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<html> |
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<head> |
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<title>Request a new certificate</title> |
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<style type="text/css"><!-- |
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body { font-size: 14pt; } |
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h1 { font-weight: bold; font-size: 18pt; } |
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.topinfo-ok { color: #006600; font-weight: bold; } |
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.topinfo-bad { color: #660000; font-weight: bold; } |
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.valid-ok { color: green; font-size: 16pt; font-weight: bold; } |
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.valid-no { color: red; font-size: 16pt; font-weight: bold; } |
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.pending { color: #666666; } |
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th { font-weight: normal; text-align: left; font-style: italic; } |
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td { text-align: left; } |
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//--></style> |
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</head> |
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<body> |
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<h1>Request a new certificate - Personal Details</h1> |
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<p>Before you get access to the grid computing facilities, we need some |
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personal information and proof that you are who you claim to be. We are |
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verify careful with your personal details, please read the |
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<a href="http://ca.dutchgrid.nl/privacy.html">privacy policy</a> for |
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additional information.</p> |
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<p></p> |
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<table> |
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<tr> |
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<th><u>F</u>amily name</th> |
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<td><input type="text" size="15" name="surname" accesskey="F"></td> |
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</tr> |
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<tr> |
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<th>Given name(s)</th> |
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<td><input type="text" size="25" name="givenname"></td> |
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</tr> |
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<tr> |
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<th>Place of birth</th> |
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<td> |
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<input type="text" size="15" name="birthplace"> |
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</td> |
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</tr> |
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<tr> |
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<th>Date of birth</th> |
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<td><input type="text" size="10" name="birthdate"></td> |
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</tr> |
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<tr> |
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<th>Personal phone</th> |
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<td><input type="text" size="10" name="homephone"></td> |
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</tr> |
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</table> |
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</body> |
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</html> |
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