/[pdpsoft]/branches/nl.nikhef.jgridstart-flyingsaucer/nl.nikhef.jgridstart/src/nl/nikhef/jgridstart/gui/certificate_request_01.html
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Revision 250 - (hide annotations) (download)
Wed Apr 22 14:54:57 2009 UTC (12 years, 9 months ago) by wvengen
File MIME type: text/plain
File size: 1132 byte(s)
merge trunk revision 249 (template support pending)
1 wvengen 203 <html>
2     <head>
3     <title>Request a new certificate</title>
4 wvengen 250 <link rel="stylesheet" type="text/css" href="stylesheet.css"/>
5 wvengen 203 </head>
6     <body>
7     <h1>Request a new certificate - Personal Details</h1>
8    
9     <p>Before you get access to the grid computing facilities, we need some
10     personal information and proof that you are who you claim to be. We are
11     verify careful with your personal details, please read the
12     <a href="http://ca.dutchgrid.nl/privacy.html">privacy policy</a> for
13     additional information.</p>
14     <p></p>
15    
16 wvengen 243 <form><table>
17 wvengen 203 <tr>
18 wvengen 204 <th><u>F</u>amily name</th>
19 wvengen 250 <td><input type="text" size="15" name="surname" accesskey="F"/></td>
20 wvengen 203 </tr>
21     <tr>
22     <th>Given name(s)</th>
23 wvengen 250 <td><input type="text" size="25" name="givenname"/></td>
24 wvengen 203 </tr>
25     <tr>
26     <th>Place of birth</th>
27     <td>
28 wvengen 250 <input type="text" size="15" name="birthplace"/>
29 wvengen 203 </td>
30     </tr>
31     <tr>
32     <th>Date of birth</th>
33 wvengen 250 <td><input type="text" size="10" name="birthdate"/></td>
34 wvengen 203 </tr>
35     <tr>
36     <th>Personal phone</th>
37 wvengen 250 <td><input type="text" size="10" name="homephone"/></td>
38 wvengen 203 </tr>
39    
40    
41 wvengen 243 </table></form>
42 wvengen 203 </body>
43     </html>

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