candidateinfo.disys.com
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URL:
https://candidateinfo.disys.com/ApplicantAdditionalDtls.aspx?sc=8JMmLGyXE1luFNovmxU1p9jilRm/aoN%20Z%20Trapxj2gU=&Image=Disys
Submission: On April 08 via manual from US — Scanned from DE
Submission: On April 08 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
POST ./ApplicantAdditionalDtls.aspx?sc=8JMmLGyXE1luFNovmxU1p9jilRm%2faoN+Z+Trapxj2gU%3d&Image=Disys
<form method="post" action="./ApplicantAdditionalDtls.aspx?sc=8JMmLGyXE1luFNovmxU1p9jilRm%2faoN+Z+Trapxj2gU%3d&Image=Disys" id="form1" style="width:100%">
<div class="aspNetHidden">
<input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
<input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
<input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
value="uVZk8CYGw61iY6veaJAdlKYIEK9Id/GsTMGQEaIw9VIUJiY55py8lYr39WO2qmQ9j/RmZZchGc5Ll6J0taj6df2S9hYksjTasfHHPTz3OMwO7GG2gToXvJE1uOCmv4aCTrP8ILtHOiVLR2LQgxdsHoi5Y1y/lhG40o82MkGJrv/tW6l9RTQhh2964LM/HG3aCSppjhTUbEkVLMzrxdEWyFb5PLvJtjEPItvVXhcqvXf8yc9OhqkVEgegDwpzSx0kdTS9hhoksPKbxzYlA7JsjF/3J5ETPLFEip5ZScfpkzUf6R5vKUPgn2JkfAYUAYJBksIBg1u8nHOAWEGBaFRnJJ+GRjs/vW4ZRlVY26AoryXD1NELa0bb6iuE7xKCy6WBZyKxHDrkOvDaI2g7teqHieSethza8aKKUwmK+zWYmHJwndFxbH7YzYOd3SKgi2T2">
</div>
<script type="text/javascript">
//<![CDATA[
var theForm = document.forms['form1'];
if (!theForm) {
theForm = document.form1;
}
function __doPostBack(eventTarget, eventArgument) {
if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
theForm.__EVENTTARGET.value = eventTarget;
theForm.__EVENTARGUMENT.value = eventArgument;
theForm.submit();
}
}
//]]>
</script>
<div class="aspNetHidden">
<input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="0433F002">
<input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
value="R9iETDpyJybwOiKGgQYWf0H/eOD1Y7fkk2O7lHDUV5M2Mp2I6FtUUQUK2oDDLW+2hLTedZvV1TDrn6xoUDoOO5vVE9uwzr3Et4jI+oahMfYmAq26ECmqLSYUsWWpFidRHiTaltRM5DM9EHwXM/mE2agF8L2DTd5tQX3HPpgwCF4cffadk94ivBpgHDKHUT+GXsxCtJ4rBRbWPFM4Wx2VEiKmXroCI3k+MpvtStjTKjk94vKhtTrRRBcet9xFoapyMDDTk2HYEsOa8URe/ylR4ToAX+MCC40oOfHDiEivGkxJnW8TgzfMcHpMIDNU6LZYqbF9fEPjiP4aTc3p+R2bPkMjOeNqkmOFGNPd+siVtZNNPzkdN30l2EuSzVmbjpsE">
</div>
<div>
<table style="width:100%">
<tbody>
<tr>
<td style="text-align:left">
<img id="DisLog" src="../Images/DISYS_logo_blue.png" style="height:70px;width:250px;">
</td>
<td style="text-align:left;padding-left:250px ">
<h2 style="color:#1d3363; font-weight:bold;text-align:left">RECRUITMENT DETAILS</h2>
</td>
<td style="text-align:center">
<span id="lblDate">Monday, April 8, 2024</span>
<p></p>
</td>
</tr>
<tr>
<td style="text-align:right; padding-right:143px; vertical-align:top" colspan="3">
<a id="LinkButton1" href="javascript:__doPostBack('ctl00$LinkButton1','')" style="color:OrangeRed;font-weight:bold;text-decoration:underline;">Logout</a>
</td>
</tr>
<tr>
<td colspan="3">
</td>
</tr>
</tbody>
</table>
</div>
<table id="MainTable" style="width:100%; vertical-align:top;border:ridge">
<tbody>
<tr style="vertical-align:top">
<td id="MrPageTD" style="text-align: center; height: 100%; width: 20%; background-color:#b3dbe7 ">
<img id="Image1" src="Images/candidate%20impage.png" alt="Image text" align="top" style="height:100%;width:100%;">
</td>
<td style="text-align: center; height: 480px; width: 100%">
<link href="Style/UserDesign.css" rel="stylesheet" type="text/css">
<script src="Scripts/jquery-1.4.1.min.js" type="text/javascript"></script>
<script src="Scripts/jquery.dynDateTime.min.js" type="text/javascript"></script>
<script src="Scripts/calendar-en.min.js" type="text/javascript"></script>
<link href="Style/calendar-blue.css" rel="stylesheet" type="text/css">
<script type="text/javascript">
function Validate() {
var ddlSSN = document.getElementById("MainContentPlaceHolder_TxtSSN");
var ddlBirth = document.getElementById("MainContentPlaceHolder_TxtBirth");
var ddlPhone = document.getElementById("MainContentPlaceHolder_TxtPhone");
if (ddlSSN.value == "") {
//If the "Please Select" option is selected display error.
