1 files changed, 62 insertions, 0 deletions
diff --git a/app/assets/javascripts/google_cloud/gcp_regions/form.vue b/app/assets/javascripts/google_cloud/gcp_regions/form.vue
new file mode 100644
index 00000000000..23011e5a5b0
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+++ b/app/assets/javascripts/google_cloud/gcp_regions/form.vue
@@ -0,0 +1,62 @@
+<script>
+import { GlButton, GlFormGroup, GlFormSelect } from '@gitlab/ui';
+import { __, s__ } from '~/locale';
+
+export default {
+  components: { GlButton, GlFormGroup, GlFormSelect },
+  props: {
+    availableRegions: { required: true, type: Array },
+    refs: { required: true, type: Array },
+    cancelPath: { required: true, type: String },
+  },
+  i18n: {
+    title: __('Configure region for environment'),
+    gcpRegionLabel: __('Region'),
+    gcpRegionDescription: __('List of suitable GCP locations'),
+    refsLabel: s__('GoogleCloud|Refs'),
+    refsDescription: s__('GoogleCloud|Configured region is linked to the selected branch or tag'),
+    submitLabel: __('Configure region'),
+    cancelLabel: __('Cancel'),
+  },
+};
+</script>
+
+<template>
+  <div>
+    <header class="gl-my-5 gl-border-b-1 gl-border-b-gray-100 gl-border-b-solid">
+      <h1 class="gl-font-size-h1">{{ $options.i18n.title }}</h1>
+    </header>
+
+    <gl-form-group
+      label-for="ref"
+      :label="$options.i18n.refsLabel"
+      :description="$options.i18n.refsDescription"
+    >
+      <gl-form-select id="ref" name="ref" required>
+        <option value="*">{{ __('All') }}</option>
+        <option v-for="ref in refs" :key="ref" :value="ref">
+          {{ ref }}
+        </option>
+      </gl-form-select>
+    </gl-form-group>
+
+    <gl-form-group
+      label-for="gcp_region"
+      :label="$options.i18n.gcpRegionLabel"
+      :description="$options.i18n.gcpRegionDescription"
+    >
+      <gl-form-select id="gcp_region" name="gcp_region" required :list="availableRegions">
+        <option v-for="(region, index) in availableRegions" :key="index" :value="region">
+          {{ region }}
+        </option>
+      </gl-form-select>
+    </gl-form-group>
+
+    <div class="form-actions row">
+      <gl-button type="submit" category="primary" variant="confirm">
+        {{ $options.i18n.submitLabel }}
+      </gl-button>
+      <gl-button class="gl-ml-1" :href="cancelPath">{{ $options.i18n.cancelLabel }}</gl-button>
+    </div>
+  </div>
+</template>