<{$header.title}>

<{$smarty.const._MD_CTBT_EXAMS_TITLE}> @ <{$contribution.ctbt_title}>

<{$smarty.const._MD_CTBT_EXAMS_TITLE}>
checked="checked"<{/if}> /><{$smarty.const._MD_CTBT_EXAM_EXAMINING}>   checked="checked"<{/if}> /><{$smarty.const._MD_CTBT_EXAM_NOPASS}>   checked="checked"<{/if}> /><{$smarty.const._MD_CTBT_EXAM_PASS}>
<{if $idno_address}>
<{else}> <{/if}>
<{$smarty.const._MD_CTBT_SBMT_CLASS_G}>   <{$smarty.const._MD_CTBT_SBMT_CLASS_C}>
<{if $contribution.ctbt_type == "img"}>
<{else}>
<{/if}>