@header@

<form method=post action=@form_action@>
@form_hidden_var@
<table>
<tr>
  <th align=right>Name:</th>
  <td align=left><input name="name" value="@name@"></td>
</tr>
<tr>
  <th align=right>Creation Comment:</th>
  <td align=left><input size=30 name="creation_comment" value="@creation_comment@"></td>
</tr>
<tr>
  <th align=right>Active Status:</th>
  <td align=left>@active_p_select@</td>
</tr>
<tr>
  <th align=right>Created On:</th>
  <td align=left>@creation_date@</td>
</tr>
<tr>
  <th align=right>Created By:</th>
  <td align=left>@creation_user_name@</td>
</tr>
<tr>
  <th align=right>Last Modified On:</th>
  <td align=left>@last_modified@</td>
</tr>
<tr>
  <th align=right>Last Modified By:</th>
  <td align=left>@modifying_user_name@</td>
</tr>  
<tr>
  <td>&nbsp;</td>
  <td><input type=submit value=Modify></td>
</tr>
</table>
</form>

@footer@