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<table width="309" border="0" cellpadding="0" cellspacing="0">
<form name="formular" action="inregistrare.php?actiune=validare" method="post">
  <tr>
    <td height="36" colspan="4" valign="top"><h1>Formular inregistrare </h1></td>
    </tr>
  <tr>
    <td width="80" height="19" valign="top">&nbsp;</td>
    <td width="15" rowspan="5" valign="top"></td>
    <td width="144" valign="top">&nbsp;</td>
    <td width="70" valign="top">&nbsp;</td>
  </tr>
  <tr>
    <td height="22" align="right" valign="top">Utilizator:</td>
    <td colspan="2" valign="top">
      <input type="text" name="user" value="">    </td>
    </tr>
  <tr>
    <td height="7"></td>
    <td></td>
    <td></td>
  </tr>
  <tr>
    <td height="22" align="right" valign="top">Parola:</td>
    <td colspan="2" valign="top"><input type="password" name="parola1" value=""></td>
    </tr>
  <tr>
    <td height="7"></td>
    <td></td>
    <td></td>
  </tr>
  <tr>
    <td height="38" align="right" valign="top">Reintroduceti<br> Parola:</td>
    <td>&nbsp;</td>
    <td align="middle" valign="middle"><input type="password" name="parola2" value=""></td>
  <td>&nbsp;</td>
  </tr>
  <tr>
    <td height="7"></td>
    <td valign="top"></td>
    <td></td>
    <td></td>
  </tr>
  <tr>
    <td height="19" align="right">Nume:</td>
    <td>&nbsp;</td>
    <td colspan="2" valign="top"><input type="text" name="nume" value=""></td>
    </tr>
  <tr>
    <td height="7"></td>
    <td valign="top"></td>
    <td></td>
    <td></td>
  </tr>
  <tr>
    <td height="22" align="right">Prenume:</td>
    <td valign="top"></td>
    <td colspan="2" valign="top"><input type="text" name="prenume" value=""></td>
  </tr>
  <tr>
    <td height="8"></td>
    <td valign="top"></td>
    <td></td>
    <td></td>
  </tr>
  <tr>
    <td height="22" align="right" valign="top">Varsta:</td>
    <td valign="top"></td>
    <td colspan="2" valign="top"><input type="text" size="3" maxLength="3" name="varsta" value=""> 
      ani</td>
    </tr>
  <tr>
    <td height="15"></td>
    <td valign="top"></td>
    <td></td>
    <td></td>
  </tr>
  <tr>
    <td height="22" align="right" valign="top">Localitate:</td>
    <td valign="top"></td>
    <td colspan="2" valign="top"><input type="text" name="localitate" value=""></td>
    </tr>
  <tr>
    <td height="19">&nbsp;</td>
    <td valign="top"></td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td height="24">&nbsp;</td>
    <td valign="top"></td>
    <td colspan="2" valign="top"><input name="Trimite" type="submit" id="Trimite" value="Trimite">
      <input name="Reseteaza" type="reset" id="Reseteaza" value="Reseteaza"> </td>
    </tr>
  <tr>
    <td height="24">&nbsp;</td>
    <td valign="top"></td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
  </form>
</table>