<p class="nd_sidebar-title"><em>NetBIOS Domain</em></p>
            <div class="clearfix">
              <select class="nd_side-select nd_colored-input" size="[% domain_list.size > 8 ? 8 : domain_list.size %]"
                multiple name="domain"
                rel="tooltip" data-placement="left" data-offset="5" data-title="Domain">
                [% FOREACH opt IN domain_list %]
                  [% UNLESS opt == '' %]
                    <option[% ' selected="selected"' IF domain_lkp.exists(opt) %]>[% opt | html_entity %]</option>
                  [% ELSE %]
                    <option value="blank"[% ' selected="selected"' IF domain_lkp.exists('blank') %]>[% '(Blank Domain)' | html_entity %]</option>     
                  [% END %]
                [% END %]
              </select>
            </div>

            <button id="[% report.tag | html_entity %]_submit" type="submit" class="btn btn-info">
             <i class="icon-search icon-large pull-left nd_navbar-icon"></i> Search NetBIOS</button>