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Viewing changes to modules/ngorongorodependents/templates/en_US/form_dependent.html

  • Committer: Juma Lungo
  • Date: 2018-04-15 06:02:04 UTC
  • Revision ID: juma.lungo@zalongwa.com-20180415060204-byjo15g8degj6axf
updated dependents module

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Lines of Context:
modules/ngorongorodependents/templates/en_US/form_dependent.html
 
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<tbody id="person_form">
 
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<tr><th colspan='2'>Dependent Information</th></tr>
 
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<tr>
 
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        <td><span type="form" name="dependent:first_name" showhead="default"/></td>
 
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        <td><span type="form" name="dependent:mobile_no" showhead="default"/></td>
 
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</tr>
 
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<tr>
 
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        <td><span type="form" name="dependent:other_name" showhead="default"/></td>
 
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        <td><span type="form" name="dependent:altmobile_no" showhead="default"/></td>
 
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</tr>
 
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<tr>
 
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        <td><span type="form" name="dependent:surname" showhead="default"/></td>
 
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        <td><span type="form" name="dependent:email_address" showhead="default"/></td>
 
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</tr>
 
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<tr>
 
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        <td><span type="form" name="dependent:gender" showhead="default"/></td>
 
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        <td><span type="form" name="dependent:religion" showhead="default"/></td>
 
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</tr>
 
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<tr>
 
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        <td><span type="form" name="dependent:date_birth" showhead="default"/></td>   
 
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        <td><span type="form" name="dependent:contact_address" showhead="default"/></td>
 
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</tr>
 
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<tr>
 
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        <td><span type="form" name="dependent:DependentsRelationships" showhead="default"/></td>
 
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        <td><span type="form" name="dependent:dependentCertificate" showhead="default"/></td>
 
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</tr>
 
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</tbody>