alert("Please Enter SSN!");
return false;
} else if (ddlBirth.value == "") {
alert("Please Enter Birth Day!");
return false;
} else if (ddlPhone.value == "") {
alert("Please Enter Phone No!");
return false;
}
return true;
}
function isNumberKey(evt) {
var charCode = (evt.which) ? evt.which : event.keyCode
if (charCode > 31 && (charCode < 48 || charCode > 57)) return false;
return true;
}
</script>
<table style="width:100%; height:100%; background-color:#f7f7f7; vertical-align:top">
<tbody>
<tr style="vertical-align:top;">
<td colspan="2" style="height:40px; border-bottom:ridge; background-color:#e8e6e6; text-align:center ">
<span style="text-align:center; font-weight:bold; font-size:x-large; vertical-align:middle;color:#1d3363">Applicant Personal Data Request </span>
</td>
</tr>
<tr style="vertical-align:top">
<td>
<table style="width:100%; vertical-align:top">
<tbody>
<tr>
<td colspan="2">
<br>
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span style="color:red">*</span> <span id="MainContentPlaceHolder_lblName">Applicant's Legal Name</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$TxtFName" type="text" value="Claudette" readonly="readonly" id="MainContentPlaceHolder_TxtFName" style="background-color:#E7E7E4;"> <input
name="ctl00$MainContentPlaceHolder$txtLname" type="text" value="Nahjela" readonly="readonly" id="MainContentPlaceHolder_txtLname" style="background-color:#E7E7E4;">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span id="MainContentPlaceHolder_LblEmail">Address</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$TxtAddress" type="text" id="MainContentPlaceHolder_TxtAddress" style="width:330px;">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span id="MainContentPlaceHolder_Lblcity">City</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$Txtcity" type="text" id="MainContentPlaceHolder_Txtcity">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span id="MainContentPlaceHolder_Lblstate">State</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$txtstate" type="text" id="MainContentPlaceHolder_txtstate">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span id="MainContentPlaceHolder_Lblzip">Zip Code</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$Txtzip" type="text" id="MainContentPlaceHolder_Txtzip">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span style="color:red">*</span><span id="MainContentPlaceHolder_LblSSN">SSN</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$TxtSSN" type="text" maxlength="9" id="MainContentPlaceHolder_TxtSSN" onkeypress="return isNumberKey(event)">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span style="color:red">*</span><span id="MainContentPlaceHolder_Label2">Birth Date</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$TxtBirth" type="text" id="MainContentPlaceHolder_TxtBirth" placeholder="MM/DD/YYYY">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span style="color:red">*</span><span id="MainContentPlaceHolder_Label3">Phone Number</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$TxtPhone" type="text" maxlength="10" id="MainContentPlaceHolder_TxtPhone" onkeypress="return isNumberKey(event)">
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:right; padding-right:50px">
<span id="MainContentPlaceHolder_Label4">Email Address</span>
</td>
<td style="text-align:left">
<input name="ctl00$MainContentPlaceHolder$TxtEmail" type="text" value="claunah71@gmail.com" readonly="readonly" id="MainContentPlaceHolder_TxtEmail" style="background-color:#E7E7E4;width:329px;">
</td>
</tr>
<tr>
<td colspan="2">
<br>
</td>
</tr>
<tr class="spaceUnder">
<td style="text-align:center;padding-right:150px" colspan="2">
<input type="submit" name="ctl00$MainContentPlaceHolder$btnsubmit" value="SUBMIT" onclick="return Validate();" id="MainContentPlaceHolder_btnsubmit" class="buttonPrimaryDefault"> <input type="submit"
name="ctl00$MainContentPlaceHolder$Btnclear" value="CLEAR" id="MainContentPlaceHolder_Btnclear" class="buttonPrimaryDefault">
</td>
</tr>
<tr class="spaceUnder">
<td colspan="2" style="text-align:left; padding-left:10px; font-family:Calibri; font-weight:bold; font-style:italic; color:midnightblue" "="">
Please enter your details.Your information remain secure,and will only be used for recruiting purpose
</td>
</tr>
<tr style=" text-align:left ">
<td colspan=" 2" style="padding-left:20px">
<span id="MainContentPlaceHolder_Label1" style="color:Red;">* Required Fields</span>
</td>
</tr>
<tr style="text-align:left ">
<td colspan="2" style="padding-left:20px">
<span id="MainContentPlaceHolder_StatusLabel" style="color:Red;"></span>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
<div>
<table align="center" style="background-color:#747374" width="100%">
<tbody>
<tr style="vertical-align:middle">
<td style="text-align:left;padding-left:70px">
<span id="Label1" style="color:White;font-size:Medium;">Copyrights © 2023 dexian. All Rights Reserved</span>
</td>
<td style="text-align:center;">
<a href="https://www.linkedin.com/company/disys" target="_blank"><img height="30px" width="30px" src="https://www.disys.com/wp-content/uploads/2018/03/linkedin.png" alt="LinkedIn"></a>
<a href="https://www.facebook.com/DISYS/" target="_blank"><img height="30px" width="30px" src="https://www.disys.com/wp-content/uploads/2018/03/facebook.png" alt="Facebook"></a>
<a href="https://twitter.com/disysglobal" target="_blank"><img height="30px" width="30px" src="https://www.disys.com/wp-content/uploads/2018/03/twitter.png" alt="Twitter"></a>
</td>
</tr>
</tbody>
</table>
</div>
</form>Text Content
RECRUITMENT DETAILS Monday, April 8, 2024 Logout Applicant Personal Data Request * Applicant's Legal Name Address City State Zip Code *SSN *Birth Date *Phone Number Email Address Please enter your details.Your information remain secure,and will only be used for recruiting purpose * Required Fields Copyrights © 2023 dexian. All Rights Reserved