<tr><th align="right">Username</th>
<td><input type="text" name="username" size="18"></td>
</tr>
+ <tr><th align="right">Domain</th>
+ <td><input type="text" name="domain" size="18"></td>
+ </tr>
<tr><th align="right">Current password</th>
<td><input type="password" name="old_password" size="18"></td>
</tr>