<!doctype html>
<html  {$html_attrs}>
	<head>
						<meta http-equiv="X-UA-Compatible" content="IE=Edge">
	<meta name="viewport" content="width=device-width, initial-scale=1.0">
	<title>{$pagetitle}</title>
	<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
	<base href="{$projectPath}">
		{BEGIN styleCSSFiles}
<link REL="stylesheet" href="{$stylepath}" type="text/css">
{END styleCSSFiles}
			
	</head>

	<body class="{$stylename} function-edit" {$bodyattrs}  
		>
	{BEGIN body}
		<style>
		{$containerCss}
		</style>
		<div class="r-vbar-page">
			<div data-width="300px" data-fixed class="r-left clearfix {$leftbar_class}" >
								<div data-location="left" id="form_left_{$pageid}" data-makeup="leftbar" {$form_left} data-pageid="{$pageid}" data-page="augmentation_request2_edit">
{BEGIN left_block}
 
     
         

			<div data-cellId="left_c0" data-pageid="{$pageid}" data-logo-cell class="clearfix " data-itemid="logo" {$item_logo}>
				{BEGIN logo_block}
	<A data-itemtype="logo" data-itemid="logo" {$item_logo}="" data-pageid="{$pageid}" class="navbar-brand" href="{$home_link}" data-pageid="{$pageid}" {$logo_hiddenattr}>
		{$logo}
	</A>
{END logo_block}
				<button data-pageid="1" type="button" class="navbar-toggle collapsed" data-runner-toggle="collapse" data-target="[data-mobile-controlled]">	
					<span class="sr-only">Toggle navigation</span>	
					<span class="icon-bar"></span>					
				</button>				
			</div>
		
 

			<div class="clearfix " data-cellId="left_c0" data-pageid="{$pageid}" data-logo-cell data-itemid="expand_button" {$item_expand_button} data-topcell-item-type="expand_button" >
				<span data-itemtype="expand_button" data-itemid="expand_button" {$item_expand_button}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<a type="button" title="{mlang_message EXPAND}" class="btn btn-link   
	" href="#" >
					<span class="glyphicon glyphicon-triangle-right"></span>
										</a>
</span>
			</div>
		
     
     
         

			<div data-cellId="left_c1" data-pageid="{$pageid}" class="clearfix  r-ori-vert " data-itemtype="menu" data-itemid="menu" {$item_menu}="" data-pageid="{$pageid}">
				{BEGIN menuitems_main}
<ul data-itemtype="menu" data-itemid="menu" {$item_menu}="" data-pageid="{$pageid}"	class="r-menu nav menu-treelike" 
	data-menulevel="1"
>

