ?>" <?php if($action=="4") echo "disabled"; ?> size="35" />
                  </font></td>
                  <td colspan="4" align="left"><font face="Arial, Helvetica, sans-serif">
                      <input type="text" name="txtFuncLimit4" value="<?php echo $funclimit4; ?>" <?php if($action=="4") echo "disabled"; ?> size="61" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtFunction5" value="<?php echo $fun5; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="2" align="left" valign="middle"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtLevel5" value="<?php echo $level5; ?>" <?php if($action=="4") echo "disabled"; ?> size="35" />
                  </font></td>
                  <td colspan="4" align="left"><font face="Arial, Helvetica, sans-serif">
                      <input type="text" name="txtFuncLimit5" value="<?php echo $funclimit5; ?>" <?php if($action=="4") echo "disabled"; ?> size="61" />
                  </font></td>
                </tr>
                <tr>
                  <td align="center" colspan="2"><p align="center" style="text-align: center"> <font size="2">CARGO -Capacity</font></p></td>
                  <td colspan="6" align="center"><p align="center" style="text-align: center"><font size="2"> LIMITACIONES(si ias hubiere)-Limitations 
                    Applying(if any)</font></p></td>
                </tr>
                <tr>
                  <td align="left" colspan="2" height="28"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtCargo1" value="<?php echo $cargo1; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="6" align="left" height="28"><font face="Arial, Helvetica, sans-serif">
                    <input name="txtCargoLimit1" size="104" value="<?php echo $cargolimit1; ?>" <?php if($action=="4") echo "disabled"; ?> style="float: left" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtCargo2" value="<?php echo $cargo2; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="6" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input name="txtCargoLimit2" size="104" value="<?php echo $cargolimit2; ?>" <?php if($action=="4") echo "disabled"; ?> style="float: left" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtCargo3" value="<?php echo $cargo3; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="6" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input name="txtCargoLimit3" size="104" value="<?php echo $cargolimit3; ?>" <?php if($action=="4") echo "disabled"; ?> style="float: left" />
                  </font></td>
                </tr>
                <tr>
                  <td align="left" colspan="2"><font face="Arial, Helvetica, sans-serif">
                    <input type="text" name="txtCargo4" value="<?php echo $cargo4; ?>" <?php if($action=="4") echo "disabled"; ?> size="40" />
                  </font></td>
                  <td colspan="6" align="left"><font face="Arial, Helvetica, sans-serif">
                    <input name="txtCargoLimit4" size="104" value="<?php echo $cargolimit4; ?>" <?php if($action=="4") echo "disabled";?> style="float: left" />
                  </font></td>
                </tr>
                <tr>
                  <td align="center" colspan="4">
					<p align="left" style="margin-bottom: 0em"> <font size="2" color="#000000">SI ES PERSONAL 
                    SUBALTERNO INDIQUE CATGO SOLICITADO IF YOU ARE RATING 
                    INDICATE POSITION</font></p></td>
                  <td align="left" colspan="4"><p align="left"> <font face="Arial, Helvetica, sans-serif">
                      <input name="txtIndicatePOS" size="61" value="<?php echo $indicatepos; ?>" <?php if($action=="4") echo "disabled"; ?> style="display:none" />
                  </font></p></td>
                </tr>
                <tr>
                  <td align="center" colspan="8" height="21"><p align="left"><font size="2" color="#000000"> ENDORSOS A SOLICITAR - REQUEST ENDORSEMENT</font></p></td>
                </tr>
</table>
<table border="1" width="955" id="table2" height="435" style="border-collapse: collapse" bordercolor="#000000">
                  <td align="center" colspan="8" height="21">
					<p align="left"><font size="2">Capitulo -Chapter V</font></td>
                </tr>
                <tr>
                  <td align="left" colspan="6" height="21"><font size="2">1-Rela V/1Buques Tanqueros 
                    -Regulation V/1 Tankers ship STCW/95</font></td>
                  <td align="center" width="20" height="21" colspan="2"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="Cap[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $cap1; ?> value="cap1"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="21"><font size="2">A-Petrolers-Oil Tankers</font></td>
                  <td align="center" width="20" colspan="2" height="21"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="Cap[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $cap2; ?>  value="cap2"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="21"><font size="2">B-Quimiqueros -Chemical Tankers</font></td>
