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Revision 396 - (show annotations) (download)
Mon Jun 8 15:05:56 2009 UTC (12 years, 5 months ago) by wvengen
File MIME type: text/plain
File size: 11992 byte(s)
add helpful text to verification form in request wizard; don't show print dialog by default anymore
1 <html>
2 <head>
3 <title>Certificate request</title>
4 <link rel="stylesheet" type="text/css" href="stylesheet.css"/>
5 </head>
6 <body class="ui">
7 <h1>Certificate request - 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><input type="text" size="15" name="birthplace"/></td>
28 </tr>
29 <tr>
30 <th>Date of birth</th>
31 <td><input type="text" size="10" name="birthdate"/></td>
32 </tr>
33 <tr>
34 <th>Personal phone</th>
35 <td><input type="text" size="10" name="homephone"/></td>
36 </tr>
37 <tr>
38 <th colspan="2"><b>Proof of identity: passport or driver's license</b></th>
39 </tr>
40 <tr>
41 <th>type &amp; number</th>
42 <td><input type="text" size="25" name="identity"/></td>
43 </tr>
44 <tr>
45 <th>issuing country</th>
46 <td><select name="country">
47 <option value="AF">Afghanistan</option>
48 <option value="AX">&#197;land Islands</option>
49
50 <option value="AL">Albania</option>
51 <option value="DZ">Algeria</option>
52 <option value="AS">American Samoa</option>
53 <option value="AD">Andorra</option>
54 <option value="AO">Angola</option>
55 <option value="AI">Anguilla</option>
56 <option value="AQ">Antarctica</option>
57 <option value="AG">Antigua and Barbuda</option>
58 <option value="AR">Argentina</option>
59
60 <option value="AM">Armenia</option>
61 <option value="AW">Aruba</option>
62 <option value="AU">Australia</option>
63 <option value="AT">Austria</option>
64 <option value="AZ">Azerbaijan</option>
65 <option value="BS">Bahamas</option>
66 <option value="BH">Bahrain</option>
67 <option value="BD">Bangladesh</option>
68 <option value="BB">Barbados</option>
69
70 <option value="BY">Belarus</option>
71 <option value="BE">Belgium</option>
72 <option value="BZ">Belize</option>
73 <option value="BJ">Benin</option>
74 <option value="BM">Bermuda</option>
75 <option value="BT">Bhutan</option>
76 <option value="BO">Bolivia</option>
77 <option value="BA">Bosnia and Herzegovina</option>
78 <option value="BW">Botswana</option>
79
80 <option value="BV">Bouvet Island</option>
81 <option value="BR">Brazil</option>
82 <option value="IO">British Indian Ocean Territory</option>
83 <option value="BN">Brunei Darussalam</option>
84 <option value="BG">Bulgaria</option>
85 <option value="BF">Burkina Faso</option>
86 <option value="BI">Burundi</option>
87 <option value="KH">Cambodia</option>
88 <option value="CM">Cameroon</option>
89
90 <option value="CA">Canada</option>
91 <option value="CV">Cape Verde</option>
92 <option value="KY">Cayman Islands</option>
93 <option value="CF">Central African Republic</option>
94 <option value="TD">Chad</option>
95 <option value="CL">Chile</option>
96 <option value="CN">China</option>
97 <option value="CX">Christmas Island</option>
98 <option value="CC">Cocos (keeling) Islands</option>
99
100 <option value="CO">Colombia</option>
101 <option value="KM">Comoros</option>
102 <option value="CG">Congo</option>
103 <option value="CD">Congo, the Democratic Republic of the</option>
104 <option value="CK">Cook Islands</option>
105 <option value="CR">Costa Rica</option>
106 <option value="CI">Cote d'Ivoire</option>
107 <option value="HR">Croatia</option>
108 <option value="CU">Cuba</option>
109
110 <option value="CY">Cyprus</option>
111 <option value="CZ">Czech Republic</option>
112 <option value="DK">Denmark</option>
113 <option value="DJ">Djibouti</option>
114 <option value="DM">Dominica</option>
115 <option value="DO">Dominican Republic</option>
116 <option value="EC">Ecuador</option>
117 <option value="EG">Egypt</option>
118 <option value="SV">El Salvador</option>
119
120 <option value="GQ">Equatorial Guinea</option>
121 <option value="ER">Eritrea</option>
122 <option value="EE">Estonia</option>
