Form to Wizard with jQuery Validation plugin

Account information

First Name

Last Name

Maritial Status maritial_status) && $user->maritial_status=='0' ? 'checked' :'' }} >Single maritial_status) && $user->maritial_status=='1' ? 'checked' :'' }} >Married

Email address We'll never share your email with anyone else.

address:

Post Code:

DOB:

Age :

phone:

Title :

Position Applying for:

Date Available to commence Employment:

Payroll Number:

National Insurrance No :

Salary/Wages

Are You A Student ? student) && $user->student=='1' ? 'checked' :'' }} >Yes student) && $user->student=='0' ? 'checked' :'' }} >No

Do you need work permit ? work_permit) && $user->work_permit=='1' ? 'checked' :'' }} >Yes work_permit) && $user->work_permit=='0' ? 'checked' :'' }} >No

Company information

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Emergency Contacts

Name

Address

Phone(home)

Relationship

Phone(work)

Have you convicted any CRIME ? if yes then give details	emergencyContacts->crime) && $user->emergencyContacts->crime=='1' ? 'checked' :'' }} >Yes emergencyContacts->crime) && $user->emergencyContacts->crime=='0' ? 'checked' :'' }} >No	{{ isset($user->emergencyContacts->crime_details) ? $user->emergencyContacts->crime_details :'' }}

Disease information

Condition	Option	Details
Typhoid or Paratyphoid?	diseases->typhoid) && $user->diseases->typhoid=='1' ? 'checked' :'' }} >Yes diseases->typhoid) && $user->diseases->typhoid=='0' ? 'checked' :'' }} >No
Recurrent infection of mouth nose and ears ?	diseases->infection) && $user->diseases->infection=='1' ? 'checked' :'' }} >Yes diseases->infection) && $user->diseases->infection=='0' ? 'checked' :'' }}>No
Back Trouble?	diseases->infection) && $user->diseases->backtrouble=='1' ? 'checked' :'' }} >Yes diseases->infection) && $user->diseases->backtrouble=='0' ? 'checked' :'' }}>No
Heart Disease ?	diseases->heartdisease) && $user->diseases->heartdisease=='1' ? 'checked' :'' }} >Yes diseases->heartdisease) && $user->diseases->heartdisease=='0' ? 'checked' :'' }}>No
Mental Illness?	diseases->mentalillness) && $user->diseases->mentalillness=='1' ? 'checked' :'' }} >Yes diseases->mentalillness) && $user->diseases->mentalillness=='0' ? 'checked' :'' }}>No
Chest Disease?	diseases->chest) && $user->diseases->chest=='1' ? 'checked' :'' }} >Yes diseases->chest) && $user->diseases->chest=='0' ? 'checked' :'' }}>No
Kidney or bladder diesease?	diseases->kidney) && $user->diseases->kidney=='1' ? 'checked' :'' }} >Yes diseases->kidney) && $user->diseases->kidney=='0' ? 'checked' :'' }}>No
Any Other Serious Illness?	diseases->other) && $user->diseases->other=='1' ? 'checked' :'' }} >Yes diseases->other) && $user->diseases->other=='0' ? 'checked' :'' }}>No
Receiving any medical Treatment?	diseases->treatment) && $user->diseases->treatment=='1' ? 'checked' :'' }} >Yes diseases->treatment) && $user->diseases->treatment=='0' ? 'checked' :'' }}>No
always wear glasses or lenses?	diseases->glasses) && $user->diseases->glasses=='1' ? 'checked' :'' }} >Yes diseases->glasses) && $user->diseases->glasses=='0' ? 'checked' :'' }}>No
always wear glasses or lenses for close work?	diseases->glasses_close) && $user->diseases->glasses_close=='1' ? 'checked' :'' }} >Yes diseases->glasses_close) && $user->diseases->glasses_close=='0' ? 'checked' :'' }}>No

Bank Details

Bank/Building Branch name

Account Name

Account No

Post Code

Branch Full Address

References

Name

Address

Postcode

Phone

Name

Address

Postcode

Phone

Name

Address

Postcode

Phone

Job Application Form

Employment

Employment

Personal