//function to avoid multiple spaces

function trimStr (str) {

  str = this != window? this : str;

  return str.replace(/^\s+/g, '').replace(/\s+$/g, '');

}



//function to validate the numeric terms

function isdigit(a)

{

var num='0123456789.'

for(i=0;i<a.length;i++)

{

if(num.indexOf(a.charAt(i),0)== -1)

{

return true;

}

}

}



function days_between(date1, date2) {



    // The number of milliseconds in one day

    var ONE_DAY = 1000 * 60 * 60 * 24



    // Convert both dates to milliseconds

    var date1_ms = date1.getTime()

    var date2_ms = date2.getTime()



    // Calculate the difference in milliseconds

    var difference_ms = Math.abs(date1_ms - date2_ms)

    

    // Convert back to days and return

    return Math.round(difference_ms/ONE_DAY)



}



function istext(a)

{

var num='ABCDEFGHIJKLMNOPQRSTUVWXYZ abcdefghijklmnopqrstuvwxyz. '

for(i=0;i<a.length;i++)

{

if(num.indexOf(a.charAt(i),0)== -1)

{

return true;

}

}

}





//function to find a valid email id

function echeck(str) {



		var at="@"

		var dot="."

		var lat=str.indexOf(at)

		var lstr=str.length

		var ldot=str.indexOf(dot)

		var com_array=str.split(".")

		n=com_array.length;

		com=com_array[n-1];

		

		if (str.indexOf(at)==-1){

		   alert("Invalid E-mail ID. Kindly re-enter.")

		   return false

		}



		if (str.indexOf(at)==-1 || str.indexOf(at)==0 || str.indexOf(at)==lstr){

		   alert("Invalid E-mail ID. Kindly re-enter.")

		   return false

		}



		if (str.indexOf(dot)==-1 || str.indexOf(dot)==0 || str.indexOf(dot)==lstr){

		    alert("Invalid E-mail ID. Kindly re-enter.")

		    return false

		}

		if(istext(com))

		{

		alert("Invalid Email Id. Kindly re-enter.");	

		document.form1.emailid.focus();

		return false;

		}



		 if (str.indexOf(at,(lat+1))!=-1){

		    alert("Invalid E-mail ID. Kindly re-enter.")

		    return false

		 }



		 if (str.substring(lat-1,lat)==dot || str.substring(lat+1,lat+2)==dot){

		    alert("Invalid E-mail ID. Kindly re-enter.")

		    return false

		 }



		 if (str.indexOf(dot,(lat+2))==-1){

		    alert("Invalid E-mail ID. Kindly re-enter.")

		    return false

		 }

		

		 if (str.indexOf(" ")!=-1){

		    alert("Invalid E-mail ID. Kindly re-enter.")

		    return false

		 }



 		 return true					

	}







//functrion to find a valid file

function validate()

{

file=trimStr(document.form1.userfile.value);

if(file=='')

{

}

else

{

ext=file.split('.');

if(ext[1]!='zip')

{

alert('Kindly Enter a valid Zip file.');

return false;

}

}

hr_chk=document.form1.tothr.value;

hr_chk_split=hr_chk.split(':');

hr_chk_tothr=(1*hr_chk_split[0])*60;

hr_chk_tot=hr_chk_tothr+(1*hr_chk_split[1]);

if(hr_chk_tot>1440)

{

	alert('Your total hour exceeded the limit. Please check with the start time, End time, and your total hour');

	return false;

}

}

function show(val){

        if(val=="yes")

        {

        document.getElementById("show_insure").style.display="block";

        } 

        else

        {

         document.getElementById("show_insure").style.display="none";     

        }

}

function validate_member()

{

	

frm=document.simplecareform;

 if(frm.ddate.selectedIndex==0 || frm.Month.selectedIndex==0 || frm.Year.selectedIndex==0)

     {

        alert("Date is required") ;

       frm.ddate.focus();

        return false;

        

     } 

 if(frm.insurance.value=="")

	{

	   alert("Application Number is required") ;

		   frm.insurance.focus();

			return false; 

	

	}

	 if(frm.Passport.value=="")

	{

	   alert("DNI/Passport is required") ;

		   frm.Passport.focus();

			return false; 

	

	}

	 if(frm.date1.selectedIndex==0 || frm.Month1.selectedIndex==0 || frm.Year1.selectedIndex==0)

     {

        alert("Date Of Birth is required") ;

       frm.date1.focus();

        return false;

        

     } 

	  if(frm.Address.value=="")

	{

	   alert("Address is required") ;

		   frm.Address.focus();

			return false; 

	

	}

	  if(frm.Town.value=="")

	{

	   alert("Town is required") ;

		   frm.Town.focus();

			return false; 

	

	}

	  if(frm.State.value=="")

	{

	   alert("State is required") ;

		   frm.State.focus();

			return false; 

	

	}

	  if(frm.Postal.value=="")

	{

	   alert("Postal is required") ;

		   frm.Postal.focus();

			return false; 

	

	}

	if(frm.email1.value=="")

 {

	alert("Email address is required") ;

	frm.email1.focus();

	return false;

	

 }

if(frm.email1.value!="")

 {

 emailid=frm.email1.value;

	 if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		 frm.email1.focus();

		 frm.email1.value="";

		return false;

	}



 }

if( frm.telephone.value=="")

     {

        alert("Phone number is required") ;

         frm.telephone.focus();

        return false;

        

     }

	 if( frm.telephone.value!='')

    {

         phoneval= frm.telephone.value; 

        if(isdigit(phoneval))

        {

            alert('Please Enter a valid Phone number');

             frm.telephone.focus();

            return false;    

        }

        if(phoneval.length<6 || phoneval.length>14)

        {

            alert('Please Enter a valid Phone number');

             frm.telephone.focus();

            return false;    

        }

    }

if( frm.bank.value=="")

     {

        alert("Bank is required") ;

         frm.bank.focus();

        return false;

        

     }	

	 

if( frm.address1.value=="")

     {

        alert("Address is required") ;

         frm.address1.focus();

        return false;

        

     }	

if( frm.accountno.value=="")

     {

        alert("Account Number is required") ;

         frm.accountno.focus();

        return false;

        

     }	

if( frm.cardno.value=="")

     {

        alert("Credit Card number is required") ;

         frm.cardno.focus();

        return false;

        

     }		 

if( frm.cardtype.value=="")

     {

        alert("Credit Card number is required") ;

         frm.cardtype.focus();

        return false;

        

     }	

	 if(frm.date6.selectedIndex==0 || frm.Month6.selectedIndex==0 || frm.Year6.selectedIndex==0)

     {

        alert("Expiration date is required") ;

       frm.date6.focus();

        return false;

        

     } 	 

if( frm.securityno.value=="")

     {

        alert("Security number is required") ;

         frm.securityno.focus();

        return false;

        

     }	

	  if(frm.captchamember.value=="")

    {

        alert("Captcha is required") ;

        frm.captchamember.focus();

        return false;

