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<div data-role="header">
<a data-rel="back" data-icon="arrow-l" class="ui-btn-left">[% loc('Back') %]</a>
<h1>[% loc('Details') %]</h1>
<a id="next" data-icon="arrow-r" data-iconpos="right" class="ui-btn-right">[% loc('Next') %]</a>
</div>
<div data-role="content">
<div class="gmailstyletest">
<div>
<label for="form_title">[% loc('Subject') %]</label>
<input data-role="none" type="text" name="title" id="form_title" placeholder="[% loc('Provide a title') %]" value="<%= title %>" required>
</div>
<div>
<%= categories %>
</div>
<div class="noborder">
<label for="form_detail">[% loc('Details') %]</label>
<textarea data-role="none" name="detail" id="form_detail" placeholder="[% loc('Please fill in details of the problem.') %]" required><%= details %></textarea>
</div>
</div>
</div>
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