nginx-proxy-manager/src/frontend/js/app/user/form.ejs

<div class="modal-content">
    <div class="modal-header">
        <h5 class="modal-title"><% if (typeof id !== 'undefined') { %>Edit<% } else { %>New<% } %> User</h5>
        <button type="button" class="close cancel" aria-label="Close" data-dismiss="modal">&nbsp;</button>
    </div>
    <div class="modal-body">
        <form>
            <div class="row">
                <div class="col-sm-6 col-md-6">
                    <div class="form-group">
                        <label class="form-label">Full Name <span class="form-required">*</span></label>
                        <input name="name" type="text" class="form-control" placeholder="Joe Citizen" value="<%- name %>" required>
                    </div>
                </div>
                <div class="col-sm-6 col-md-6">
                    <div class="form-group">
                        <label class="form-label">Nickname</label>
                        <input name="nickname" type="text" class="form-control" placeholder="Joe" value="<%- nickname %>">
                    </div>
                </div>
                <div class="col-sm-12 col-md-12">
                    <div class="form-group">
                        <label class="form-label">Email <span class="form-required">*</span></label>
                        <input name="email" type="email" class="form-control" placeholder="joe@example.com" value="<%- email %>" required>
                        <div class="invalid-feedback secret-error"></div>
                    </div>
                </div>
                <div class="col-sm-12 col-md-12">
                    <div class="form-label">Roles</div>
                </div>
                <div class="col-sm-6 col-md-6">
                    <div class="form-group">
                        <label class="custom-switch">
                            <input type="checkbox" class="custom-switch-input" name="is_admin" value="1"<%- isAdmin() ? ' checked' : '' %><%- isSelf() ? ' disabled' : '' %>>
                            <span class="custom-switch-indicator"></span>
                            <span class="custom-switch-description">Administrator</span>
                        </label>
                    </div>
                </div>
                <div class="col-sm-6 col-md-6">
                    <div class="form-group">
                        <label class="custom-switch">
                            <input type="checkbox" class="custom-switch-input" name="is_disabled" value="1"<%- is_disabled ? ' checked' : '' %><%- isSelf() ? ' disabled' : '' %>>
                            <span class="custom-switch-indicator"></span>
                            <span class="custom-switch-description">Disabled</span>
                        </label>
                    </div>
                </div>
            </div>
        </form>
    </div>
    <div class="modal-footer">
        <button type="button" class="btn btn-secondary cancel" data-dismiss="modal">Cancel</button>
        <button type="button" class="btn btn-teal save">Save</button>
    </div>
</div>