2N/A<div class="content-bg">

2N/A <h2>{{t "common.user.createNewAccount"}}</h2>

2N/A

2N/A <form action="" method="post" class="form large center">

2N/A <fieldset>

2N/A <div class="fields">

2N/A <div class="field">

2N/A <label>{{t "common.user.username"}}</label>

2N/A <input type='text' name='userName' data-validation-dependents="password" /> <span class="error">x</span>

2N/A <div class='validation-message'></div>

2N/A </div>

2N/A <div class="field">

2N/A <label>{{t "common.user.emailAddress"}}</label>

2N/A <input type='text' name='email' />

2N/A <span class="error">x</span>

2N/A <div class='validation-message'></div>

2N/A </div>

2N/A

2N/A <div class="field">

2N/A <label>{{t "common.user.givenName"}}</label>

2N/A <input type='text' name='givenName' data-validation-dependents="password" />

2N/A <span class="error">x</span>

2N/A <div class='validation-message'></div>

2N/A </div>

2N/A

2N/A <div class="field">

2N/A <label>{{t "common.user.familyName"}}</label>

2N/A <input type='text' name='familyName'

2N/A data-validation-dependents="password" /> <span class="error">x</span>

2N/A <div class='validation-message'></div>

2N/A </div>

2N/A

2N/A <div class="field">

2N/A <label>{{t "common.user.phoneNumber"}}</label>

2N/A <input type="text" name="phoneNumber" />

2N/A

2N/A <span class="error">x</span>

2N/A <div class='validation-message'></div>

2N/A </div>

2N/A

2N/A <div class="field">

2N/A <label>{{t "common.user.role"}}</label>

2N/A {{selectm roles "roles" null null true}}

2N/A

2N/A <span class="error"></span>

2N/A <div class='validation-message'></div>

2N/A </div>

2N/A

2N/A <div class="group-field">

2N/A <div class="group-field-inputs">

2N/A <div class="field">

2N/A <label>{{t "common.user.password"}}</label>

2N/A <input type='password' name='password' value='' data-validation-dependents="passwordConfirm"/>

2N/A <span class="error">x</span>

2N/A </div>

2N/A

2N/A <div class="field">

2N/A <label>{{t "common.user.confirmPassword"}}</label>

2N/A <input type='password' name='passwordConfirm' value='' data-validator="passwordConfirm" data-validator-event="keyup change" />

2N/A <span class="error">x</span>

2N/A </div>

2N/A </div>

2N/A <div class="group-field-errors validationRules" data-for-validator="password passwordConfirm">

2N/A <div class="field-rule">

2N/A <span class="error">x</span>

2N/A <span data-for-validator="passwordConfirm">{{t "common.form.validation.confirmationMatchesPassword"}}</span>

2N/A </div>

2N/A </div>

2N/A <div class="clear"></div>

2N/A </div>

2N/A <div class="field field-submit">

2N/A <input type="submit" name="createButton" class="button" value="Create" />

2N/A <div class="input-validation-message">{{t "common.form.validation.formContainsErrors"}}</div>

</div>

</div>

</fieldset>

</form>

</div>