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Revision 629 - (show annotations) (download)
Thu Aug 6 10:07:11 2009 UTC (12 years, 4 months ago) by wvengen
File MIME type: text/plain
File size: 5103 byte(s)
* put text of form elements in printout instead of showing the controls themselves; makes printing to PDF forms work as well.
* make verification form tiny bit smaller to fit on page for PDF
1 <html>
2 <head>
3 <title>Verification form</title>
4 <link rel="stylesheet" type="text/css" href="verification_form.css"/>
5 </head>
6 <body>
7 <div class="form">
8 <h1>DutchGrid Certification Authorities Registration</h1>
9
10 <table class="reserved">
11 <tr>
12 <th class="title nowrap">Reserved for CA operations use</th>
13 <td class="fillin" style="text-align: right">........ - ......</td>
14 </tr>
15 <tr>
16 <td colspan="2" class="fillin-fixed"><span c="${subject.x-dn-slash}">/O=dutchgrid/O=users/O=fooinc/CN=John Doe</span></td>
17 </tr>
18 <tr>
19 <td colspan="2">
20 <span class="check">ID Document valid</span>
21 <span class="check">PoP Challenge verified</span>
22 <span class="check">RA Signature OK</span>
23 </td>
24 </tr>
25 </table>
26
27 <!-- In the input fields, we specify here both name="var" and value="${var}". But at
28 printing we replace form elements with DIVs, and that needs the data present
29 in the document itself. -->
30 <div class="userdata">
31 <table><tr>
32 <td class="userinfo" style="width: 60%" rowspan="2">
33 <table>
34 <tr><td colspan="2">Surname <br/><div class="fillin" c="${surname}">Doe</div></td></tr>
35 <tr><td colspan="2">Given names <br/><div class="fillin" c="${givenname}">John</div></td></tr>
36 <tr>
37 <td>Place of Birth <br/><input type="text" class="fillin" name="birthplace" size="20" value="${birthplace}"/></td>
38 <td style="text-align:right">Date of birth <br/><input type="text" class="fillin" name="birthdate" size="8" value="${birthdate}"/></td>
39 </tr>
40 <tr><td colspan="2">Identity paper type, number, country <br/><input type="text" class="fillin" name="id" size="30" value="${id}"/></td></tr>
41 <tr><td colspan="2">SOFI number <span class="comment">(optional)</span><div class="fillin" c="${sofi}"></div></td></tr>
42 </table>
43 </td>
44 <td class="ra">
45 <div class="nowrap center">send this form by mail or fax to</div>
46 <address class="clear" style="vertical-align: bottom; border: 2px solid black;">DutchGrid MS CA
47 NIKHEF c/o Djuhaeri Harapan
48 P.O. Box 41882
49 NL 1009 DB Amsterdam
50 The Netherlands
51
52 fax: +31 20 592 5155
53 </address>
54 </td>
55 </tr></table>
56
57 <div class="pop">
58 <h2>The first twenty (20) characters of your proof-of-possession challenge:</h2>
59 <div class="fillin" c="${modulus.first20}">0123456789ABCDEF0123</div>
60 </div>
61
62 <div class="contact">
63 <h2>Contact Information</h2>
64 </div>
65
66 <table class="userinfo">
67 <tr>
68 <td>Name <br/><div class="fillin" c="${givenname} ${surname}">John Doe</div></td>
69 <td>Street addres <span class="comment">(physical delivery address)</span> <br/><input type="text" class="fillin" name="street" value="${street}"/></td>
70 </tr>
71 <tr>
72 <td>Organisation <br/><div class="fillin" c="${org.rdn.full}">Foo inc.</div></td>
73 <td>ZIP code <br/><input type="text" class="fillin" name="zip" value="${zip}"/></td>
74 </tr>
75 <tr>
76 <td>Phone number <br/><input type="text" class="fillin" name="phone" value="${phone}"/></td>
77 <td>Place <span class="comment">(and province where applicable)</span> <br/><input type="text" class="fillin" name="place" value="${place}"/></td>
78 </tr>
79 <tr>
80 <td>Email address <br/><input type="text" class="fillin" name="email" value="${email}"/></td>
81 </tr>
82 </table>
83
84 <div class="signature">
85 <h2>Signature</h2>
86
87 I have filled all data truthfully and to the best of my knowledge, and will
88 abide by the <a href="http://ca.dutchgrid.nl/medium/policy/">certificate policy
89 and practice statement</a> of the DutchGrid Certification Authority.
90
91 <table class="signature"><tr>
92 <td class="signature-box" rowspan="2">Signature <div class="fillin"></div></td>
93 <td class="signature-info">Place and date <div class="fillin"></div></td>
94 </tr>
95 <tr><td>
96 Please take this form to an RA, like <span c="${org.ranames.html}"/>.
97 </td></tr></table>
98 </div>
99
100 </div>
101
102
103 <table class="reserved signature">
104 <tr><th colspan="2" class="title nowrap">Reserved for RA operations use</th></tr>
105
106 <tr><td colspan="2" class="ra">
107 I, <span class="fillin"><sup>RA name</sup></span> have
108 verified the identity of the requester based on the identity piece
109 listed above, and confirm that the information is complete and
110 accurate.
111 I met the applicant in person on
112 <span class="fillin"><sup>date and time of meeting</sup></span> at
113 <span class="fillin"><sup>meeting place</sup></span> and have confirmed
114 his affiliation with <span class="fillin"><sup>organisation name</sup></span>
115 to the extent required in the
116 <a href="http://ca.dutchgrid.nl/medium/policy/">CP/CPS</a>.
117 </td></tr>
118 <tr>
119 <td class="notes-box">Notes</td>
120 <td class="signature-box">Signature of registration authority<br/><br/><br/><br/></td>
121 </tr>
122 </table>
123 </div>
124 </body>
125 </html>

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