diff --git a/community/forms.py b/community/forms.py
index e75f05de..aae59b1b 100644
--- a/community/forms.py
+++ b/community/forms.py
@@ -192,3 +192,26 @@ class GSOCStudent(forms.Form):
         label='Personal Image URL', required=False,
         widget=forms.URLInput(attrs={'autocomplete': 'off'})
     )
+
+
+class AssignIssue(forms.Form):
+    user = forms.CharField(
+        max_length=50, label='GitHub Username',
+        widget=forms.TextInput(attrs={'autocomplete': 'off'})
+    )
+    hoster = forms.ChoiceField(
+        choices=[('github', 'GitHub'), ('gitlab', 'GitLab')], label='Hoster'
+    )
+    repository_url = forms.URLField(
+        label='Repository URL',
+        help_text='For example, https://github.com/org/repo_name/',
+        widget=forms.URLInput(attrs={'autocomplete': 'off'})
+    )
+    issue_number = forms.IntegerField(
+        label='Issue Number',
+        widget=forms.NumberInput(attrs={'autocomplete': 'off'})
+    )
+    requested_user = forms.CharField(
+        max_length=50, label='GitHub Username',
+        widget=forms.TextInput(attrs={'autocomplete': 'off', 'hidden': True})
+    )
diff --git a/community/views.py b/community/views.py
index 2ab3b644..654c4bf6 100644
--- a/community/views.py
+++ b/community/views.py
@@ -18,6 +18,7 @@
     CommunityEvent,
     OrganizationMentor,
     GSOCStudent,
+    AssignIssue
 )
 from data.models import Team
 from gamification.models import Participant as GamificationParticipant
@@ -48,6 +49,14 @@ def initialize_org_context_details():
     return org_details
 
 
+def get_assign_issue_form_variables(context):
+    context['assign_issue_form'] = AssignIssue()
+    context['assign_issue_form_name'] = os.environ.get(
+        'ISSUES_ASSIGN_REQUEST_FORM_NAME', None
+    )
+    return context
+
+
 def get_gsoc_student_form_variables(context):
     context['gsoc_student_form'] = GSOCStudent()
     context['gsoc_student_form_name'] = os.environ.get(
@@ -85,6 +94,7 @@ def get_all_community_forms(context):
     context = get_community_event_form_variables(context)
     context = get_community_mentor_form_variables(context)
     context = get_gsoc_student_form_variables(context)
+    context = get_assign_issue_form_variables(context)
     return context
 
 
diff --git a/static/js/forms.js b/static/js/forms.js
index 2f5d2ed8..d6543060 100644
--- a/static/js/forms.js
+++ b/static/js/forms.js
@@ -18,7 +18,7 @@ $(document).ready(function () {
   var is_user_authenticated = Cookies.get('authenticated');
   var authenticated_username = Cookies.get('username');
 
-  var username_input = $('[name=user]');
+  var username_input = $('[name$=user]');
   username_input.attr('value', authenticated_username || 'Anonymous User');
   username_input.attr('disabled', true);
 
@@ -86,7 +86,7 @@ $(document).ready(function () {
     display_form_or_error(mentor_students_form);
   });
 
-  $(':input').focusin(function () {
+  $('.community-form :input').focusin(function () {
     if (is_user_authenticated===undefined &&
           authenticated_username===undefined) {
       $('.community-form').css('display', 'none');
diff --git a/templates/community_forms.html b/templates/community_forms.html
index 5e6046b8..58f4bf88 100644
--- a/templates/community_forms.html
+++ b/templates/community_forms.html
@@ -209,3 +209,57 @@ <h5 class="text-center custom-green-color-font bold-text">
     <input class="waves-effect waves-light btn-large large-font" type="submit" value="Submit">
   </div>
 </form>
+
+<form name="{{ assign_issue_form_name }}" method="post"
+      netlify-honeypot="bot-field" class="get-issue-assigned-form display-none"
+      data-netlify="true" action="/">
+  <h5 class="text-center custom-green-color-font bold-text">
+    On which Issue you want to work?
+  </h5>
+  {% csrf_token %}
+  {% for field in assign_issue_form %}
+    <div class="row">
+      <div class="input-field col s12">
+        {% if field.name == 'user' or field.name == 'hoster' %}
+        <p><label for="{{ field.name }}">{{ field.label }}</label></p>
+        {% elif field.name != 'requested_user' %}
+        <label for="{{ field.name }}">{{ field.label }}</label>
+        {% endif %}
+        {{ field }}
+        {% if field.help_text %}
+        <i class="fa fa-info-circle" aria-hidden="true">{{ field.help_text }}</i>
+        {% endif %}
+      </div>
+    </div>
+  {% endfor %}
+  <div class="validation-checkboxes">
+    <p>
+      <label>
+        <input type="checkbox" required>
+        <span>I am a member of {{ org.name }} oragnization.</span>
+      </label>
+    </p>
+    <p>
+      <label>
+        <input type="checkbox" required>
+        <span>All of the above information provided by me has no false
+          entries. If so, I am liable of getting blacklisted.</span>
+      </label>
+    </p>
+    <p style="display: none">
+      <label>
+        <input type="checkbox" name="bot-field">
+        <span>I am a bot</span>
+      </label>
+    </p>
+    <p>
+      <strong>
+        Note: You will receive an email within 24 hrs, if any of the
+        validation checks are not passed.
+      </strong>
+    </p>
+  </div>
+  <div class="apply-flex center-content submit-btn">
+    <input class="waves-effect waves-light btn-large large-font" type="submit" value="Submit">
+  </div>
+</form>