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<h2>[% l('Register') %]</h2>
<div id="input_form">
<form method="post" action="/register/check">
<h3>[% l('Username') %]</h3>
<label for="uid_">[% l('Username') %]</label><br />
<input id="uid_" type="text" name="uid" value="[% c.request.params.uid %]" /><br />
<p>
<h3>[% l('Personal Information') %]</h3>
<label for="gn_">[% l('First name') %]</label><br/>
<input id="gn_" type="text" name="gn" value="[% c.request.params.gn %]" /><br />
<label for="sn_">[% l('Surname') %]</label><br/>
<input id="sn_" type="text" name="sn" value="[% c.request.params.sn %]" /><br />
</p>
<p>
<h3>[% l('Email') %]</h3>
<label for="mail1_">[% l('Email address') %]</label><br/>
<input id="mail1_" type="text" name="mail1" value="[% c.request.params.mail1 %]" /><br />
<label for="mail2_">[% l('Confirm Email address') %]</label><br/>
<input id="mail2_" type="text" name="mail2" value="[% c.request.params.mail2 %]" /><br />
</p>
<p>
<h3>[% l('Captcha') %]</h3>
<img src="/register/captcha" /><br />
<label for="test">[% l('Enter text') %]</label><br/>
<input type="text" name="validate" /><br/>
</p>
<button type="submit" value="[% l('Register') %]">[% l('Register') %]</button>
</form>
</div>
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