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        | Rev | Author | Line No. | Line | 
     
     
        
           | 19 | rodolico | 1 | <html>
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           |  |  | 2 | <body>
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           |  |  | 3 |    <form enctype="multipart/form-data" method=post action="upload_sysinfo_report.php">
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           |  |  | 4 |       Client: <input name="client" type="text"><br />
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           |  |  | 5 |       Machine: <input name="hostname" type="text"><br />
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           |  |  | 6 |       Serial: <input name="serialnumber" type="text"><br />
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           |  |  | 7 |       Report Date: <input name='report_date' type='text' ><br />
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           |  |  | 8 |       Report File: <input name="report" type="file"><br />
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           |  |  | 9 |       <input type="submit" value="Send!">
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           |  |  | 10 |    </form>
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           |  |  | 11 |    </body>
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           |  |  | 12 | </html>
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