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| 1 | <metal:html> |
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| 2 | <metal:body use-macro="here/main_template/macros/master"> |
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| 3 | <metal:main fill-slot="main"> |
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| 4 | <h3>Contact</h3> |
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| 5 | <br /> |
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| 6 | <form id="form1" name="form1" method="post" action="mail2admin"> |
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| 7 | <table width="100%" border="0" cellspacing="0" cellpadding="0"> |
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| 8 | <tr> |
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| 9 | <td width="150px"> |
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| 10 | <strong>Full Name: </strong> |
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| 11 | </td> |
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| 12 | <td> |
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| 13 | <input name="fullname" type="text" id="fullname" /> |
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| 14 | </td> |
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| 15 | </tr> |
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| 16 | <tr> |
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| 17 | <td> |
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| 18 | <strong>Student ID: </strong> |
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| 19 | </td> |
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| 20 | <td> |
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| 21 | <input name="regno" type="text" id="regno" /> |
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| 22 | </td> |
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| 23 | </tr> |
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| 24 | <tr> |
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| 25 | <td> |
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| 26 | <strong>Email: </strong> |
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| 27 | </td> |
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| 28 | <td> |
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| 29 | <input name="email" type="text" id="email" /> |
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| 30 | </td> |
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| 31 | </tr> |
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| 32 | <tr> |
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| 33 | <td> |
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| 34 | <strong>Problem Type: </strong> |
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| 35 | </td> |
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| 36 | <td> |
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| 37 | <select name="probtype" class="boxgreen" id="probtype"> |
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| 38 | <option>-- Select Type --</option> |
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| 39 | <option>Payment</option> |
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| 40 | <option>Registration</option> |
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| 41 | <option>Application</option> |
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| 42 | <option>Login</option> |
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| 43 | <option>Admission</option> |
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| 44 | </select> |
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| 45 | </td> |
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| 46 | </tr> |
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| 47 | <tr> |
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| 48 | <td> |
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| 49 | <strong>Description: </strong> |
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| 50 | </td> |
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| 51 | <td> |
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| 52 | <textarea name="descr" rows="10" cols="60" id="descr"></textarea> |
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| 53 | </td> |
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| 54 | </tr> |
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| 55 | <tr> |
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| 56 | <td> |
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| 57 | <strong>Comments: </strong> |
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| 58 | </td> |
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| 59 | <td> |
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| 60 | <textarea name="commt" rows="10" cols="60" id="commt"></textarea> |
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| 61 | </td> |
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| 62 | </tr> |
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| 63 | |
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| 64 | <tr> |
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| 65 | <td> </td> |
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| 66 | <td><input name="Submit" type="submit" class="standalone" value="Submit" /><br /><br /></td> |
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| 67 | </tr> |
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| 68 | </table> |
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| 69 | </form> |
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| 70 | </metal:main> |
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| 71 | </metal:body> |
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| 72 | </metal:html> |
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