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Revision 250 - (show annotations) (download)
Wed Apr 22 14:54:57 2009 UTC (12 years, 7 months ago) by wvengen
File MIME type: text/plain
File size: 1132 byte(s)
merge trunk revision 249 (template support pending)
1 <html>
2 <head>
3 <title>Request a new certificate</title>
4 <link rel="stylesheet" type="text/css" href="stylesheet.css"/>
5 </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 <form><table>
17 <tr>
18 <th><u>F</u>amily name</th>
19 <td><input type="text" size="15" name="surname" accesskey="F"/></td>
20 </tr>
21 <tr>
22 <th>Given name(s)</th>
23 <td><input type="text" size="25" name="givenname"/></td>
24 </tr>
25 <tr>
26 <th>Place of birth</th>
27 <td>
28 <input type="text" size="15" name="birthplace"/>
29 </td>
30 </tr>
31 <tr>
32 <th>Date of birth</th>
33 <td><input type="text" size="10" name="birthdate"/></td>
34 </tr>
35 <tr>
36 <th>Personal phone</th>
37 <td><input type="text" size="10" name="homephone"/></td>
38 </tr>
39
40
41 </table></form>
42 </body>
43 </html>

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