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PHP Version : 7.4.19
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Directory :  /inetpub/wwwroot/icd/msc/sources/

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Current File : /inetpub/wwwroot/icd/msc/sources/applyonline_old.php
<?php
	global $mCtrl, $fields, $error;
	
?>


<h2>@[FORM_HEADER]</h2>

<p>
	@[INTRO_TEXT]
</p>

<script>
	$(function(){		
		$('#clear_form').buttonset();
		$('#clear_form').show();
		$('#recover_form').buttonset();
		$('#recover_form').show();
		$('#trbutSubmit').buttonset();
		$('#application_form').show();		
	});
</script>

<form name="clear_form" id="clear_form" method="POST" style="display: none">
	<div align="right"><input type="submit" name="butClear" value="@[LBL_CLEAR]" onclick="return confirm('@[MSG_CONFIRM_CLEAR]')" style="width: 390px;" /></div>
</form>
<form name="recover_form" id="recover_form" method="POST" style="display: none">
	<div align="right"><input type="submit" name="butRecover" value="@[LBL_RECOVER]" onclick="return confirm('@[MSG_CONFIRM_RECOVER]')" style="width: 390px;" /></div>
</form>

<script type="text/javascript">
 var RecaptchaOptions = {
 	 custom_translations : { instructions_visual : "@[RECAPTCHA_INSTRUCTIONS]" },
    theme : 'white'
 };
</script>
 
<form name="application_form" id="application_form" method="POST" style="display: none">
	<table id="contacttable" cols="2">
<?php
	$fields->render($mCtrl);
?>

		<tr>
			<td></td>
			<td><?php echo "<div style=\"margin: 5px 0px 5px 0px\">" . recaptcha_get_html(Utils::RECAPTCHA_PUBKEY, $error) . "</div>"; ?></td>
		</tr>
		<tr id="trbutSubmit">
			<td></td>
			<td><input type="submit" name="butSubmit" value="@[LBL_SUBMIT]" onclick="return confirm('@[MSG_CONFIRM_SUBMIT]')" style="width: 390px;" /></td>
		</tr>

		
	</table>
</form>


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