<div class="modal fade" id="add_service_homing" tabindex="-1" role="dialog" aria-labelledby="add_service_homing_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">×</button> <h4 class="modal-title">Add Service Homing</h4> </div> <div class="modal-body"> <form name="addForm" role="form" action="/gamma/addServiceHoming" method="POST"> <div class="form-group"> <label for="nf_service_type">*Service Type</label> <input readonly type="text" class="form-control" name="nf_service_type" id="nf_service_type" value="SDN-ETHERNET-INTERNET"> </div> <div class="form-group"> <label for="nf_lata">*LATA</label> <input type="text" class="form-control" name="nf_lata" id="nf_lata" maxlength="12" placeholder="int(3)"> </div> <div class="form-group"> <label for="nf_hubbing_city_type">*Hubbing City Type</label> <input maxlength="40" type="text" class="form-control" name="nf_hubbing_city_type" id="nf_hubbing_city_type" placeholder="varchar(40)"> </div> <div class="form-group"> <label for="nf_latitude">Latitude</label> <input type="text" class="form-control" name="nf_latitude" id="nf_latitude" maxlength="24" placeholder="float"> </div> <div class="form-group"> <label for="nf_longitude">Longitude</label> <input type="text" class="form-control" name="nf_longitude" id="nf_longitude" maxlength="24" placeholder="float"> </div> <div class="form-group"> <label for="nf_primary_aic_site_name">*Primary Site Name</label> <input maxlength="100" type="text" class="form-control" name="nf_primary_aic_site_name" id="nf_primary_aic_site_name" placeholder="varchar(100)"> </div> <div class="form-group"> <label for="nf_secondary_aic_site_name">Secondary Site Name</label> <input maxlength="100" type="text" class="form-control" name="nf_secondary_aic_site_name" id="nf_secondary_aic_site_name" placeholder="varchar(100)"> </div> <div class="form-group"> <label for="nf_tertiary_aic_site_name">Tertiary Site Name</label> <input maxlength="100" type="text" class="form-control" name="nf_tertiary_aic_site_name" id="nf_tertiary_aic_site_name" placeholder="varchar(100)"> </div> <div class="form-group"> <input type="hidden" name="nf_action" id="nf_action"> <button type="button" class="btn btn-primary" onclick="submitServiceHoming(this.form);">Submit</button> <button type="button" class="btn btn-default" data-dismiss="modal">Cancel</button> </div> </form> </div> </div> </div> </div>