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Revision 329 - (hide annotations) (download)
Thu May 7 13:43:09 2009 UTC (12 years, 8 months ago) by wvengen
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small rework of organisation properties in request form; add friendly message when submit completed
1 wvengen 249 <html>
2     <head>
3     <title>Request a new certificate</title>
4 wvengen 251 <link rel="stylesheet" type="text/css" href="stylesheet-registration_form.css"/>
5 wvengen 249 </head>
6     <body>
7     <h1>DutchGrid Certification Authorities Registration</h1>
8    
9     <table class="reserved">
10     <tr>
11     <th>Reserved for CA operations use</th>
12     <td class="fillin" style="text-align: right">........ - ......</td>
13     </tr>
14     <tr>
15 wvengen 271 <td colspan="2" class="fillin-fixed"><span c="${subject}">/O=dutchgrid/O=users/O=somewhere/CN=John Doe</span></td>
16 wvengen 249 </tr>
17     <tr>
18     <td colspan="2">
19 wvengen 252 <span class="check">&#x25a1; ID Document valid</span>
20     <span class="check">&#x25a1; PoP Challenge verified</span>
21     <span class="check">&#x25a1; RA Signature OK</span>
22 wvengen 249 </td>
23     </tr>
24     </table>
25    
26     <div class="userdata">
27     <table><tr>
28 wvengen 271 <td class="userinfo">
29     <table>
30 wvengen 249 <tr><td colspan="2">Surname <div class="fillin" c="${surname}">Doe</div></td></tr>
31 wvengen 311 <tr><td colspan="2">Given names <div class="fillin" c="${givenname}">John</div></td></tr>
32 wvengen 249 <tr>
33     <td>Place of Birth <div class="fillin" c="${birthplace}">Someplace</div></td>
34     <td style="text-align:right">Date of birth <div class="fillin" c="${birthdate}">01 Jan 1900</div></td>
35     </tr>
36 wvengen 327 <tr><td colspan="2">Identity paper type, number, country <div class="fillin"><span if="${identity}" c="${identity}, ${country}">Passport NL12345678, NL</span></div></td></tr>
37 wvengen 271 <tr><td colspan="2">SOFI number <span class="comment">(optional)</span><div class="fillin" c="${sofi}"></div></td></tr>
38 wvengen 249 </table>
39     </td>
40 wvengen 271 <td class="ra">
41     <h2 style="text-align:center">Send this form by mail or fax to</h2>
42 wvengen 329 <address c="${org.ra.address}">DutchGrid MS CA
43 wvengen 249 NIKHEF c/o Someone
44     P.O. Box 12345
45     NL 1009 DB Amsterdam
46     The Netherlands
47    
48     fax: +31 20 592 5155
49 wvengen 271 </address>
50 wvengen 249 </td>
51     </tr></table>
52    
53 wvengen 271 <div class="pop">
54     <h2>The first twenty (20) characters of your proof-of-possession challenge:</h2>
55     <div class="fillin" c="${modulus.first20}">0123456789ABCDEF0123</div>
56     </div>
57    
58     <div class="contact">
59     <h2>Contact Information</h2>
60     </div>
61    
62     <table class="userinfo">
63     <tr>
64     <td>Name <div class="fillin" c="${givenname} ${surname}">John Doe</div></td>
65     <td>Streed addres <span class="comment">(physical delivery address)</span> <div class="fillin" c="${street}">Bar avenue 0</div></td>
66     </tr>
67     <tr>
68     <td>Organisation <div class="fillin" c="${org}">Foo inc.</div></td>
69     <td>ZIP code <div class="fillin" c="${zip}">1234AA</div></td>
70     </tr>
71     <tr>
72     <td>Phone number <div class="fillin" c="${phone}">+31 (0)123 456789</div></td>
73     <td>Place <span class="comment">(and province where applicable)</span> <div class="fillin" c="${place}">Heaven</div></td>
74     </tr>
75     <tr>
76     <td>Email address <div class="fillin" c="${email}">john@heaven.mil</div></td>
77     </tr>
78     </table>
79    
80     <div class="signature">
81     <h2>Signature</h2>
82    
83     I have filled all data truthfully and to the best of my knowledge, and will
84     abide by the <a href="http://ca.dutchgrid.nl/medium/policy/">certificate policy
85     and practice statement</a> of the DutchGrid Certification Authority.
86    
87     <table><tr>
88     <td class="signature-box" rowspan="2">Signature <div class="fillin"></div></td>
89     <td class="signature-info">Place and date <div class="fillin"></div></td>
90     </tr>
91     <tr><td><br/><br/></td></tr></table>
92     </div>
93    
94 wvengen 249 </div>
95 wvengen 271
96    
97     <table class="reserved">
98     <tr><th colspan="2">Reserved for RA operations use</th></tr>
99    
100     <tr><td colspan="2" class="ra">
101     I, <span class="fillin"><sup>RA name</sup></span> have
102     verified the identity of the requester based on the identity piece
103     listed above, and confirm that the information is complete and
104     accurate.
105     I met the applicant in person on
106     <span class="fillin"><sup>date and time of meeting</sup></span> at
107     <span class="fillin"><sup>meeting place</sup></span> and have confirmed
108     his affiliation with <span class="fillin"><sup>organisation name</sup></span>
109     to the extent required in the
110     <a href="http://ca.dutchgrid.nl/medium/policy/">certificate policy
111     and practice statement</a>.
112     </td></tr>
113     <tr>
114     <td class="notes-box">Notes</td>
115     <td class="signature-box">Signature of registration authority<br/><br/><br/><br/></td>
116     </tr>
117     </table>
118    
119 wvengen 249 </body>
120     </html>

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