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<h1>{{$header}}</h1>
<form action="chat" method="post" >
{{include file="field_input.tpl" field=$name}}
<button id="dbtn-acl" class="btn btn-default btn-xs" data-toggle="modal" data-target="#aclModal" onclick="return false;" disabled="disabled">{{$permissions}}</button>
{{$acl}}
<div class="clear"></div>
<br />
<br />
<input id="dbtn-submit" type="submit" name="submit" value="{{$submit}}" disabled="disabled"/>
</form>
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