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Text File  |  2010-08-20  |  2KB  |  51 lines
  1. ∩╗┐<%@ Page Language="VB" MasterPageFile="~/HealthCard.master" AutoEventWireup="false"
  2.     CodeFile="passRetrieve.aspx.vb" Inherits="passRetrieve" %>
  3.  
  4.  
  5. <asp:Content ID="Content1" ContentPlaceHolderID="cntPageTitle" runat="Server">
  6.                     
  7.                         <h1>PASSWORD RETRIEVAL</h1>
  8.                     
  9. </asp:Content>
  10. <asp:Content ID="Content2" ContentPlaceHolderID="cntBody" runat="Server">
  11.     <form id="form1" runat="server">
  12.                             <div class="login_right">
  13.                                 <div class="fieldgrp">
  14.                                     <span>New? <a href="register.php">Click here to register</a>  |  Forgot
  15.                                         your password? <a href="passRetrieve.aspx">Click here</a></span><br />
  16.                                     <asp:Label ID="lblInvalidLogin" runat="server" ForeColor="Red"></asp:Label>
  17.                                 </div>
  18.                                 <div class="fieldgrp">
  19.                                     <label>
  20.                                         ID Number<strong><span class="style3"> *</span></strong></label>
  21.                                     <div class="field">
  22.                                         <asp:TextBox ID="txtIDNumber" runat="server" CssClass="input1"></asp:TextBox>
  23.                                     </div>
  24.                                 </div>
  25.                                 <div class="fieldgrp">
  26.                                     <label>
  27.                                         <span class="style2"><strong>health</strong></em></span><span class="style1">CARD</span>
  28.                                         Number <strong><span class="style3">*</span></strong></label>
  29.                                     <div class="field">
  30.                                         <asp:TextBox ID="txtHealthCardNumber" runat="server" CssClass="input1"></asp:TextBox>
  31.                                     </div>
  32.                                 </div>
  33.                                 <div class="fieldgrp">
  34.                                     <label>
  35.                                         Surname <strong><span class="style3">*</span></strong></label>
  36.                                     <div class="field">
  37.                                         <asp:TextBox ID="txtSurname" runat="server" CssClass="input1"></asp:TextBox>
  38.                                     </div>
  39.                                 </div>
  40.                                 
  41.                                 <div class="fieldgrp">
  42.                                     <label>
  43.                                          </label>
  44.                                     <asp:ImageButton ID="imgLogin" runat="server" ImageUrl="images/new_submit.jpg" />
  45.                                     <asp:ImageButton ID="ImageButton1" runat="server" ImageUrl="images/new_query.jpg" />
  46.                                 </div>
  47.                             </div>
  48.     </form>
  49.     
  50. </asp:Content>
  51.