<div class='page-header'>
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<h1><tmpl_var name="list_head_txt"></h1>
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</div>
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<p><tmpl_var name="list_desc_txt"></p>
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<div class="form-group">
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<label for="server_id" class="col-sm-3 control-label">{tmpl_var name='server_id_txt'}</label>
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<div class="col-sm-9"><select name="server_id" id="server_id" class="form-control">
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{tmpl_var name='server_id'}
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</select></div>
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</div>
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<div class="form-group">
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<label for="client_id" class="col-sm-3 control-label">{tmpl_var name='client_id_txt'}</label>
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<div class="col-sm-9"><select name="client_id" id="client_id" class="form-control">
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{tmpl_var name='client_id'}
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</select></div>
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</div>
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<div class="form-group">
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<label for="name" class="col-sm-3 control-label">{tmpl_var name='name_txt'}</label>
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<div class="col-sm-9"><input type="text" name="name" id="name" value="{tmpl_var name='name'}" class="form-control" /></div></div>
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<input type="hidden" name="id" value="{tmpl_var name='id'}">
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<div class="clear"><div class="right">
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<button class="btn btn-default formbutton-success" type="button" value="{tmpl_var name='btn_save_txt'}" data-submit-form="pageForm" data-form-action="admin/server_php_edit.php">{tmpl_var name='btn_save_txt'}</button>
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<button class="btn btn-default formbutton-default" type="button" value="{tmpl_var name='btn_cancel_txt'}" data-load-content="admin/server_php_list.php">{tmpl_var name='btn_cancel_txt'}</button>
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</div></div>
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