    } 

}

function validate_medical()

{

	frm=document.simplecareform;

	if(frm.patient.value=="")

	{

	   alert("Patient Name is required") ;

		   frm.patient.focus();

			return false; 

	

	}

	

	if(istext(frm.patient.value))

	{

	alert('Please Enter a valid Name');

	frm.patient.focus();   

	return false;    

	} 

 if(frm.date.selectedIndex==0 || frm.Month.selectedIndex==0 || frm.Year.selectedIndex==0)

     {

        alert("Date Of Birth is required") ;

       frm.date.focus();

        return false;

        

     } 

	 if(frm.insurance.value=="")

	{

	   alert("Insurance Number is required") ;

		   frm.insurance.focus();

			return false; 

	

	}

	 if(frm.Hospital.value=="")

	{

	   alert("Hospital Name is required") ;

		   frm.Hospital.focus();

			return false; 

	

	}

	  if(frm.Country.value=="")

	{

	   alert("Country is required") ;

		   frm.Country.focus();

			return false; 

	

	}

	 if(frm.Specialist.value=="")

	{

	   alert("Name of Specialist in charge is required") ;

		   frm.Specialist.focus();

			return false; 

	

	}

	 if(frm.contact.value=="")

	{

	   alert("Name of contact point for enquiries is required") ;

		   frm.contact.focus();

			return false; 

	

	}

	

	if(frm.email1.value=="")

 {

	alert("Email address is required") ;

	frm.email1.focus();

	return false;

	

 }

if(frm.email1.value!="")

 {

 emailid=frm.email1.value;

	 if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		 frm.email1.focus();

		 frm.email1.value="";

		return false;

	}



 }

  if( frm.telephone.value=="")

     {

        alert("Phone number is required") ;

         frm.telephone.focus();

        return false;

        

     }

	 if( frm.telephone.value!='')

    {

         phoneval= frm.telephone.value; 

        if(isdigit(phoneval))

        {

            alert('Please Enter a valid Phone number');

             frm.telephone.focus();

            return false;    

        }

        if(phoneval.length<6 || phoneval.length>14)

        {

            alert('Please Enter a valid Phone number');

             frm.telephone.focus();

            return false;    

        }

    }	

	 if(frm.Symptoms.value=="")

	{

	   alert("Symptoms is required") ;

		   frm.Symptoms.focus();

			return false; 

	

	}

 if(frm.Diagnosis.value=="")

	{

	   alert("Diagnosis is required") ;

		   frm.Diagnosis.focus();

			return false; 

	

	}

	 if(frm.BP.value=="")

	{

	   alert("BP is required") ;

		   frm.BP.focus();

			return false; 

	

	}

	 if(frm.Pulse.value=="")

	{

	   alert("Pulse is required") ;

		   frm.Pulse.focus();

			return false; 

	

	}

	 if(frm.Temp.value=="")

	{

	   alert("Temperature is required") ;

		   frm.Temp.focus();

			return false; 

	

	}

	 if(frm.RRate.value=="")

	{

	   alert("RRate is required") ;

		   frm.RRate.focus();

			return false; 

	

	}

	if(frm.date1.selectedIndex==0 || frm.Month1.selectedIndex==0 || frm.Year1.selectedIndex==0)

     {

        alert("Date when symptoms for this conditions were noticed by patient: is required") ;

       frm.date1.focus();

        return false;

        

     }

	 if(frm.condition.value=="")

	{

	   alert("When was this condition first diagonised is required") ;

		   frm.condition.focus();

			return false; 

	

	}

	if(frm.Treatment.value=="")

	{

	   alert("Treatment Details is required") ;

		   frm.Treatment.focus();

			return false; 

	

	}

	if(frm.medication.value=="")

	{

	   alert("Details of patient's regular medication is required") ;

		   frm.medication.focus();

			return false; 

	

	}

	if(frm.history.value=="")

	{

	   alert("Prevoius related treatment history is required") ;

		   frm.history.focus();

			return false; 

	

	}

	if(frm.date3.selectedIndex==0 || frm.Month3.selectedIndex==0 || frm.Year3.selectedIndex==0)

     {

        alert("Date of admission is required") ;

       frm.date3.focus();

        return false;

        

     }

	if(frm.date2.selectedIndex==0 || frm.Month2.selectedIndex==0 || frm.Year2.selectedIndex==0)

     {

        alert("Expected date of discharge is required") ;

       frm.date2.focus();

        return false;

        

     }

	 if(frm.hospitalcharge.value=="")

	{

	   alert("Estimated hospital charges is required") ;

		   frm.hospitalcharge.focus();

			return false; 

	

	}

	if(frm.Physiciancharge.value=="")

	{

	   alert("Estimated Physician charges is required") ;

		   frm.Physiciancharge.focus();

			return false; 

	

	}

	  if(frm.captchamedical.value=="")

    {

        alert("Captcha is required") ;

        frm.captchamedical.focus();

        return false;

    } 

}

function validate_card()

{

frm=document.simplecareform;

if(frm.first_name.value=="")

{

   alert("First Name is required") ;

       frm.first_name.focus();

        return false; 



}



if(istext(frm.first_name.value))

{

alert('Please Enter a valid First Name');

frm.first_name.focus();   

return false;    

} 

  if(frm.last_name.value=="")

{

   alert("Last Name is required") ;

       frm.last_name.focus();

        return false; 



}



if(istext(frm.last_name.value))

{

alert('Please Enter a valid Last Name');

frm.last_name.focus();   

return false;    

} 

 if(frm.email.value=="")

 {

	alert("Email address is required") ;

	frm.email.focus();

	return false;

	

 }

if(frm.email.value!="")

 {

 emailid=frm.email.value;

	 if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		 frm.email.focus();

		 frm.email.value="";

		return false;

	}



 }

     if( frm.phone.value=="")

     {

        alert("Phone number is required") ;

         frm.phone.focus();

        return false;

        

     }

	 if( frm.phone.value!='')

    {

         phoneval= frm.phone.value; 

        if(isdigit(phoneval))

        {

            alert('Please Enter a valid Phone number');

             frm.phone.focus();

            return false;    

        }

        if(phoneval.length<6 || phoneval.length>14)

        {

            alert('Please Enter a valid Phone number');

             frm.phone.focus();

            return false;    

        }

    }

	  if( frm.mobile.value=="")

     {

        alert("Mobile number is required") ;

         frm.mobile.focus();

        return false;

        

     }

	  if( frm.mobile.value!='')

    {

         mobileval= frm.mobile.value; 

        if(isdigit(mobileval))

        {

            alert('Please Enter a valid Mobile number');

             frm.mobile.focus();

            return false;    

        }

        if(mobileval.length<6 || mobileval.length>14)

        {

            alert('Please Enter a valid Mobile number');

             frm.mobile.focus();

            return false;    

        }

    }

	  if( frm.company.value=="")

