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[gigi.git] / src / club / wpia / gigi / pages / main / Signup.templ
1 <table class="table">
2   <thead>
3   <tr>
4     <th colspan="3"><?=_My Details?></th>
5   </tr>
6   </thead>
7
8   <tbody>
9   <tr>
10     <td><?=_Name?>: </td>
11     <td><?=$name?></td>
12     <td rowspan="4"><?=$!helpOnNames?></td>
13   </tr>
14
15   <tr>
16     <td><?=_Date of Birth?>:<br>
17         (<?=_yyyy-mm-dd?>)</td>
18     <td><?=$dob?></td>
19     <td><?=_The required minimum age is ${dobmin} years.?></td>
20   </tr>
21
22   <tr>
23     <td><?=_Residence Country?>:</td>
24     <td><?=$countryCode?></td>
25     <td><?=_The country in which you currently reside. This information is optional and used for statistical purposes only.?></td>
26   </tr>
27
28   <tr>
29     <td><?=_Email Address?>:</td>
30     <td><input type="text" name="email" size="30" value="<?=$email?>" autocomplete="off"></td>
31     <td><?=_I own or am authorised to control this email address?></td>
32   </tr>
33
34   <tr>
35     <td><?=_Password?><font color="red">*</font>: </td>
36     <td><input class="form-control" type="password" name="pword1" size="30" autocomplete="off"></td>
37     <td rowspan="2">&nbsp;</td>
38   </tr>
39
40   <tr>
41     <td><?=_Password Again?><font color="red">*</font>: </td>
42     <td><input class="form-control" type="password" name="pword2" size="30" autocomplete="off"></td>
43   </tr>
44
45   <tr>
46     <td colspan="3"><font color="red">*</font><?=_Your password is one of many factors to protect your account from unauthorised access. A good password is hard to guess, long, and contains a diverse set of characters. For the current requirements and to learn more, visit our !(/kb/goodPassword)FAQ!'</a>'.?></td>
47   </tr>
48
49   <tr>
50     <td colspan="3"><input type="checkbox" name="tos_agree" id="tos_agree" value="1"><label for="tos_agree"><?=_I agree to the Terms of Service (!(/policy/ToS)ToS!'</a>').?></label></td>
51   </tr>
52
53   <tr>
54     <td colspan="3"><input type="checkbox" name="dp_agree" id="dp_agree" value="1"><label for="dp_agree"><?=_I accept the (!(/policy/dataPrivacy)Data Protection Policy!'</a>').?></label></td>
55   </tr>
56
57   <tr>
58     <td colspan="3"><?=_When you click on next, we will send a confirmation email to the email address you have entered above.?></td>
59   </tr>
60
61   <tr>
62     <td colspan="3"><input class="btn btn-primary" type="submit" name="process" value="<?=_Next?>"></td>
63   </tr>
64   </tbody>
65 </table>