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<!

DOCTYPE html PUBLIC "- <tr>


//W3C//DTD XHTML 1.0
Transitional//EN" <body> <td bgcolor="#FFFFA4"><div
"http://www.w3.org/TR/xhtml1/DTD/ align="left" class="style7">Address:
xhtml1-transitional.dtd"> <form id="form5" name="form5" </div></td>
method="post" action="">
<html <td bgcolor="#FFFFDD"><input
xmlns="http://www.w3.org/1999/xht <label></label> name="textfield2" type="text"size =
ml"> "80" value="House
</form> no./Street/Brgy/City" /></td>
<head>
<table width="812" height="1387" </tr>
<meta http-equiv="Content-Type" border="0" align = "center"
content="text/html; charset=iso- cellpadding="3" cellspacing="2" <tr>
8859-1" /> bgcolor="#FFFFFF">
<td bgcolor="#FFFFA4"><div
<title>Form</title> <tr> align="left" class="style7">Email
Address: </div></td>
<style type="text/css"> <th colspan="2" bgcolor="#FFFF09"
class="style4" scope="col" ><div <td bgcolor="#FFFFDD"><input
<!-- align="center" class="style1 name="textfield3" type="text" size =
style2">CURRICULUM VITAE "80" value="username@email.com"
.style1 {font-size: 24px} </div></th> /></td>
.style2 { </tr> </tr>
font-family: Verdana, Arial, <tr> <tr>
Helvetica, sans-serif;
<td colspan="2" <td bgcolor="#FFFFA4"><div
color: #000000; bgcolor="#FFFF79"><div align="left" align="left"
class="style3">I. PERSONAL class="style7">Gender:</div></td>
} INFORMATION </div></td>
<td bgcolor="#FFFFDD"><span
.style3 { </tr> class="style7">
font-family: Verdana, Arial, <tr> <input name="radiobutton"
Helvetica, sans-serif; type="radio" value="radiobutton" />
<td width="149"
font-weight: bold; bgcolor="#FFFFA4"><div align="left" Male
class="style7">Name:</div></td>
} <input name="radiobutton"
<td width="652" type="radio" value="radiobutton" />
.style4 {color: #FFFFFF} bgcolor="#FFFFDD"><span
class="style5"> Female</span></td>
.style5 {
<input name="textfield" </tr>
color: #FFCCCC;
type="text" value="Surname" size =
"20" /> <tr>
font-family: Verdana, Arial,
Helvetica, sans-serif; <td bgcolor="#FFFFA4"><div
&nbsp; &nbsp;
align="left"
}
<input name="textfield4" type="text" class="style7">Age:</div></td>
.style6 {color: #000000} value="First Name" size = "20" />
<td bgcolor="#FFFFDD"><input
.style7 {font-family: Verdana, Arial, &nbsp; &nbsp; name="textfield6" type="text" size =
Helvetica, sans-serif} "5" /></td>
<input name="textfield5" type="text"
--> value="Middle Initial" size = "20" /> </tr>

</style> </span></td> <tr>

</head> </tr>
<td bgcolor="#FFFFA4"><div <option>11</option> <option>1998</option>
align="left"
class="style7">Birthday</div></td> <option>12</option> <option>1999</option>

