16 lines
368 B
XML
16 lines
368 B
XML
<form col="4">
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<label name="type"/>
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<field name="type"/>
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<newline/>
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<label name="premium"/>
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<field name="premium"/>
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<label name="currency"/>
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<field name="currency"/>
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<newline/>
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<label name="base_amount"/>
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<field name="base_amount"/>
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<newline/>
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<label name="reference"/>
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<field name="reference" colspan="3"/>
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</form>
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