{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel augmentation_portal_request add}

{END top_block} {BEGIN above-grid_block}

{BEGIN message_block}

{$message}

{BEGIN message_back_button} {END message_back_button} {BEGIN view_page_button} {END view_page_button} {BEGIN edit_page_button} {END edit_page_button}

{END message_block}

{END above-grid_block} {BEGIN grid_block} {BEGIN cellblock_grid_c3} {END cellblock_grid_c3}

{BEGIN portal_request_no_fieldblock}

{BEGIN portal_request_no_label} {$portal_request_no_forward_control} {$label augmentation_portal_request portal_request_no } {END portal_request_no_label}

{$portal_request_no_editcontrol}

{END portal_request_no_fieldblock} {BEGIN portal_user_id_fieldblock}

{BEGIN portal_user_id_label} {$portal_user_id_forward_control} {$label augmentation_portal_request portal_user_id } {END portal_user_id_label}

{$portal_user_id_editcontrol}

{END portal_user_id_fieldblock} {BEGIN request_date_fieldblock}

{BEGIN request_date_label} {$request_date_forward_control} {$label augmentation_portal_request request_date } {END request_date_label}

{$request_date_editcontrol}

{END request_date_fieldblock} {BEGIN region_fieldblock}

{BEGIN region_label} {$region_forward_control} {$label augmentation_portal_request region } {END region_label}

{$region_editcontrol}

{END region_fieldblock} {BEGIN province_fieldblock}

{BEGIN province_label} {$province_forward_control} {$label augmentation_portal_request province } {END province_label}

{$province_editcontrol}

{END province_fieldblock} {BEGIN requesting_office_lgu_fieldblock}

{BEGIN requesting_office_lgu_label} {$requesting_office_lgu_forward_control} {$label augmentation_portal_request requesting_office_lgu } {END requesting_office_lgu_label}

{$requesting_office_lgu_editcontrol}

{END requesting_office_lgu_fieldblock} {BEGIN disaster_type_id_fieldblock}

{BEGIN disaster_type_id_label} {$disaster_type_id_forward_control} {$label augmentation_portal_request disaster_type_id } {END disaster_type_id_label}

{$disaster_type_id_editcontrol}

{END disaster_type_id_fieldblock} {BEGIN disaster_type_other_fieldblock}

{BEGIN disaster_type_other_label} {$disaster_type_other_forward_control} {$label augmentation_portal_request disaster_type_other } {END disaster_type_other_label}

{$disaster_type_other_editcontrol}

{END disaster_type_other_fieldblock} {BEGIN purpose_fieldblock}

{BEGIN purpose_label} {$purpose_forward_control} {$label augmentation_portal_request purpose } {END purpose_label}

{$purpose_editcontrol}

{END purpose_fieldblock} {BEGIN delivery_address_fieldblock}

{BEGIN delivery_address_label} {$delivery_address_forward_control} {$label augmentation_portal_request delivery_address } {END delivery_address_label}

{$delivery_address_editcontrol}

{END delivery_address_fieldblock} {BEGIN contact_person_fieldblock}

{BEGIN contact_person_label} {$contact_person_forward_control} {$label augmentation_portal_request contact_person } {END contact_person_label}

{$contact_person_editcontrol}

{END contact_person_fieldblock} {BEGIN contact_number_fieldblock}

{BEGIN contact_number_label} {$contact_number_forward_control} {$label augmentation_portal_request contact_number } {END contact_number_label}

{$contact_number_editcontrol}

{END contact_number_fieldblock} {BEGIN status_fieldblock}

{BEGIN status_label} {$status_forward_control} {$label augmentation_portal_request status } {END status_label}

{$status_editcontrol}

{END status_fieldblock} {BEGIN verified_by_fieldblock}

{BEGIN verified_by_label} {$verified_by_forward_control} {$label augmentation_portal_request verified_by } {END verified_by_label}

{$verified_by_editcontrol}

{END verified_by_fieldblock} {BEGIN verified_at_fieldblock}

{BEGIN verified_at_label} {$verified_at_forward_control} {$label augmentation_portal_request verified_at } {END verified_at_label}

