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<%@ include file="/common/taglibs.jsp"%>
<div class="container-fluid">
<s:form id="" namespace="" action="" method="post">
<s:if test="id!=null">
<s:hidden name="id" value="%{id}" />
<s:if test="">
<s:hidden name="" value="%{}" />
</s:if>
</s:if>
<div><em>* <font style="color:#ff0000">means mandatory fields</font></em></div>
<table class="inputform">
<colgroup>
<col width="200px" />
<col />
</colgroup>
<tr>
<td></td>
<td>
<s:if test="">
<s:submit cssClass="btn btn-primary pull-right" action="evaluation!finalized" value="Finalize Registeration" onclick="if(confirm('Submit your application evaluation form anyway?')){return true;}else{return false;}" />
</s:if>
<s:submit cssClass="btn btn-primary pull-right" value="Continue Editing" />
</td>
</tr>
</table>
<div>
<div>
<h3>Registration Form (External Training)</h3>
<table id="" class="table">
<tr>
<td>
<!-- title.-->
<div class="row">
<div class="form-group">
<div class="col-xs-12 col-md-3">
<label for="lastname" class="col-xs-6"><strong>Title (Dr., Mr., Mrs., etc.):<font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="title" name="" value="%{}" />
</div>
</div>
</div>
<!-- Surname.-->
<div class="row">
<div class="form-group">
<div class="col-xs-12 col-md-6">
<label for="Surname" class="col-xs-6"><strong>Surname:<font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="Surname" name="" value="%{}" />
</div>
<!-- First name-->
<div class="col-xs-12 col-md-6">
<label for="firstname" class="col-xs-6"><strong>First Name: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="firstname" name="" value="%{}" />
</div>
</div>
</div>
<div class="row">
<div class="form-group">
<!-- Gender.-->
<div class="col-xs-12 col-md-6">
<label for="gender" class="col-xs-6"><strong>Gender:<font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="gender" name="" value="%{}" />
</div>
<!--Nationality-->
<div class="col-xs-12 col-md-6">
<label for="firstname" class="col-xs-6"><strong>Nationality: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="Nationality" name="" value="%{}" />
</div>
</div>
</div>
<div class="row">
<!-- Organization.-->
<div class="col-xs-12 col-md-12">
<label for="organization" class="col-xs-6"><strong>Job Title: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="Organization" name="" value="%{}" />
</div>
</div>
<div class="row">
<!-- Office Address.-->
<div class="col-xs-12 col-md-12">
<label for="OfficeAddress" class="col-xs-6"><strong>Organization:<font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="OfficeAddress" name="" value="%{}" />
</div>
</div>
<div class="row">
<!-- Office Address.-->
<div class="col-xs-12 col-md-12">
<label for="OfficeAddress" class="col-xs-6"><strong>Office Address: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="OfficeAddress" name="" value="%{}" />
</div>
</div>
<div class="row">
<!-- Phone.-->
<div class="col-xs-12 col-md-12">
<label for="Phone" class="col-xs-6"><strong>Phone (preferable Mobile):<font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="Phone" name="" value="%{}" />
</div>
</div>
<div class="row">
<!-- E-mail Address: .-->
<div class="col-xs-12 col-md-12">
<label for="Email" class="col-xs-6"><strong>E-mail Address: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="Email" name="" value="%{}" />
</div>
</div>
<div class="row">
<!-- Most recent Education: .-->
<div class="col-xs-12 col-md-12">
<label for="recentEduc" class="col-xs-6"><strong>Most recent Education: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="recentEduc" name="" value="%{}" />
</div>
</div>
<div class="row">
<!-- Relevant areas of interest .-->
<div class="col-xs-12 col-md-12">
<label for="interest" class="col-xs-6"><strong>Relevant areas of interest: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="interest" name="" value="%{}" />
</div>
</div>
<!-- Please tell us what you hope to gain from this course.-->
<div class="row">
<div class="form-group">
<div class="col-xs-12 col-md-12">
<label for="gainfromthiscourse" class="col-xs-12"><strong>Please tell us what you hope to gain from this course.</label>
<s:textarea cssClass="form-control" id="" name="" value="%{}" />
</div>
</div>
</div>
<div class="row">
<!-- Name in Full: .-->
<div class="col-xs-12 col-md-12">
<label for="fullName" class="col-xs-6"><strong>Name in Full: : <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="fullName" name="" value="%{}" />
</div>
<div><em>* <font style="color:#ff0000">(As you would like it to appear in your certificate)</font></em></div>
</div>
<!-- Signature.-->
<div class="row">
<div class="form-group">
<div class="col-xs-12 col-md-6">
<label for="signature" class="col-xs-6"><strong>Signature:<font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="signature" name="" value="%{}" />
</div>
<!--Date-->
<div class="col-xs-12 col-md-6">
<label for="date" class="col-xs-6"><strong>Date: <font style="color:#ff0000">*</font></strong></label>
<s:textfield cssClass="form-control" id="date" name="" value="%{}" />
</div>
</div>
</div>
</td>
</tr>
</table>
<div>
<ul>
<li>Registration is subject to confirmation of received payment, please send payment confirmation to <font style="color:#ff0000">*IITA-TrainingUnit@cgiar.org</font>
</li>
<li>Please send completed registration form to <font style="color:#ff0000">*IITA-TrainingUnit@cgiar.org</font>
</li>
<li>IITA reserves the right to cancel a course 4 weeks to the start date of the course
</li>
</ul>
</div>
</div>
<table class="inputform">
<colgroup>
<col width="200px" />
<col />
</colgroup>
<tr>
<td></td>
<td>
<s:if test="">
<s:submit cssClass="btn btn-primary pull-right" action="" value="" onclick="if(confirm('Submit your Registeration form anyway?')){return true;}else{return false;}" />
</s:if>
<s:submit cssClass="btn btn-primary pull-right" value="Submit Form" />
</td>
</tr>
</table>
</div>
</s:form>
<div class="clearfix">&nbsp;</div>
</div>
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