     {

        alert("Company is required") ;

         frm.company.focus();

        return false;

        

     }



       

  if(frm.captchacard.value=="")

    {

        alert("Captcha is required") ;

        frm.captchacard.focus();

        return false;

    } 

    

}

function validate_contact()

{

 frm=document.simplecareform;

	 

if(frm.firstname.value=="")

{

   alert("First Name is required") ;

       frm.firstname.focus();

        return false; 



}



if(istext(frm.firstname.value))

{

alert('Please Enter a valid First Name');

frm.firstname.focus();   

return false;    

} 

  if(frm.lastname.value=="")

{

   alert("Last Name is required") ;

       frm.lastname.focus();

        return false; 



}



if(istext(frm.lastname.value))

{

alert('Please Enter a valid Last Name');

frm.lastname.focus();   

return false;    

} 

 if(frm.emailAddress.value=="")

 {

	alert("Email address is required") ;

	frm.emailAddress.focus();

	return false;

	

 }

if(frm.emailAddress.value!="")

 {

 emailid=frm.emailAddress.value;

	 if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		 frm.emailAddress.focus();

		 frm.emailAddress.value="";

		return false;

	}



 }



  if(frm.mediaSourceSelected.selectedIndex=="")

 {

	alert("How did you hear about us field is required") ;

	frm.mediaSourceSelected.focus();

	return false;

	

 }  

       

  if(frm.captchacontact.value=="")

    {

        alert("Captcha is required") ;

        frm.captchacontact.focus();

        return false;

    } 

    

}

 function validate_work()    { 

     frm=document.simplecareform;

	 

	 if(frm.firstname.value=="")

{

   alert("Name is required") ;

       frm.firstname.focus();

        return false; 



}



  if(istext(frm.firstname.value))

    {

    alert('Please Enter a valid Name');

   frm.firstname.focus();   

    return false;    

    } 

	

	

   

    

     if(frm.emailAddress.value=="")

     {

        alert("Email address is required") ;

        frm.emailAddress.focus();

        return false;

        

     }

   if(frm.emailAddress.value!="")

     {

     emailid=frm.emailAddress.value;

         if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

        {

            alert("Please enter a valid E-mail Addresss!");

             frm.emailAddress.focus();

             frm.emailAddress.value="";

            return false;

        }



     }

	

	

	    if( frm.phoneNumber.value=="")

     {

        alert("Phone number is required") ;

         frm.phoneNumber.focus();

        return false;

        

     }

	 if( frm.phoneNumber.value!='')

    {

         phone= frm.phoneNumber.value; 

        if(isdigit(phone))

        {

            alert('Please Enter a valid Phone number');

             frm.phoneNumber.focus();

            return false;    

        }

        if(phone.length<6 || phone.length>14)

        {

            alert('Please Enter a valid Phone number');

             frm.phoneNumber.focus();

            return false;    

        }

    }

	

	 if(frm.captchawork.value=="")

    {

        alert("Captcha is required") ;

        frm.captchawork.focus();

        return false;

    }

	 

 }

 function validate_quote()

{

	

frm=document.simplecareform;

	

if(frm.member[0].checked || frm.member[1].checked)

{

	   var check=1;

}

if(check!=1)

{	

       alert("Select membership type") ;

        return false;	

}

if(frm.begin_policy.value=="")

{

       alert("Policy Date is required") ;

        frm.begin_policy.focus();

        return false;	

}

if(frm.txtFirstName.value=="")

{

       alert("Name is required") ;

        frm.txtFirstName.focus();

        return false;	

}

 if(frm.date1.selectedIndex==0 || frm.month1.selectedIndex==0 || frm.year1.selectedIndex==0)

     {

       alert("Date Of Birth is required") ;

       frm.date1.focus();

        return false;

        

     }  

if(frm.address.value=="")

{

       alert("Address is required") ;

        frm.address.focus();

        return false;	

}

if(frm.town.value=="")

{

       alert("Town is required") ;

        frm.town.focus();

        return false;	

}

if(frm.postcode.value=="")

{

       alert("Postcode is required") ;

        frm.postcode.focus();

        return false;	

}

if(frm.province.value=="")

{

       alert("Province is required") ;

        frm.province.focus();

        return false;	

}



if(frm.phone.value=="")

{

       alert("Phone is required") ;

        frm.phone.focus();

        return false;	

}

	 if( frm.phone.value!='')

    {

         phone= frm.phone.value; 

        if(isdigit(phone))

        {

            alert('Please Enter a valid Phone number');

             frm.phone.focus();

            return false;    

        }

        if(phone.length<6 || phone.length>14)

        {

            alert('Please Enter a valid Phone number');

             frm.phone.focus();

            return false;    

        }

    }



if(frm.passport.value=="")

{

       alert("Passport is required") ;

        frm.passport.focus();

        return false;	

}



if(frm.txtEmail.value=="")

{

       alert("Email is required") ;

        frm.txtEmail.focus();

        return false;	

}

   if(frm.txtEmail.value!="")

     {

     emailid=frm.txtEmail.value;

         if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

        {

            alert("Please enter a valid E-mail Addresss!");

             frm.txtEmail.focus();

             frm.txtEmail.value="";

            return false;

        }



     }



if(frm.mediaSourceSelected.selectedIndex==0)

{

   alert("Select media source") ;

	frm.mediaSourceSelected.focus();

	return false;	



}

if(frm.add.value!="")

{

if(frm.add.value==1)

{

	if(frm.rec_namesur1.value=="")

	{

		alert("Name and Surname is required");

		frm.rec_namesur1.focus();

		return false;

	}

	/*if(istext(frm.rec_namesur1.value))

    {

    alert('Please Enter a valid Primary Policy Holder');

   frm.rec_namesur1.focus();   

    return false;    

    } */

	 if(frm.rec_date1.selectedIndex==0 || frm.rec_Month1.selectedIndex==0 || frm.rec_Year1.selectedIndex==0)

     {

        alert("Date Of Birth is required") ;

       frm.rec_date1.focus();

        return false;

        

     } 

	 if(frm.rec_passport1.value=="")

	 {

		  alert("N.I.E./Passport is required") ;

       frm.rec_passport1.focus();

        return false;

		

	 }

	 if(frm.res_age1.value=="")

	 {

		  alert("Age is required") ;

	   frm.res_age1.focus();

		return false;

	} 



	 if(isdigit(frm.res_age1.value))

        {

            alert('Please Enter a valid Age');

             frm.res_age1.focus();

            return false;    

        }

	

	}

	if(frm.add.value==2)

	{

		if(frm.rec_namesur1.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur1.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur1.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur1.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date1.selectedIndex==0 || frm.rec_Month1.selectedIndex==0 || frm.rec_Year1.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date1.focus();

			return false;

			

		 } 

		 if(frm.rec_passport1.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport1.focus();

			return false;

			

		 }

		 if(frm.res_age1.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age1.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age1.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age1.focus();

				return false;    

