diff --git a/spug_web/src/pages/deploy/request/Ext2Form.js b/spug_web/src/pages/deploy/request/Ext2Form.js
new file mode 100644
index 0000000..a7b159d
--- /dev/null
+++ b/spug_web/src/pages/deploy/request/Ext2Form.js
@@ -0,0 +1,84 @@
+import React from 'react';
+import { observer } from 'mobx-react';
+import { Modal, Form, Input, Tag, message } from 'antd';
+import hostStore from 'pages/host/store';
+import http from 'libs/http';
+import store from './store';
+import lds from 'lodash';
+
+@observer
+class Ext2Form extends React.Component {
+  constructor(props) {
+    super(props);
+    this.state = {
+      loading: false,
+      type: null,
+      host_ids: store.record['host_ids'].concat()
+    }
+  }
+
+  handleSubmit = () => {
+    if (this.state.host_ids.length === 0) {
+      return message.error('请至少选择一个要发布的目标主机')
+    }
+    this.setState({loading: true});
+    const formData = this.props.form.getFieldsValue();
+    formData['id'] = store.record.id;
+    formData['body'] = this.state.body;
+    http.post('/api/exec/template/', formData)
+      .then(res => {
+        message.success('操作成功');
+        store.formVisible = false;
+        store.fetchRecords()
+      }, () => this.setState({loading: false}))
+  };
+
+  handleChange = (id, v) => {
+    const host_ids = this.state.host_ids;
+    const index = host_ids.indexOf(id);
+    if (index === -1) {
+      this.setState({host_ids: [id, ...host_ids]})
+    } else {
+      host_ids.splice(index, 1);
+      this.setState({host_ids})
+    }
+  };
+
+  render() {
+    const info = store.record;
+    const {host_ids} = this.state;
+    const {getFieldDecorator} = this.props.form;
+    return (
+      <Modal
+        visible
+        width={800}
+        maskClosable={false}
+        title="新建发布申请"
+        onCancel={() => store.ext2Visible = false}
+        confirmLoading={this.state.loading}
+        onOk={this.handleSubmit}>
+        <Form labelCol={{span: 6}} wrapperCol={{span: 14}}>
+          <Form.Item required label="申请标题">
+            {getFieldDecorator('name', {initialValue: info['name']})(
+              <Input placeholder="请输入申请标题"/>
+            )}
+          </Form.Item>
+          <Form.Item label="备注信息">
+            {getFieldDecorator('desc', {initialValue: info['desc']})(
+              <Input placeholder="请输入备注信息"/>
+            )}
+          </Form.Item>
+          <Form.Item required label="发布目标主机">
+            {info['host_ids'].map(id => (
+              <Tag.CheckableTag key={id} checked={host_ids.includes(id)} onChange={v => this.handleChange(id, v)}>
+                {lds.get(hostStore.idMap, `${id}.name`)}({lds.get(hostStore.idMap, `${id}.hostname`)}:{lds.get(hostStore.idMap, `${id}.port`)})
+              </Tag.CheckableTag>
+            ))}
+          </Form.Item>
+        </Form>
+      </Modal>
+    )
+  }
+}
+
+export default Form.create()(Ext2Form)
\ No newline at end of file
diff --git a/spug_web/src/pages/deploy/request/SelectApp.js b/spug_web/src/pages/deploy/request/SelectApp.js
index d30da5e..093dea1 100644
--- a/spug_web/src/pages/deploy/request/SelectApp.js
+++ b/spug_web/src/pages/deploy/request/SelectApp.js
@@ -44,6 +44,7 @@ class SelectApp extends React.Component {
     } else {
       store.ext2Visible = true
     }
+    store.addVisible = false
   };
 
   render() {
diff --git a/spug_web/src/pages/deploy/request/index.js b/spug_web/src/pages/deploy/request/index.js
index f991a81..e7b77de 100644
--- a/spug_web/src/pages/deploy/request/index.js
+++ b/spug_web/src/pages/deploy/request/index.js
@@ -4,6 +4,7 @@ import { Card, Input, Select, Button } from 'antd';
 import { SearchForm } from 'components';
 import SelectApp from './SelectApp';
 import Ext1Form from './Ext1Form';
+import Ext2Form from './Ext2Form';
 import ComTable from './Table';
 import store from './store';
 
@@ -31,6 +32,7 @@ export default observer(function () {
       <ComTable/>
       {store.addVisible && <SelectApp />}
       {store.ext1Visible && <Ext1Form />}
+      {store.ext2Visible && <Ext2Form />}
     </Card>
   )
 })
\ No newline at end of file