clockwerk-www – Blame information for rev 57
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Rev | Author | Line No. | Line |
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47 | eva | 1 | <!DOCTYPE html> |
2 | <html> |
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3 | <head> |
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4 | <title>Clockwerk</title> |
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5 | <link rel="stylesheet" href="css/gray.css" type="text/css" /> |
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57 | vero | 6 | <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" /> |
47 | eva | 7 | </head> |
8 | <body class="dark-grey"> |
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9 | <div> |
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10 | <div class="center"> |
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57 | vero | 11 | <img src="img/clockwerk-logo.png" alt="logo"> |
47 | eva | 12 | <h1><?php print gethostname(); ?></h1> |
13 | <hr> |
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14 | </div> |
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15 | <script type="text/javascript" src="lib/jquery.min.js"></script> |
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51 | zed | 16 | <form class="dark-grey" style="color:#000;text-shadow:none;text-align:left;max-width:480px;min-width:150px" method="post" action="applyiar.php" enctype="multipart/form-data"><div class="title"></div> |
47 | eva | 17 | <div class="element-input" ><label class="title">Agent First Name<span class="required"></span></label><input class="large" type="text" name="first" required="required"/></div> |
18 | <div class="element-input" ><label class="title">Agent Last Name<span class="required"></span></label><input class="large" type="text" name="last" required="required"/></div> |
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19 | <div class="element-file" ><label class="title">IAR File</label><label class="large" ><div class="button">Choose File</div><input type="file" class="file_input" name="file" /><div class="file_text">No file selected</div></label></div> |
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20 | <div class="element-password" ><label class="title">Password<span class="required"></span></label><input class="large" type="password" name="password" value="" required="required"/></div> |
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21 | <div class="element-recaptcha" ><label class="title">Captcha</label><script type="text/javascript">var RecaptchaOptions = {theme : "clean"};</script> |
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22 | <script type="text/javascript" src="http://www.google.com/recaptcha/api/challenge?k=6Lcz9ukSAAAAAPu4CYSJCjPiZeQJgG0ywy4wL_Fj&theme=clean"></script> |
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23 | <noscript><iframe src="http://www.google.com/recaptcha/api/noscript?k=6Lcz9ukSAAAAAPu4CYSJCjPiZeQJgG0ywy4wL_Fj&hl=en" height="300" width="500" frameborder="0"></iframe></br> |
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24 | <textarea name="recaptcha_challenge_field" rows="3" cols="40"></textarea><input type="hidden" name="recaptcha_response_field" value="manual_challenge"></noscript> |
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25 | <script type="text/javascript">if (/#invalidcaptcha$/.test(window.location)) (document.getElementById("recaptcha_widget_div")).className += " error"</script></div> |
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26 | |||
27 | <div class="submit"> |
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28 | <input type="submit" value="Upload"> |
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29 | <input type="button" onclick="parent.location='welcome.php'" value="Cancel"> |
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30 | </div> |
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31 | </form> |
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32 | <script type="text/javascript" src="lib/gray.js"></script> |
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33 | |||
34 | </div> |
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35 | </body> |
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36 | </html> |