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May 15, 2017 02:04
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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"> </div> | |
</div> |
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