			}

		if(frm.rec_namesur2.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur2.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur2.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur2.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date2.selectedIndex==0 || frm.rec_Month2.selectedIndex==0 || frm.rec_Year2.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date2.focus();

			return false;

			

		 } 

		 if(frm.rec_passport2.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport2.focus();

			return false;

			

		 }

		 if(frm.res_age2.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age2.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age2.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age2.focus();

				return false;    

			}

	}

	if(frm.add.value==3)

	{

		if(frm.rec_namesur1.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur1.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur1.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur1.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date1.selectedIndex==0 || frm.rec_Month1.selectedIndex==0 || frm.rec_Year1.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date1.focus();

			return false;

			

		 } 

		 if(frm.rec_passport1.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport1.focus();

			return false;

			

		 }

		 if(frm.res_age1.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age1.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age1.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age1.focus();

				return false;    

			}

		if(frm.rec_namesur2.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur2.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur2.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur2.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date2.selectedIndex==0 || frm.rec_Month2.selectedIndex==0 || frm.rec_Year2.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date2.focus();

			return false;

			

		 } 

		 if(frm.rec_passport2.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport2.focus();

			return false;

			

		 }

		 if(frm.res_age2.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age2.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age2.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age2.focus();

				return false;    

			}

			if(frm.rec_namesur3.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur3.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur3.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur3.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date3.selectedIndex==0 || frm.rec_Month3.selectedIndex==0 || frm.rec_Year3.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date3.focus();

			return false;

			

		 } 

		 if(frm.rec_passport3.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport3.focus();

			return false;

			

		 }

		 if(frm.res_age3.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age3.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age3.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age3.focus();

				return false;    

			}

	}

if(frm.add.value==4)

	{

		if(frm.rec_namesur1.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur1.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur1.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur1.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date1.selectedIndex==0 || frm.rec_Month1.selectedIndex==0 || frm.rec_Year1.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date1.focus();

			return false;

			

		 } 

		 if(frm.rec_passport1.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport1.focus();

			return false;

			

		 }

		 if(frm.res_age1.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age1.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age1.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age1.focus();

				return false;    

			}

		if(frm.rec_namesur2.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur2.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur2.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur2.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date2.selectedIndex==0 || frm.rec_Month2.selectedIndex==0 || frm.rec_Year2.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date2.focus();

			return false;

			

		 } 

		 if(frm.rec_passport2.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport2.focus();

			return false;

			

		 }

		 if(frm.res_age2.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age2.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age2.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age2.focus();

				return false;    

			}

			if(frm.rec_namesur3.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur3.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur3.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur3.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date3.selectedIndex==0 || frm.rec_Month3.selectedIndex==0 || frm.rec_Year3.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date3.focus();

			return false;

			

		 } 

		 if(frm.rec_passport3.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport3.focus();

			return false;

			

		 }

		 if(frm.res_age3.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age3.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age3.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age3.focus();

				return false;    

			}

		if(frm.rec_namesur4.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur4.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur4.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur4.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date4.selectedIndex==0 || frm.rec_Month4.selectedIndex==0 || frm.rec_Year4.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date4.focus();

			return false;

			

		 } 

		 if(frm.rec_passport4.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport4.focus();

			return false;

			

		 }

		 if(frm.res_age4.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age4.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age4.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age4.focus();

				return false;    

			}	

	}

if(frm.add.value==5)

	{

		if(frm.rec_namesur1.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur1.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur1.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur1.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date1.selectedIndex==0 || frm.rec_Month1.selectedIndex==0 || frm.rec_Year1.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date1.focus();

			return false;

			

		 } 

		 if(frm.rec_passport1.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport1.focus();

			return false;

			

		 }

		 if(frm.res_age1.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age1.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age1.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age1.focus();

				return false;    

			}

		if(frm.rec_namesur2.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur2.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur2.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur2.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date2.selectedIndex==0 || frm.rec_Month2.selectedIndex==0 || frm.rec_Year2.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date2.focus();

			return false;

			

		 } 

		 if(frm.rec_passport2.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport2.focus();

			return false;

			

		 }

		 if(frm.res_age2.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age2.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age2.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age2.focus();

				return false;    

			}

			if(frm.rec_namesur3.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur3.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur3.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur3.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date3.selectedIndex==0 || frm.rec_Month3.selectedIndex==0 || frm.rec_Year3.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date3.focus();

			return false;

			

		 } 

		 if(frm.rec_passport3.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport3.focus();

			return false;

			

		 }

		 if(frm.res_age3.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age3.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age3.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age3.focus();

				return false;    

			}

		if(frm.rec_namesur4.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur4.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur4.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur4.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date4.selectedIndex==0 || frm.rec_Month4.selectedIndex==0 || frm.rec_Year4.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date4.focus();

			return false;

			

		 } 

		 if(frm.rec_passport4.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport4.focus();

			return false;

			

		 }

		 if(frm.res_age4.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age4.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age4.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age4.focus();

				return false;    

			}

	if(frm.rec_namesur5.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur5.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur5.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur5.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date5.selectedIndex==0 || frm.rec_Month5.selectedIndex==0 || frm.rec_Year5.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date5.focus();

			return false;

			

		 } 

		 if(frm.rec_passport5.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport5.focus();

			return false;

			

		 }

		 if(frm.res_age5.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age5.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age5.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age5.focus();

				return false;    

			}		

	}

if(frm.add.value==6)

	{

		if(frm.rec_namesur1.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur1.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur1.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur1.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date1.selectedIndex==0 || frm.rec_Month1.selectedIndex==0 || frm.rec_Year1.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date1.focus();

			return false;

			

		 } 

		 if(frm.rec_passport1.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport1.focus();

			return false;

			

		 }

		 if(frm.res_age1.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age1.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age1.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age1.focus();

				return false;    

			}

		if(frm.rec_namesur2.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur2.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur2.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur2.focus();   

		return false;    

		} */

		 if(frm.rec_date2.selectedIndex==0 || frm.rec_Month2.selectedIndex==0 || frm.rec_Year2.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date2.focus();

			return false;

			

		 } 

		 if(frm.rec_passport2.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport2.focus();

			return false;

			

		 }

		 if(frm.res_age2.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age2.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age2.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age2.focus();

				return false;    

			}

			if(frm.rec_namesur3.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur3.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur3.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur3.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date3.selectedIndex==0 || frm.rec_Month3.selectedIndex==0 || frm.rec_Year3.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date3.focus();

			return false;

			

		 } 

		 if(frm.rec_passport3.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport3.focus();

			return false;

			

		 }

		 if(frm.res_age3.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age3.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age3.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age3.focus();

				return false;    

			}

		if(frm.rec_namesur4.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur4.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur4.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur4.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date4.selectedIndex==0 || frm.rec_Month4.selectedIndex==0 || frm.rec_Year4.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date4.focus();

			return false;

