80 lines
2.0 KiB
HTML
80 lines
2.0 KiB
HTML
{% extends "base.html" %}
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{% from "components/icon.html" import Icon %}
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{% block content %}
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<form method="POST" action="" autocomplete="false">
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<div class="panel">
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<div class="panel__heading">
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<h1>New Request</h1>
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<div class="subtitle"><h2>Account Details</h2></div>
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</div>
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<div class="panel__content">
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<div class='usa-input'>
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<label for='member_fname'>
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First Name
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</label>
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<input id='member_fname' type='text' aria-describedby='member_fname'/>
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</div>
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<div class='usa-input'>
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<label for='member_lname'>
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Last Name
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</label>
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<input id='member_lname' type='text' aria-describedby='member_lname'/>
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</div>
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<div class='usa-input'>
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<label for='member_email'>
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Email
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</label>
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<input id='member_email' type='email' placeholder='name@mail.mil' aria-describedby='member_email'/>
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</div>
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<div class='usa-input'>
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<label for='member_dodid'>
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DoD ID
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</label>
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<input id='member_dodid' type='text' placeholder='23456789' aria-describedby='member_dodid'/>
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</div>
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<div class="usa-input">
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<label for="filter-status">Workspace Role</label>
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<select id="filter-status" name="filter-status">
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<option value="" selected="selected" disabled>Select a role</option>
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<option value="Admin">Admin</option>
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<option value="Billing Auditor">Billing Auditor</option>
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<option value="CCPO">CCPO</option>
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<option value="Developer">Developer</option>
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<option value="Owner">Owner</option>
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<option value="Security Auditor">Security Auditor</option>
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</select>
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</div>
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</div>
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</div>
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<div class='action-group'>
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<a href='#' class='action-group__action usa-button usa-button-big'>
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Add User
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</a>
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<a href='#' class='action-group__action icon-link'>
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{{ Icon('x') }}
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<span>Cancel</span>
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</a>
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</div>
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</form>
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{% endblock %} |