
<html>
<head>
<script language="javascript" src="images/validationm.js"></script>
<script language="javascript" src="images/validation.js"></script>
<title>Village Details</title>
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<body bottommargin="2" leftmargin="10" rightmargin="10" topmargin="1" >
<table align="center" cellSpacing=0 cellPadding=0 width="60%" border=0>
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<p align="right" style="margin-top: 0; margin-bottom: 0">
<img src="images/avantha1.jpg" width="520" height="100"></p>
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<img src="images/logo[2].gif" width="200" height="100"></p>
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<TD background="images/dot.gif"><IMG height=4 src="images/zero.gif" width=25></TD>
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<table width="60%" height="40" border="0" cellpadding="6" cellspacing="0" align="center">
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<td valign="top" align="center" bgcolor="#2a5865"><font class="blackboldtxt"><font color="#ffffff" size=5><b>Add Village Details</b></font></font></td></tr>
</td>
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<form name="VillageDetailsForm" action="AddVillage.jsp" method="post" onSubmit="return adsvalidate();">
<table width="50%" height="400" bgcolor="#ecf7fb" border="0" cellpadding="0" cellspacing="0" align="center">
<br>
<tbody><tr><td colspan="2" align="center"><font class="textsmallbluenormal"><font color="#333333">All fields marked with <font color="#d36000">*</font> are mandatory.</font></font></td></tr>
<tr>
<script language="javascript" src="images/city.js"></script>
<td style="padding-left: 15px; padding-top: 10px;" valign="middle" width="200"><font class="blackboldtxt"><font color="#003e7b">State :</font></font> <font class="smalltext"><font color="#d36000">*</font></font></td>
<td style="padding-top: 10px;" valign="top">
<select style="width: 175px; font-family: arial,Verdana,sans-serif; font-size: 8pt;" class="textfiled" name="State" onChange="fillSelectFromArray(this.form.City, ((this.selectedIndex == -1) ? null : residingcity[this.selectedIndex-1]));getLocality();">
<option value="0" selected="selected"> ---------- Select State ---------- </option>
<option value="1">Chhattisgarh</option>
<option value="2">Madhya Pradesh</option>
</select>
</td>
</tr>
<tr>
<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">District :</font> <font class="smalltext"><font color="#d36000">*</font></font></font>
</td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="25" name="District" value="">
</td>
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<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">Tehsil/Taluka/Block :</font> <font class="smalltext"><font color="#d36000">*</font></font></font>
</td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="25" name="Ttb" value="">
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<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">Village :</font> <font class="smalltext"><font color="#d36000">*</font></font></font>
</td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="25" name="VillageName" value="">
</td>
</tr>
<tr>
<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">Surpanch Name :</font></font> <font class="smalltext"><font color="#d36000">*</font></font></td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="25" name="SurpanchName" value="">
</td>
</tr>
<tr>
<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">No. Of HouseHolds :</font></font> <font class="smalltext"><font color="#d36000">*</font></font></td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="15" name="NumberOfHouseHolds" value="">
</td>
</tr>
<tr>
<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">No. Of Land Sellers :</font></font> <font class="smalltext"><font color="#d36000">*</font></font></td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="15" name="NumberOfLandLosers" value="">
</td>
</tr>
<tr>
<td style="padding-left: 15px; padding-top: 10px;" valign="middle">
<font class="blackboldtxt"><font color="#003e7b">Total Village Area :</font></font> <font class="smalltext"><font color="#d36000">*</font></font></td>
<td style="padding-top: 10px;" valign="top">
<input class="addtextfiled" size="15" name="TotalVillageArea" value="">
</td>
</tr>
<script type="text/javascript" src="images/automobile.js"></script>
<tr>
<td colspan="2" valign="top" align="middle"><br>
<input name="file_name" value="newuser" type="hidden">
<input name="Country" value="" type="hidden">
<input name="reset" src="login.php_files/submit-button.gif" value="Clear" type="reset" width="62" border="0" height="19">
               Â
<input name="post" src="login.php_files/submit-button.gif" value="Submit" type="submit" width="62" border="0"height="19" onClick='return check(frm)'>
               Â
<input name="reset" src="login.php_files/submit-button.gif" type="reset" width="62" border="0" height="19" value="Cancel">
</td>
</tr>
</tbody>
</table>
</form>
</td>
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</tbody>
</table>
<!-- End of New Village Registration -->
</body></html>

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