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<h2>[% l('Register') %]</h2>
<div id="input_form">
<form method="post" action="/register/check">
<table>
<tr>
<td><label for="uid_">[% l('Username') %]</label></td>
<td><input id="uid_" type="text" name="uid" value="[% c.request.params.uid %]" /</td>
</tr><tr>
<td><label for="gn_">[% l('First name') %]</label></td>
<td><input id="gn_" type="text" name="gn" value="[% c.request.params.gn %]" /></td>
</tr><tr>
<td><label for="sn_">[% l('Surname') %]</label></td>
<td><input id="sn_" type="text" name="sn" value="[% c.request.params.sn %]" /></td>
</tr><tr>
<td><label for="mail1_">[% l('Email address') %]</label></td>
<td><input id="mail1_" type="text" name="mail1" value="[% c.request.params.mail1 %]" /></td>
</tr><tr>
<td><label for="mail2_">[% l('Confirm Email address') %]</label></td>
<td><input id="mail2_" type="text" name="mail2" value="[% c.request.params.mail2 %]" /></td>
</tr><tr>
<td><img src="/register/captcha" /></td>
<td><input type="text" name="validate" /></td>
</tr><tr>
<td colspan="2" style="text-align:center;">
<button type="submit" value="[% l('Register') %]">[% l('Register') %]</button>
</td>
</tr>
</table>
</form>
</div>
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