Creating custom labels in JIRA by accepting country value

[adityap_123]

Hi All 

I need help in creating custom labels in JIRA after I accept user's country in confluence form. 

In confluence form I ask user to enter the country he/she belongs based on which I want to write a label in JIRA ticket. 

Example: confluence form details 

Summary: This is my test ticket 

Country: India

Description: I am creating a ticket to test my confluence form. 

JIRA details

When a JIRA ticket is created, I want to see projectname_India in the labels field.

Can someone help? 

[Alex Medved _ConfiForms_]

How have you built your form in Confluence? Do you use some kind of a plugin for this?

[adityap_123]

Hi Alex, 

Thanks for your reply. It has something like below

<div class="field-group" data-jira="description:text">
<label data-jira="title">Country<span class="aui-icon icon-required"></span></label>
<input type="text" class="text medium-long-field" name="textfield-1241" data-aui-validation-field="" data-aui-validation-required="required" data-aui-validation-when="keyup" value="India" />
<div class="description">

</div>
</div>