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path: root/admportal/views/partials/update_service_homing.ejs
blob: 5697168b1b782784251be07f1e47d5404b0b27f1 (plain)
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   <div class="modal fade" id="update_service_homing" tabindex="-1" role="dialog" 
		aria-labelledby="update_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">&times;</button>
            <h4 class="modal-title">Update Service Homing</h4>
          </div>
          <div class="modal-body">
            <form name="updateForm" role="form" action="/gamma/updateServiceHoming" method="POST">
              <div class="form-group">
                <label for="uf_service_type">*Service Type</label>
                <input readonly type="text" class="form-control" name="uf_service_type" id="uf_service_type">
              </div>
              <div class="form-group">
                <label for="uf_lata">*LATA</label>
                <input type="text" class="form-control" name="uf_lata" id="uf_lata" maxlength="12" placeholder="int(3)">
              </div>
              <div class="form-group">
                <label for="uf_hubbing_city_type">*Hubbing City Type</label>
                <input type="text" class="form-control" name="uf_hubbing_city_type" id="uf_hubbing_city_type" maxlength="40" placeholder="varchar(40)">
              </div>
              <div class="form-group">
                <label for="uf_latitude">Latitude</label>
                <input type="text" class="form-control" name="uf_latitude" id="uf_latitude" maxlength="24" placeholder="float">
              </div>
              <div class="form-group">
                <label for="uf_longitude">Longitude</label>
                <input type="text" class="form-control" name="uf_longitude" id="uf_longitude" maxlength="24" placeholder="float">
			  </div>
              <div class="form-group">
                <label for="uf_primary_aic_site_name">*Primary Site Name</label>
                <input type="text" class="form-control" name="uf_primary_aic_site_name" id="uf_primary_aic_site_name" maxlength="100" placeholder="varchar(100)">
			  </div>
              <div class="form-group">
                <label for="uf_secondary_aic_site_name">Secondary Site Name</label>
                <input type="text" class="form-control" name="uf_secondary_aic_site_name" id="uf_secondary_aic_site_name" maxlength="100" placeholder="varchar(100)">
              </div>
              <div class="form-group">
                <label for="uf_tertiary_aic_site_name">Tertiary Site Name</label>
                <input type="text" class="form-control" name="uf_tertiary_aic_site_name" id="uf_tertiary_aic_site_name" maxlength="100" placeholder="varchar(100)">
              </div>
              <div class="form-group">
				<input type="hidden" name="uf_action" id="uf_action">
				<input type="hidden" name="uf_key_service_type" id="uf_key_service_type">
				<input type="hidden" name="uf_key_lata" id="uf_key_lata">
				<input type="hidden" name="uf_key_hubbing_city_type" id="uf_key_hubbing_city_type">
				<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>