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[%- USE T8 %]
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[%- USE L %]
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[% USE HTML %]
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<h1>[% title %]</h1>
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<script type="text/javascript">
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$(function(){ document.Form.subject.focus(); });
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</script>
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<form action="fu.pl" method="post" name="Form" id="form">
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<p>
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<table>
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<tr>
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<td align="right">[% 'Created for' | $T8 %]</td>
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<td>
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<select name="created_for">
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<option></option>
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[%- FOREACH row = EMPLOYEES %]
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<option value="[% HTML.escape(row.id) %]">
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[%- IF row.name %]
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[%- HTML.escape(row.name) %] ([% HTML.escape(row.login) %])
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[%- ELSE %]
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[%- HTML.escape(row.login) %]
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[%- END %]
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</option>
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[%- END %]
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</select>
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</td>
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</tr>
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<tr>
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<td align="right">[% 'Subject' | $T8 %]</td>
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<td><input name="subject" size="20"></td>
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</tr>
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<tr>
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<td align="right">[% 'Body' | $T8 %]</td>
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<td><input name="body" size="20"></td>
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</tr>
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<tr>
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<td align="right">[% 'Reference' | $T8 %]</td>
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<td><input name="reference" size="20"></td>
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</tr>
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<tr>
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<td align="right">[% 'Follow-Up Date' | $T8 %]</td>
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<td>
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[% 'From' | $T8 %]
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[% L.date_tag('follow_up_date_from') %]
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[% 'To (time)' | $T8 %]
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[% L.date_tag('follow_up_date_to') %]
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</td>
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</tr>
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<tr>
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<td align="right">[% 'Created on' | $T8 %]</td>
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<td>
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[% 'From' | $T8 %]
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[% L.date_tag('itime_from') %]
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[% 'To (time)' | $T8 %]
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[% L.date_tag('itime_to') %]
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</td>
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</tr>
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<tr>
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<td align="right">[% 'Include in Report' | $T8 %]</td>
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<td>
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<table>
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<tr>
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<td>
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<input type="checkbox" name="due_only" id="due_only" value="1" checked>
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<label for="due_only">[% 'Only due follow-ups' | $T8 %]</label>
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</td>
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<td>
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<input type="checkbox" name="all_users" id="all_users" value="1" checked>
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<label for="all_users">[% 'Other users\' follow-ups' | $T8 %]</label>
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</td>
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</tr>
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<tr>
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<td>
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<input type="checkbox" name="not_done" id="not_done" value="1" checked>
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<label for="not_done">[% 'Not done yet' | $T8 %]</label>
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</td>
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<td>
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<input type="checkbox" name="done" id="done" value="1">
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<label for="done">[% 'Done' | $T8 %]</label>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</p>
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</form>
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