<td bgcolor="#FFFFDD"><form <option>13</option> <option>2000</option>


action="" method="post"
name="form2" class="style7" <option>14</option> <option>2001</option>
id="form2">
<option>15</option> <option>2002</option>
Month
<option>16</option> <option>2003</option>
<select name="select8">
<option>17</option> <option>2004</option>
<option
<option>18</option> <option>2005</option>
selected="selected">January</option
> <option>19</option> <option>2006</option>
<option>February</option> <option>20</option>
<option>2007</option>
<option>March</option> <option>21</option>
<option>2008</option>
<option>April</option> <option>22</option>
<option>2009</option>
<option>May</option> <option>23</option>
<option>June</option> <option>24</option> <option>2010</option>
<option>July</option> <option>25</option> </select>
<option>August</option> <option>26</option> </form></td>
<option>September</option> <option>27</option> </tr>
<option>October</option> <option>28</option> <tr>
<option>November</option> <option>29</option> <td bgcolor="#FFFFA4"><div
<option>December</option> align="left" class="style7">Civil
<option>30</option> Status: </div></td>
</select> <option>31</option> <td bgcolor="#FFFFDD"><form
Day action="" method="post"
</select>
name="form3" class="style7"
<select name="select8"> Year id="form3">

<option>1</option> <select name="select"> <label>

<option>2</option> <input name="radiobutton"


<option>1991</option> type="radio" value="radiobutton" />
<option>3</option>
<option>1992</option> Single</label>
<option>4</option>
<label>
<option>5</option>
<option>1993</option>
<input name="radiobutton"
<option>6</option> type="radio" value="radiobutton" />

<option>7</option> <option>1994</option>
Married</label>

<option>8</option> <option>1995</option>
<label>

<option>9</option> <option>1996</option>
<input name="radiobutton"
<option>1997</option> type="radio" value="radiobutton" />
<option>10</option>
Widowed</label> <td width="303"><div <td width="303"><div
align="center" class="style7">Honors align="center" class="style7">Honors
<label> and Awards Received: and Awards Received:

<input name="radiobutton" <input type="text" <input type="text"


type="radio" value="radiobutton" /> name="textfield4322" /> name="textfield43222" />

Divorced</label> </div></td> </div></td>

</form> </td> </tr> </tr>

</tr> </table> </table>

<tr> </td> </div>

<td colspan="2" </tr> </form>


bgcolor="#FFFF79"><div align="left"
class="style7"><strong>II. <tr> </div></td>
EDUCATIONAL ATTAINMENT
</strong></div></td> <td colspan="2" </tr>
bgcolor="#FFFFDD"><div align="left">
</tr> <tr>
<form id="form1" name="form1"
<tr> method="post" action=""><div <td colspan="2"
align="left"> bgcolor="#FFFFDD"><div align="left">
<td colspan="2"
bgcolor="#FFFFDD"><table <table width="722" border="0" <table width="722" height="79"
width="722" border="0" align="center" cellpadding="3" border="0" align="center"
align="center" cellpadding="3" cellspacing="2"> cellpadding="3" cellspacing="2">
cellspacing="2">
<tr> <tr>
<tr>
<th colspan="3" <th colspan="3"