{BEGIN item_children1}
<li class="
	{$item_current}">
<a {$item_attrs} title="{$item_tooltip}" data-menu-link data-menu-v data-menu-inline data-menu-top >
	{$item_separator}
	<span class="r-menu-link r-menu-expanded "> 
		<span class="r-menu-title">
		{$item_icon} {$item_title}
		</span>
		{BEGIN item_haschildren2}
		{BEGIN item_expand_icon}
		<span class="r-menu-expand-icon fa fa-angle-left"></span>
		<span class="r-menu-mobile-expand-icon fa fa-angle-left"></span>
		{END item_expand_icon}
		{END item_haschildren2}
	</span>
		<span class="r-menu-collapsed">{$item_collicon}{$item_firstcap}</span>
	</a>
{BEGIN item_showchildren2}
<ul class="
			nav collapse 
			{$submenu_class}" 
		id="submenu{$item_id}" data-menulevel="2">
	{BEGIN item_children2}
		{BEGIN item_menulink2}
		<li class="
						{$item_current}"
		>
			<a {$item_attrs} title="{$item_tooltip}" data-menu-link data-menu-v data-menu-inline >
	{$item_separator}
	<span class="r-menu-link  "> 
		<span class="r-menu-title">
		{$item_icon} {$item_title}
		</span>
		{BEGIN item_haschildren2}
		{BEGIN item_expand_icon}
		<span class="r-menu-expand-icon fa fa-angle-left"></span>
		<span class="r-menu-mobile-expand-icon fa fa-angle-left"></span>
		{END item_expand_icon}
		{END item_haschildren2}
	</span>
	</a>
			{BEGIN item_showchildren3}
<ul class="
			nav collapse 
			{$submenu_class}" 
		id="submenu{$item_id}" data-menulevel="3">
	{BEGIN item_children3}
		{BEGIN item_menulink3}
		<li class="
						{$item_current}"
		>
			<a {$item_attrs} title="{$item_tooltip}" data-menu-link data-menu-v data-menu-inline >
	{$item_separator}
	<span class="r-menu-link  "> 
		<span class="r-menu-title">
		{$item_icon} {$item_title}
		</span>
		{BEGIN item_haschildren3}
		{BEGIN item_expand_icon}
		<span class="r-menu-expand-icon fa fa-angle-left"></span>
		<span class="r-menu-mobile-expand-icon fa fa-angle-left"></span>
		{END item_expand_icon}
		{END item_haschildren3}
	</span>
	</a>
			{BEGIN item_showchildren4}
<ul class="
			nav collapse 
			{$submenu_class}" 
		id="submenu{$item_id}" data-menulevel="4">
	{BEGIN item_children4}
		{BEGIN item_menulink4}
		<li class="
						{$item_current}"
		>
			<a {$item_attrs} title="{$item_tooltip}" data-menu-link data-menu-v data-menu-inline >
	{$item_separator}
	<span class="r-menu-link  "> 
		<span class="r-menu-title">
		{$item_icon} {$item_title}
		</span>
		{BEGIN item_haschildren4}
		{BEGIN item_expand_icon}
		<span class="r-menu-expand-icon fa fa-angle-left"></span>
		<span class="r-menu-mobile-expand-icon fa fa-angle-left"></span>
		{END item_expand_icon}
		{END item_haschildren4}
	</span>
	</a>
			{BEGIN item_showchildren5}
<ul class="
			nav collapse 
			{$submenu_class}" 
		id="submenu{$item_id}" data-menulevel="5">
	{BEGIN item_children5}
		{BEGIN item_menulink5}
		<li class="
						{$item_current}"
		>
			<a {$item_attrs} title="{$item_tooltip}" data-menu-link data-menu-v data-menu-inline >
	{$item_separator}
	<span class="r-menu-link  "> 
		<span class="r-menu-title">
		{$item_icon} {$item_title}
		</span>
		{BEGIN item_haschildren5}
		{BEGIN item_expand_icon}
		<span class="r-menu-expand-icon fa fa-angle-left"></span>
		<span class="r-menu-mobile-expand-icon fa fa-angle-left"></span>
		{END item_expand_icon}
		{END item_haschildren5}
	</span>
	</a>
					</li>
		{END item_menulink5}
	{END item_children5}
</ul>
{END item_showchildren5}
		</li>
		{END item_menulink4}
	{END item_children4}
</ul>
{END item_showchildren4}
		</li>
		{END item_menulink3}
	{END item_children3}
</ul>
{END item_showchildren3}
		</li>
		{END item_menulink2}
	{END item_children2}
</ul>
{END item_showchildren2}
</li>
{END item_children1}
</ul>
{END menuitems_main}
			</div>
		
    {END left_block}
</div>				</div>
			<div class="r-content-col" data-resize-left="leftbar">
				<div  class="r-topheader" data-resize-name="topbar">
									{BEGIN supertop_block}
<nav class="navbar navbar-default" 
	data-location="supertop" id="form_supertop_{$pageid}" data-makeup="leftbar" {$form_supertop} data-pageid="{$pageid}" data-page="augmentation_request2_edit" >
			 
							 
				<span class="navbar-form  navbar-header" data-cellId="supertop_c1" data-pageid="{$pageid}" data-itemid="expand_menu_button" {$item_expand_menu_button} data-topcell-item-type="expand_menu_button" >
				<span data-itemtype="expand_menu_button" data-itemid="expand_menu_button" {$item_expand_menu_button}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<a type="button" title="{mlang_message SHOW_MENU}" class="btn-link   
	 glyphicon glyphicon-menu-hamburger" href="#" >		
				
