diff --git a/arrangements-warehouse_receive_note1.1.2.html b/arrangements-warehouse_receive_note1.1.2.html
index ce26926..7c142a8 100644
--- a/arrangements-warehouse_receive_note1.1.2.html
+++ b/arrangements-warehouse_receive_note1.1.2.html
@@ -42,9 +42,6 @@
                             <li><a href="shipping-order.html" data-loader="show"><i class="fa fa-truck"></i> Shipping Order</a></li>
                         </ul>
                     </li>
-                    <li>
-                        <a href="custom_declaration.html"><i class="fa fa-suitcase"></i> Custom Declaration</a>
-                    </li>
                     <li>
                         <a href="#"><i class="fa fa-comments"></i> Messenger</a>
                     </li>
@@ -175,21 +172,46 @@
                     <span class="label-span">Decision Request Details</span>
                 </div>
                 <div class="form-divider"></div>
-                <div class="form-row-group with-icons-no-padding">                   
-                    <div class="form-row no-padding">
-                        <div class="form-element-title">
-                            <label style="color: #000">Damage</label>
-                        </div>
-                        <input type="text" class="form-element" placeholder="Damaged" required />
-                    </div>					
-                             
-                    <div class="form-row no-padding">
-                        <div class="form-element-title">
-                            <label style="color: #000">Balance</label>
-                        </div>
-                        <input type="text" class="form-element" placeholder="20 Carton " required />
-                    </div>					
-                           
+                <div class="form-row-group with-icons-no-padding">
+                        <table style="width:100%">
+                                <tr>
+                                    <td>                                     
+                                        <div class="form-row no-padding">
+                                            <div class="form-element-title">
+                                            <label class="labelleft" style="color: #000">Item 1</label><br>
+                                            
+                                            <input width="46%" type="text" name="Nominal" class="form-first-name" placeholder="Damaged" />&nbsp;
+                                            <input width="46%" type="text" name="Actual" class="form-last-name" placeholder="1 ctn" />
+                                            </div>
+                                        </div>
+                                    </td>
+                                </tr>
+                                <tr>
+                                    <td>                                     
+                                        <div class="form-row no-padding">
+                                            <div class="form-element-title">
+                                            <label class="labelleft" style="color: #000">Item 2</label><br>
+                                            
+                                            <input width="46%" type="text" name="Nominal" class="form-first-name" placeholder="Short" />&nbsp;
+                                            <input width="46%" type="text" name="Actual" class="form-last-name" placeholder="2 ctn" />
+                                            </div>
+                                        </div>
+                                    </td>
+                                </tr>
+                                <tr>
+                                    <td>                                     
+                                        <div class="form-row no-padding">
+                                            <div class="form-element-title">
+                                            <label class="labelleft"style="color: #000">Item 3</label><br>
+                                           
+                                            <input width="46%" type="text" name="Nominal" class="form-first-name" placeholder="Open" />&nbsp;
+                                            <input width="46%" type="text" name="Actual" class="form-last-name" placeholder="Balance(CTN)" />
+                                            </div>
+                                        </div>
+                                    </td>
+                                </tr>
+                            </table>                   
+            
                     <div class="form-row no-padding">
                         <div class="form-element-title">
                             <label style="color: #000">Description</label>