Edit Elsa Custodio Supremido - ISP Manager <script> let locationData = {}; fetch('/static/ph_locations.json') .then(r => r.json()) .then(data => { locationData = data; const provinceVal = document.querySelector('select[name="province"]').value; const currentTown = 'Villasis Server'; const currentBarangay = 'Baracca'; if (provinceVal) { populateTowns(provinceVal, currentTown, currentBarangay); } }); function populateTowns(province, selectedTown, selectedBarangay) { const townSelect = document.getElementById('town-select'); townSelect.innerHTML = '<option value="">-- Select Town --</option>'; if (locationData[province]) { Object.keys(locationData[province]).sort().forEach(town => { const opt = document.createElement('option'); opt.value = town; opt.textContent = town; if (town === selectedTown) opt.selected = true; townSelect.appendChild(opt); }); } else if (selectedTown) { const opt = document.createElement('option'); opt.value = selectedTown; opt.textContent = selectedTown; opt.selected = true; townSelect.appendChild(opt); } populateBarangays(province, townSelect.value, selectedBarangay); } function populateBarangays(province, town, selectedBarangay) { const brgySelect = document.getElementById('barangay-select'); brgySelect.innerHTML = '<option value="">-- Select Barangay --</option>'; if (locationData[province] && locationData[province][town]) { locationData[province][town].sort().forEach(brgy => { const opt = document.createElement('option'); opt.value = brgy; opt.textContent = brgy; if (brgy === selectedBarangay) opt.selected = true; brgySelect.appendChild(opt); }); } else if (selectedBarangay) { const opt = document.createElement('option'); opt.value = selectedBarangay; opt.textContent = selectedBarangay; opt.selected = true; brgySelect.appendChild(opt); } } function updateBarangay() { const province = document.querySelector('select[name="province"]').value; const town = document.getElementById('town-select').value; populateBarangays(province, town, ''); } document.querySelector('select[name="province"]').addEventListener('change', function() { populateTowns(this.value, '', ''); }); document.getElementById('town-select').addEventListener('change', function() { updateBarangay(); }); </script>

Full Name *

Business Name (optional)

ID / Passport Number (optional)

Phone Number *

Email

Province

Town / Municipality

Barangay

House Number

Purok / Zone

Latitude (optional)

Longitude (optional)

Used to generate Google Maps link for the client. You can get coordinates from Google Maps by right-clicking on the location.

Date Activated

Activated By

NAP Box ID

NAP Box Port

Fiber Reading (dBm)

MikroTik Server

PPPoE Username (optional)

Only unlinked PPPoE accounts from staging are shown.

PPPoE Profile (actual MikroTik profile)

Actual profile applied in MikroTik. Can differ from service plan.

Static IP (optional)

Monthly Rate (₱) *

Service Plan

What the client is subscribed to for billing purposes.

Due Day (1-28)

Payment Method

Notes

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