<th colspan="3" scope="col" bgcolor="#FFFFA4" bgcolor="#FFFFA4" scope="col"><div
bgcolor="#FFFFA4"><div scope="col"><span align="center"
align="center" class="style7">Secondary</span></th class="style7">Tertiary</div></th>
class="style7">Primary</div></th> >
</tr>
</tr> </tr>
<tr>
<tr> <tr>
<td width="185"><p
<td width="185"><p <td width="185"><p align="center" class="style7">
align="center" class="style7"> align="center" class="style7"> Graduate School:
Graduate School: Graduate School:
<input type="text"
<input type="text" <input type="text" name="textfield4423" />
name="textfield442" /> name="textfield4422" />
</p></td>
</p> </td> </p></td>
<td width="208"><div
<td width="208"><div <td width="208"><div align="center" class="style7">Year
align="center" class="style7">Year align="center" class="style7">Year Graduated:
Graduated: Graduated:
<input type="text"
<input type="text" <input type="text" name="textfield42223" />
name="textfield4222" /> name="textfield42222" />
</div></td>
</div></td> </div></td>
<td width="303"><div
align="center" class="style7">Honors
and Awards Received:
<input type="text" <option>February</option> <option>20</option>
name="textfield43223" />
<option>March</option> <option>21</option>
</div></td>
<option>April</option> <option>22</option>
</tr> </table>
<option>May</option> <option>23</option>
<form id="form1" name="form1"
method="post" action=""><div <option>June</option> <option>24</option>
align="left"></div>
<option>July</option> <option>25</option>
</form></div></td></tr><tr>
<option>August</option> <option>26</option>
<td colspan="2"
bgcolor="#FFFF79"><div align="left" <option>September</option> <option>27</option>
class="style7"><strong>III.
<option>October</option> <option>28</option>
AFFILATIONS </strong></div></td>
<option>November</option> <option>29</option>
</tr> <tr>
<option>December</option> <option>30</option>
<td colspan="2"
bgcolor="#FFFFDD"><table </select> <option>31</option>
width="809" border="0"
align="center" cellpadding="0" <select name="select5"> </select>
cellspacing="1" bgcolor="#FFFFFF">
<option>1</option> <select name="select5">
<tbody> <tr>
<option>2</option> <option>1991</option>
<td width="266" height="32"
align="center" bgcolor="#FFFFA4" <option>3</option> <option>1992</option>
scope="row"><span
class="style7">Name of <option>4</option> <option>1993</option>
Organization</span></td>
<option>5</option> <option>1994</option>
<td width="250" height="32"
<option>6</option> <option>1995</option>
align="center"
bgcolor="#FFFFA4"><span <option>7</option> <option>1996</option>
class="style7">Date of
Membership</span></td> <option>8</option> <option>1997</option>
<td width="302" height="32" <option>9</option> <option>1998</option>
align="center"
bgcolor="#FFFFA4"><span <option>10</option> <option>1999</option>
class="style7">Position</span></td>
<option>11</option> <option>2000</option>
</tr><tr>
<option>12</option> <option>2001</option>
<th height="30" align="center"
bgcolor="#FFFFD5" scope="row">1. <option>13</option> <option>2002</option>

