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	<id>https://tfacs.tsadra.org/index.php?action=history&amp;feed=atom&amp;title=Testing_flex_form2</id>
	<title>Testing flex form2 - Revision history</title>
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	<updated>2026-10-19T01:37:51Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://tfacs.tsadra.org/index.php?title=Testing_flex_form2&amp;diff=19882&amp;oldid=prev</id>
		<title>Mingyur: Undo revision 19881 by Mingyur (talk)</title>
		<link rel="alternate" type="text/html" href="https://tfacs.tsadra.org/index.php?title=Testing_flex_form2&amp;diff=19882&amp;oldid=prev"/>
		<updated>2024-03-29T14:54:35Z</updated>

		<summary type="html">&lt;p&gt;Undo revision 19881 by &lt;a href=&quot;/index.php/Special:Contributions/Mingyur&quot; title=&quot;Special:Contributions/Mingyur&quot;&gt;Mingyur&lt;/a&gt; (&lt;a href=&quot;/index.php/User_talk:Mingyur&quot; title=&quot;User talk:Mingyur&quot;&gt;talk&lt;/a&gt;)&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:54, 29 March 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_form &lt;/del&gt;action=&quot;email&quot; id=&quot;TfacsSubmission&quot; no_submit_on_return mwreturn=&quot;Thank you for your submission!&quot; enctype=&quot;multipart/form-data&quot;&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;form &lt;/ins&gt;action=&quot;email&quot; id=&quot;TfacsSubmission&quot; no_submit_on_return mwreturn=&quot;Thank you for your submission!&quot; enctype=&quot;multipart/form-data&quot;&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_email template=&amp;quot;SubmissionEmailTemplate&amp;quot; to=&amp;quot;jplazas@tsadra.org,mingyur@tsadra.org&amp;quot; subject=&amp;quot;Submission for Contemplative Scholarship&amp;quot;&amp;gt;&amp;lt;/_email&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_email template=&amp;quot;SubmissionEmailTemplate&amp;quot; to=&amp;quot;jplazas@tsadra.org,mingyur@tsadra.org&amp;quot; subject=&amp;quot;Submission for Contemplative Scholarship&amp;quot;&amp;gt;&amp;lt;/_email&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_create mwwrite=&amp;quot;Admin:{{CURRENTTIMESTAMP}} [firstname] [lastname]&amp;quot; mwtemplate=&amp;quot;Submission&amp;quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_create mwwrite=&amp;quot;Admin:{{CURRENTTIMESTAMP}} [firstname] [lastname]&amp;quot; mwtemplate=&amp;quot;Submission&amp;quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l5&quot;&gt;Line 5:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 5:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;firstname&amp;quot;&amp;gt;Name {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;firstname&amp;quot;&amp;gt;Name {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;firstname&quot; placeholder=&quot;first name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;firstname&quot; placeholder=&quot;first name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;lastname&quot; placeholder=&quot;last name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;lastname&quot; placeholder=&quot;last name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthdate&amp;quot;&amp;gt;Date of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthdate&amp;quot;&amp;gt;Date of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;type=&quot;date&quot; name=&quot;birthdate&quot; value=&quot;{{CURRENTYEAR}}-{{CURRENTMONTH}}-{{CURRENTDAY}}&quot; min=&quot;1900-01-01&quot; max=&quot;2999-12-31&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;type=&quot;date&quot; name=&quot;birthdate&quot; value=&quot;{{CURRENTYEAR}}-{{CURRENTMONTH}}-{{CURRENTDAY}}&quot; min=&quot;1900-01-01&quot; max=&quot;2999-12-31&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthcountry&amp;quot;&amp;gt;Country of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthcountry&amp;quot;&amp;gt;Country of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l15&quot;&gt;Line 15:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 15:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;street&amp;quot;&amp;gt;Address {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;street&amp;quot;&amp;gt;Address {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street&quot; placeholder=&quot;street address&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street&quot; placeholder=&quot;street address&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street2&quot; placeholder=&quot;address line 2&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street2&quot; placeholder=&quot;address line 2&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;city&quot; placeholder=&quot;city&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;stateprov&quot; placeholder=&quot;state / province&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;city&quot; placeholder=&quot;city&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;stateprov&quot; placeholder=&quot;state / province&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;postalcode&quot; placeholder=&quot;zip/postal code&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;select style=&quot;width: 50%;&quot; name=&quot;country&quot; selected=&quot;&quot; options=&quot;{{ListOfCountries}}&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;postalcode&quot; placeholder=&quot;zip/postal code&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;select style=&quot;width: 50%;&quot; name=&quot;country&quot; selected=&quot;&quot; options=&quot;{{ListOfCountries}}&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;email&amp;quot;&amp;gt;Contact {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;email&amp;quot;&amp;gt;Contact {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;email&quot; name=&quot;email&quot; placeholder=&quot;email&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;email&quot; name=&quot;email&quot; placeholder=&quot;email&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;tel&quot; id=&quot;phone&quot; name=&quot;telephone&quot; placeholder=&quot;phone number&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;tel&quot; id=&quot;phone&quot; name=&quot;telephone&quot; placeholder=&quot;phone number&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Include [https://en.wikipedia.org/wiki/List_of_country_calling_codes#Ordered_by_code an international code] if applicable.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Include [https://en.wikipedia.org/wiki/List_of_country_calling_codes#Ordered_by_code an international code] if applicable.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|}&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|}&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/del&gt;type=&quot;submit&quot; value=&quot;submit&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/ins&gt;type=&quot;submit&quot; value=&quot;submit&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;/&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_form&lt;/del&gt;&amp;gt;{{#widget:FlexForm.css}}&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;/&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;form&lt;/ins&gt;&amp;gt;{{#widget:FlexForm.css}}&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Mingyur</name></author>
	</entry>
	<entry>
		<id>https://tfacs.tsadra.org/index.php?title=Testing_flex_form2&amp;diff=19881&amp;oldid=prev</id>
		<title>Mingyur at 14:41, 29 March 2024</title>
		<link rel="alternate" type="text/html" href="https://tfacs.tsadra.org/index.php?title=Testing_flex_form2&amp;diff=19881&amp;oldid=prev"/>
		<updated>2024-03-29T14:41:22Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:41, 29 March 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;form &lt;/del&gt;action=&quot;email&quot; id=&quot;TfacsSubmission&quot; no_submit_on_return mwreturn=&quot;Thank you for your submission!&quot; enctype=&quot;multipart/form-data&quot;&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_form &lt;/ins&gt;action=&quot;email&quot; id=&quot;TfacsSubmission&quot; no_submit_on_return mwreturn=&quot;Thank you for your submission!&quot; enctype=&quot;multipart/form-data&quot;&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_email template=&amp;quot;SubmissionEmailTemplate&amp;quot; to=&amp;quot;jplazas@tsadra.org,mingyur@tsadra.org&amp;quot; subject=&amp;quot;Submission for Contemplative Scholarship&amp;quot;&amp;gt;&amp;lt;/_email&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_email template=&amp;quot;SubmissionEmailTemplate&amp;quot; to=&amp;quot;jplazas@tsadra.org,mingyur@tsadra.org&amp;quot; subject=&amp;quot;Submission for Contemplative Scholarship&amp;quot;&amp;gt;&amp;lt;/_email&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_create mwwrite=&amp;quot;Admin:{{CURRENTTIMESTAMP}} [firstname] [lastname]&amp;quot; mwtemplate=&amp;quot;Submission&amp;quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;_create mwwrite=&amp;quot;Admin:{{CURRENTTIMESTAMP}} [firstname] [lastname]&amp;quot; mwtemplate=&amp;quot;Submission&amp;quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l5&quot;&gt;Line 5:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 5:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;firstname&amp;quot;&amp;gt;Name {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;firstname&amp;quot;&amp;gt;Name {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;firstname&quot; placeholder=&quot;first name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;firstname&quot; placeholder=&quot;first name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;lastname&quot; placeholder=&quot;last name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;lastname&quot; placeholder=&quot;last name&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthdate&amp;quot;&amp;gt;Date