								</a>
</span>
			</span>
		 
				<span class="navbar-form  navbar-collapse" data-cellId="supertop_c1" data-pageid="{$pageid}" data-itemid="collapse_button" {$item_collapse_button} data-topcell-item-type="collapse_button" >
				<span data-itemtype="collapse_button" data-itemid="collapse_button" {$item_collapse_button}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<a type="button" title="{mlang_message COLLAPSE}" class="btn-link   
	 glyphicon glyphicon-triangle-left" href="#" >		
				
								</a>
</span>
			</span>
							 
							 
				<span class="navbar-form r-align-right navbar-collapse" data-cellId="supertop_c2" data-pageid="{$pageid}" data-itemid="loginform_login" {$item_loginform_login} data-topcell-item-type="loginform_login" >
				{BEGIN guestloginbutton}
<span data-itemtype="loginform_login" data-itemid="loginform_login" {$item_loginform_login}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<a type="button" title="" class="btn btn-primary   
	" href="#" {$guestloginlink_attrs} >
							{mlang_message LOGIN}			</a>
</span>
{END guestloginbutton}
			</span>
		 
				<span class="navbar-form r-align-right navbar-collapse" data-cellId="supertop_c2" data-pageid="{$pageid}" data-itemid="username_button" {$item_username_button} data-topcell-item-type="username_button" >
				{BEGIN loggedas_message}
<span data-itemtype="username_button" data-itemid="username_button" {$item_username_button}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<span class="dropdown ">
		<button type="button" title="" class="btn btn-default   dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">		
			{BEGIN userbutton_icon}							<span class="glyphicon glyphicon-user"></span>
						{END userbutton_icon}{$userbutton_image}			{$mlp_push}{$mlparam username var username}{$mltext %username%}{$mlp_pop}			<span class="caret"></span>
		</button>
		<ul class="dropdown-menu">
							{BEGIN userinfo_link}
	<li data-itemtype="userinfo_link" data-itemid="userinfo_link" {$item_userinfo_link}="" data-pageid="{$pageid}" data-small="" >
				<a  href="userinfo.php"  title="" >
				
		{mlang_message USERINFO}		
		</a>
	</li>
{END userinfo_link}
							{BEGIN logoutbutton}
	<li data-itemtype="logout_link" data-itemid="logout_link" {$item_logout_link}="" data-pageid="{$pageid}" data-small="" >
				<a  href="#" {$logoutlink_attrs}  title="" >
				
		{mlang_message LOG_OUT}		
		</a>
	</li>
{END logoutbutton}
					</ul>
	</span>
</span>
{END loggedas_message}
			</span>
								</nav>
{END supertop_block}
						{$locking}
				</div>
				<div class="r-body" data-resize-top="topbar" data-body-width="standard">
					{$header}
					<div class="r-top">
									{BEGIN top_block}
<div class="r-form" data-location="top" id="form_top_{$pageid}" data-makeup="leftbar" {$form_top} data-pageid="{$pageid}" data-page="augmentation_request2_edit" >		
	 
				<div class="row">
			 
				<div 
	data-cellId="top_c1" data-pageid="{$pageid}"	{$cell_top_c1}
	class=" r-ori-vert			col-md-12
	
">
		 
		<h2 data-itemtype="edit_header" data-itemid="edit_header" {$item_edit_header}="" data-pageid="{$pageid}" >{$pagetitlelabel augmentation_request_for_approval edit}</h2>
		</div>					</div>
			</div>		
{END top_block}
						</div>
											<div class="r-above">
					{BEGIN above-grid_block}
<div class="r-form" data-location="above-grid" id="form_above-grid_{$pageid}" data-makeup="leftbar" {$form_above-grid} data-pageid="{$pageid}" data-page="augmentation_request2_edit" >		
	 
				<div class="row">
			 
				<div 
	data-cellId="above-grid_c1" data-pageid="{$pageid}"	{$cell_above-grid_c1}
	class=" r-ori-vert			col-md-12
	