123 <option value="ET">Ethiopia</option>
124 <option value="FK">Falkland Islands (Malvinas)</option>
125 <option value="FO">Faroe Islands</option>
126 <option value="FJ">Fiji</option>
127 <option value="FI">Finland</option>
128 <option value="FR">France</option>
129
130 <option value="GF">French Guiana</option>
131 <option value="PF">French Polynesia</option>
132 <option value="TF">French Southern Territories</option>
133 <option value="GA">Gabon</option>
134 <option value="GM">Gambia</option>
135 <option value="GE">Georgia</option>
136 <option value="DE">Germany</option>
137 <option value="GH">Ghana</option>
138 <option value="GI">Gibraltar</option>
139
140 <option value="GR">Greece</option>
141 <option value="GL">Greenland</option>
142 <option value="GD">Grenada</option>
143 <option value="GP">Guadeloupe</option>
144 <option value="GU">Guam</option>
145 <option value="GT">Guatemala</option>
146 <option value="GG">Guernsey</option>
147 <option value="GN">Guinea</option>
148 <option value="GW">Guinea-bissau</option>
149
150 <option value="GY">Guyana</option>
151 <option value="HT">Haiti</option>
152 <option value="HM">Heard Island and McDonald Islands</option>
153 <option value="VA">Holy Vee (Vatican City State)</option>
154 <option value="HN">Honduras</option>
155 <option value="HK">Hong kong</option>
156 <option value="HU">Hungary</option>
157 <option value="IS">Iceland</option>
158 <option value="IN">India</option>
159
160 <option value="ID">Indonesia</option>
161 <option value="IR">Iran, Islamic Republic of</option>
162 <option value="IQ">Iraq</option>
163 <option value="IE">Ireland</option>
164 <option value="IM">Isle of man</option>
165 <option value="IL">Israel</option>
166 <option value="IT">Italy</option>
167 <option value="JM">Jamaica</option>
168 <option value="JP">Japan</option>
169
170 <option value="JE">Jersey</option>
171 <option value="JO">Jordan</option>
172 <option value="KZ">Kazakhstan</option>
173 <option value="KE">Kenya</option>
174 <option value="KI">Kiribati</option>
175 <option value="KP">Korea, Democratic People's Republic of</option>
176 <option value="KR">Korea, Republic of</option>
177 <option value="KW">Kuwait</option>
178 <option value="KG">Kyrgyzstan</option>
179
180 <option value="LA">Lao People's Remocratic Republic</option>
181 <option value="LV">Latvia</option>
182 <option value="LB">Lebanon</option>
183 <option value="LS">Lesotho</option>
184 <option value="LR">Liberia</option>
185 <option value="LY">Libyan Arab Jamahiriya</option>
186 <option value="LI">Liechtenstein</option>
187 <option value="LT">Lithuania</option>
188 <option value="LU">Luxembourg</option>
189
190 <option value="MO">Macao</option>
191 <option value="MK">Macedonia, the former Yugoslav Republic of</option>
192 <option value="MG">Madagascar</option>
193 <option value="MW">Malawi</option>
194 <option value="MY">Malaysia</option>
195 <option value="MV">Maldives</option>
196 <option value="ML">Mali</option>
197 <option value="MT">Malta</option>
198 <option value="MH">Marshall Islands</option>
199
200 <option value="MQ">Martinique</option>
201 <option value="MR">Mauritania</option>
202 <option value="MU">Mauritius</option>
203 <option value="YT">Mayotte</option>
204 <option value="MX">Mexico</option>
205 <option value="FM">Micronesia, Federated States of</option>
206 <option value="MD">Moldova, Republic of</option>
207 <option value="MC">Monaco</option>
208 <option value="MN">Mongolia</option>
209
210 <option value="MS">Montserrat</option>
211 <option value="MA">Morocco</option>
212 <option value="MZ">Mozambique</option>
213 <option value="MM">Myanmar</option>
214 <option value="NA">Namibia</option>
215 <option value="NR">Nauru</option>
216 <option value="NP">Nepal</option>
217 <option value="NL">Netherlands</option>
218 <option value="AN">Netherlands Antilles</option>
219
220 <option value="NC">New Caledonia</option>
221 <option value="NZ">New Zealand</option>
222 <option value="NI">Nicaragua</option>
