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+<div data-role="header" data-position="fixed" >
+ <a id="offline-prev-btn" data-icon="arrow-l" data-iconpos="left" class="ui-btn-left">Try Again</a>
+ <h1>Offline</h1>
+ <a id="offline-next-btn" data-icon="arrow-r" data-iconpos="right" class="ui-btn-right">Save</a>
+</div>
+<div class="container" data-enhance="false">
+ <div class="content" role="main">
+ <p>
+ Sorry, there doesn't seem to be any internet connection. You can save this report for sending later though
+ </p>
+
+ <input type="text" value="" name="title" id="form_title" placeholder="Provide a title" required>
+
+ <textarea rows="7" cols="26" name="detail" id="form_detail" placeholder="Please fill in details of the problem." required></textarea>
+
+ <% if ( file != '' ) { %>
+ <div id="add_photo" style="display: none">
+ <% } else { %>
+ <div id="add_photo">
+ <% } %>
+ <label>Optionally Add a Photo</label>
+ <input value="Take Photo" type="button" name="photo_button" id="id_photo_button" class="green-btn"> Or
+ <input value="Choose" type="button" name="existing" id="id_existing" class="green-btn">
+ </div>
+
+ <% if ( file == '' ) { %>
+ <div id="display_photo" style="display: none">
+ <% } else { %>
+ <div id="display_photo">
+ <% } %>
+ <label>Your Photo</label>
+ <div class="photo">
+ <img class="small" id="photo" src="<%= file %>" />
+ </div>
+ <div class="right">
+ <input value="Remove Photo" type="button" name="del_photo_button" id="id_del_photo_button" class="green-btn">
+ <div>
+ </div>
+ </div>
+</div>