<input name="textfield14" <option>14</option> <option>2003</option>


type="text" id="textfield14" size="30"
/></th> <option>15</option> <option>2004</option>

<td height="30" align="center" <option>16</option> <option>2005</option>


bgcolor="#FFFFD5"><select
<option>17</option> <option>2006</option>
name="select5">
<option>18</option> <option>2007</option>
<option
selected="selected">January</option <option>19</option> <option>2008</option>
>
<option>2009</option> <option>6</option> <option>1995</option>

<option>2010</option> <option>7</option> <option>1996</option>

</select></td> <option>8</option> <option>1997</option>

<td height="30" align="center" <option>9</option> <option>1998</option>


bgcolor="#FFFFD5"><input
name="textfield17" type="text" <option>10</option> <option>1999</option>
id="textfield17" size="40" /></td>
<option>11</option> <option>2000</option>
</tr> <tr>
<option>12</option> <option>2001</option>
<th height="30" align="center"
bgcolor="#FFFFD5" scope="row">2. <option>13</option> <option>2002</option>

<input name="textfield13" <option>14</option> <option>2003</option>


type="text" id="textfield13" size="30"
<option>15</option> <option>2004</option>
/></th>
<option>16</option> <option>2005</option>
<td height="30" align="center"
bgcolor="#FFFFD5"><select <option>17</option> <option>2006</option>
name="select2">
<option>18</option> <option>2007</option>
<option
selected="selected">January</option <option>19</option> <option>2008</option>
>
<option>20</option> <option>2009</option>
<option>February</option>
<option>21</option> <option>2010</option>
<option>March</option>
<option>22</option> </select></td>
<option>April</option>
<option>23</option> <td height="30" align="center"
<option>May</option> bgcolor="#FFFFD5"><input
<option>24</option> name="textfield18" type="text"
<option>June</option> id="textfield18" size="40" /></td>
<option>25</option>
<option>July</option> </tr><tr>
<option>26</option>
<option>August</option> <th height="30" align="center"
<option>27</option> bgcolor="#FFFFD5" scope="row">3.
<option>September</option>
<option>28</option> <input name="textfield15"
<option>October</option>
type="text" id="textfield15" size="30"
<option>29</option>
<option>November</option> /></th>
<option>30</option>
<option>December</option> <td height="30" align="center"
<option>31</option> bgcolor="#FFFFD5"><select
</select> name="select10">
</select>
<select name="select2"> <option
<select name="select2"> selected="selected">January</option
<option>1</option> >
<option>1991</option>
<option>2</option> <option>February</option>
<option>1992</option>
<option>3</option> <option>March</option>
<option>1993</option>
<option>4</option> <option>April</option>
<option>1994</option>
<option>5</option> <option>May</option>
<option>June</option> <option>24</option> name="textfield19" type="text"
id="textfield19" size="40" /></td>
<option>July</option> <option>25</option>
</tr> <tr>
<option>August</option> <option>26</option>
<th height="30" align="center"
<option>September</option> <option>27</option> bgcolor="#FFFFD5" scope="row">4.
<option>October</option> <option>28</option> <input name="textfield16"
type="text" id="textfield16" size="30"
<option>November</option> <option>29</option> /></th>
<option>December</option> <option>30</option> <td height="30" align="center"
bgcolor="#FFFFD5"><select
</select> <option>31</option>
name="select12">
<select name="select10"> </select>
<option
<option>1</option> <select name="select10"> selected="selected">January</option
>
<option>2</option> <option>1991</option>
<option>February</option>
<option>3</option> <option>1992</option>
<option>March</option>
<option>4</option> <option>1993</option>
<option>April</option>
<option>5</option> <option>1994</option>
<option>May</option>
<option>6</option> <option>1995</option>
<option>June</option>
<option>7</option> <option>1996</option>
<option>July</option>
<option>8</option> <option>1997</option>
<option>August</option>
<option>9</option> <option>1998</option>
<option>September</option>
<option>10</option> <option>1999</option>
<option>October</option>
<option>11</option> <option>2000</option>
<option>November</option>
<option>12</option> <option>2001</option>
<option>December</option>
<option>13</option> <option>2002</option>
</select>
<option>14</option> <option>2003</option>
<select name="select12">
<option>15</option> <option>2004</option>
<option>1</option>
<option>16</option> <option>2005</option>
<option>2</option>
<option>17</option> <option>2006</option>
<option>3</option>
<option>18</option> <option>2007</option>
<option>4</option>
<option>19</option> <option>2008</option>
<option>5</option>
<option>20</option> <option>2009</option>
<option>6</option>
<option>21</option> <option>2010</option>
<option>7</option>
<option>22</option> </select></td>
<option>8</option>
<option>23</option> <td height="30" align="center"
bgcolor="#FFFFD5"><input <option>9</option>
<option>10</option> <option>1999</option> <option>October</option>

<option>11</option> <option>2000</option> <option>November</option>

<option>12</option> <option>2001</option> <option>December</option>

<option>13</option> <option>2002</option> </select>

<option>14</option> <option>2003</option> <select name="select11">

<option>15</option> <option>2004</option> <option>1</option>

<option>16</option> <option>2005</option> <option>2</option>

<option>17</option> <option>2006</option> <option>3</option>

<option>18</option> <option>2007</option> <option>4</option>

<option>19</option> <option>2008</option> <option>5</option>

<option>20</option> <option>2009</option> <option>6</option>

<option>21</option> <option>2010</option> <option>7</option>

<option>22</option> </select></td> <option>8</option>

<option>23</option> <td height="30" align="center" <option>9</option>


bgcolor="#FFFFD5"><input
<option>24</option> name="textfield20" type="text" <option>10</option>
id="textfield20" size="40" /></td>
<option>25</option> <option>11</option>
</tr> <tr>
<option>26</option> <option>12</option>
<th height="30" align="center"
<option>27</option> bgcolor="#FFFFD5" scope="row">5. <option>13</option>