			

		 } 

		 if(frm.rec_passport4.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport4.focus();

			return false;

			

		 }

		 if(frm.res_age4.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age4.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age4.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age4.focus();

				return false;    

			}

	if(frm.rec_namesur5.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur5.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur5.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur5.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date5.selectedIndex==0 || frm.rec_Month5.selectedIndex==0 || frm.rec_Year5.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date5.focus();

			return false;

			

		 } 

		 if(frm.rec_passport5.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport5.focus();

			return false;

			

		 }

		 if(frm.res_age5.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age5.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age5.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age5.focus();

				return false;    

			}

		if(frm.rec_namesur6.value=="")

		{

			alert("Name and Surname is required");

			frm.rec_namesur6.focus();

			return false;

		}

/*		if(istext(frm.rec_namesur6.value))

		{

		alert('Please Enter a valid Primary Policy Holder');

	   frm.rec_namesur6.focus();   

		return false;    

		} 
*/
		 if(frm.rec_date6.selectedIndex==0 || frm.rec_Month6.selectedIndex==0 || frm.rec_Year6.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.rec_date6.focus();

			return false;

			

		 } 

		 if(frm.rec_passport6.value=="")

		 {

			  alert("N.I.E./Passport is required") ;

		   frm.rec_passport6.focus();

			return false;

			

		 }

		 if(frm.res_age6.value=="")

		 {

			  alert("Age is required") ;

		   frm.res_age6.focus();

			return false; 

		 }

		  if(isdigit(frm.res_age6.value))

			{

				alert('Please Enter a valid Age');

				 frm.res_age6.focus();

				return false;    

			}	

	}

}

   if(!frm.accept.checked)

    {

        alert("Please accept the general conditions of contract and the legal notice") ;

        frm.accept.focus();

        return false;

	}	

	 if(frm.captchaquote.value=="")

    {

        alert("Captcha is required") ;

        frm.captchaquote.focus();

        return false;

    }



}



 function validate_carepricer()    {

     frm=document.simplecareform;

	if(document.getElementById('begin_policy').value=="")

	{

		alert("Date is required") ;

		document.getElementById('begin_policy').focus();

		return false;

	}

	if(document.getElementById('FirstName').value=="")

	{

		alert("First Name is required") ;

		document.getElementById('FirstName').focus();

		return false;

	}

	if(document.getElementById('LastName').value=="")

	{

		alert("Last Name is required") ;

		document.getElementById('LastName').focus();

		return false;

	}

	if(document.getElementById('date1').selectedIndex=="" || document.getElementById('month1').selectedIndex=="" || document.getElementById('year1').selectedIndex=="")

	{



		alert("Date Of Birth is required") ;

	    document.getElementById('date1').focus();

		return false;

	}

	if(document.getElementById('HomePhone').value=="")

	{

		alert("Home Phone is required") ;

		document.getElementById('HomePhone').focus();

		return false;

	}

    if(document.getElementById('HomePhone').value!='')

    {

         phone=document.getElementById('HomePhone').value; 

        if(isdigit(phone))

        {

            alert('Please Enter a valid Home Phone number');

            document.getElementById('HomePhone').focus();

            return false;    

        }

        if(phone.length<6 || phone.length>14)

        {

            alert('Please Enter a valid Home Phone number');

            document.getElementById('HomePhone').focus();

            return false;    

        }

    }



	if(document.getElementById('WorkPhone').value=="")

	{

		alert("Work Phone is required") ;

		document.getElementById('WorkPhone').focus();

		return false;

	}

    if(document.getElementById('WorkPhone').value!='')

    {

         phone=document.getElementById('WorkPhone').value; 

        if(isdigit(phone))

        {

            alert('Please Enter a valid Work Phone number');

            document.getElementById('WorkPhone').focus();

            return false;    

        }

        if(phone.length<6 || phone.length>14)

        {

            alert('Please Enter a valid Work Phone number');

            document.getElementById('WorkPhone').focus();

            return false;    

        }

    }



	if(frm.leave_message[0].checked ==false && frm.leave_message[1].checked ==false)

	{

		alert("Please select OK to leave message on patient's answering machine?") ;

		document.getElementById('leave_message').focus();

		return false;

	}



	if(document.getElementById('address').value=="")

	{

		alert("Address is required") ;

		document.getElementById('address').focus();

		return false;

	}

	if(document.getElementById('town').value=="")

	{

		alert("Town is required") ;

		document.getElementById('town').focus();

		return false;

	}

	if(document.getElementById('postcode').value=="")

	{

		alert("Postcode is required") ;

		document.getElementById('postcode').focus();

		return false;

	}

	if(document.getElementById('province').value=="")

	{

		alert("Province is required") ;

		document.getElementById('province').focus();

		return false;

	}

	if(document.getElementById('service').value=="")

	{

		alert("Services will be provided at is required") ;

		document.getElementById('service').focus();

		return false;

	}

	if(document.getElementById('PhysicianFirstName').value=="")

	{

		alert("Physician First Name is required") ;

		document.getElementById('PhysicianFirstName').focus();

		return false;

	}

	if(document.getElementById('PhysicianLastName').value=="")

	{

		alert("Physician Last Name is required") ;

		document.getElementById('PhysicianLastName').focus();

		return false;

	}

	if(document.getElementById('description').value=="")

	{

		alert("Description of procedure is required") ;

		document.getElementById('description').focus();

		return false;

	}

	if(document.getElementById('approxdate').value=="")

	{

		alert("Approximate date for service/procedure is required") ;

		document.getElementById('approxdate').focus();

		return false;

	}

	if(frm.email_response[0].checked ==false && frm.email_response[1].checked ==false)

	{

		alert("Please select Would you like an email response?") ;

		document.getElementById('email_response').focus();

		return false;

	}

     if(document.getElementById('emailAddress').value=="")

     {

        alert("Email address is required") ;

        document.getElementById('emailAddress').focus();

        return false;

        

     }

   if(document.getElementById('emailAddress').value!="")

     {

     emailid=document.getElementById('emailAddress').value;

         if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

        {

            alert("Please enter a valid E-mail Addresss!");

             document.getElementById('emailAddress').focus();

             document.getElementById('emailAddress').value="";

            return false;

        }

		else

		{

			if(emailid!=document.getElementById('confirmemail').value)

			{

				alert("Confirm Email Address does not match!");

				document.getElementById('confirmemail').focus();

				document.getElementById('confirmemail').value="";

				return false;

			}

			

		}



     }





 }  



 function validate_enquiry()    { 

     frm=document.simplecareform;

     if(document.getElementById('title').selectedIndex=="")

     {

        alert("Please select the Title") ;

        document.getElementById('title').focus();

        return false;

        

     }  

      if(document.getElementById('firstname').value=="")

     {

        alert("Firstname is required") ;

        document.getElementById('firstname').focus();

        return false;

        