of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthdate&amp;quot;&amp;gt;Date of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;type=&quot;date&quot; name=&quot;birthdate&quot; value=&quot;{{CURRENTYEAR}}-{{CURRENTMONTH}}-{{CURRENTDAY}}&quot; min=&quot;1900-01-01&quot; max=&quot;2999-12-31&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;type=&quot;date&quot; name=&quot;birthdate&quot; value=&quot;{{CURRENTYEAR}}-{{CURRENTMONTH}}-{{CURRENTDAY}}&quot; min=&quot;1900-01-01&quot; max=&quot;2999-12-31&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthcountry&amp;quot;&amp;gt;Country of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;birthcountry&amp;quot;&amp;gt;Country of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l15&quot;&gt;Line 15:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 15:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;street&amp;quot;&amp;gt;Address {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;street&amp;quot;&amp;gt;Address {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street&quot; placeholder=&quot;street address&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street&quot; placeholder=&quot;street address&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street2&quot; placeholder=&quot;address line 2&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;text&quot; name=&quot;street2&quot; placeholder=&quot;address line 2&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;city&quot; placeholder=&quot;city&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;stateprov&quot; placeholder=&quot;state / province&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;city&quot; placeholder=&quot;city&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;stateprov&quot; placeholder=&quot;state / province&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;postalcode&quot; placeholder=&quot;zip/postal code&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;select style=&quot;width: 50%;&quot; name=&quot;country&quot; selected=&quot;&quot; options=&quot;{{ListOfCountries}}&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 50%;&quot; type=&quot;text&quot; name=&quot;postalcode&quot; placeholder=&quot;zip/postal code&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;select style=&quot;width: 50%;&quot; name=&quot;country&quot; selected=&quot;&quot; options=&quot;{{ListOfCountries}}&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|-&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;email&amp;quot;&amp;gt;Contact {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;! &amp;lt;label for=&amp;quot;email&amp;quot;&amp;gt;Contact {{r|*}}&amp;lt;/label&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;email&quot; name=&quot;email&quot; placeholder=&quot;email&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;| &amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;email&quot; name=&quot;email&quot; placeholder=&quot;email&quot; required=&quot;required&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;style=&quot;width: 100%;&quot; type=&quot;tel&quot; id=&quot;phone&quot; name=&quot;telephone&quot; placeholder=&quot;phone number&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;style=&quot;width: 100%;&quot; type=&quot;tel&quot; id=&quot;phone&quot; name=&quot;telephone&quot; placeholder=&quot;phone number&quot; required=&quot;required&quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Include [https://en.wikipedia.org/wiki/List_of_country_calling_codes#Ordered_by_code an international code] if applicable.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Include [https://en.wikipedia.org/wiki/List_of_country_calling_codes#Ordered_by_code an international code] if applicable.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|}&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;|}&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;input &lt;/del&gt;type=&quot;submit&quot; value=&quot;submit&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_input &lt;/ins&gt;type=&quot;submit&quot; value=&quot;submit&quot; /&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;/&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;form&lt;/del&gt;&amp;gt;{{#widget:FlexForm.css}}&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;lt;/&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;_form&lt;/ins&gt;&amp;gt;{{#widget:FlexForm.css}}&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Mingyur</name></author>
	</entry>
	<entry>
		<id>https://tfacs.tsadra.org/index.php?title=Testing_flex_form2&amp;diff=19776&amp;oldid=prev</id>
		<title>Mingyur: Created page with &quot;&lt;form action=&quot;email&quot; id=&quot;TfacsSubmission&quot; no_submit_on_return mwreturn=&quot;Thank you for your submission!&quot; enctype=&quot;multipart/form-data&quot;&gt; &lt;_email template=&quot;SubmissionEmailTemplat...&quot;</title>