<option>28</option> <input name="textfield16" <option>14</option>


type="text" id="textfield16" size="30"
<option>29</option> <option>15</option>
/></th>
<option>30</option> <option>16</option>
<td height="30" align="center"
<option>31</option> bgcolor="#FFFFD5"><select <option>17</option>
name="select11">
</select> <option>18</option>
<option
<select name="select12"> selected="selected">January</option <option>19</option>
>
<option>1991</option> <option>20</option>
<option>February</option>
<option>1992</option> <option>21</option>
<option>March</option>
<option>1993</option> <option>22</option>
<option>April</option>
<option>1994</option> <option>23</option>
<option>May</option>
<option>1995</option> <option>24</option>
<option>June</option>
<option>1996</option> <option>25</option>
<option>July</option>
<option>1997</option> <option>26</option>
<option>August</option>
<option>1998</option> <option>27</option>
<option>September</option>
<option>28</option> class="style7"><strong>IV. SEMINARS <option>November</option>
AND TRAININGS ATTENDED
<option>29</option> </strong></span></td></tr> <option>December</option>

<option>30</option> <td colspan = "2"> </tr> <tr> </select>

<option>31</option> <td height="220" colspan="2" <select name="select3">


bgcolor="#FFFFDD"><table
</select> width="556" height="202" border="0" <option>1</option>
align="center"> <tr>
<select name="select11"> <option>2</option>
<th width="257" scope="row"
<option>1991</option> <option>3</option>
bgcolor="#FFFFA4"><div
<option>1992</option> align="center" <option>4</option>
class="style7"><strong>Name of
<option>1993</option> Seminar/Traning <option>5</option>
</strong></div></th>
<option>1994</option> <option>6</option>
<td width="242"
<option>1995</option> bgcolor="#FFFFA4"><div <option>7</option>
align="center"
<option>1996</option> class="style7"><strong>Date</strong <option>8</option>
></div></td> </tr> <tr>
<option>1997</option> <option>9</option>
<th scope="row"
<option>1998</option> <option>10</option>
bgcolor="#FFFFD5"><div
<option>1999</option> align="center" <option>11</option>
bgcolor="#FFFFD5"><span
<option>2000</option> class="style6">1. <option>12</option>

<option>2001</option> <input name="textfield142" <option>13</option>


type="text" id="textfield142"
<option>2002</option> size="30" /> <option>14</option>

<option>2003</option> </span></div></th> <option>15</option>

<option>2004</option> <td bgcolor="#FFFFD5"><div <option>16</option>


align="center"><span class="style4">
<option>2005</option> <option>17</option>
<select name="select3">
<option>2006</option> <option>18</option>
<option
<option>2007</option> selected="selected">January</option <option>19</option>
>
<option>2008</option> <option>20</option>
<option>February</option>
<option>2009</option> <option>21</option>
<option>March</option>
<option>2010</option> <option>22</option>
<option>April</option>
</select></td> <option>23</option>
<option>May</option>
<td height="30" align="center" <option>24</option>
bgcolor="#FFFFD5"><input <option>June</option>
name="textfield202" type="text" <option>25</option>
id="textfield202" size="40" /></td> <option>July</option>
<option>26</option>
</tr> </tbody> </table> </td> <option>August</option>
</tr><tr> <option>27</option>
<option>September</option>
<td colspan="2" <option>28</option>
bgcolor="#FFFF79"><span <option>October</option>
<option>29</option> </span></div></th> <option>15</option>

