<{include file='db:xliaise_header.html'}> <{if $forms_breadcrumb}>
<{/if}>

<{$form_output.title}>

<{* ticket and captcha error *}> <{if $form_error != ""}>
<{$form_error}>
<{/if}> <{if $form_is_hidden != ""}>

<{$form_is_hidden}>

<{/if}> <{if $form_intro != ""}>

<{$form_intro|@html_entity_decode}>

<{/if}>
<{$form_output.javascript}>
> <{foreach item=element from=$form_output.elements}> <{if $element.hidden != true}> <{if $element.caption|strstr:"[BREAK]"}> <{else}> <{/if}> <{/if}> <{/foreach}>
<{$element.caption|replace:"[BREAK]":""}> <{if $element.caption == "" }> <{/if}><{if $element.required == 1}><{$form_req_prefix}><{/if}> <{$element.caption}> <{if $element.required == 1}><{$form_req_suffix}><{/if}> "><{$element.body}>
<{foreach item=element from=$form_output.elements}> <{if $element.hidden == true}> <{$element.body}> <{/if}> <{/foreach}> <{if $form_text_global != ""}>
<{$form_text_global|@html_entity_decode}>
<{/if}>