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fix: XSS via Test Server Management interface
[gigi.git] / src / club / wpia / gigi / pages / wot / AssureeSearch.templ
1 <form method="POST">
2 <table class="table">
3   <thead>
4   <tr>
5     <th colspan="2" class="title"><?=_Verify Someone?></th>
6   </tr>
7   </thead>
8   <tbody>
9   <tr>
10     <td><?=_Email?>: </td>
11     <td><input class="form-control" type="text" name="email" required></td>
12   </tr>
13   <tr>
14     <td><?=_Date of Birth?><br>
15         (<?=_yyyy-mm-dd?>)</td>
16     <td><?=$DoB?></td>
17   </tr>
18   <tr>
19     <td colspan="2"><input class="btn btn-primary" type="submit" name="search" value="<?=_Next?>"></td>
20   </tr>
21   </tbody>
22 </table>
23 </form>