{AJAXCONTENT}
	<script type="text/javascript" src="{JSDIR}jquery.autocomplete.js"></script> 
	<script type="text/javascript" src="{JSDIR}delete.js"></script>
	<table border="0" align="center" cellpadding="5" cellspacing="0" width="100%" style="border-collapse:collapse;border:0px solid {TABLEBORDERCOLOR}" bgcolor="#C6DEFF">
		<tr>
			<td colspan="4" valign="top">
				<table	border="0" width="90%" cellpadding="7" align="center" cellspacing="2" bgcolor="#C6DEFF" style="border-collapse:collapse;border:0px solid {TABLEBORDERCOLOR}">
					<tr>
						<td align="left"></td>
						<td align="left" ><font size="2">Individual Name: {HEADNAME}<br><br>Familycode: {FAMILYCODE}</font></td>
						<td COLSPAN="2" rowspan="5" align="left" style="padding-left:72px"><input type="hidden"  name="familyid" value="{FAMILYID}"/>
						<iframe name="upload_iframe1" src="?module=Religion&action=photoupload&familyid={FAMILYID}&nomenu=1" width="120px" height="120px" frameborder="0" style="background-color:{STRIPCOLOR}" scrolling="no"></iframe><br>&nbsp;Upload Your Latest Photo
						</td>
					</tr>
				</table>
			</td>
		</tr>
		<TR align="center">
			<TD align="center">
				<table align = "center" bgcolor="#C6DEFF"  border="0" width="50%" height="60%" cellpadding="6" cellspacing="5"><BR/>
					<tr align="center" width="100%">
						<td colspan="4" class="sleft" width="50%">Attach BPL Card and ID-Proof<font color="red">*</font></td>
						<!-- <td colspan="8" class="sleft" width="50%">Attach BPL Card<font color="red">*</font></td> -->
					</tr>
					<tr>
						
						<td colspan="4"  class="m8" >
							</form>
							<form action="?module=Religion&action=fileupload&nomenu=1" id="fileform" 
							        name="fileform" target="upload_iframe" method="post" 
									 enctype="multipart/form-data">

							<input type="hidden" name="fileframe" value="true"/>
							<input type="file" name="file" id="file" style="width:336px" 
							        onChange="jsUpload(this)" class="texts"/>
							
							<iframe name="upload_iframe" src="?module=Religion&action=fileupload&nomenu=1"  
							        frameborder="0" width="336px" scrolling="no"></iframe>
							</form>						
						</td>
					
						<!-- 
						<td colspan="4"  class="m8" >
							</form>
							<form action="?module=Religion&action=fileuploadidproof&nomenu=1" id="fileform" 
							        name="fileform" target="upload_iframe" method="post" 
									 enctype="multipart/form-data">

							<input type="hidden" name="fileframe" value="true"/>
							<input type="file" name="file" id="file" style="width:336px" 
							        onChange="jsUpload2(this)" class="texts"/>
							
							<iframe name="upload_iframe" src="?module=Religion&action=fileuploadidproof&nomenu=1"  
							        frameborder="0" width="336px" scrolling="no"></iframe>
								</form>						
						</td> -->
					</tr> 		
				</table>
			</td>
		</tr> 
		<tr> 
			<td align="center" colspan="4">
			<input type="submit" name="save" value="Submit" onclick="return formCheck(theform)"/> </td>	
		</tr>
	</table>			
<!-- <input type="text" name="familyid" value="{FAMILYID}"/>	  -->
<script LANGUAGE="JavaScript">

 function jsUpload(upload_field) {
		//var re_text = /\.pdf|\.zip/i;
	    var filename = upload_field.value;
		alert(filename);
	    upload_field.form.submit();
    	return true;
	}

	
	 function formCheck(theform) {	
	 
        /*  if(!validRequired(theform.familyid,"Upload Photo"))
	       return false;

		 if(!validRequired(theform.file,"Upload Documents"))
	       return false;*/
		   update();
		
			return false;
		} 
	function formCheck4(theform) {
		fetchRecord(document.theform.employeeid.value);
		return false;
		}

	$(function() {
		$('#datepicker').datepicker({
			changeMonth: true,
			changeYear: true
		});
	});
	
	
	$(function() {
		$('#datepicker1').datepicker({
			changeMonth: true,
			changeYear: true
		});
	});

$(function() {
		$('#datepicker2').datepicker({
			changeMonth: true,
			changeYear: true
		});
	});

	$(function() {
		$('#datepicker3').datepicker({
			changeMonth: true,
			changeYear: true
		});
	});

</script>