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Revision 329 - (show annotations) (download)
Thu May 7 13:43:09 2009 UTC (12 years, 7 months ago) by wvengen
File MIME type: text/plain
File size: 4561 byte(s)
small rework of organisation properties in request form; add friendly message when submit completed
1 <html>
2 <head>
3 <title>Request a new certificate</title>
4 <link rel="stylesheet" type="text/css" href="stylesheet-registration_form.css"/>
5 </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 <td colspan="2" class="fillin-fixed"><span c="${subject}">/O=dutchgrid/O=users/O=somewhere/CN=John Doe</span></td>
16 </tr>
17 <tr>
18 <td colspan="2">
19 <span class="check">&#x25a1; ID Document valid</span>
20 <span class="check">&#x25a1; PoP Challenge verified</span>
21 <span class="check">&#x25a1; RA Signature OK</span>
22 </td>
23 </tr>
24 </table>
25
26 <div class="userdata">
27 <table><tr>
28 <td class="userinfo">
29 <table>
30 <tr><td colspan="2">Surname <div class="fillin" c="${surname}">Doe</div></td></tr>
31 <tr><td colspan="2">Given names <div class="fillin" c="${givenname}">John</div></td></tr>
32 <tr>
33 <td>Place of Birth <div class="fillin" c="${birthplace}">Someplace</div></td>
34 <td style="text-align:right">Date of birth <div class="fillin" c="${birthdate}">01 Jan 1900</div></td>
35 </tr>
36 <tr><td colspan="2">Identity paper type, number, country <div class="fillin"><span if="${identity}" c="${identity}, ${country}">Passport NL12345678, NL</span></div></td></tr>
37 <tr><td colspan="2">SOFI number <span class="comment">(optional)</span><div class="fillin" c="${sofi}"></div></td></tr>
38 </table>
39 </td>
40 <td class="ra">
41 <h2 style="text-align:center">Send this form by mail or fax to</h2>
42 <address c="${org.ra.address}">DutchGrid MS CA
43 NIKHEF c/o Someone
44 P.O. Box 12345
45 NL 1009 DB Amsterdam
46 The Netherlands
47
48 fax: +31 20 592 5155
49 </address>
50 </td>
51 </tr></table>
52
53 <div class="pop">
54 <h2>The first twenty (20) characters of your proof-of-possession challenge:</h2>
55 <div class="fillin" c="${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 </div>
95
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 </body>
120 </html>

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