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<html><head><title>application</title><Script type="text/javascript"><!--	function date_valid()	{		var m=document.vidya.month.value;		var d=document.vidya.date.value;		if(((m=="Apr") || (m=="Jun") || (m=="Sep") || (m=="July") || (m=="Nov")) && d>30)			alert("invalid date");		else if(m=="Feb" && d>28 && document.vidya.year.value%4!=0)			alert("invalid date");				}//--></script>	</head><body><center><table border="1"><tr><td><center>APPLICATION FORM</center></td></tr><tr><td>Name<form name="vidya"><input type="text" name="name" id="NM" size="20"></td></tr><tr><td>Date of birth<select size="1" name="month"><option>----select month----</option><option value="Jan">January</option><option value="Feb">February</option><option value="Mar">March</option><option value="Apr">April</option><option value="May">May</option><option value="Jun">June</option><option value="July">July</option><option value="Aug">August</option><option value="sep">september</option><option value="oct">October</option><option value="Nov">November</option><option value="Dec">December</option></select><select size="1" name="date"><option>----select date----</option><script language="javascript">var ifor(i=1;i<=31;i++)document.writeln("<option value=" + i + ">" + i + "</option>")</script></select><select size="1" name="year"><option>----select year----</option><option value="2000">2000</option><option value="2001">2001</option><option value="2002">2002</option><option value="2003">2003</option><option value="2004">2004</option><option value="2005">2005</option><option value="2006">2006</option></select></br><center><input type="Submit" value="Submit" onClick="date_valid()"></center></td></tr></table></center></form></body></html>