2016-02-01 12:15:38 +00:00
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{% extends "withoutnav_template.html" %}
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2016-01-11 13:15:10 +00:00
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{% from "components/textbox.html" import textbox %}
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2016-01-07 20:11:22 +00:00
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{% from "components/page-footer.html" import page_footer %}
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2015-11-25 16:21:28 +00:00
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2017-02-13 10:45:15 +00:00
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{% block per_page_title %}
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Create an account
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2015-11-25 16:21:28 +00:00
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{% endblock %}
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2016-02-01 12:15:38 +00:00
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{% block maincolumn_content %}
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2015-11-25 16:21:28 +00:00
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<div class="grid-row">
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2016-02-01 16:57:29 +00:00
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<div class="column-two-thirds">
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2016-02-02 14:05:45 +00:00
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<h1 class="heading-large">Create an account</h1>
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2017-02-13 11:49:00 +00:00
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<form method="post" autocomplete="no" novalidate>
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2016-02-04 12:40:56 +00:00
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{{ textbox(form.name, width='3-4') }}
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2016-04-07 14:12:40 +01:00
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{{ textbox(form.email_address, hint="Must be from a central government organisation", width='3-4', safe_error_message=True) }}
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2016-08-22 10:17:03 +01:00
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{{ textbox(form.mobile_number, width='3-4', hint='We’ll send you a security code by text message') }}
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2016-09-28 14:57:50 +01:00
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{{ textbox(form.password, hint="At least 8 characters", width='3-4') }}
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2016-02-01 16:57:29 +00:00
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{{ page_footer("Continue") }}
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</form>
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</div>
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2015-11-25 16:21:28 +00:00
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</div>
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2015-12-01 09:53:14 +00:00
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{% endblock %}
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