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Jul 15th, 2019
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  1. <!DOCTYPE html>
  2. <html>
  3. <head>
  4. <meta charset="utf-8" />
  5. <meta name="viewport" content="width=device-width, initial-scale=1.0" />
  6. <title>Create - Guest Workflow</title>
  7.  
  8.  
  9. <link rel="stylesheet" href="/lib/bootstrap/dist/css/bootstrap.css" />
  10.  
  11.  
  12. <link rel="stylesheet" href="/css/site.css" />
  13. </head>
  14. <body>
  15. <header>
  16. <nav class="navbar navbar-expand-sm navbar-toggleable-sm navbar-light bg-white border-bottom box-shadow mb-3">
  17. <div class="container">
  18. <a class="navbar-brand" href="/Home/Index">Guest Workflow</a>
  19. <button class="navbar-toggler" type="button" data-toggle="collapse" data-target=".navbar-collapse" aria-controls="navbarSupportedContent"
  20. aria-expanded="false" aria-label="Toggle navigation">
  21. <span class="navbar-toggler-icon"></span>
  22. </button>
  23. <div class="navbar-collapse collapse d-sm-inline-flex flex-sm-row-reverse">
  24.  
  25. <ul class="navbar-nav">
  26. <li class="nav-item">
  27. <a class="nav-link text-dark" title="Manage" href="/Identity/Account/Manage">Hello [email protected]!</a>
  28. </li>
  29. <li class="nav-item">
  30. <form class="form-inline" action="/Identity/Account/Logout?returnUrl=%2FHome%2FIndex" method="post">
  31. <button type="submit" class="nav-link btn btn-link text-dark">Logout</button>
  32. <input name="__RequestVerificationToken" type="hidden" value="CfDJ8ArpBCw9TSFPk_VA738uxv-DteFlRhyAtoP7r8NcEjvpKp4BJmu3rpg-XN-eTtlf8_x-vDh1DvZuYMOHkLvT47GrRz6jRN_ZTgctioRYdH7DbdNAa8kLMev9mT9wSGc_jEnCz_WVrgFIptaRnYqRIYHUhE_DmWdl859gqHF0MtmLXKnOXdkQFlHGRl30osJhgQ" /></form>
  33. </li>
  34. </ul>
  35. </div>
  36. </div>
  37. </nav>
  38. </header>
  39. <div class="container">
  40.  
  41.  
  42.  
  43. <main role="main" class="pb-3">
  44.  
  45.  
  46. <h1>New Request</h1>
  47.  
  48.  
  49. <hr />
  50. <div class="row">
  51. <div class="col-lg-5">
  52.  
  53. <form action="/" method="post">
  54. <div><input type="hidden" data-val="true" data-val-required="The ID field is required." id="ID" name="ID" value="55" /></div>
  55. <div><input type="hidden" data-val="true" data-val-required="The Select Country field is required." id="SelectedCountryID" name="SelectedCountryID" value="30" /></div>
  56. <div><input type="hidden" data-val="true" data-val-required="The LanguageID field is required." id="LanguageID" name="LanguageID" value="0" /></div>
  57.  
  58. <div class="validation-summary-valid" data-valmsg-summary="true"><ul><li style="display:none"></li>
  59. </ul></div>
  60. <div class="form-group">
  61. <label class="control-label" for="Email">Email</label>
  62. <input class="form-control" type="email" data-val="true" data-val-email="The Email field is not a valid e-mail address." data-val-required="The Email field is required." id="Email" name="Email" value="[email protected]" />
  63. <span class="text-danger field-validation-valid" data-valmsg-for="Email" data-valmsg-replace="true"></span>
  64. </div>
  65. <div class="form-group">
  66. <label class="control-label" for="FirstName">First Name</label>
  67. <input class="form-control" type="text" id="FirstName" name="FirstName" value="KFIR333333" />
  68. <span class="text-danger field-validation-valid" data-valmsg-for="FirstName" data-valmsg-replace="true"></span>
  69. </div>
  70. <div class="form-group">
  71. <label class="control-label" for="LastName">Last Name</label>
  72. <input class="form-control" type="text" id="LastName" name="LastName" value="ARBEL3333334444" />
  73. <span class="text-danger field-validation-valid" data-valmsg-for="LastName" data-valmsg-replace="true"></span>
  74. </div>
  75.  
