document.writeln("<style type=\"text/css\">");
	document.writeln("<!--");
	document.writeln(".normalText { font-size: 9pt; color: #000000 }\r\n.normalText A { text-decoration: none; color: #000000 }\r\n.welcomeText { font-size: 9pt; font-weight: bold; text-align: center; }\r\n.buttonZone { font-size: 9pt; color: #000000 }\r\n.buttonZone input { font-size: 9pt; color: #000000 }");
	document.writeln("-->");
	document.writeln("</style>");



document.writeln("<TABLE border=\"0\" cellspacing=\"0\" cellpadding=\"5\" align=\"center\" width=\"92%\" height=\"30\" class=\"welcomeText\"><TR><TD>欢迎您前来在线报名！</TD></TR></TABLE>");




function check_feedback_form(theform)
{

	if (theform.domain_96405.selectedIndex == 0)
	{
		alert("您没有填写 意向国家*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96409.value.match(/^\s*$/))
	{
		alert("您没有填写 学校名称*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96410.value.match(/^\s*$/))
	{
		alert("您没有填写 申请课程*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96411.value.match(/^\s*$/))
	{
		alert("您没有填写 准备入学时间*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96376.value.match(/^\s*$/))
	{
		alert("您没有填写 姓名*,请填写完整的信息!");
		return false;
	}

	b_found = false;
	
	for (var i = 0 ; i < theform.elements.length ; i++)
	{
		var e = theform.elements[i];
		if (e.name == "domain_96414" && e.checked) { b_found = true; break; }
	}

	if (!b_found)
	{
		alert("您没有填写 性别*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96413.value.match(/^\s*$/))
	{
		alert("您没有填写 出生日期*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96415.value.match(/^\s*$/))
	{
		alert("您没有填写 联系电话*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96416.value.match(/^\s*$/))
	{
		alert("您没有填写 Email*,请填写完整的信息!");
		return false;
	}

	if (theform.domain_96417.value.match(/^\s*$/))
	{
		alert("您没有填写 永久住址*,请填写完整的信息!");
		return false;
	}

	var _feedback_form_submit = window.open("http://61.135.129.87/front/feedback_form/feedback_form_submit_wait.htm","_feedback_form_submit","toolbar=0,location=0,status=0,menubar=0,resizable=0,scrollbars=0,top=100,left=120,width=460,height=260");

	return true;
}

document.writeln("<TABLE border=\"0\" cellspacing=\"1\" cellpadding=\"5\" align=\"center\" width=\"92%\" bgcolor=\"#CCCCCC\" class=\"normalText\">");

document.writeln("  <form name=\"formX\" method=\"post\" action=\"http://61.135.129.87/front/feedback_form/feedback_form_submit.jsp\" target=\"_feedback_form_submit\" onsubmit=\"return check_feedback_form(this);\">");
document.writeln("  <input type=\"hidden\" name=\"service_user_id\" value=\"37470\">");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">意向国家*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <select name=\"domain_96405\" size=\"1\">");
document.writeln("    <option value=\"\" selected>请选择</option>");

document.writeln("    <option value=\"美国\r\">美国\r</option>");

document.writeln("    <option value=\"加拿大\r\">加拿大\r</option>");

document.writeln("    <option value=\"英国\r\">英国\r</option>");

document.writeln("    <option value=\"爱尔兰\r\">爱尔兰\r</option>");

document.writeln("    <option value=\"澳大利亚\r\">澳大利亚\r</option>");

document.writeln("    <option value=\"新西兰\r\">新西兰\r</option>");

document.writeln("    <option value=\"西班牙\r\">西班牙\r</option>");

document.writeln("    <option value=\"荷兰\r\">荷兰\r</option>");

document.writeln("    <option value=\"比利时\r\">比利时\r</option>");

document.writeln("    <option value=\"北欧\r\">北欧\r</option>");

document.writeln("    <option value=\"俄罗斯\r\">俄罗斯\r</option>");

document.writeln("    <option value=\"新加坡\r\">新加坡\r</option>");

document.writeln("    <option value=\"马来西亚\r\">马来西亚\r</option>");

document.writeln("    <option value=\"日本\r\">日本\r</option>");

document.writeln("    <option value=\"韩国\r\">韩国\r</option>");

document.writeln("    <option value=\"其他国家\">其他国家</option>");

document.writeln("    </select>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">学校名称*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96409\" size=\"48\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">申请课程*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96410\" size=\"50\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">准备入学时间*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96411\" size=\"12\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">姓名*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96376\" size=\"20\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">性别*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <table border=\"0\" cellspacing=\"0\" cellpadding=\"1\" class=\"normalText\">");

document.writeln("      <tr>");

document.writeln("        <td width=\"50%\"><input type=\"radio\" name=\"domain_96414\" value=\"男\r\">男\r&nbsp;</td>");

document.writeln("        <td width=\"50%\"><input type=\"radio\" name=\"domain_96414\" value=\"女\">女&nbsp;</td>");

document.writeln("      </tr>");

document.writeln("    </table>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">出生日期*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96413\" size=\"24\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">联系电话*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96415\" size=\"24\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">Email*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96416\" size=\"24\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">永久住址*</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96417\" size=\"50\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">教育背景</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <textarea name=\"domain_96418\" cols=\"30\" rows=\"5\"></textarea>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">外语语言水平</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <input type=\"text\" name=\"domain_96419\" size=\"50\">");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">工作经历</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <textarea name=\"domain_96420\" cols=\"30\" rows=\"5\"></textarea>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">获奖经历</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <textarea name=\"domain_96422\" cols=\"30\" rows=\"5\"></textarea>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">特长</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <textarea name=\"domain_96423\" cols=\"30\" rows=\"5\"></textarea>");

document.writeln("    </TD>");

document.writeln("  </TR>");

document.writeln("  <TR >");

document.writeln("    <TD align=\"center\" bgcolor=\"#EFEFEF\" width=\"35%\">备注</TD>");
document.writeln("    <TD bgcolor=\"#FFFFFF\" width=\"65%\">");

document.writeln("    <textarea name=\"domain_96424\" cols=\"30\" rows=\"5\"></textarea>");

document.writeln("    </TD>");

document.writeln("  </TR>");


document.writeln("</TABLE>");

document.writeln("<TABLE align=\"center\" height=\"36\" class=\"buttonZone\">");
document.writeln("  <tr><td>");
document.writeln("    <input type=\"submit\" name=\"btok\" value=\" 提交 \">");
document.writeln("    <input type=\"reset\" name=\"btrst\" value=\" 重填 \">");
document.writeln("  </td></tr>");
document.writeln("  </form>");
document.writeln("</table>");