<div class="componentheading">{global:formtitle}</div>
{error}
<table border="0">
	<tr class="rsform-block rsform-block-nangcap-user">
		<td>{nangcap_user:caption}</td>
		<td>{nangcap_user:body}<div class="formClr"></div>{nangcap_user:validation}</td>
		<td>{nangcap_user:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-nangcap-dichvu">
		<td>{nangcap_dichvu:caption}</td>
		<td>{nangcap_dichvu:body}<div class="formClr"></div>{nangcap_dichvu:validation}</td>
		<td>{nangcap_dichvu:description}</td>
	</tr>
	<tr class="rsform-block rsform-block-nangcap-thoigian">
		<td>{nangcap_thoigian:caption}</td>
		<td>{nangcap_thoigian:body}<div class="formClr"></div>{nangcap_thoigian:validation}</td>
		<td>{nangcap_thoigian:description}</td>
	</tr>
<tr>
<td colspan="3">
<div class="g-recaptcha" data-sitekey="6LebM8MUAAAAAPbO_-ojG0oqiFZDwkqnjqGXQWGw"></div>
</td>
</tr>
	<tr class="rsform-block rsform-block-nangcap-submit">
		<td>{nangcap_submit:caption}</td>
		<td>{nangcap_submit:body}<div class="formClr"></div>{nangcap_submit:validation}</td>
		<td>{nangcap_submit:description}</td>
	</tr>
</table>