<option>30</option> <td bgcolor="#FFFFD5"><div <option>16</option>


align="center"><span class="style4">
<option>31</option> <option>17</option>
<select name="select4">
</select> <option>18</option>
<option
<select name="select3"> selected="selected">January</option <option>19</option>
>
<option>1991</option> <option>20</option>
<option>February</option>
<option>1992</option> <option>21</option>
<option>March</option>
<option>1993</option> <option>22</option>
<option>April</option>
<option>1994</option> <option>23</option>
<option>May</option>
<option>1995</option> <option>24</option>
<option>June</option>
<option>1996</option> <option>25</option>
<option>July</option>
<option>1997</option> <option>26</option>
<option>August</option>
<option>1998</option> <option>27</option>
<option>September</option>
<option>1999</option> <option>28</option>
<option>October</option>
<option>2000</option> <option>29</option>
<option>November</option>
<option>2001</option> <option>30</option>
<option>December</option>
<option>2002</option> <option>31</option>
</select>
<option>2003</option> </select>
<select name="select4">
<option>2004</option> <select name="select4">
<option>1</option>
<option>2005</option> <option>1991</option>
<option>2</option>
<option>2006</option> <option>1992</option>
<option>3</option>
<option>2007</option> <option>1993</option>
<option>4</option>
<option>2008</option> <option>1994</option>
<option>5</option>
<option>2009</option> <option>1995</option>
<option>6</option>
<option>2010</option> <option>1996</option>
<option>7</option>
</select> </span></div></td> <option>1997</option>
<option>8</option>
</tr> <tr> <option>1998</option>
<option>9</option>
<th scope="row" <option>1999</option>
bgcolor="#FFFFD5"><div <option>10</option>
align="center"><span <option>2000</option>
class="style4"><span <option>11</option>
class="style6">2.</span> <option>2001</option>
<option>12</option>
<input name="textfield143" <option>2002</option>
type="text" id="textfield143" <option>13</option>
<option>2003</option>
size="30" />
<option>14</option>
<option>2004</option> <option>1</option> <select name="select6">

<option>2005</option> <option>2</option> <option>1991</option>

<option>2006</option> <option>3</option> <option>1992</option>

<option>2007</option> <option>4</option> <option>1993</option>

<option>2008</option> <option>5</option> <option>1994</option>

<option>2009</option> <option>6</option> <option>1995</option>

<option>2010</option> <option>7</option> <option>1996</option>

</select></span></div></td> <option>8</option> <option>1997</option>

</tr><tr> <option>9</option> <option>1998</option>

<th scope="row" <option>10</option> <option>1999</option>


bgcolor="#FFFFD5"><div
align="center"><span <option>11</option> <option>2000</option>
class="style6">3.
<option>12</option> <option>2001</option>
<input name="textfield144"
type="text" id="textfield144" <option>13</option> <option>2002</option>
size="30" />
<option>14</option> <option>2003</option>
</span></div></th>
<option>15</option> <option>2004</option>
<td bgcolor="#FFFFD5"><div
<option>16</option> <option>2005</option>
align="center"><span class="style4">
<option>17</option> <option>2006</option>
<select name="select6">
<option>18</option> <option>2007</option>
<option
selected="selected">January</option <option>19</option> <option>2008</option>
>
<option>20</option> <option>2009</option>
<option>February</option>
<option>21</option> <option>2010</option>
<option>March</option>
<option>22</option> </select> </span></div></td>
<option>April</option>
<option>23</option> </tr> <tr>
<option>May</option>
<option>24</option> <th scope="row"
<option>June</option> bgcolor="#FFFFD5"><div
<option>25</option> align="center"><span
<option>July</option>
class="style6">4.
<option>26</option>
<option>August</option>
<input name="textfield145"
<option>27</option> type="text" id="textfield145"
<option>September</option>
size="30" />
<option>28</option>
<option>October</option>
</span></div></th>
<option>29</option>
<option>November</option>
<td bgcolor="#FFFFD5"><div
<option>30</option>
<option>December</option> align="center"><span class="style4">
<option>31</option>
</select> <select name="select7">
</select>
<select name="select6">
<option <option>18</option> <option>2007</option>
selected="selected">January</option
> <option>19</option> <option>2008</option>

