arma-server-web-admin/public/js/tpl/servers/form.html

<form class="form-horizontal" role="form">
  <div class="form-group">
    <label for="title" class="col-sm-2 control-label">Title</label>
    <div class="col-sm-10">
      <input type="text" class="form-control title" data-field="title" placeholder="Title" value="<%- title %>">
    </div>
  </div>

  <div class="form-group">
    <label for="port" class="col-sm-2 control-label">Port</label>
    <div class="col-sm-10">
      <input type="number" class="form-control port" data-field="port" placeholder="Port" value="<%- port %>">
      <p class="help-block">Server will use the designated port and the three following ports</p>
    </div>
  </div>

  <div class="form-group">
    <label for="max-players" class="col-sm-2 control-label">Max Players</label>
    <div class="col-sm-10">
      <input type="number" class="form-control max-players" data-field="max-players" placeholder="Max Players" value="<%- max_players %>">
    </div>
  </div>

  <div class="form-group">
    <label for="password" class="col-sm-2 control-label">Password</label>
    <div class="col-sm-10">
      <input type="text" class="form-control password" data-field="password" placeholder="Password" value="<%- password %>">
    </div>
  </div>

  <div class="form-group">
    <label for="admin-password" class="col-sm-2 control-label">Admin Password</label>
    <div class="col-sm-10">
      <input type="text" class="form-control admin-password" data-field="admin-password" placeholder="Admin Password" value="<%- admin_password %>">
    </div>
  </div>

  <div class="form-group">
    <div class="col-sm-offset-2 col-sm-10">
      <div class="checkbox">
        <label>
          <input type="checkbox" class="battle-eye" <% if (battle_eye) { %>checked="checked"<% } %>> BattleEye
        </label>
      </div>
    </div>
  </div>

  <div class="form-group">
    <div class="col-sm-offset-2 col-sm-10">
      <div class="checkbox">
        <label>
          <input type="checkbox" class="headless" <% if (headless) { %>checked="checked"<% } %>> Headless Client
        </label>
      </div>
    </div>
  </div>

  <div class="form-group">
    <div class="col-sm-offset-2 col-sm-10">
      <div class="checkbox">
        <label>
          <input type="checkbox" class="persistent" <% if (persistent) { %>checked="checked"<% } %>> Persistent
        </label>
      </div>
    </div>
  </div>

  <div class="form-group">
    <div class="col-sm-offset-2 col-sm-10">
      <div class="checkbox">
        <label>
          <input type="checkbox" class="von" <% if (von) { %>checked="checked"<% } %>> Voice over Net
        </label>
      </div>
    </div>
  </div>
</form>