1 files changed, 60 insertions, 0 deletions
diff --git a/admportal/views/partials/request_information_modal.ejs b/admportal/views/partials/request_information_modal.ejs
new file mode 100644
index 00000000..b5ee4a31
--- /dev/null
+++ b/admportal/views/partials/request_information_modal.ejs
@@ -0,0 +1,60 @@
+   <div class="modal fade" id="request-information-modal" tabindex="-1" role="dialog" aria-labelledby="request-information-modal-label" aria-hidden="true">
+      <div class="modal-dialog">
+        <div class="modal-content">
+          <div class="modal-header">
+            <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
+            <h4 class="modal-title" id="request-information-modal-label">request-information</h4>
+          </div>
+          <div class="modal-body">
+            <form id="request_information_form" role="form" action="" method="POST">
+              <div class="form-group">
+                <label for="notification_url">notification-url</label>
+                <input type="text" class="form-control" name="notification_url" id="notification_url">
+              </div>
+              <div class="form-group">
+                <label for="source">source</label>
+                <input type="text" class="form-control" name="source" id="source">
+              </div>
+              <div class="form-group">
+                <label for="order_number">order-number</label>
+                <input type="text" class="form-control" name="order_number" id="order_number">
+              </div>
+              <div class="form-group">
+                <label for="request_id">request-id</label>
+                <input type="text" class="form-control" name="request_id" id="request_id">
+              </div>
+              <div class="form-group">
+                <label for="order_version">order-version</label>
+                <input type="text" class="form-control" name="order_version" id="order_version">
+              </div>
+              <div class="form-group">
+                <label for="request_action">request-action</label>
+                <input type="text" class="form-control" name="request_action" id="request_action">
+              </div>
+              <div class="form-group">
+                <label for="request_sub_action">request-sub-action</label>
+                <input type="text" class="form-control" name="request_sub_action" id="request_sub_action">
+              </div>
+
+<!--
+              <div class="form-group">
+				<input type="hidden" name="uf_action" id="uf_action">
+                <button type="button" class="btn btn-primary" onclick="submit(this.form);">Submit</button>
+				<button type="button" class="btn btn-default" data-dismiss="modal">Cancel</button>
+              </div>
+-->
+           </form>
+          </div>
+      </div>
+    </div>
+  </div>
+
+<script type="text/javascript">
+function submit(form){
+	$('#service-status-modal').modal('hide');
+	form.action = form.uf_action.value;
+	form.submit();
+	return;
+}
+</script>
+