| 101 | | <td><input type="password" name="password_again" size="30" onkeypress="return focusNext(this.form, 'form_submit', event)"></td> |
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| | 105 | <td><input type="password" name="password_again" size="30" onkeypress="return focusNext(this.form, 'age', event)"></td> |
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| | 106 | </tr> |
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| | 107 | <tr> |
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| | 108 | <th>{"Age"|_}:</th> |
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| | 109 | <td><input type="text" name="age" value="{$age}" size="30" id="form_age" onkeypress="return focusNext(this.form, 'address', event)"></td> |
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| | 110 | </tr> |
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| | 111 | <tr> |
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| | 112 | <th>{"Street address"|_}:</th> |
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| | 113 | <td><input type="text" name="address" value="{$address}" size="30" id="form_address" onkeypress="return focusNext(this.form, 'postalcode', event)"></td> |
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| | 114 | </tr> |
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| | 115 | <tr> |
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| | 116 | <th>{"Postal code"|_}:</th> |
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| | 117 | <td><input type="text" name="postalcode" value="{$postalcode}" size="30" id="form_postalcode" onkeypress="return focusNext(this.form, 'city', event)"></td> |
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| | 118 | </tr> |
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| | 119 | <tr> |
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| | 120 | <th>{"City"|_}:</th> |
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| | 121 | <td><input type="text" name="city" value="{$city}" size="30" id="form_city" onkeypress="return focusNext(this.form, 'country', event)"></td> |
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| | 122 | </tr> |
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| | 123 | <tr> |
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| | 124 | <th>{"Country"|_}:</th> |
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| | 125 | <td><input type="text" name="country" value="{$country}" size="30" id="form_country" onkeypress="return focusNext(this.form, 'phone', event)"></td> |
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| | 126 | </tr> |
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| | 127 | <tr> |
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| | 128 | <th>{"Public phone number"|_}:</th> |
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| | 129 | <td><input type="text" name="phone" value="{$phone}" size="30" id="form_phone" onkeypress="return focusNext(this.form, 'certifhonneur', event)"></td> |
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| | 130 | </tr> |
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| | 131 | <tr> |
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| | 132 | <th></th> |
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| | 133 | <td><input type="radio" name="certifhonneur" value="{$certifhonneur}" id="form_certifhonneur" onkeypress="return focusNext(this.form, 'form_submit', event)"></td> |
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| | 134 | Je certifie sur lâhonneur lâexactitude de cette déclaration.<br> |
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