     }

     

     if(istext(document.getElementById('firstname').value))

    {

    alert('Please Enter a valid First Name');

   document.getElementById('firstname').focus();   

    return false;    

    } 

          if(document.getElementById('lastname').value=="")

     {

        alert("Lastname is required") ;

        document.getElementById('lastname').focus();

        return false;

        

     }

     if(istext(document.getElementById('lastname').value))

    {

    alert('Please Enter a valid Last Name');

      document.getElementById('lastname').focus();

    return false;    

    } 

      if(document.getElementById('cmbCountry').selectedIndex=="")

     {

        alert("Please select the Country") ;

        document.getElementById('cmbCountry').focus();

        return false;

        

     }

 if(frm.date.selectedIndex==0 || frm.Month.selectedIndex==0 || frm.Year.selectedIndex==0)

		 {

			alert("Date Of Birth is required") ;

		   frm.date.focus();

			return false;

			

		 } 

   if(document.getElementById('txtPhoneCountryCode').value=="")

     {

        alert("Country code is required") ;

        document.getElementById('txtPhoneCountryCode').focus();

        return false;

        

     }

    if(document.getElementById('phoneNumber').value=="")

     {

        alert("Phone number is required") ;

        document.getElementById('phoneNumber').focus();

        return false;

        

     }

    

    if(document.getElementById('phoneNumber').value!='')

    {

         phone=document.getElementById('phoneNumber').value; 

        if(isdigit(phone))

        {

            alert('Please Enter a valid Phone number');

            document.getElementById('phoneNumber').focus();

            return false;    

        }

        if(phone.length<6 || phone.length>14)

        {

            alert('Please Enter a valid Phone number');

            document.getElementById('phoneNumber').focus();

            return false;    

        }

    }

    

     if(document.getElementById('emailAddress').value=="")

     {

        alert("Email address is required") ;

        document.getElementById('emailAddress').focus();

        return false;

        

     }

   if(document.getElementById('emailAddress').value!="")

     {

     emailid=document.getElementById('emailAddress').value;

         if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

        {

            alert("Please enter a valid E-mail Addresss!");

             document.getElementById('emailAddress').focus();

             document.getElementById('emailAddress').value="";

            return false;

        }



     }

      if(document.getElementById('mediaSourceSelected').selectedIndex=="")

     {

        alert("How did you hear about us field is required") ;

        document.getElementById('mediaSourceSelected').focus();

        return false;

        

     }  

       

   if(document.getElementById('captchaenquiry').value=="")

    {

        alert("Captcha is required") ;

        document.getElementById('captchaenquiry').focus();

        return false;

    }

    

 }  

  



function validate_callback()    {   // alert(frm.name);return false;

    //var frm = document.method;

    /*name = trimStr(frm.contact_name.value); 

    email = trimStr(frm.email.value);

    msg = trimStr(frm.message.value);  */

   

    

     if(document.getElementById('title').selectedIndex=="")

     {

        alert("Please select the Title") ;

        document.getElementById('title').focus();

        return false;

        

     }

     if(document.getElementById('firstname').value=="")

     {

        alert("Firstname is required") ;

        document.getElementById('firstname').focus();

        return false;

        

     }

     

     if(istext(document.getElementById('firstname').value))

    {

    alert('Please Enter a valid First Name');

   document.getElementById('firstname').focus();   

    return false;    

    }

    if(document.getElementById('lastname').value=="")

     {

        alert("Lastname is required") ;

        document.getElementById('lastname').focus();

        return false;

        

     }

     if(istext(document.getElementById('lastname').value))

    {

    alert('Please Enter a valid Last Name');

      document.getElementById('lastname').focus();

    return false;    

    } 

  if(document.getElementById('cmbCountry').selectedIndex=="")

     {

        alert("Please select the Country") ;

        document.getElementById('cmbCountry').focus();

        return false;

        

     }

   if(document.getElementById('txtPhoneCountryCode').value=="")

     {

        alert("Country code is required") ;

        document.getElementById('txtPhoneCountryCode').focus();

        return false;

        

     }

    if(document.getElementById('phoneNumber').value=="")

     {

        alert("Phone number is required") ;

        document.getElementById('phoneNumber').focus();

        return false;

        

     }

    

    if(document.getElementById('phoneNumber').value!='')

    {

         phone=document.getElementById('phoneNumber').value; 

        if(isdigit(phone))

        {

            alert('Please Enter a valid Phone number');

            document.getElementById('phoneNumber').focus();

            return false;    

        }

        if(phone.length<6 || phone.length>14)

        {

            alert('Please Enter a valid Phone number');

            document.getElementById('phoneNumber').focus();

            return false;    

        }

    }

    

     if(document.getElementById('emailAddress').value=="")

     {

        alert("Email address is required") ;

        document.getElementById('emailAddress').focus();

        return false;

        

     }

   if(document.getElementById('emailAddress').value!="")

     {

     emailid=document.getElementById('emailAddress').value;

         if(!emailid.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

        {

            alert("Please enter a valid E-mail Addresss!");

             document.getElementById('emailAddress').focus();

             document.getElementById('emailAddress').value="";

            return false;

        }



     }

   

     if(document.getElementById('cmbTime').selectedIndex=="")

     {

        alert("Please select the Time") ;

        document.getElementById('cmbTime').focus();

        return false;

        

     }

    if(document.simplecareform.newday.value=="")

     {

        alert("Please Enter the Day") ;

        document.simplecareform.newday.focus();

        return false;

        

     }   

    

    if(document.getElementById('captchacallback').value=="")

    {

        alert("Captcha is required") ;

        document.getElementById('captchacallback').focus();

        return false;

    }

    // else

   //  {

       //  return true;

     //window.location.href="/simplecarehealthplan/callback/#mmf-f3-p171-o1" ;

    /* jQuery(document).ready(function() {

     jQuery('div.mmf > form').ajaxForm({

     beforeSubmit: mmfBeforeSubmit,

     dataType: 'json',

     success: mmfProcessJson

     });

     jQuery('div.mmf > form').each(function(i, n) {

mmfToggleSubmit(jQuery(n));

 });

});    */

  // document.simplecareform.submit();

     

    // }    

    

}





function validRegForm()	{

	var frm = document.regform;

	firstname = trimStr(frm.first_name.value);

	lastname = trimStr(frm.last_name.value);

	name = trimStr(frm.full_name.value);

	email = trimStr(frm.email.value);

	phone = trimStr(frm.phone.value);



	if(firstname=='')

	{

		alert('Please enter First name !');

		frm.first_name.focus();

		return false;

	}

	if(lastname=='')

	{

		alert('Please enter Last name !');

		frm.last_name.focus();

		return false;

	}

	if(name=='')

	{

		alert('Please enter your Username !');

		frm.full_name.focus();

		return false;

	}

	if(istext(name))

	{

	alert('Please Enter a valid UserName');

	frm.full_name.focus();

	return false;	

