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<form class="x-panel-body x-panel-body-noheader x-panel-body-noborder x-form" method="POST" id="ext-gen11" style="padding: 10px; width: 386px; height: 113px;">
  <div class="x-form-item " tabindex="-1" id="ext-gen31"><label for="ext-comp-1002" style="width:80px;" class="x-form-item-label" id="ext-gen32">Type:</label>
    <div class="x-form-element" id="x-form-el-ext-comp-1002" style="padding-left:85px">
      <div class="x-form-field-wrap x-form-field-trigger-wrap" id="ext-gen33" style="width: 290px;"><input type="hidden" name="userDiv" id="ext-gen35" value="1"><input type="text" size="24" autocomplete="off" id="ext-comp-1002"
          class="x-form-text x-form-field x-trigger-noedit" readonly="" style="width: 265px;"><img src="/lib/ext-3.4.1/resources/images/default/s.gif" alt="" class="x-form-trigger x-form-arrow-trigger" id="ext-gen34"></div>
    </div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item " tabindex="-1" id="ext-gen36"><label for="ext-comp-1003" style="width:80px;" class="x-form-item-label" id="ext-gen37">Location:</label>
    <div class="x-form-element" id="x-form-el-ext-comp-1003" style="padding-left:85px">
      <div class="x-form-field-wrap x-form-field-trigger-wrap" id="ext-gen38" style="width: 290px;"><input type="hidden" name="idStore" id="ext-gen40" value="1"><input type="text" size="24" autocomplete="off" id="ext-comp-1003"
          class="x-form-text x-form-field x-trigger-noedit" readonly="" style="width: 265px;"><img src="/lib/ext-3.4.1/resources/images/default/s.gif" alt="" class="x-form-trigger x-form-arrow-trigger" id="ext-gen39"></div>
    </div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item " tabindex="-1" id="ext-gen41"><label for="userId" style="width:80px;" class="x-form-item-label" id="ext-gen42">User ID:</label>
    <div class="x-form-element" id="x-form-el-userId" style="padding-left:85px"><input type="text" size="20" autocomplete="off" id="userId" name="userId" class=" x-form-text x-form-field" style="width: 282px;"></div>
    <div class="x-form-clear-left"></div>
  </div>
  <div class="x-form-item " tabindex="-1" id="ext-gen43"><label for="userPass" style="width:80px;" class="x-form-item-label" id="ext-gen44">Password:</label>
    <div class="x-form-element" id="x-form-el-userPass" style="padding-left:85px"><input type="password" size="20" autocomplete="off" id="userPass" name="userPass" class=" x-form-text x-form-field" style="width: 282px;"></div>
    <div class="x-form-clear-left"></div>
  </div>
  <div id="ext-comp-1005" style="width: 290px; height: 10px;"></div>
</form>

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