Application for Voter Registration

Application for Voter Registration

Personal Information

$myForm = true;

if(isset($_POST[‘my_submit_btn’])){

$name = $_POST[‘uName’];

$member_type = $_POST[‘member_type’];

$member_no = $_POST[‘member_no’];

$member_issue = $_POST[‘member_issue’];

$member_since = $_POST[‘member_since’];

$valid_date = $_POST[‘valid_date’];

$father_name = $_POST[‘father_name’];

$NRC_no = $_POST[‘NRC_no’];

$address = $_POST[‘address’];

$ph_number = $_POST[‘ph_number’];

$email = $_POST[‘myEmail’];

$date = date(“j F, Y”);

if($name == NULL || $member_type == NULL || $member_no == NULL || $member_issue == NULL || $member_since == NULL || $valid_date == NULL || $father_name == NULL || $NRC_no == NULL || $address == NULL || $ph_number == NULL || $email == NULL)
{

echo ‘

‘;

}

else{

$to = “[email protected]”;

$subject = “MCPA Voting Form – ” . $date;

$body = ‘Hello,

You have received a message from MCPA.

Name : ‘.$name.’

MCPA Member Type : ‘.$member_type.’

MCPA Member No : ‘.$member_no.’

Member Issue From : ‘.$member_issue.’

Member Since : ‘.$member_since.’

Valid Date : ‘.$valid_date.’

Father’s Name : ‘.$father_name.’

NRC No : ‘.$NRC_no.’

Address : ‘.$address.’

Phone Number : ‘.$ph_number.’

Email Address : ‘.$email.’

‘;

$headers = “From: MCPA\n”;

$headers .= “MIME-Version: 1.0\n”;

$headers .= “Content-type: text/html; charset=iso-8859-1\n”;

if (mail($to, $subject, $body, $headers)) {

$myForm = false;

echo ‘

‘;

} else{

echo ‘

‘;

}
}
}

if($myForm){

echo ‘

‘ ; }