upd: rename package name and all references to it

[gigi.git] / src / club / wpia / gigi / pages / wot / AssureeSearch.templ

diff --git a/src/club/wpia/gigi/pages/wot/AssureeSearch.templ b/src/club/wpia/gigi/pages/wot/AssureeSearch.templ
new file mode 100644 (file)
index 0000000..5be32b1
--- /dev/null
+++ b/src/club/wpia/gigi/pages/wot/AssureeSearch.templ
@@ -0,0 +1,23 @@
+<form method="POST">
+<table class="table">
+  <thead>
+  <tr>
+    <th colspan="2" class="title"><?=_Verify Someone?></th>
+  </tr>
+  </thead>
+  <tbody>
+  <tr>
+    <td><?=_Email?>: </td>
+    <td><input class="form-control" type="text" name="email" required></td>
+  </tr>
+  <tr>
+    <td><?=_Date of Birth?><br>
+        (<?=_yyyy-mm-dd?>)</td>
+    <td><?=$DoB?></td>
+  </tr>
+  <tr>
+    <td colspan="2"><input class="btn btn-primary" type="submit" name="search" value="<?=_Next?>"></td>
+  </tr>
+  </tbody>
+</table>
+</form>