223 <option value="NE">Niger</option>
224 <option value="NG">Nigeria</option>
225 <option value="NU">Niue</option>
226 <option value="NF">Norfolk Island</option>
227 <option value="MP">Northern Mariana Islands</option>
228 <option value="NO">Norway</option>
229
230 <option value="OM">Oman</option>
231 <option value="PK">Pakistan</option>
232 <option value="PW">Palau</option>
233 <option value="PS">Palestinian Territory, Occupied</option>
234 <option value="PA">Panama</option>
235 <option value="PG">Papua New Guinea</option>
236 <option value="PY">Paraguay</option>
237 <option value="PE">Peru</option>
238 <option value="PH">Philippines</option>
239
240 <option value="PN">Pitcairn</option>
241 <option value="PL">Poland</option>
242 <option value="PT">Portugal</option>
243 <option value="PR">Puerto rico</option>
244 <option value="QA">Qatar</option>
245 <option value="RE">Reunion</option>
246 <option value="RO">Romania</option>
247 <option value="RU">Russian Federation</option>
248 <option value="RW">Rwanda</option>
249
250 <option value="SH">Saint Helena</option>
251 <option value="KN">Saint Kitts and Nevis</option>
252 <option value="LC">Saint Lucia</option>
253 <option value="PM">Saint Pierre and Miquelon</option>
254 <option value="VC">Saint Vincent and the Grenadines</option>
255 <option value="WS">Samoa</option>
256 <option value="SM">San Marino</option>
257 <option value="ST">Sao Tome and Principe</option>
258 <option value="SA">Saudi Arabia</option>
259
260 <option value="SN">Senegal</option>
261 <option value="CS">Serbia and Montenegro</option>
262 <option value="SC">Seychelles</option>
263 <option value="SL">Sierra Leone</option>
264 <option value="SG">Singapore</option>
265 <option value="SK">Slovakia</option>
266 <option value="SI">Slovenia</option>
267 <option value="SB">Solomon Islands</option>
268 <option value="SO">Somalia</option>
269
270 <option value="ZA">South Africa</option>
271 <option value="GS">South Georgia and the South Sandwich Islands</option>
272 <option value="ES">Spain</option>
273 <option value="LK">Sri Lanka</option>
274 <option value="SD">Sudan</option>
275 <option value="SR">Suriname</option>
276 <option value="SJ">Svalbard and Jan Mayen</option>
277 <option value="SZ">Swaziland</option>
278 <option value="SE">Sweden</option>
279
280 <option value="CH">Switzerland</option>
281 <option value="SY">Syrian Arab Republic</option>
282 <option value="TW">Taiwan, Province of China</option>
283 <option value="TJ">Tajikistan</option>
284 <option value="TZ">Tanzania, United Republic of</option>
285 <option value="TH">Thailand</option>
286 <option value="TL">Timor-leste</option>
287 <option value="TG">Togo</option>
288 <option value="TK">Tokelau</option>
289
290 <option value="TO">Tonga</option>
291 <option value="TT">Trinidad and Tobago</option>
292 <option value="TN">Tunisia</option>
293 <option value="TR">Turkey</option>
294 <option value="TM">Turkmenistan</option>
295 <option value="TC">Turks and Caicos Islands</option>
296 <option value="TV">Tuvalu</option>
297 <option value="UG">Uganda</option>
298 <option value="UA">Ukraine</option>
299
300 <option value="AE">United Arab Emirates</option>
301 <option value="GB">United Kingdom</option>
302 <option value="US">United States</option>
303 <option value="UM">United States minor Outlying Islands</option>
304 <option value="UY">Uruguay</option>
305 <option value="UZ">Uzbekistan</option>
306 <option value="VU">Vanuatu</option>
307 <option value="VE">Venezuela</option>
308 <option value="VN">Viet nam</option>
309
310 <option value="VG">Virgin Islands, British</option>
311 <option value="VI">Virgin Islands, U.S.</option>
312 <option value="WF">Wallis and Futuna</option>
313 <option value="EH">Western Sahara</option>
314 <option value="YE">Yemen</option>
315 <option value="ZM">Zambia</option>
316 <option value="ZW">Zimbabwe</option>
317 </select></td>
318 </tr>
319 </table></form>
320 </body>
321 </html>

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