  76. <fieldset class="form-group">
  77. <div class="row">
  78. <label class="col-sm-2 col-form-label text-right" for="Gender">Gender</label>
  79. </div>
  80. <div class="row">
  81. <div class="col-sm-10">
  82. <div class="mt-2">
  83. <div class="form-check form-check-inline">
  84. <input class="form-check-input" id="GenderMan" type="radio" value="Male" checked="checked" data-val="true" data-val-required="The Gender field is required." name="Gender" />
  85. <label class="form-check-label" for="GenderMan">Male</label>
  86. </div>
  87. <div class="form-check form-check-inline">
  88. <input class="form-check-input" id="GenderWoman" type="radio" value="Female" name="Gender" />
  89. <label class="form-check-label" for="GenderWoman">Female</label>
  90. </div>
  91. <div class="form-check form-check-inline">
  92. <input class="form-check-input" id="GenderOther" type="radio" value="Other" name="Gender" />
  93. <label class="form-check-label" for="GenderOther">Other</label>
  94. </div>
  95. </div>
  96. <span class="text-danger field-validation-valid" data-valmsg-for="Gender" data-valmsg-replace="true"></span>
  97. </div>
  98. </div>
  99. </fieldset>
  100.  
  101. <fieldset class="form-group">
  102. <div class="row">
  103. <label class="col-sm-2 col-form-label text-right" for="IsDeutsch">Preferred Language</label>
  104. </div>
  105. <div class="row">
  106. <div class="form-check form-check-inline">
  107. <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio1" value="true" data-val="true" data-val-required="The Preferred Language field is required.">
  108. <label class="form-check-label" for="Input.IsDeutsch">Deutsch</label>
  109. </div>
  110. <div class="form-check form-check-inline">
  111. <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio1" value="false" checked="checked">
  112. <label class="form-check-label" for="Input.IsDeutsch">English</label>
  113. </div>
  114.  
  115. </div>
  116. </fieldset>
  117.  
  118. <div class="form-group">
  119. <label class="control-label" for="StartDate">Start Date</label>
  120. <input class="form-control" id="datepicker" type="date" name="StartDate" value="" />
  121. <span class="text-danger field-validation-valid" data-valmsg-for="StartDate" data-valmsg-replace="true"></span>
  122. </div>
  123. <div class="form-group">
  124. <label class="control-label" for="EndDate">End Date</label>
  125. <input class="form-control" id="datepicker2" type="date" name="EndDate" value="" />
  126. <span class="text-danger field-validation-valid" data-valmsg-for="EndDate" data-valmsg-replace="true"></span>
  127. </div>
  128. <div class="form-group">
  129. <label class="control-label" for="Description">Desription</label>
  130. <textarea class="form-control" id="Description" name="Description">
  131. rrrrrrr&#xD;&#xA;8666</textarea>
  132. <span class="text-danger field-validation-valid" data-valmsg-for="Description" data-valmsg-replace="true"></span>
  133. </div>
  134. <div class="form-group">
  135. <label class="control-label" for="SelectedCountryID">Select Country</label>
  136. <select id="SelectedCountryID" name="SelectedCountryID">
  137. <option>Please select one</option>
  138. <option value="1">Afghanistan</option>
  139. <option value="2">Albania</option>
  140. <option value="3">Algeria</option>
  141. <option value="4">Andorra</option>
  142. <option value="5">Angola</option>
  143. <option value="6">Antigua and Barbuda</option>
  144. <option value="7">Azerbaijan</option>
  145. <option value="8">Argentina</option>
  146. <option value="9">Australia</option>
  147. <option value="10">Austria</option>
  148. <option value="11">Bahamas</option>
  149. <option value="12">Bahrain</option>
  150. <option value="13">Bangladesh</option>
  151. <option value="14">Armenia</option>
  152. <option value="15">Barbados</option>
  153. <option value="16">Belgium</option>
  154. <option value="17">Bhutan</option>
  155. <option value="18">Bolivia (Plurinational State of)</option>
  156. <option value="19">Bosnia and Herzegovina</option>
  157. <option value="20">Botswana</option>
  158. <option value="21">Brazil</option>
  159. <option value="22">Belize</option>
  160. <option value="23">Solomon Islands</option>
  161. <option value="24">Brunei Darussalam</option>
  162. <option value="25">Bulgaria</option>
  163. <option value="26">Myanmar</option>
  164. <option value="27">Burundi</option>
  165. <option value="28">Belarus</option>
  166. <option value="29">Cambodia</option>
  167. <option selected="selected" value="30">Cameroon</option>