		<link rel="alternate" type="text/html" href="https://tfacs.tsadra.org/index.php?title=Testing_flex_form2&amp;diff=19776&amp;oldid=prev"/>
		<updated>2024-02-12T10:27:29Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;&amp;lt;form action=&amp;quot;email&amp;quot; id=&amp;quot;TfacsSubmission&amp;quot; no_submit_on_return mwreturn=&amp;quot;Thank you for your submission!&amp;quot; enctype=&amp;quot;multipart/form-data&amp;quot;&amp;gt; &amp;lt;_email template=&amp;quot;SubmissionEmailTemplat...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;&amp;lt;form action=&amp;quot;email&amp;quot; id=&amp;quot;TfacsSubmission&amp;quot; no_submit_on_return mwreturn=&amp;quot;Thank you for your submission!&amp;quot; enctype=&amp;quot;multipart/form-data&amp;quot;&amp;gt;&lt;br /&gt;
&amp;lt;_email template=&amp;quot;SubmissionEmailTemplate&amp;quot; to=&amp;quot;jplazas@tsadra.org,mingyur@tsadra.org&amp;quot; subject=&amp;quot;Submission for Contemplative Scholarship&amp;quot;&amp;gt;&amp;lt;/_email&amp;gt;&lt;br /&gt;
&amp;lt;_create mwwrite=&amp;quot;Admin:{{CURRENTTIMESTAMP}} [firstname] [lastname]&amp;quot; mwtemplate=&amp;quot;Submission&amp;quot; /&amp;gt;&lt;br /&gt;
{| class=&amp;quot;smwtable-clean th-top-right border&amp;quot;&lt;br /&gt;
|-&lt;br /&gt;
! &amp;lt;label for=&amp;quot;firstname&amp;quot;&amp;gt;Name {{r|*}}&amp;lt;/label&amp;gt;&lt;br /&gt;
| &amp;lt;input style=&amp;quot;width: 50%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;firstname&amp;quot; placeholder=&amp;quot;first name&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&lt;br /&gt;
&amp;lt;input style=&amp;quot;width: 50%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;lastname&amp;quot; placeholder=&amp;quot;last name&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
! &amp;lt;label for=&amp;quot;birthdate&amp;quot;&amp;gt;Date of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;br /&gt;
| &amp;lt;input type=&amp;quot;date&amp;quot; name=&amp;quot;birthdate&amp;quot; value=&amp;quot;{{CURRENTYEAR}}-{{CURRENTMONTH}}-{{CURRENTDAY}}&amp;quot; min=&amp;quot;1900-01-01&amp;quot; max=&amp;quot;2999-12-31&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
! &amp;lt;label for=&amp;quot;birthcountry&amp;quot;&amp;gt;Country of birth {{r|*}}&amp;lt;/label&amp;gt;&lt;br /&gt;
| &amp;lt;select name=&amp;quot;birthcountry&amp;quot; selected=&amp;quot;&amp;quot; placeholder=&amp;quot;select&amp;quot; options=&amp;quot;{{ListOfCountries}}&amp;quot; /&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
! &amp;lt;label for=&amp;quot;street&amp;quot;&amp;gt;Address {{r|*}}&amp;lt;/label&amp;gt;&lt;br /&gt;
| &amp;lt;input style=&amp;quot;width: 100%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;street&amp;quot; placeholder=&amp;quot;street address&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;br /&gt;
&amp;lt;input style=&amp;quot;width: 100%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;street2&amp;quot; placeholder=&amp;quot;address line 2&amp;quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;br /&gt;
&amp;lt;input style=&amp;quot;width: 50%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;city&amp;quot; placeholder=&amp;quot;city&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&amp;lt;input style=&amp;quot;width: 50%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;stateprov&amp;quot; placeholder=&amp;quot;state / province&amp;quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;br /&gt;
&amp;lt;input style=&amp;quot;width: 50%;&amp;quot; type=&amp;quot;text&amp;quot; name=&amp;quot;postalcode&amp;quot; placeholder=&amp;quot;zip/postal code&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&amp;lt;select style=&amp;quot;width: 50%;&amp;quot; name=&amp;quot;country&amp;quot; selected=&amp;quot;&amp;quot; options=&amp;quot;{{ListOfCountries}}&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&lt;br /&gt;
|-&lt;br /&gt;
! &amp;lt;label for=&amp;quot;email&amp;quot;&amp;gt;Contact {{r|*}}&amp;lt;/label&amp;gt;&lt;br /&gt;
| &amp;lt;input style=&amp;quot;width: 100%;&amp;quot; type=&amp;quot;email&amp;quot; name=&amp;quot;email&amp;quot; placeholder=&amp;quot;email&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&lt;br /&gt;
&amp;lt;input style=&amp;quot;width: 100%;&amp;quot; type=&amp;quot;tel&amp;quot; id=&amp;quot;phone&amp;quot; name=&amp;quot;telephone&amp;quot; placeholder=&amp;quot;phone number&amp;quot; required=&amp;quot;required&amp;quot; /&amp;gt;&amp;lt;br&amp;gt;&lt;br /&gt;
Include [https://en.wikipedia.org/wiki/List_of_country_calling_codes#Ordered_by_code an international code] if applicable.&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
&amp;lt;input type=&amp;quot;submit&amp;quot; value=&amp;quot;submit&amp;quot; /&amp;gt;&lt;br /&gt;
&amp;lt;/form&amp;gt;{{#widget:FlexForm.css}}&lt;/div&gt;</summary>
		<author><name>Mingyur</name></author>
	</entry>
</feed>