document.write('<table width="250" border="0" cellspacing="4" cellpadding="4" align="center">');
document.write('<form action="http://kpis.dnsalias.com/ems/admin.php" method="post">');
document.write('<tr>');
document.write('<td align="right" width="120">Username :&nbsp;</td>');
document.write('<td width="150"><input type="text" name="user_username" style="border : solid 1px #cccccc;background: #E9ECEF;color : #666666;font-size : 11px;padding: 0px;width:100px;"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td align="right">Password :&nbsp;</td>');
document.write('<td><input type="password" name="user_password" style="border : solid 1px #cccccc;background: #E9ECEF;color : #666666;font-size : 11px;padding: 0px;width:100px;"></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td colspan="2" align="center">');
document.write('<input type="reset" style="border : solid 1px #cccccc;background: #E9ECEF;color : #666666;font-size : 10px;padding-left: 10px;padding-right: 10px;"> ');
document.write('<input type="submit" value="Login" name="form[usersubmit]" style="border : solid 1px #cccccc;background: #E9ECEF;color : #666666;font-size : 10px;padding-left: 10px;padding-right: 10px;">');
document.write('</td>');
document.write('</tr>');
document.write('</form>');
document.write('</table>');