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<div class="modal fade" id="t-provided-v6-lan-public-prefixes-modal" tabindex="-1" role="dialog"
aria-labelledby="t-provided-v6-lan-public-prefixes-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">×</button>
<h4 class="modal-title">t-provided-v6-lan-public-prefixes</h4>
</div>
<div class="modal-body">
<form id="t_provided_form" role="form" action="" method="POST">
<div class="form-group">
<label for="request_index">request-index</label>
<input type="text" class="form-control" name="v6_request_index" id="v6_request_index">
</div>
<div class="form-group">
<label for="v6_lan_public_prefix_length">v6-lan-public-prefix-length</label>
<input type="text" class="form-control" name="v6_lan_public_prefix_length" id="v6_lan_public_prefix_length">
</div>
<div class="form-group">
<label for="v6_lan_public_prefix">v6-lan-public-prefix</label>
<input type="text" class="form-control" name="v6_lan_public_prefix" id="v6_lan_public_prefix">
</div>
<!--
<div class="form-group">
<input type="hidden" name="svc_instance_id" id="svc_instance_id">
<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){
$('#t-provided-v6-lan-public-prefixes-modal').modal('hide');
form.action = form.uf_action.value;
form.submit();
return;
}
</script>
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