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<div id="submit-header" data-role="header">
<h1>Your details</h1>
</div>
<div data-role="content">
<div id="errors"></div>
<form id="passwordForm" name="passwordForm">
<div id="password_row">
<div class="inputcard">
<div>
<input data-role="none" type="password" value="" name="password" id="form_password" placeholder="Your password" required>
</div>
</div>
<input data-role="button" data-theme="a" type="submit" id="report" name="report" value="Report">
</div>
<div id="check_name" class="nodisplay">
<div class="inputcard">
<div>
<input data-role="none" type="text" value="" id="form_name" name="name">
</div>
<div>
<input data-role="none"type="tel" value="<%= user.phone %>" name="name" id="form_phone" placeholder="Please enter your phone number (optional)">
</div>
<div data-role="fieldcontain">
<fieldset data-role="controlgroup">
<input type="checkbox" name="may_show_name" id="form_may_show_name" value="1" checked>
<label for="form_may_show_name">Show my name publicly</label>
</fieldset>
</div>
</div>
<input data-role="button" data-theme="a" type="submit" id="confirm_name" name="report" value="Confirm name">
</div>
</form>
</div>
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