diff --git a/layouts/shortcodes/pps-form.html b/layouts/shortcodes/pps-form.html
new file mode 100644
index 0000000..336de2f
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+++ b/layouts/shortcodes/pps-form.html
@@ -0,0 +1,110 @@
+<link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/css/bootstrap.min.css">
+
+<style>
+img.face-choice {
+max-height: 150px;
+}
+
+label {
+cursor: pointer;
+filter: grayscale(100%);
+}
+
+label:hover {
+filter: grayscale(0);
+}
+
+input[type="radio"]:checked+label {
+filter: grayscale(0);
+}
+</style>
+
+
+<form id="myForm" action="/submit-form" method="post">
+<div class="form-group">
+<div class="row">
+<fieldset id="gallery">
+Select an Employee's Face:<br>
+<input type="radio" name="face" class="sr-only" id="Dwayne_Johnson" value="static/faces/dwayne_johnson_002.jpg">
+<label for="Dwayne_Johnson">
+<img class="face-choice" src="faces/dwayne_johnson_002.jpg" alt="Dwayne_Johnson" onclick="event.preventDefault()">
+</label>
+<input type="radio" name="face" class="sr-only" id="Shania_Twain" value="static/faces/shania_twain_002.jpg">
+<label for="Shania_Twain">
+<img class="face-choice" src="faces/shania_twain_002.jpg" alt="Shania_Twain" onclick="event.preventDefault()">
+</label>
+<input type="radio" name="face" class="sr-only" id="Chris_Rock" value="static/faces/chris_rock_002.jpg">
+<label for="Chris_Rock">
+<img class="face-choice" src="faces/chris_rock_002.jpg" alt="Chris_Rock" onclick="event.preventDefault()">
+</label>
+</fieldset>
+</div>
+</div>
+<div class="form-group">
+<label for="id">Select an ID:</label>
+<select class="form-control" id="id" name="id">
+<option value="101">101 (Dwayne Johnson)</option>
+<option value="102">102 (Shania Twain)</option>
+<option value="103">103 (Chris Rock)</option>
+</select>
+</div>
+<div class="form-group">
+<label for="pin">Enter PIN code:</label>
+<input type="text" class="form-control" id="pin" name="pin" required>
+</div>
+<div class="form-group">
+<input type="submit" id="submission_btn" class="btn btn-primary btn-lg btn-block" value="Submit">
+</div>
+</form>
+
+
+<script>
+    document.getElementById("myForm").addEventListener("submit", function(event) {
+    // Prevent form submission
+    event.preventDefault();
+    document.getElementById("submission_btn").disabled = true;
+    setTimeout(function(){document.getElementById("submission_btn").disabled = false;},8000);
+    // Get form data
+    var form = event.target;
+    var formData = new FormData(form);
+    const formDataObj = {};
+    formData.forEach((value, key) => (formDataObj[key] = value));
+    json_data = JSON.stringify(formDataObj)
+    console.log(json_data);
+    // Perform form submission
+    // TODO: Change to Venjix IP and Port Number
+    fetch('http://10.16.0.196:4444/execution/<script_name>', {
+    method: 'POST',
+    body: json_data,
+    headers: {
+      "Content-Type": "application/json",
+      "Accept": "application/json",
+      "charset": "utf-8"
+    }
+    })
+    .then(response => {
+    // Handle the response from the backend
+    console.log(response);
+    })
+    .catch(error => {
+    // Handle any error that occurred during form submission
+    console.error(error);
+    });
+    });
+    // Get the gallery container element
+    var gallery = document.getElementById("gallery");
+    // Attach event listener to the gallery container
+    gallery.addEventListener("click", function(event) {
+    // Get the clicked image element
+    var clickedImage = event.target;
+    // Check if the clicked element is an image
+    if (clickedImage.tagName === "IMG") {
+    // Prevent the default event action (e.g., following a link)
+    event.preventDefault();
+    // Perform your desired action with the selected image
+    //console.log("Selected Image Source:", clickedImage.src);
+    label = clickedImage.getAttribute('alt');//checked = true;
+    document.getElementById(label).checked = true;
+    }
+    });
+</script>