">
		{BEGIN firstAboveGridCell}
		 
		<div data-itemtype="edit_message" data-itemid="edit_message" {$item_edit_message}="" data-pageid="{$pageid}" class="alert {$message_class}" role="alert">
<h5>{$message}</h5>
<div>
{BEGIN message_back_button}
			<button class="btn btn-sm btn-default" {$backbutton_attrs}>{mlang_message BACK_TO_LIST}</button>
	{END message_back_button}
{BEGIN message_view_page_button}
		<a class="btn btn-sm btn-default" href="augmentation_request2_view.php?{$editlink}" {$view_page_button_attrs}>{mlang_message VIEW}</a>
{END message_view_page_button}
</div>
</div>
			{END firstAboveGridCell}	
	</div>					</div>
			</div>		
{END above-grid_block}
	</div>
<div class="r-grid">
	{BEGIN grid_tabs}
  <ul class="nav nav-tabs bsgrid_tabs">
	{$grid_tabs_content}
  </ul>
{END grid_tabs}
					{BEGIN grid_block}




 
	 
												<table 
	data-body-align="left"
	data-location="grid" id="form_grid_{$pageid}" data-makeup="leftbar" {$form_grid} data-pageid="{$pageid}" data-page="augmentation_request2_edit" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="2"
		
		data-v-width="4"
	>
	<tbody>
										<tr {$row_grid_0} >
										

{BEGIN cellblock_grid_c3}
<td
	{$cell_grid_c3}
	class=" r-ori-vert"
	
			
			data-cellId="grid_c3" data-pageid="{$pageid}"
		data-v-cell="2"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN request_date_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_request_date}  r-vertical-field" 
	data-signal-error-for="request_date{$id}" {$required_attr_request_date}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field1" {$item_integrated_edit_field1}="" data-pageid="{$pageid}" data-field="request_date" data-fieldname="request_date" >

	<label class="r-edit-label control-label {$request_date_label_class}" for="{$labelfor_request_date}">
		{BEGIN request_date_label}
			{$request_date_forward_control}
			{$label augmentation_request_for_approval request_date }			{END request_date_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$request_date_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="request_date" {$tooltipAttr augmentation_request_for_approval request_date } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval request_date }		</div>
	</div>
	</div>


{END request_date_fieldblock}
											
{BEGIN request_no_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_request_no}  r-vertical-field" 
	data-signal-error-for="request_no{$id}" {$required_attr_request_no}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field" {$item_integrated_edit_field}="" data-pageid="{$pageid}" data-field="request_no" data-fieldname="request_no" >

	<label class="r-edit-label control-label {$request_no_label_class}" for="{$labelfor_request_no}">
		{BEGIN request_no_label}
			{$request_no_forward_control}
			{$label augmentation_request_for_approval request_no }			{END request_no_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$request_no_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="request_no" {$tooltipAttr augmentation_request_for_approval request_no } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval request_no }		</div>
	</div>
	</div>


{END request_no_fieldblock}
											
{BEGIN office_bureau_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_office_bureau}  r-vertical-field" 
	data-signal-error-for="office_bureau{$id}" {$required_attr_office_bureau}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field7" {$item_integrated_edit_field7}="" data-pageid="{$pageid}" data-field="office_bureau" data-fieldname="office_bureau" >

	<label class="r-edit-label control-label {$office_bureau_label_class}" for="{$labelfor_office_bureau}">
		{BEGIN office_bureau_label}
			{$office_bureau_forward_control}
			{$label augmentation_request_for_approval office_bureau }			{END office_bureau_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$office_bureau_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="office_bureau" {$tooltipAttr augmentation_request_for_approval office_bureau } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval office_bureau }		</div>
	</div>
	</div>


{END office_bureau_fieldblock}
											
{BEGIN division_unit_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_division_unit}  r-vertical-field" 
	data-signal-error-for="division_unit{$id}" {$required_attr_division_unit}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field8" {$item_integrated_edit_field8}="" data-pageid="{$pageid}" data-field="division_unit" data-fieldname="division_unit" >

	<label class="r-edit-label control-label {$division_unit_label_class}" for="{$labelfor_division_unit}">
		{BEGIN division_unit_label}
			{$division_unit_forward_control}
			{$label augmentation_request_for_approval division_unit }			{END division_unit_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$division_unit_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="division_unit" {$tooltipAttr augmentation_request_for_approval division_unit } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval division_unit }		</div>
	</div>
	</div>