{$verified_at_editcontrol}

{END verified_at_fieldblock} {BEGIN approved_by_fieldblock}

{BEGIN approved_by_label} {$approved_by_forward_control} {$label augmentation_portal_request approved_by } {END approved_by_label}

{$approved_by_editcontrol}

{END approved_by_fieldblock} {BEGIN approved_at_fieldblock}

{BEGIN approved_at_label} {$approved_at_forward_control} {$label augmentation_portal_request approved_at } {END approved_at_label}

{$approved_at_editcontrol}

{END approved_at_fieldblock} {BEGIN disapproved_by_fieldblock}

{BEGIN disapproved_by_label} {$disapproved_by_forward_control} {$label augmentation_portal_request disapproved_by } {END disapproved_by_label}

{$disapproved_by_editcontrol}

{END disapproved_by_fieldblock} {BEGIN disapproved_at_fieldblock}

{BEGIN disapproved_at_label} {$disapproved_at_forward_control} {$label augmentation_portal_request disapproved_at } {END disapproved_at_label}

{$disapproved_at_editcontrol}

{END disapproved_at_fieldblock} {BEGIN disapproval_reason_fieldblock}

{BEGIN disapproval_reason_label} {$disapproval_reason_forward_control} {$label augmentation_portal_request disapproval_reason } {END disapproval_reason_label}

{$disapproval_reason_editcontrol}

{END disapproval_reason_fieldblock} {BEGIN imported_augmentation_request_id_fieldblock}

{BEGIN imported_augmentation_request_id_label} {$imported_augmentation_request_id_forward_control} {$label augmentation_portal_request imported_augmentation_request_id } {END imported_augmentation_request_id_label}

{$imported_augmentation_request_id_editcontrol}

{END imported_augmentation_request_id_fieldblock} {BEGIN imported_at_fieldblock}

{BEGIN imported_at_label} {$imported_at_forward_control} {$label augmentation_portal_request imported_at } {END imported_at_label}

{$imported_at_editcontrol}

{END imported_at_fieldblock} {BEGIN imported_by_fieldblock}

{BEGIN imported_by_label} {$imported_by_forward_control} {$label augmentation_portal_request imported_by } {END imported_by_label}

{$imported_by_editcontrol}

{END imported_by_fieldblock} {BEGIN remarks_fieldblock}

{BEGIN remarks_label} {$remarks_forward_control} {$label augmentation_portal_request remarks } {END remarks_label}

{$remarks_editcontrol}

{END remarks_fieldblock} {BEGIN created_at_fieldblock}

{BEGIN created_at_label} {$created_at_forward_control} {$label augmentation_portal_request created_at } {END created_at_label}

{$created_at_editcontrol}

{END created_at_fieldblock} {BEGIN updated_at_fieldblock}

{BEGIN updated_at_label} {$updated_at_forward_control} {$label augmentation_portal_request updated_at } {END updated_at_label}

{$updated_at_editcontrol}

{END updated_at_fieldblock} {BEGIN city_municipality_fieldblock}

{BEGIN city_municipality_label} {$city_municipality_forward_control} {$label augmentation_portal_request city_municipality } {END city_municipality_label}

{$city_municipality_editcontrol}

{END city_municipality_fieldblock} {BEGIN barangay_fieldblock}

{BEGIN barangay_label} {$barangay_forward_control} {$label augmentation_portal_request barangay } {END barangay_label}

{$barangay_editcontrol}

{END barangay_fieldblock} {BEGIN office_lgu_name_fieldblock}

{BEGIN office_lgu_name_label} {$office_lgu_name_forward_control} {$label augmentation_portal_request office_lgu_name } {END office_lgu_name_label}

{$office_lgu_name_editcontrol}

{END office_lgu_name_fieldblock}

{END grid_block} {BEGIN below-grid_block}

{mlang_message SAVE} {BEGIN reset_button} {mlang_message RESET} {END reset_button} {BEGIN back_button} {mlang_message BACK_TO_LIST} {END back_button} {BEGIN cancel_button} {mlang_message CANCEL} {END cancel_button}

{END below-grid_block}