<script>
function verifyForm(){
	if(document.getElementById("Password").value!='' && document.getElementById("NewPassword").value!='' && document.getElementById("ConfirmPassword").value!=''){
		alert("hi ! "+document.getElementById("Password").value+", "+document.getElementById("NewPassword").value+", "+document.getElementById("ConfirmPassword").value);
		document.changepassform.submit();
	}else{
		alert("please enter password");
		return false;
	}
}
</script>
                <tr>
                	<td>
                    	<table cellpadding="0" cellspacing="0" border="0" align="center" class="container">
                            <tr>
                            	<td class="content-header">
                    				<div><img src="images/blue-arrow.png"/><font> <?php echo $word[$lang]['114']; ?></font></div>
                                </td>
                            </tr>
                            <tr>
                                <td class="content">
                    				<table cellpadding="0" cellspacing="0" border="0">
                                        <tr><td style="height:30px;"></td></tr>
                                    	<tr>
                                        	<td style="width:77px;">
                                            </td>
                                            <td class="content-field">
                                            	<form name="changepassform" method="post" onsubmit="return verifyForm();">
                                                <table cellpadding="0" cellspacing="3" border="0">
                                                	<tr>
                                                    	<td style="width:200px;"><?php echo $word[$lang]['115']; ?></td>
                                                        <td>:</td>
                                                        <td style="width:200px;"><input id="Bank" name="Bank" type="text" value="" placeholder="<?php echo $word[$lang]['115']; ?>" /></td>
                                                        <td class="content-field-smallinfo"></td>
                                                    </tr>
                                                	<tr><td style="height:5px;"></td></tr>
                                                	<tr>
                                                    	<td style="width:200px;"><?php echo $word[$lang]['116']; ?></td>
                                                        <td>:</td>
                                                        <td style="width:200px;"><input id="BankAccount" name="BankAccount" type="text" value="" placeholder="<?php echo $word[$lang]['116']; ?>" /></td>
                                                        <td class="content-field-smallinfo"></td>
                                                    </tr>
                                                	<tr><td style="height:5px;"></td></tr>
                                                	<tr>
                                                    	<td style="width:200px;"><?php echo $word[$lang]['117']; ?></td>
                                                        <td>:</td>
                                                        <td style="width:200px;"><input id="HolderName" name="HolderName" type="text" value="" placeholder="<?php echo $word[$lang]['117']; ?>" /></td>
                                                        <td class="content-field-smallinfo"></td>
                                                    </tr>
                                                	<tr><td style="height:5px;"></td></tr>
                                                	<tr>
                                                    	<td></td>
                                                        <td></td>
                                                        <td><input type="submit" class="submitButt" value="<?php echo $word[$lang]['118']; ?>" id="changepass"></td>
                                                        <td></td>
                                                    </tr>
                                                </table>
                                                </form>
                                            </td>
                                        	<td style="width:77px;">
                                            </td>
                                        </tr>
                                    </table>
                                </td>
                            </tr>
                        </table>
                    </td>
                </tr>