{% load i18n %}
<form action="{% url admin.views.create_domain_admin %}" method="POST" 
      id="permform" name="permform">
  {% include "common/genericform.html" %}
  <div class="spacer"></div>  
  <div class="lastrow" align="center">
    <input type="submit" name="submit" value="{% trans 'Create' %}" />
  </div>
</form>