{END division_unit_fieldblock}
	
								</td>
			{END cellblock_grid_c3}
			 
																

{BEGIN cellblock_grid_c5}
<td
	{$cell_grid_c5}
	class=" r-ori-vert"
	
			data-single
			
			data-cellId="grid_c5" data-pageid="{$pageid}"
		data-v-cell="2"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN mother_facility_id_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_mother_facility_id}  r-vertical-field" 
	data-signal-error-for="mother_facility_id{$id}" {$required_attr_mother_facility_id}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field2" {$item_integrated_edit_field2}="" data-pageid="{$pageid}" data-field="mother_facility_id" data-fieldname="mother_facility_id" >

	<label class="r-edit-label control-label {$mother_facility_id_label_class}" for="{$labelfor_mother_facility_id}">
		{BEGIN mother_facility_id_label}
			{$mother_facility_id_forward_control}
			{$label augmentation_request_for_approval mother_facility_id }			{END mother_facility_id_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$mother_facility_id_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="mother_facility_id" {$tooltipAttr augmentation_request_for_approval mother_facility_id } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval mother_facility_id }		</div>
	</div>
	</div>


{END mother_facility_id_fieldblock}
	
								</td>
			{END cellblock_grid_c5}
								</tr>
	 
	 
														<tr {$row_grid_1} >
										

{BEGIN cellblock_grid_c13}
<td
	{$cell_grid_c13}
	class=" r-ori-vert"
	
			
			data-cellId="grid_c13" data-pageid="{$pageid}"
		data-v-cell="2"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN delivery_site_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_delivery_site}  r-vertical-field" 
	data-signal-error-for="delivery_site{$id}" {$required_attr_delivery_site}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field15" {$item_integrated_edit_field15}="" data-pageid="{$pageid}" data-field="delivery_site" data-fieldname="delivery_site" >

	<label class="r-edit-label control-label {$delivery_site_label_class}" for="{$labelfor_delivery_site}">
		{BEGIN delivery_site_label}
			{$delivery_site_forward_control}
			{$label augmentation_request_for_approval delivery_site }			{END delivery_site_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$delivery_site_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="delivery_site" {$tooltipAttr augmentation_request_for_approval delivery_site } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval delivery_site }		</div>
	</div>
	</div>


{END delivery_site_fieldblock}
											
{BEGIN delivery_date_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_delivery_date}  r-vertical-field" 
	data-signal-error-for="delivery_date{$id}" {$required_attr_delivery_date}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field26" {$item_integrated_edit_field26}="" data-pageid="{$pageid}" data-field="delivery_date" data-fieldname="delivery_date" >

	<label class="r-edit-label control-label {$delivery_date_label_class}" for="{$labelfor_delivery_date}">
		{BEGIN delivery_date_label}
			{$delivery_date_forward_control}
			{$label augmentation_request_for_approval delivery_date }			{END delivery_date_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$delivery_date_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="delivery_date" {$tooltipAttr augmentation_request_for_approval delivery_date } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval delivery_date }		</div>
	</div>
	</div>


{END delivery_date_fieldblock}
	
								</td>
			{END cellblock_grid_c13}
			 
																

{BEGIN cellblock_grid_c16}
<td
	{$cell_grid_c16}
	class=" r-ori-vert"
	
			data-single
			
			data-cellId="grid_c16" data-pageid="{$pageid}"
		data-v-cell="2"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN purpose_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_purpose}  r-vertical-field" 
	data-signal-error-for="purpose{$id}" {$required_attr_purpose}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field18" {$item_integrated_edit_field18}="" data-pageid="{$pageid}" data-field="purpose" data-fieldname="purpose" >

	<label class="r-edit-label control-label {$purpose_label_class}" for="{$labelfor_purpose}">
		{BEGIN purpose_label}
			{$purpose_forward_control}
			{$label augmentation_request_for_approval purpose }			{END purpose_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$purpose_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="purpose" {$tooltipAttr augmentation_request_for_approval purpose } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval purpose }		</div>
	</div>
	</div>