<option>February</option> <option>20</option> <option>2009</option>

<option>March</option> <option>21</option> <option>2010</option>

<option>April</option> <option>22</option> </select>

<option>May</option> <option>23</option> </span></div></td>

<option>June</option> <option>24</option> </tr> <tr>

<option>July</option> <option>25</option> <th scope="row"


bgcolor="#FFFFD5"><div
<option>August</option> <option>26</option> align="center"><span
class="style6">5.
<option>September</option> <option>27</option>
<input name="textfield146"
<option>October</option> <option>28</option> type="text" id="textfield146"
size="30" />
<option>November</option> <option>29</option>
</span></div></th>
<option>December</option> <option>30</option>
<td bgcolor="#FFFFD5"><div
</select> <option>31</option>
align="center"><span class="style4">
<select name="select7"> </select>
<select name="select9">
<select name="select7"> <option
<option>1</option>
selected="selected">January</option
<option>2</option> <option>1991</option> >

<option>3</option> <option>1992</option> <option>February</option>

<option>4</option> <option>1993</option> <option>March</option>

<option>5</option> <option>1994</option> <option>April</option>

<option>6</option> <option>1995</option> <option>May</option>

<option>7</option> <option>1996</option> <option>June</option>

<option>8</option> <option>1997</option> <option>July</option>

<option>9</option> <option>1998</option> <option>August</option>

<option>10</option> <option>1999</option> <option>September</option>

<option>11</option> <option>2000</option> <option>October</option>

<option>12</option> <option>2001</option> <option>November</option>

<option>13</option> <option>2002</option> <option>December</option>

<option>14</option> <option>2003</option> </select>

<option>15</option> <option>2004</option> <select name="select9">

<option>16</option> <option>2005</option> <option>1</option>

<option>17</option> <option>2006</option> <option>2</option>


<option>3</option> <option>1992</option> <div
align="center"><strong><span
<option>4</option> <option>1993</option> class="style7">Password</span>:</str
ong>
<option>5</option> <option>1994</option>
<input type="password"
<option>6</option> <option>1995</option> name="textfield52" size="50" />
<option>7</option> <option>1996</option> </div> </div> </div></td></tr>
<option>8</option> <option>1997</option> <tr>
<option>9</option> <option>1998</option> <td colspan="2"
bgcolor="#FFFFA4" ><form
<option>10</option> <option>1999</option>
id="form4" name="form4"
<option>11</option> <option>2000</option> method="post" action="">

<option>12</option> <option>2001</option> <div align="center">

<option>13</option> <option>2002</option> <input type="submit"


name="Submit" value="Apply" />
<option>14</option> <option>2003</option>
<label>
<option>15</option> <option>2004</option>
<input type="reset"
<option>16</option> <option>2005</option> name="reset" value="Cancel" />

<option>17</option> <option>2006</option> </label>

<option>18</option> <option>2007</option> </div>

<option>19</option> <option>2008</option> </form> </td>

<option>20</option> <option>2009</option> </tr>

<option>21</option> <option>2010</option> </table>

<option>22</option> </select></span></div></td> </body>


</tr></table></td></tr><tr>
<option>23</option> </html>
<td
<option>24</option> colspan="2"bgcolor="#FFFF79"><span
class="style7"><strong>VI. ABOUT
<option>25</option> YOURSELF </strong></span></td>
<option>26</option> </tr> <tr>
<option>27</option> <td colspan="2"
bgcolor="#FFFFD5"><center>
<option>28</option>
<textarea name="textarea"
<option>29</option>
cols="100" rows="6"
<option>30</option> width="60"></textarea>

<option>31</option> </center></td> </tr>

</select> <td colspan="2"


bgcolor="#FFFFA4">
<select name="select9">
<div align="right"
<option>1991</option> bgcolor="#FFFFCC">
ANDREA NICOLE BANZON 11 - MANDIBLE

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