  168. <option value="31">Canada</option>
  169. <option value="32">Cabo Verde</option>
  170. <option value="33">Central African Republic</option>
  171. <option value="34">Sri Lanka</option>
  172. <option value="35">Chad</option>
  173. <option value="36">Chile</option>
  174. <option value="37">China</option>
  175. <option value="38">Colombia</option>
  176. <option value="39">Comoros</option>
  177. <option value="40">Congo</option>
  178. <option value="41">Congo, Democratic Republic of the</option>
  179. <option value="42">Costa Rica</option>
  180. <option value="43">Croatia</option>
  181. <option value="44">Cuba</option>
  182. <option value="45">Cyprus</option>
  183. <option value="46">Czechia</option>
  184. <option value="47">Benin</option>
  185. <option value="48">Denmark</option>
  186. <option value="49">Dominica</option>
  187. <option value="50">Dominican Republic</option>
  188. <option value="51">Ecuador</option>
  189. <option value="52">El Salvador</option>
  190. <option value="53">Equatorial Guinea</option>
  191. <option value="54">Ethiopia</option>
  192. <option value="55">Eritrea</option>
  193. <option value="56">Estonia</option>
  194. <option value="57">Fiji</option>
  195. <option value="58">Finland</option>
  196. <option value="59">France</option>
  197. <option value="60">Djibouti</option>
  198. <option value="61">Gabon</option>
  199. <option value="62">Georgia</option>
  200. <option value="63">Gambia</option>
  201. <option value="64">Germany</option>
  202. <option value="65">Ghana</option>
  203. <option value="66">Kiribati</option>
  204. <option value="67">Greece</option>
  205. <option value="68">Grenada</option>
  206. <option value="69">Guatemala</option>
  207. <option value="70">Guinea</option>
  208. <option value="71">Guyana</option>
  209. <option value="72">Haiti</option>
  210. <option value="73">Honduras</option>
  211. <option value="74">Hungary</option>
  212. <option value="75">Iceland</option>
  213. <option value="76">India</option>
  214. <option value="77">Indonesia</option>
  215. <option value="78">Iran (Islamic Republic of)</option>
  216. <option value="79">Iraq</option>
  217. <option value="80">Ireland</option>
  218. <option value="81">Israel</option>
  219. <option value="82">Italy</option>
  220. <option value="83">C&#xF4;te d&#x27;Ivoire</option>
  221. <option value="84">Jamaica</option>
  222. <option value="85">Japan</option>
  223. <option value="86">Kazakhstan</option>
  224. <option value="87">Jordan</option>
  225. <option value="88">Kenya</option>
  226. <option value="89">Korea (Democratic People&#x27;s Republic of)</option>
  227. <option value="90">Korea, Republic of</option>
  228. <option value="91">Kuwait</option>
  229. <option value="92">Kyrgyzstan</option>
  230. <option value="93">Lao People&#x27;s Democratic Republic</option>
  231. <option value="94">Lebanon</option>
  232. <option value="95">Lesotho</option>
  233. <option value="96">Latvia</option>
  234. <option value="97">Liberia</option>
  235. <option value="98">Libya</option>
  236. <option value="99">Liechtenstein</option>
  237. <option value="100">Lithuania</option>
  238. <option value="101">Luxembourg</option>
  239. <option value="102">Madagascar</option>
  240. <option value="103">Malawi</option>
  241. <option value="104">Malaysia</option>
  242. <option value="105">Maldives</option>
  243. <option value="106">Mali</option>
  244. <option value="107">Malta</option>
  245. <option value="108">Mauritania</option>
  246. <option value="109">Mauritius</option>
  247. <option value="110">Mexico</option>
  248. <option value="111">Monaco</option>
  249. <option value="112">Mongolia</option>
  250. <option value="113">Moldova, Republic of</option>
  251. <option value="114">Montenegro</option>
  252. <option value="115">Morocco</option>
  253. <option value="116">Mozambique</option>
  254. <option value="117">Oman</option>
  255. <option value="118">Namibia</option>
  256. <option value="119">Nauru</option>
  257. <option value="120">Nepal</option>
  258. <option value="121">Netherlands</option>
  259. <option value="122">Vanuatu</option>
  260. <option value="123">New Zealand</option>
  261. <option value="124">Nicaragua</option>
  262. <option value="125">Niger</option>
  263. <option value="126">Nigeria</option>
  264. <option value="127">Norway</option>
  265. <option value="128">Micronesia (Federated States of)</option>
  266. <option value="129">Marshall Islands</option>
  267. <option value="130">Palau</option>
