{"status":"success","response":"<div id=\"custom_forms\">\n\n<div class=\"report_row\" id=\"custom_field_row_4\"><h4>Work(s) contained in the manuscript<span class='required'> *<\/span> <\/h4><input type=\"text\" name=\"custom_field[4]\" value=\"e.g., Carakasa\u1e43hit\u0101\" id=\"custom_field_4\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_2\"><h4>Library name<span class='required'> *<\/span> <\/h4><input type=\"text\" name=\"custom_field[2]\" value=\"e.g., BORI\" id=\"custom_field_2\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_8\"><h4>Library's website <\/h4><input type=\"text\" name=\"custom_field[8]\" value=\"http:\/\/\" id=\"custom_field_8\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_3\"><h4>Manuscript number<span class='required'> *<\/span> <\/h4><input type=\"text\" name=\"custom_field[3]\" value=\"e.g., 123 of 1887\/1888\" id=\"custom_field_3\" class=\"text custom_text\" \/><\/div><div class=\"report_row\" id=\"custom_field_row_7\"><h4>Script <\/h4><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Devan\u0101gar\u012b <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Devan\u0101gar\u012b\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Beng\u0101l\u012b <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Beng\u0101l\u012b\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Kannada <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Kannada\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Ma\u1e37ay\u0101lam <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Ma\u1e37ay\u0101lam\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Oriya <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Oriya\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Telugu <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Telugu\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Tamil Grantha <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Tamil Grantha\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > \u015a\u0101rad\u0101 <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"\u015a\u0101rad\u0101\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Gujar\u0101t\u012b <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Gujar\u0101t\u012b\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Nandin\u0101gar\u012b <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Nandin\u0101gar\u012b\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Kaith\u012b <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Kaith\u012b\" id=\"custom_field_7\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[7]\" > Other - see note <\/label><input type=\"radio\" name=\"custom_field[7]\" value=\"Other - see note\" id=\"custom_field_7\" \/><\/span><\/div><div class=\"report_row\" id=\"custom_field_row_6\"><h4>Notes <\/h4><textarea name=\"custom_field[6]\" id=\"custom_field_6\" class=\"textarea custom_text\" rows=\"3\"><\/textarea><\/div><div class=\"report_row\" id=\"custom_field_row_9\"><h4>Physical support <\/h4><span class=\"custom-field-option\"><label for=\"custom_field[9]\" > Paper <\/label><input type=\"radio\" name=\"custom_field[9]\" value=\"Paper\" checked=\"checked\" id=\"custom_field_9\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[9]\" > Palmleaf <\/label><input type=\"radio\" name=\"custom_field[9]\" value=\"Palmleaf\" id=\"custom_field_9\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[9]\" > Birchbark <\/label><input type=\"radio\" name=\"custom_field[9]\" value=\"Birchbark\" id=\"custom_field_9\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[9]\" > Cloth <\/label><input type=\"radio\" name=\"custom_field[9]\" value=\"Cloth\" id=\"custom_field_9\" \/><\/span><span class=\"custom-field-option\"><label for=\"custom_field[9]\" > Other <\/label><input type=\"radio\" name=\"custom_field[9]\" value=\"Other\" id=\"custom_field_9\" \/><\/span><\/div><\/div>"}