	}



	if(email=='')

	{

		alert('Please enter your Email Address !');

		frm.email.focus();

		return false;

	}

	if (!frm.email.value.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		frm.email.focus();

		frm.email.value="";

		return false;

	}



	

	if(phone!='')

	{

		if(isdigit(phone))

		{

			alert('Please Enter a valid Telephone number');

			frm.phone.focus();

			return false;	

		}

		if(phone.length<6 || phone.length>14)

		{

			alert('Please Enter a valid Phone number');

			frm.phone.focus();

			return false;	

		}

	}

	

}







function validLoginForm()	{

	var frm = document.regform;

	name = trimStr(frm.full_name.value);

	pass = trimStr(frm.pass.value);





	if(name=='')

	{

		alert('Please enter your name !');

		frm.full_name.focus();

		return false;

	}

	if(istext(name))

	{

	alert('Please Enter a valid username');

	frm.full_name.focus();

	return false;	

	}

	if(pass=='')

	{

		alert('Please enter your password !');

		frm.full_name.focus();

		return false;

	}

	

}





function validComment()	{

	var frm = document.comment;

	name = trimStr(frm.comm.value);



	if(name=='')

	{

		alert('Please enter your comment !');

		frm.comm.focus();

		return false;

	}

}







function CheckValidation()	{



	frm = document.qualify;

	

	Title = frm.title.value;

	SName = trimStr(frm.SurName.value);

	FName = trimStr(frm.ForeName.value);

	Email = trimStr(frm.Email.value);

	PhoneNo = trimStr(frm.PhoneNo.value);

	//Mobile = trimStr(frm.Mobile.value);alert(title);

	DOB = trimStr(frm.DOB.value);

	HouseNo = trimStr(frm.HouseNo.value);

	Street = trimStr(frm.Street.value);

	City = trimStr(frm.City.value);

	PinCode = trimStr(frm.PinCode.value);

	Region = frm.Region.value;

	

	if(frm.additional_info)

		additional_info = frm.additional_info.value;

	

	if(Title == '')	{

		alert("Please select a Title !");

		frm.title.focus();

		return false;

	}

	

	if(SName=='')

	{

		alert('Please Enter SurName');

		frm.SurName.focus();

		return false;

	}

	if(istext(SName))

	{

	alert('Please Enter a valid SurName');

	frm.SurName.focus();

	return false;	

	}

	

	if(FName=='')

	{

		alert('Please Enter ForeName');

		frm.ForeName.focus();

		return false;

	}

	if(istext(FName))

	{

	alert('Please Enter a valid ForeName');

	frm.ForeName.focus();

	return false;	

	}

	

	if(frm.job_role1)	{

		job_role = frm.job_role1.value;

		if(job_role == '')	{

			alert("Please give some information about job role !");

			frm.job_role1.focus();

			return false;

		}

	}

	



	if(Email=='')

	{

		alert('Please enter your Email Id');

		frm.Email.focus();

		return false;

	}

	if (!frm.Email.value.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail ID!");

		frm.Email.focus();

		frm.Email.value="";

		return false;

	}

	

	

	if(PhoneNo == '')	{

		alert("Please enter your Phone No. ");

		frm.PhoneNo.focus();

		return false;

	}

	if(PhoneNo!='')

	{

		if(isdigit(PhoneNo))

		{

			alert('Please Enter a valid Phone number');

			frm.PhoneNo.focus();

			return false;	

		}

		if(PhoneNo.length<6 || PhoneNo.length>14)

		{

			alert('Please Enter a valid Phone number');

			frm.PhoneNo.focus();

			return false;	

		}

	}

	

	if(document.qualify.Mobile)

	{

		Mobile = document.qualify.Mobile.value;

		

		if(Mobile == '')	{

		alert("Please enter your Mobile No. ");

		frm.Mobile.focus();

		return false;

	}		

		if(isdigit(Mobile))

		{

			alert('Please Enter a valid Mobile number');

			frm.Mobile.focus();

			return false;	

		}

		if(Mobile.length<10 || Mobile.length>15)

		{

			alert('Please Enter a valid Mobile number');

			frm.Mobile.focus();

			return false;	

		}

	}

	

	if(frm.DOB)	{

		if(DOB == '')	{

			alert("Please enter your Date of Birth !");

			frm.DOB.focus();

			return false;

		}

	re = /^(\d{1,2})\/(\d{1,2})\/(\d{4})$/;



    if(DOB != '') {

      if(regs = DOB.match(re)) {

        if(regs[1] < 1 || regs[1] > 31) {

          alert("Invalid value for day: " + regs[1]);

          frm.DOB.focus();

          return false;

        }

        if(regs[2] < 1 || regs[2] > 12) {

          alert("Invalid value for month: " + regs[2]);

          frm.DOB.focus();

          return false;

        }

        if(regs[3] < 1902 || regs[3] > (new Date()).getFullYear()) {

          alert("Invalid value for year: " + regs[3] + "; - must be between 1902 and " + (new Date()).getFullYear());

          frm.DOB.focus();

          return false;

        }

      } else {

        alert("Invalid date format: " + frm.DOB.value);

        frm.DOB.focus();

        return false;

      }

    }

}

	

	if(HouseNo == '')	{

		alert("Please enter your House No. / Name ");

		frm.HouseNo.focus();

		return false;

	}

	 

	 if(Street == '')	{

	 	alert("Please enter your Street ");

		frm.Street.focus();

		return false;

	 }

	 

	 if(City == '')	{

	 	alert("Please enter your City ");

		frm.City.focus();

		return false;

	 }

	 if(istext(City))	{

	 	alert("Please enter your City ");

		frm.City.focus();

		return false;

	 }

	

	if(PinCode == '')	{

		alert("Please enter Postcode");

		frm.PinCode.focus();

		return false;

	}

	/*if(isdigit(PinCode))

	{

		alert('Please Enter a valid Pincode !');

		frm.PinCode.focus();

		return false;	

	}*/

	

	if(Region == '')	{

		alert("Please select your Region !");

		frm.Region.focus();

		return false;

		

	}

	

	if(frm.EthiniCity)	{

		EthiniCity = frm.EthiniCity.value;

		if(EthiniCity == '')	{

			alert("Please select your Ethinicity !");

			frm.EthiniCity.focus();

			return false;

		}

	}

				

	if(frm.sec)	{

	var total=0;

	for(var i=0;i<frm.sec.value;i++)	{

		if(document.getElementById('Sectors'+i).checked){

			total++

		}

	}

	if(total == 0)	{

		alert("You have to check atleast one Sector !");

		return false;

	}

	}

	

	if(frm.position_vaccant)	{

		vaccant = frm.position_vaccant.value;

		if(vaccant == '')	{

			alert("Please select Position Vaccant !");

			frm.position_vaccant.focus();

			return false;