  268. <option value="131">Pakistan</option>
  269. <option value="132">Panama</option>
  270. <option value="133">Papua New Guinea</option>
  271. <option value="134">Paraguay</option>
  272. <option value="135">Peru</option>
  273. <option value="136">Philippines</option>
  274. <option value="137">Poland</option>
  275. <option value="138">Portugal</option>
  276. <option value="139">Guinea-Bissau</option>
  277. <option value="140">Timor-Leste</option>
  278. <option value="141">Qatar</option>
  279. <option value="142">Romania</option>
  280. <option value="143">Russian Federation</option>
  281. <option value="144">Rwanda</option>
  282. <option value="145">Saint Kitts and Nevis</option>
  283. <option value="146">Saint Lucia</option>
  284. <option value="147">Saint Vincent and the Grenadines</option>
  285. <option value="148">San Marino</option>
  286. <option value="149">Sao Tome and Principe</option>
  287. <option value="150">Saudi Arabia</option>
  288. <option value="151">Senegal</option>
  289. <option value="152">Serbia</option>
  290. <option value="153">Seychelles</option>
  291. <option value="154">Sierra Leone</option>
  292. <option value="155">Singapore</option>
  293. <option value="156">Slovakia</option>
  294. <option value="157">Viet Nam</option>
  295. <option value="158">Slovenia</option>
  296. <option value="159">Somalia</option>
  297. <option value="160">South Africa</option>
  298. <option value="161">Zimbabwe</option>
  299. <option value="162">Spain</option>
  300. <option value="163">South Sudan</option>
  301. <option value="164">Sudan</option>
  302. <option value="165">Suriname</option>
  303. <option value="166">Eswatini</option>
  304. <option value="167">Sweden</option>
  305. <option value="168">Switzerland</option>
  306. <option value="169">Syrian Arab Republic</option>
  307. <option value="170">Tajikistan</option>
  308. <option value="171">Thailand</option>
  309. <option value="172">Togo</option>
  310. <option value="173">Tonga</option>
  311. <option value="174">Trinidad and Tobago</option>
  312. <option value="175">United Arab Emirates</option>
  313. <option value="176">Tunisia</option>
  314. <option value="177">Turkey</option>
  315. <option value="178">Turkmenistan</option>
  316. <option value="179">Tuvalu</option>
  317. <option value="180">Uganda</option>
  318. <option value="181">Ukraine</option>
  319. <option value="182">North Macedonia</option>
  320. <option value="183">Egypt</option>
  321. <option value="184">United Kingdom of Great Britain and Northern Ireland</option>
  322. <option value="185">Tanzania, United Republic of</option>
  323. <option value="186">United States of America</option>
  324. <option value="187">Burkina Faso</option>
  325. <option value="188">Uruguay</option>
  326. <option value="189">Uzbekistan</option>
  327. <option value="190">Venezuela (Bolivarian Republic of)</option>
  328. <option value="191">Samoa</option>
  329. <option value="192">Yemen</option>
  330. <option value="193">Zambia</option>
  331. </select>
  332. </div>
  333. <div class="form-group">
  334. <input type="submit" value="Continue To Upload files" class="btn btn-primary" />
  335. </div>
  336. <input name="__RequestVerificationToken" type="hidden" value="CfDJ8ArpBCw9TSFPk_VA738uxv-DteFlRhyAtoP7r8NcEjvpKp4BJmu3rpg-XN-eTtlf8_x-vDh1DvZuYMOHkLvT47GrRz6jRN_ZTgctioRYdH7DbdNAa8kLMev9mT9wSGc_jEnCz_WVrgFIptaRnYqRIYHUhE_DmWdl859gqHF0MtmLXKnOXdkQFlHGRl30osJhgQ" /></form>
  337. </div>
  338. </div>
  339.  
  340.  
  341.  
  342. </main>
  343. </div>
  344.  
  345. <footer class="border-top footer text-muted">
  346. <div class="container">
  347. &copy; 2019 - Guest Workflow - <a href="/Home/Privacy">Privacy</a>
  348. </div>
  349. </footer>
  350.  
  351.  
  352. <script src="/lib/jquery/dist/jquery.js"></script>
  353. <script src="/lib/bootstrap/dist/js/bootstrap.bundle.js"></script>
  354.  
  355.  
  356. <script src="/js/site.js?v=4q1jwFhaPaZgr8WAUSrux6hAuh0XDg9kPS3xIVq36I0"></script>
  357. <script src="https://code.jquery.com/jquery-3.3.1.js"></script>
  358. <script src="https://code.jquery.com/ui/1.12.1/jquery-ui.js"></script>
  359. <script>
  360. $(function () {
  361. $("#datepicker").datepicker();
  362. });
  363. $(function () {
  364. $("#datepicker2").datepicker();
  365. });
  366. $(function () {
  367. $("#datepicker3").datepicker();
  368. });
  369. $(function () {
  370. $("#datepicker4").datepicker();
  371. });
  372. </script>
  373.  
  374. </body>
  375. </html>
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