{END purpose_fieldblock}
	
								</td>
			{END cellblock_grid_c16}
								</tr>
	 
	 
																</tbody></table>
				 
	<div class="panel panel-default form-section" data-itemtype="section" data-itemid="section" {$item_section}="" data-pageid="{$pageid}" data-page="augmentation_request2_edit">
		<div class="panel-heading" role="tab" {$section_section1_headattrs} 
			data-toggle="collapse"  

				href="#section1{$pageid}" aria-expanded="true" aria-controls="section1"

		>
		  <h4 class="panel-title">
		  				<a role="button" >
				Approvals			</a>
					  </h4>
		</div>
		<div  class="panel-collapse collapse in {$section_section1_xtrclass}" role="tabpanel"  {$section_section1_attrs}

				id="section1{$pageid}" 
		>
		  <div class="panel-body">
						{BEGIN section_block}




 
	 
		
					<table 
	data-body-align="left"
	data-location="section" id="form_section_{$pageid}" data-makeup="leftbar" {$form_section} data-pageid="{$pageid}" data-page="augmentation_request2_edit" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="4"
		
		data-v-width="4"
	>
	<tbody>
						<tr>
						

{BEGIN cellblock_section_c1}
<td
	{$cell_section_c1}
	class=" r-ori-vert"
	
			data-single
			
			data-cellId="section_c1" data-pageid="{$pageid}"
		data-v-cell="1"
		
>
	<div edit-form-cell class="clearfix">
									</td>
			{END cellblock_section_c1}
			 
		
							

{BEGIN cellblock_section_c3}
<td
	{$cell_section_c3}
	class=" r-ori-vert"
	
			data-single
			
			data-cellId="section_c3" data-pageid="{$pageid}"
		data-v-cell="1"
		
>
	<div edit-form-cell class="clearfix">
									</td>
			{END cellblock_section_c3}
			 
		
							

{BEGIN cellblock_section_c2}
<td
	{$cell_section_c2}
	class=" r-ori-vert"
	
			data-single
			
			data-cellId="section_c2" data-pageid="{$pageid}"
		data-v-cell="1"
		
>
	<div edit-form-cell class="clearfix">
									</td>
			{END cellblock_section_c2}
			 
		
							

{BEGIN cellblock_section_c}
<td
	{$cell_section_c}
	class=" r-ori-vert"
	
			data-single
			
			data-cellId="section_c" data-pageid="{$pageid}"
		data-v-cell="1"
		
>
	<div edit-form-cell class="clearfix">
									</td>
			{END cellblock_section_c}
								</tr>
			</tbody></table>
{END section_block}
					  </div>
		</div>
	</div>
	
				 
	 
												<table 
	data-body-align="left"
	data-location="grid" id="form_grid_{$pageid}" data-makeup="leftbar" {$form_grid} data-pageid="{$pageid}" data-page="augmentation_request2_edit" 
	class="r-edit-form" cellpadding="0" cellspacing="0" 
	{$grid_hiddenattr} 
		data-form-width="2"
		
		data-v-width="4"
	>
	<tbody>
										<tr {$row_grid_3} >
										

{BEGIN cellblock_grid_c14}
<td
	{$cell_grid_c14}
	class=" r-ori-vert"
	
				data-fullwidth
		
	ocolspan="2"		data-cellId="grid_c14" data-pageid="{$pageid}"
		data-v-cell="4"
		
>
	<div edit-form-cell class="clearfix">
				
{BEGIN allocation_status_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_allocation_status}  r-vertical-field" 
	data-signal-error-for="allocation_status{$id}" {$required_attr_allocation_status}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field3" {$item_integrated_edit_field3}="" data-pageid="{$pageid}" data-field="allocation_status" data-fieldname="allocation_status" >

	<label class="r-edit-label control-label {$allocation_status_label_class}" for="{$labelfor_allocation_status}">
		{BEGIN allocation_status_label}
			{$allocation_status_forward_control}
			{$label augmentation_request_for_approval allocation_status }			{END allocation_status_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$allocation_status_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="allocation_status" {$tooltipAttr augmentation_request_for_approval allocation_status } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval allocation_status }		</div>
	</div>
	</div>