		}	}

	

	if(frm.Salary_Sought)	{

		Salary_Sought = frm.Salary_Sought.value;

		if(Salary_Sought == '')	{

			alert("Please select Salary Sought");

			frm.Salary_Sought.focus();

			return false;

		}

	}

	

	if(frm.PosTerm)	{

		PosTerm = frm.PosTerm.value;

		if(PosTerm == '')	{

			alert("Please select your Position Term !");

			frm.PosTerm.focus();

			return false;

		}

	}

	

	if(frm.PosType)	{

		PosType = frm.PosType.value;

		if(PosType == '')	{

			alert("Please select your Posiyion Type !");

			frm.PosType.focus();

			return false;

		}

	}

	

	if(frm.job_role)	{

		job_role = frm.job_role.value;

		if(job_role == '')	{

			alert('Please give some information about Current Job role !');

			frm.job_role.focus();

			return false;	

		}

	}

	

	/*if(frm.additional_info)	{

		if(additional_info == '')	{

			alert('Please give some Additional information !');

			frm.additional_info.focus();

			return false;	

		}

	}*/

	

	if(frm.cv)	{

	cv = trimStr(frm.cv.value);

	if(cv == '')	{

		alert('please upload your CV');

		frm.cv.focus();

		return false;

	}

	

	if(cv != '')	{

		l=frm.cv.value.length;

		sel=cv.lastIndexOf('.');

	 	cv=cv.substring(sel+1);

		var err = 0;

		allowed_type = new Array(3);

		allowed_type[0] = 'doc';

		/*allowed_type[1] = 'csv';*/

		allowed_type[2] = 'docx';

		for(var i=0;i<2;i++)	{

			if(allowed_type[i] == cv)	{

				err++

			}

		}

	}

	

		if(err<=0)	{

			alert('Upload your CV either in doc or docx format !');

			return false;

		}

	}

	

	if(!frm.agree.checked)	{

		alert("Please agree the Terms and Conditions !");

		return false;

	}

	

		document.getElementById("pbar").style.visibility="visible";

}



function CheckForm()	{

	form = document.contact;

	

	Email = trimStr(form.Email.value);

	PhoneNo = trimStr(form.PhoneNo.value);

	

	if(trimStr(form.Name.value) == '')	{

		alert("Please enter your Name !");

		form.Name.focus();

		return false;

	}

	if(istext(trimStr(form.Name.value)))	{

		alert("Please enter Vaild Name !");

		form.Name.focus();

		return false;

	}

	

	if(Email=='')

	{

		alert('Please enter your Email Id');

		form.Email.focus();

		return false;

	}

	if(!echeck(Email))

	{

		return false;

	}

	

	if(PhoneNo == '')	{

		alert("Please enter your Phone No. ");

		form.PhoneNo.focus();

		return false;

	}

	if(PhoneNo!='')

	{

		if(isdigit(PhoneNo))

		{

			alert('Please Enter a valid Phone number');

			form.PhoneNo.focus();

			return false;	

		}

		if(PhoneNo.length<6 || PhoneNo.length>14)

		{

			alert('Please Enter a valid Phone number');

			form.PhoneNo.focus();

			return false;	

		}

	}

	

	if(form.mesg.value == '')	{

		alert('Please write some queries !');

		form.mesg.focus();

		return false;	

	}

	

}



function validateform()	{

	form = document.frm;

	user = form.formlogin.value;

	passwrd = form.formpass.value;

	

	

	if(user == '')	{

		alert("Please enter Username !");

		form.formlogin.focus();

		return false;

	}

	/*if(user != '')	{

		

	}*/

	if(passwrd == '')	{

		alert("Please enter Password !");

		form.formpass.focus();

		return false;

	}

}



function ValidRegion()	{

	form = document.frm;

	

	if(trimStr(form.Region.value) == '')	{

		alert("Please fill the field !");

		form.Region.focus();

		return false;

	}

	if(istext(trimStr(form.Region.value)))	{

		alert("Please enter Vaild Value !");

		form.Region.focus();

		return false;

	}

	

	

}



function CheckPassword()	{

	form = document.frm;

	OldPass = trimStr(form.OldPass.value);

	NewPass = trimStr(form.NewPass.value);

	ConfirmPass = trimStr(form.ConfirmPass.value);

	

	if(OldPass == '')	{

		alert("Please fill Old Password !");

		form.OldPass.focus();

		return false;

	}

	/*if(istext(OldPass))	{

		alert("Please fill valid Old Password !");

		form.OldPass.focus();

		return false;

	}*/

	if(NewPass == '')	{

		alert("Please fill New Password !");

		form.NewPass.focus();

		return false;

	}

	if(NewPass.length < 6)	{

		alert("Password must be minimum 6 characters !");

		form.NewPass.focus();

		return false;

	}

	

	

	if(ConfirmPass == '')	{

		alert("Please fill Confirm Password !");

		form.ConfirmPass.focus();

		return false;

	}

	

	if(ConfirmPass.length < 6)	{

		alert("Confirm Password must be minimum 6 characters !");

		form.ConfirmPass.focus();

		return false;

	}	

	if(NewPass.length != ConfirmPass.length || NewPass != ConfirmPass)	{

		alert("New Password does not match with Confirm Password. Please Check it !");

		form.ConfirmPass.focus();

		return false;

	}

}



function validForm()	{

	var frm = document.contactform;

	name = trimStr(frm.full_name.value);

	email = trimStr(frm.email.value);

	phone = trimStr(frm.phone.value);

	msg = trimStr(frm.message.value);

	

	

	if(name=='')

	{

		alert('Please enter your FullName !');

		frm.full_name.focus();

		return false;

	}

	if(istext(name))

	{

	alert('Please Enter a valid SurName');

	frm.full_name.focus();

	return false;	

	}



	if(email=='')

	{

		alert('Please enter your Email Address !');

		frm.email.focus();

		return false;

	}

	if (!frm.email.value.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		frm.email.focus();

		frm.email.value="";

		return false;

	}



	

	if(phone == '')	{

		alert("Please enter your Telephone No. ");

		frm.phone.focus();

		return false;

	}

	if(phone!='')

	{

		if(isdigit(phone))

		{

			alert('Please Enter a valid Telephone number');

			frm.phone.focus();

			return false;	

		}

		if(phone.length<6 || phone.length>14)

		{

			alert('Please Enter a valid Phone number. Length should be 6 to 14');

			frm.phone.focus();

			return false;	

		}

	}

	

	

	if(msg == '')	{

		alert("Please enter Message box ");

		frm.message.focus();

		return false;

	}

}





function validNewForm()	{

	var frm = document.newform;

	email = trimStr(frm.email.value);

	if(email=='')

	{

		alert('Please enter your Email Address !');

		frm.email.focus();

		return false;

	}

	if (!frm.email.value.match(/^[\w\.\-]+@([\w\-]+\.)+[a-zA-Z]+$/))

	{

		alert("Please enter a valid E-mail Addresss!");

		frm.email.focus();

		frm.email.value="";

		return false;

	}

}