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112 lines
4.5 KiB
PHP
112 lines
4.5 KiB
PHP
<? /*
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Copyright (C) 2004 by Duane Groth <duane_at_CAcert_dot_org>
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This file is part of CAcert.
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CAcert has been released under the CAcert Source License
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which can be found included with these source files or can
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be downloaded from the internet from the following address:
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http://www.cacert.org/src-lic.php
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CAcert is distributed WITHOUT ANY WARRANTY; without even
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the implied warranty of MERCHANTABILITY or FITNESS FOR A
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PARTICULAR PURPOSE. See the License for more details.
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*/ ?>
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<p><?=_("Warning! This site requires cookies to be enabled to ensure your privacy and security. This site uses session cookies to store temporary values to prevent people from copying and pasting the session ID to someone else exposing their account, personal details and identity theft as a result.")?></p>
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<form method="post" action="index.php">
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<table align="center" valign="middle" border="0" cellspacing="0" cellpadding="0" class="wrapper" width="400">
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<tr>
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<td colspan="2" class="title"><?=_("My Details")?></td>
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</tr>
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<tr>
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<td class="DataTD" width="125"><?=_("First Name")?>: </td>
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<td class="DataTD" width="125"><input type="text" name="fname" value="<?=$_SESSION[signup][fname]?>"></td>
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</tr>
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<tr>
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<td class="DataTD" valign="top"><?=_("Middle Name(s)")?><br>
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(<?=_("optional")?>)
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</td>
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<td class="DataTD"><input type="text" name="mname" value="<?=$_SESSION[signup][mname]?>"></td>
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</tr>
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<tr>
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<td class="DataTD"><?=_("Last Name")?>: </td>
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<td class="DataTD"><input type="text" name="lname" value="<?=$_SESSION[signup][lname]?>"></td>
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</tr>
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<tr>
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<td class="DataTD"><?=_("Suffix")?><br>
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(<?=_("optional")?>)</td>
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<td class="DataTD"><input type="text" name="suffix" value="<?=$_SESSION[signup][suffix]?>"></td>
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</tr>
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<tr>
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<td class="DataTD"><?=_("Date of Birth")?><br>
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(<?=_("dd/mm/yyyy")?>)</td>
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<td class="DataTD"><nobr><select name="day">
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<?
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for($i = 1; $i <= 31; $i++)
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{
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echo "<option";
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if($_SESSION[signup][day] == $i)
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echo " selected";
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echo ">$i</option>";
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}
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?>
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</select>
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<select name="month">
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<?
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for($i = 1; $i <= 12; $i++)
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{
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echo "<option value='$i'";
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if($_SESSION[signup][month] == $i)
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echo " selected";
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echo ">".date("F", mktime(0, 0, 0, $i, 1, 0))."</option>";
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}
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?>
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</select>
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<input type="text" name="year" value="<?=$_SESSION[signup][year]?>" size="4"></nobr>
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</td>
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</tr>
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<tr>
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<td class="DataTD"><?=_("Email Address")?>: </td>
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<td class="DataTD"><input type="text" name="email" value="<?=$_SESSION[signup][email]?>"></td>
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</tr>
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<tr>
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<td class="DataTD"><?=_("Pass Phrase")?><font color="red">*</font>: </td>
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<td class="DataTD"><input type="password" name="pword1"></td>
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</tr>
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<tr>
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<td class="DataTD"><?=_("Pass Phrase Again")?><font color="red">*</font>: </td>
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<td class="DataTD"><input type="password" name="pword2"></td>
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</tr>
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<tr>
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<td class="DataTD" colspan="2"><font color="red">*</font><?=_("Please note, in the interests of good security, the pass phrase must be made up of an upper case letter, lower case letter, number and symbol.")?></td>
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</tr>
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<tr>
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<td class="DataTD" colspan="2"><?=_("Lost Pass Phrase Questions - Please enter five questions and your reponses to be used for security verifcation.")?></td>
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</tr>
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<tr>
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<td class="DataTD">1) <input type="text" name="Q1" size="15" value="<?=$_SESSION[signup][Q1]?>"></td>
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<td class="DataTD"><input type="text" name="A1" value="<?=$_SESSION[signup][A1]?>"></td>
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</tr>
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<tr>
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<td class="DataTD">2) <input type="text" name="Q2" size="15" value="<?=$_SESSION[signup][Q2]?>"></td>
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<td class="DataTD"><input type="text" name="A2" value="<?=$_SESSION[signup][A2]?>"></td>
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</tr>
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<tr>
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<td class="DataTD">3) <input type="text" name="Q3" size="15" value="<?=$_SESSION[signup][Q3]?>"></td>
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<td class="DataTD"><input type="text" name="A3" value="<?=$_SESSION[signup][A3]?>"></td>
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</tr>
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<tr>
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<td class="DataTD">4) <input type="text" name="Q4" size="15" value="<?=$_SESSION[signup][Q4]?>"></td>
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<td class="DataTD"><input type="text" name="A4" value="<?=$_SESSION[signup][A4]?>"></td>
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</tr>
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<tr>
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<td class="DataTD">5) <input type="text" name="Q5" size="15" value="<?=$_SESSION[signup][Q5]?>"></td>
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<td class="DataTD"><input type="text" name="A5" value="<?=$_SESSION[signup][A5]?>"></td>
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</tr>
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<tr>
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<td class="DataTD" colspan="2"><input type="submit" name="process" value="<?=_("Next")?>"></td>
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</tr>
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</table>
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<input type="hidden" name="oldid" value="<?=$id?>">
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</form>
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