<%@ Page Title="" Language="vb" AutoEventWireup="false" MasterPageFile="~/Driver2/Application/Application2.master" CodeBehind="PersonalInformation.aspx.vb" Inherits="Web.PersonalInformation" %>
<%@ MasterType VirtualPath="Application2.Master" %>
<%@ Register TagPrefix="ctrl" Namespace="Web" Assembly="Web" %>
<%@ Register Src="~/_include/controls/SocialBox.ascx" TagPrefix="ctrl" TagName="SocialBox" %>
<%@ Register Src="~/_include/controls/StatePicker.ascx" TagPrefix="ctrl" TagName="StatePicker" %>
<%@ Register Src="~/_include/controls/YesNoPicker.ascx" TagPrefix="ctrl" TagName="YesNoPicker" %>
<asp:Content ID="Content1" ContentPlaceHolderID="phContent" runat="server">

    <h3>Driver Information</h3>

    <section>

        <ul class="formFields">
            <li>
                <asp:Label runat="server" AssociatedControlID="txtNameFirst"
                    Text="Applicant's Legal Name" />
            </li>
            <li>
                    <asp:Label runat="server" AssociatedControlID="txtNameFirst"
                        Text="First" />
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="txtNameFirst"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:TextBox ID="txtNameFirst" runat="server"
                        MaxLength="50" />
            </li>
            <li>
                    <asp:Label runat="server" AssociatedControlID="txtNameMiddle"
                        Text="Middle" />
                    <asp:TextBox ID="txtNameMiddle" runat="server"
                        MaxLength="50" />
            </li>
            <li>
                    <asp:Label runat="server" AssociatedControlID="txtNameLast"
                        Text="Last" />
                    <asp:RequiredFieldValidator runat="server" ControlToValidate="txtNameLast"
                        Text="required" Display="Dynamic" CssClass="required" />
                    <asp:TextBox ID="txtNameLast" runat="server"
                        MaxLength="50" />
            </li>
            <li>
                    <asp:Label runat="server" AssociatedControlID="txtNameSuffix"
                        Text="Suffix" />
                    <asp:TextBox ID="txtNameSuffix" runat="server"
                        MaxLength="50" />
            </li>
            <li>
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtSocial"
                    Text="required" Display="Dynamic" CssClass="required" />
                <asp:Label runat="server" AssociatedControlID="txtSocial"
                    Text="Social Security Number" />
                <ctrl:SocialBox ID="txtSocial" runat="server"  />
            </li>
            <li>
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtDateBirth"
                    Text="required" Display="Dynamic" CssClass="required" />
                <asp:Label runat="server" AssociatedControlID="txtDateBirth"
                    Text="Date of Birth" />
                <asp:TextBox ID="txtDateBirth" runat="server"
                    MaxLength="50" TextMode="Date" />
            </li>
        </ul>

        <ul class="formFields">
            <li>
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtEmail"
                    Text="required" Display="Dynamic" CssClass="required" />
                <asp:Label runat="server" AssociatedControlID="txtEmail"
                    Text="Email" />
                <asp:TextBox ID="txtEmail" runat="server" MaxLength="128" />
            </li>
            <li>
                <asp:RequiredFieldValidator runat="server" ControlToValidate="txtPhone"
                    Text="required" Display="Dynamic" CssClass="required" />
                <asp:Label runat="server" AssociatedControlID="txtPhone"
                    Text="Phone" />
                <asp:TextBox ID="txtPhone" runat="server"
                    MaxLength="50" TextMode="Phone"
                    placeholder="(###)###-####" />
            </li>
        </ul>

    
    </section>

  


</asp:Content>

