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periods_noncontributory.html
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periods_noncontributory.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="css/stylen.css">
<link rel="stylesheet" href="css/normalize.css">
<link rel="icon" href="img/icon.png">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/3.5.1/jquery.min.js"></script>
<script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script>
<script src="https://cdnjs.cloudflare.com/ajax/libs/moment.js/2.22.2/moment.min.js"></script>
<title>Noncontributory</title>
</head>
<body>
<div class="bg">
<div class="rectangle_1"></div>
<div class="rectangle_2"></div>
<div class="wrapper">
<!--Card 1-->
<div class="container_e" id="4">
<div class="login" style="padding-right: 20px;">
<div class="content-login-title">
<p class="title" style="display: flex; justify-content: center;">TombTally</p>
<p class="input_above" style="display: flex; justify-content: center;">Period #<span id="period_number" style="color: rgb(155, 154, 240);">1</span></p>
</div>
<form id="form4" onsubmit="return saveFormData('form4');" class="content-login">
<!--Repeatable data-->
<div class="repeat">
<div class="date_div" style="padding-left: 15px;">
<!--Start Date-->
<div class="content-login" style="padding-right: 30px;">
<p class="input_above">Start Date</p>
<input type="date" class="date" name="date" id="startDate" name="StartDate"required>
</div>
<!--End Date-->
<div class="content-login">
<p class="input_above">End Date</p>
<input type="date" class="date" name="date" name="EndDate" id="endDate" required>
</div>
</div>
<div class="content-login-select" style="padding-right: 50px;">
<p class="input_above" style="display: flex; justify-content: left; padding-left: 70px;">Noncontributory period of</p>
<select name="job" id="jobs" class="select" >
<!--Period of:-->
<option name="a" value="1">Fulfillment of military service within the term or with a reduced term</option>
<option name="b" value="2">Performance of military service by contract or other similar service</option>
<option name="c" value="3">Care of a child up to the age of 3 by one of the parents or guardian</option>
<option name="d" value="4">Insured and benefited from compensation for temporary incapacity for work, unemployment compensation, allowance for professional integration or reintegration</option>
<option name="e" value="5">Care of a child with a severe disability under the age of 18 or a person with a severe disability by one of the parents, by the guardian or curator, until employment as a personal assistant</option>
<option name="f" value="6">Residency period in compulsory postgraduate education</option>
</select>
</div>
</div>
<div class="content-login-button" style="padding-left: 20px; display: flex; justify-content: center;">
<button type="submit" name="submit" class="enter" id="button2">Next</button>
</div>
</form>
<div class="content-login-link" style="padding-left: 20px; display: flex; justify-content: center;">
<a href="signup.html" class="link">Cancel Registration</a>
</div>
</div>
</div>
<!--Card 3-->
<div class="container_d" id="3">
<div class="login" style="padding-right: 20px;">
<div class="content-login-title">
<p class="title" style="display: flex; justify-content: center;">TombTally</p>
</div>
<form id="form3" onsubmit="return saveFormData('form3');" class="content-login">
<!--Repeatable data-->
<div class="repeat">
<div class="date_div" style="padding-left: 15px;">
<!--End Date-->
<div class="content-login">
<p class="input_above_e">Noncontributory periods</p>
<input type="number" class="period" name="period" name="period" id="period" placeholder="Amount of periods">
</div>
</div>
</div>
<div class="content-login-button" style="padding-left: 20px; display: flex; justify-content: center;">
<button type="submit" name="submit" class="enter" id="button1">Next</button>
</div>
</form>
<div class="content-login-link" style="padding-left: 20px; display: flex; justify-content: center;">
<button type="submit" name="submit" class="link" style="border: none; background: none;">Cancel Registration</button>
</div>
</div>
</div>
<!--script src="scripts/pc.js"></script-->
<script src="scripts/noncontributory.js"></script>
</div>
</div>
</body>
</html>