{HEADER}
<script language="javascript">
	function validate(typ)
	{
				
		document.frm.isposted.value=typ;

		if(confirm("Save Changes"))
		{
			document.frm.submit();
		}
	}
</script>
<table width="780" height="80%" border="0" align="center" cellpadding="0" cellspacing="0">
<tr>
      <TD background="../img/bg.jpg" vAlign=top align="center" class="thank">
	  <br><form name="frm" method="post" action="">
    <table width="50%" border="0" cellspacing="0" cellpadding="5" align="center">
      <tr class="hproduct1">
	            <td ><a href="index.php">Admin Home</a></td>
	<td  align="right"><a href="login_view.php?mode=d">Logout</a></td>
	</tr>
	  <tr align="center" > 
        <td colspan="2" class="hproduct"> 
          Admin Input Form </td>
      </tr>
      <tr align="center" class="hproduct1"> 
        <td colspan="2">{HEADERTXT}</td>
      </tr>
      <tr class="hproduct2"> 
        <td width="43%">  
            Name :</td>
        <td width="57%"> 
           <input type="text" name="name" value="{NAME}">
          </td>
      </tr>
      <tr class="hproduct3"> 
        <td width="43%">  
            E-mail :</td>
        <td width="57%"> 
          <input type="text" name="email" value="{EMAIL1}">
          </td>
      </tr>
      <tr align="center" class="hproduct1"> 
        <td colspan="2" align="center" valign="top" >
				{INPUT1}
				 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
          <INPUT TYPE="button" value="Back" onClick="history.back();">
					{HTML}
					        </td>
      </tr>
    </table>
	<input type="hidden" name="mode" value="{GET1}">
	<input type="hidden" name="isposted" value="">
	<input type="hidden" name="id" value="{GET2}">

	</form>	
        </TD>
  </tr>
</table>
{FOOTER}