diff --git a/upload/styles/cb_2013/layout/upload.html b/upload/styles/cb_2013/layout/upload.html
index bf944004..03a4c965 100644
--- a/upload/styles/cb_2013/layout/upload.html
+++ b/upload/styles/cb_2013/layout/upload.html
@@ -16,7 +16,7 @@
                 </div>
             </div>
 
-            <div class="cb-box pad-bottom">
+            <div class="cb-box pad-bottom video-info-container">
                 <ul class="nav nav-tabs">
                     <li class="active"><a href="#file-upload" data-toggle="tab">File Upload</a></li>
                     <li><a href="#remote-upload" data-toggle="tab">Remote Upload</a></li>
@@ -24,7 +24,35 @@
                     <li><a href="#embed-code" data-toggle="tab">Embed Code</a></li>
                 </ul>
                 <div class="tab-content">
-                    <div class="tab-pane fade in active" id="file-upload">file upload</div>
+                    <div class="tab-pane fade in active clearfix" id="file-upload">
+
+                        <div class="form-group">
+                            <div class="upload-area col-md-12">Upload form here</div>
+                        </div>
+
+                        <div class="form-group">
+                            <input type="text" class="form-control" placeholder="Title" />
+                        </div>
+                        <div class="form-group">
+                            <textarea class="form-control" rows="3" placeholder="Add Description"></textarea>
+                        </div>
+                        <div class="form-group">
+                            <input type="text" class="form-control" placeholder="Add Keyword (seprate with comma)" />
+                        </div>
+                        <div class="form-group clearfix">
+                            <label for="upload-link" class="col-sm-3 control-label light">Upload Link:</label>
+                            <div class="col-sm-9">
+                                <input type="email" class="form-control" id="upload-link" placeholder="Email">
+                            </div>
+                        </div>
+                        <div class="form-group clearfix">
+                            <label for="embed-code" class="col-sm-3 control-label light">Embed Code:</label>
+                            <div class="col-sm-9">
+                                <input type="email" class="form-control" id="embed-code" placeholder="Email">
+                            </div>
+                        </div>
+
+                    </div>
                     <div class="tab-pane fade" id="remote-upload">remote upload</div>
                     <div class="tab-pane fade" id="remote-play">remote play</div>
                     <div class="tab-pane fade" id="embed-code">embed code</div>
diff --git a/upload/styles/cb_2013/theme/less/upload.less b/upload/styles/cb_2013/theme/less/upload.less
index efdfa8f6..99d242c0 100644
--- a/upload/styles/cb_2013/theme/less/upload.less
+++ b/upload/styles/cb_2013/theme/less/upload.less
@@ -11,6 +11,42 @@
     }
   }
 
+  .video-info-container {
+    ul.nav-tabs {
+      li {
+        &.active {
+          a {
+            font-weight: bold;
+          background-color: #fafafa;
+          }
+        }
+      }
+    }
+    .tab-content {
+      padding: 0px;
+    }
+    .upload-area {
+      background-color: #fafafa;
+      min-height: 200px;
+      border-left: 1px solid #e9e9e9;
+      border-right: 1px solid #e9e9e9;
+      border-bottom: 1px solid #e9e9e9;
+      border-bottom-left-radius: 4px;
+      border-bottom-right-radius: 4px;
+    }
+    label {
+      &.light {
+        font-weight: normal;
+        font-size: 15px;
+        margin-top: 6px;
+      }
+    }
+    input, textarea {
+      background-color: #fafafa;
+      border-color: #e9e9e9;
+    }
+  }
+
   .submit-container {
     text-transform:uppercase;
     margin-bottom: 25px;