friendica/view/templates/install_db.tpl

<h1><img src="{{$baseurl}}/images/friendica-32.png"> {{$title}}</h1>
<h2>{{$pass}}</h2>


<p>
{{$info_01}}<br>
{{$info_02}}<br>
{{$info_03}}
</p>

<table>
	{{foreach $checks as $check}}
	<tr><td>{{$check.title}} </td><td>
			{{if ! $check.status}}
			<img src="{{$baseurl}}/view/install/red.png" alt="Requirement not satisfied">
			{{/if}}
	{{/foreach}}
</table>

<form id="install-form" action="{{$baseurl}}/install" method="post">

<input type="hidden" name="phpath" value="{{$phpath|escape:'html'}}" />
<input type="hidden" name="pass" value="3" />

{{include file="field_input.tpl" field=$dbhost}}
{{include file="field_input.tpl" field=$dbuser}}
{{include file="field_password.tpl" field=$dbpass}}
{{include file="field_input.tpl" field=$dbdata}}


<input id="install-submit" type="submit" name="submit" value="{{$submit|escape:'html'}}" /> 

</form>