Hi All,
Please could anyone help me validating an Application Form using JavaScript?
Below is my code for the Form -
- HTML: Select all
<form action='insertappform.php' method='post'>
<tr>
<td>Title:</td>
<td><input type="text" name="tl"><br></td>
</tr>
<tr>
<td>First Name:</td>
<td><input type="text" name="ftn"><br></td>
</tr>
<tr>
<td>Last Name:</td>
<td><input type="text" name="ltn"><br></td>
</tr>
<tr>
<td>Date of Birth: </td>
<td><input type="text" name="dob"><br></td>
</tr>
<tr>
<td>Address 1:</td>
<td><input type="text" name="a1"><br></td>
</tr>
<tr>
<td>Address 2:</td>
<td><input type="text" name="a2"><br></td>
</tr>
<tr>
<td>Town/City:</td>
<td><input type="text" name="tc"><br></td>
</tr>
<tr>
<td>Postcode:</td>
<td><input type="text" name="psc"><br></td>
</tr>
<tr>
<td>Phone:</td>
<td><input type="text" name="phone"><br></td>
</tr>
<tr>
<td>Email:</td>
<td><input type="text" name="email"><br></td>
</tr>
<tr>
<td>Type of request:</td>
<td><select name="typerequest">
<option selected>Please Select
<option>Equipment for home
<option>Medical
<option>Transport
</select><br></td>
</tr>
<tr>
<td>Amount of grant required:</td>
<td><select name="grant">
<option selected>Please Select
<option>Up to - £1000
<option>Up to - £3000
<option>Up to - £5000
</select><br></td>
</tr>
<tr>
<td>Brief outline of disability:</td>
<td><textarea name="outlinerequest"></textarea><br></td>
</tr>
<tr>
<td>Details of request:</td>
<td><textarea name="detailsrequest"></textarea><br></td>
</tr>
</table>
<tr>
<td><br><b>Section 2</b><br>Relationship to person/people above
<select name="relate">
<option selected>Please Select
<option>Carer
<option>Friend
<option>Therapist
<option>Representative of institution
<option>Other
</select><br></td>
</tr>
<tr>
<table width="100%" height="270" border="1">
<tr>
<td>Title:</td>
<td><input type="text" name="tl2"><br></td>
</tr>
<tr>
<td><br>First Name:</td>
<td><input type="text" name="ftn2"><br></td>
</tr>
<tr>
<td>Last Name:</td>
<td><input type="text" name="ltn2"><br></td>
</tr>
<tr>
<td>Address 1:</td>
<td><input type="text" name="a12"><br></td>
</tr>
<tr>
<td>Address 2:</td>
<td><input type="text" name="a22"><br></td>
</tr>
<tr>
<td>Town/City:</td>
<td><input type="text" name="tc2"><br></td>
</tr>
<tr>
<td>Postcode:</td>
<td><input type="text" name="psc2"><br></td>
</tr>
<tr>
<td>Phone:</td>
<td><input type="text" name="phone2"><br></td>
</tr>
<tr>
<td>Email:</td>
<td><input type="text" name="email2"><br></td>
</tr>
<tr>
<td><input type="submit" value="Submit"></td>
</tr>
</form>
Thanks