<?php include("inc/header.php");?>
 <div class="content">
<?php
//include("inc/colleft.php");
?>
<div align="center">
<?php
if (isset($_POST['aderare'])) {	
		trimiteCerere();
   } else {
      // daca se adauga o institutie noua
	  if (isset($_POST['nume'])){  
	  
	  add_institutie(); 
	  
	  }
	   // citim parametri din url pentru institutia selactata 
		  if (isset($_GET['institutie']) || isset($_POST['nume'])) {
			  
			if (isset($_GET['institutie'])) { $institutie = $_GET['institutie']; } else {$institutie = $_POST['nume'];}
			if (isset($_GET['numepers'])) { $pers_contactnume = $_GET['numepers']; $pers_contactprenume = $_GET['prenumepers'];
			if(isset($_GET['oras'])) {$oras = $_GET['oras'];} else { $oras = "";}
			if(isset($_GET['adresa'])) {$adresa = $_GET['adresa'];} else { $adresa = "";}
			if(isset($_GET['cod'])) {$cod = $_GET['cod'];} else { $cod = "";}
			
		  }  else {
			 
		// citim parametrii din $_POST pentru o institutie adaugata noua
		        $oras = $_POST['oras'];
				$adresa = $_POST['adresa'];
				$cod = $_POST['cod'];
			    $persoana = explode(" ", $_POST['pers_contact']);
				$nume = $persoana[0];
				$prenume = $persoana[1];
				$num_prenume = count($persoana);
				if($num_prenume > 2) {
						$prenume .= " ". $persoana[2];
					}
			  $pers_contactnume = $nume;
			  $pers_contactprenume = $prenume;
			  }
		 
?>
<h2>Creare cont EuroRec Seal</h2>
<div class="formular">
<form action="<?php $_SERVER['PHP_SELF']; ?>" method="post" enctype="multipart/form-data" name="image_upload_form" id="image_upload_form" >
  <input name="aderare" type="hidden" value="1" />
  <div class="camp">
     <div class="stanga">Titlu:</div>
     <div class="dreapta"> 
      <select name="titlu" id="select">
      <option value="Dna.">Dna.</option>
      <option value="Dnul.">Dnul.</option>
      <option value="Prof.">Prof.</option>
      <option value="Dr.">Dr.</option>
      <option value="Prof. Dr.">Prof. Dr.</option>
    </select>
    </div>
  </div>
   <div class="camp">
     <div class="stanga">Nume:</div>
     <div class="dreapta"> 
      <input name="nume" type="text" value="<?php echo $pers_contactnume; ?>" />
    </div>
  </div>
  <div class="camp">
     <div class="stanga">Prenume:</div>
     <div class="dreapta"> 
      <input name="prenume" type="text" value="<?php echo $pers_contactprenume; ?>" />
    </div>
  </div>
  <div class="camp">
     <div class="stanga">Oraş:</div>
     <div class="dreapta"> 
      <input name="oras" type="text" value="<?php echo $oras; ?>"  />
    </div>
   </div>
    <div class="camp">
     <div class="stanga">Cod poştal:</div>
     <div class="dreapta"> 
      <input name="codpostal" type="text" value="<?php echo $cod; ?>" />
     </div>
  </div>
  <div class="camp">
     <div class="stanga">Adresa:</div>
     <div class="dreapta">
     <textarea name="adresa" cols="35" rows="4"><?php echo  $adresa ?></textarea>
     </div>
  </div>
  <div class="camp">
     <div class="stanga">Cod numeric personal:</div>
     <div class="dreapta"> 
      <input name="cnp" type="text" />
    </div>
  </div>
  <div class="camp">
     <div class="stanga">Act de identitate:</div>
     <div class="dreapta"> 
      Serie:<input name="serie_act" type="text" size="3" />
      Număr:<input name="nr_act" type="text"  />
    </div>
  </div>
   <div class="camp">
     <div class="stanga">E-mail:</div>
     <div class="dreapta"> 
      <input name="email" type="text" />
    </div>
  </div>
   <div class="camp">
     <div class="stanga">Telefon:</div>
     <div class="dreapta"> 
      <input name="telefon" type="text" />
    </div>
  </div>
   <div class="camp">
     <div class="stanga">Compania:</div>
     <div class="dreapta">
      <i><input name="institutie" type="text" class="completat" value="<?php echo $institutie; ?>" onmousedown='return false;' /></i>
     </div>
  </div>
   <div class="camp">
     <div class="stanga">Funcţia ocupată:</div>
     <div class="dreapta"> 
      <input name="functie" type="text" />
    </div>
  </div>
 <!-- <div class="camp">
     <div class="stanga">Motivatie cerere aderare:</div>
     <div class="dreapta"> 
      <textarea name="motivatie" cols="35" rows="4"></textarea>
    </div>
  </div>
  <div class="camp">
     <div class="stanga">Cum ati aflat despre Prorec.ro</div>
     <div class="dreapta"> 
      <textarea name="cum_ati_aflat" cols="35" rows="4"></textarea>
    </div>
  </div>
  <div class="camp">
     <div class="stanga">Curriculum Vitae (in format PDF):</div>
     <div class="dreapta">
       <input type="file" name="pdf_document" size="chars" />
     </div>
  </div>
  <div class="camp">
     <div class="stanga">Copie act de identitate:</div>
     <div class="dreapta"> 
     <input name="image_upload_box" type="file" id="image_upload_box" /><br/>
<input name="max_width_box" type="hidden" id="max_width_box" value="600" size="4">
<input name="max_height_box" type="hidden" id="max_height_box" value="600" size="4">
    </div>
  </div>
  <input name="de_acord" type="checkbox" value="" /> 
  Declar ca am luat la cunostinta derepturile si obligatiile membrilor activi prevazute in <strong><a href="STATUT_PROREC.pdf">Statutul Asociatiei Prorec Romania</a></strong> -->
  <br/>
 <div align="center"><input name="Submit" type="submit" id="Submit" value="Trimite" /></div>
 <input name="submitted_form" type="hidden" id="submitted_form" value="image_upload_form" />
</form>
</div>
<?php 
} 
else 
{ ?>
<div style="color:#069; margin-left:10px;">
  <h2 align="left">Înregistrare aplicant</h2>
  <p align="left">Pentru a aplica la actuala sesiune de evaluare a calită&#355;ii conform normelor Eurorec Seal vă rugăm să vă înregistra&#355;i, urmând paşii: </p>
  <div align="left">
    <ol>
      <li>Alegeţi compania din meniul urm&#259;tor sau ad&#259;uga&#355;i o  nou&#259; companie. </li>
      <li> Completa&#355;i cererea de &icirc;nregistrare din pagina urm&#259;toare. </li>
      <li> La adresa de e-mail declarată &icirc;n cererea de &icirc;nregistrare ve&#355;i primi un cod de acces la contul dumneavoastr&#259; cu ajutorul căruia veţi putea continua demersurile necesare certificării. </li>
    </ol>
    </div>
</div>
<div class="formular">
 <div id="Accordion1" class="Accordion" tabindex="0">
  <div class="AccordionPanel">
    <div class="AccordionPanelTab"><center>
      Alege&#355;i dezvoltatorul sistemului EHR
    </center></div>
    <div class="AccordionPanelContent">
    <br/><br/>
    <center>
    <form action="" method="get">
      <div class="camp">
         <div class="stanga"></div>
         <div class="dreapta"> 
         </div>
         <select name="jumpMenu" id="jumpMenu" onchange="MM_jumpMenu('parent',this,0)">
            <option value="" selected="selected">Selectaţi din listă ....</option>
             <?php institutii(); ?>
           </select>
           