{END allocation_status_fieldblock}
											
{BEGIN date_allocated_fieldblock}


<div class="r-integrated-field form-group clearfix {$fielddispclass_date_allocated}  r-vertical-field" 
	data-signal-error-for="date_allocated{$id}" {$required_attr_date_allocated}
	data-itemtype="integrated_edit_field" data-itemid="integrated_edit_field4" {$item_integrated_edit_field4}="" data-pageid="{$pageid}" data-field="date_allocated" data-fieldname="date_allocated" >

	<label class="r-edit-label control-label {$date_allocated_label_class}" for="{$labelfor_date_allocated}">
		{BEGIN date_allocated_label}
			{$date_allocated_forward_control}
			{$label augmentation_request_for_approval date_allocated }			{END date_allocated_label}
		<span class="icon-required"></span>
	</label>
	<div class="r-edit-field">
		{$date_allocated_editcontrol}	</div>
		<div class="r-edit-tooltip" data-helpfor="date_allocated" {$tooltipAttr augmentation_request_for_approval date_allocated } >
		<div class="text-muted" >
		{$tooltip augmentation_request_for_approval date_allocated }		</div>
	</div>
	</div>


{END date_allocated_fieldblock}
	
								</td>
			{END cellblock_grid_c14}
								</tr>
			</tbody></table>
{END grid_block}
	</div>
<div class="r-below">
					{BEGIN below-grid_block}
<div class="r-form" data-location="below-grid" id="form_below-grid_{$pageid}" data-makeup="leftbar" {$form_below-grid} data-pageid="{$pageid}" data-page="augmentation_request2_edit" >		
	 
				<div class="row">
			 
				<div 
	data-cellId="below-grid_c1" data-pageid="{$pageid}"	{$cell_below-grid_c1}
	class="			col-md-6
	
">
		 
		{BEGIN save_edit}
<span data-itemtype="edit_save" data-itemid="edit_save1" {$item_edit_save1}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<a type="button" title="" class="btn btn-primary   
	" {$savebutton_attrs} >
					<span class=""></span>
							{mlang_message SAVE}			</a>
</span>
{END save_edit}
	 
		{BEGIN back_button}
<span data-itemtype="edit_back_list" data-itemid="edit_back_list" {$item_edit_back_list}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<a type="button" title="" class="btn btn-default   
	" {$backbutton_attrs} >
					<span class=""></span>
							{mlang_message BACK_TO_LIST}			</a>
</span>
{END back_button}
		</div>			 
				<div 
	data-cellId="below-grid_c2" data-pageid="{$pageid}"	{$cell_below-grid_c2}
	class="r-align-right r-ori-vert			col-md-6
	
">
		 
		<span data-itemtype="hamburger" data-itemid="hamburger" {$item_hamburger}="" data-pageid="{$pageid}" data-small="" data-button-item>
	<span class="dropdown dropup">
		<button type="button" title="" class="btn btn-default   dropdown-toggle" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">		
										<span class="glyphicon glyphicon-menu-hamburger"></span>
												<span class="caret"></span>
		</button>
		<ul class="dropdown-menu">
							{BEGIN reset_button}
	<li data-itemtype="edit_reset" data-itemid="edit_reset" {$item_edit_reset}="" data-pageid="{$pageid}" data-small="" >
				<a  {$resetbutton_attrs}  title="" >
				
		{mlang_message RESET}		
		</a>
	</li>
{END reset_button}
							{BEGIN view_page_button}
	<li data-itemtype="edit_view" data-itemid="edit_view" {$item_edit_view}="" data-pageid="{$pageid}" data-small="" >
				<a  href="augmentation_request2_view.php?{$editlink}" {$view_page_button_attrs}  title="" >
				
		{mlang_message VIEW}		
		</a>
	</li>
{END view_page_button}
					</ul>
	</span>
</span>
		</div>					</div>
			</div>		
{END below-grid_block}
	</div>




										{$footer}
				</div>
			</div>
			<div class="r-body-shadow">
			</div>
		</div>
	{END body}
	</body>
</html>