                  <td align="center" width="20" height="21" colspan="2"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="Cap[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $cap3; ?>  value="cap3"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="21"><font size="2">C-Gaseros-Liquified Gas Tankers</font></td>
                  <td align="center" width="20" colspan="2" height="21"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="Cap[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $cap4; ?>  value="cap4"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="22"><font size="2">2-Regla V/1 Buques Tanqueros-Regulation 
                    V/1 Tankers ship STCW78/95</font></td>
                  <td align="center" height="22" width="20" colspan="2"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="Cap[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $cap5; ?>  value="cap5"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="22"><font size="2">3-Regla V/2 Buques de pasajeros 
                    de transbordo rodado-Regulation V/2 Ro-Ro 
                    Passengers ships STCW78/95</font></td>
                  <td align="center" width="20" colspan="2" height="22"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="Cap[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $cap6; ?>  value="cap6"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="8" height="22">
					<font size="2">CURSOS REQUERIDOS POR EL SOLICITANTE EN BASE AL 
                    STCW-78/95 SPECIAL TRAINING REQUIREMENTS ACCORDING TO STCW 78/95
					</font>
                </tr>
                <tr>
                  <td align="left" colspan="6" height="32"><font size="2">1-Regla VI/1 
                    familiarization,formacion e instruccion basica 
                    para la gente de mar en aspectos de seguridad</font> <font size="2" color="#000000">Regulation VI/1 
                      Familiarization,basic safety training and 
                      instruction for all seafarers</font></td>
                  <td align="center" height="32" width="20" colspan="2"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain1; ?> value="spec1"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="23"><font size="2">2-Regla VI/2 Suficiencia en el 
                    manejo de Supervivencia, botes de Rescate y 
                    botes de Rescate rapidos</font> <font size="2" color="#000000">Regulation VI/2 
                      Certificates of proficienty in survival craft 
                      rescue boats and fast rescue boats</font></td>
                  <td align="center" width="20" colspan="2" height="23"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain2; ?> value="spec2"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="24"><font size="2">3-Regla VI/3 Tecnicas avanzadas 
                    de lucha contra incendio-Regulation VI/3 
                    Training in&nbsp; advance fire fighting</font></td>
                  <td align="center" height="24" width="20" colspan="2"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain3; ?> value="spec3"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="24"><font size="2">4-Regla VI/4 Primeros Auxillios u 
                    cuidados medicos-Regulation VI/4 Medical first 
                    aid and medical care</font></td>
                  <td align="center" width="20" colspan="2" height="24"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain4; ?> value="spec4"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="24"><font size="2">5-Curso de Operador GMSSM-GMDSS 
                    Operator Course</font></td>
                  <td align="center" height="24" width="20" colspan="2"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain5; ?> value="spec5"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="24"><font size="2">6-Curso de Radar-Radar Course</font></td>
                  <td align="center" width="20" colspan="2">
					<p align="center"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain6; ?> value="spec6"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="6"><font size="2">7-ARPA</font></td>
                  <td align="center" width="20" colspan="2" valign="middle" height="6">
					<p align="center"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain7; ?> value="spec7"/>
                  </font></td>
  </tr>
                <tr>
                  <td align="left" colspan="6" height="24"><font size="2">8-Otros-Other</font></td>
                  <td align="center" width="20" colspan="2" height="24">
					<p align="center"><font face="Arial, Helvetica, sans-serif">
                  <input type="checkbox" name="SpecialTrain[]" <?php if($action=="4") echo "disabled"; ?> <?php echo $specialtrain8; ?> value="spec8"/>
                  </font></td>
  </tr>
                </table>
          
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