      </div>
   </form>
    </center>
    </div>
  </div>
  <div class="AccordionPanel" >
    <div class="AccordionPanelTab"><center>
      Adăuga&#355;i un nou dezvoltator
    </center></div>
    <div class="AccordionPanelContent" style="padding:8px">
     <div class="institutie">
       <form action="<?php $_SERVER['PHP_SELF']; ?>" method="post">
        <div class="camp">
           <div class="stanga">Nume companie:</div>
           <div class="dreapta"> 
             <input name="nume" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Adresa:</div>
           <div class="dreapta"> 
             <textarea name="adresa" cols="30" rows="2"></textarea>
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Cod poştal:</div>
           <div class="dreapta"> 
             <input name="cod" type="text" size="8" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Oraş:</div>
           <div class="dreapta"> 
             <input name="oras" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">	&#354;ara:</div>
           <div class="dreapta"> 
             <input name="tara" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Telefon:</div>
           <div class="dreapta"> 
             <input name="telefon" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">CUI:</div>
           <div class="dreapta"> 
             <input name="cui" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Persoana de contact:</div>
           <div class="dreapta"> 
             <input name="pers_contact" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Func&#355;ia ocupată:</div>
           <div class="dreapta"> 
             <input name="functie" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">E-mail persoană de contact:</div>
           <div class="dreapta"> 
             <input name="email" type="text" />
           </div>
        </div>
        <div class="camp">
           <div class="stanga">Site web:</div>
           <div class="dreapta"> 
             <input name="site" type="text" />
           </div>
        </div>
        <div align="center"><input type="submit" value="Adaugă" />
        </div>
      </form>
   </div>
    </div>
  </div>
</div>

<?php
     }
   }
 ?>
</div>

<script type="text/javascript">
var Accordion1 = new Spry.Widget.Accordion("Accordion1");
</script>
    </div>
<?php //include("inc/colright.php"); ?>
    <div style="clear:both"></div>
  </div>
  <div style="clear:both"></div>
<?php 
include("inc/footer.php");
?> 