diff --git a/src/entities/additional-service/api/payout/use-extension-payout-detail-download-cetificate-mutation.ts b/src/entities/additional-service/api/payout/use-extension-payout-detail-download-cetificate-mutation.ts
index 5a55346..74c6df9 100644
--- a/src/entities/additional-service/api/payout/use-extension-payout-detail-download-cetificate-mutation.ts
+++ b/src/entities/additional-service/api/payout/use-extension-payout-detail-download-cetificate-mutation.ts
@@ -17,7 +17,7 @@ export const extensionPayoutDetailDownloadCertificate = (params: ExtensionPayout
   );
 };
 
-export const useExtensionPayoutDetailMutation = (options?: UseMutationOptions<ExtensionPayoutDetailDownloadCertificateResponse, CBDCAxiosError, ExtensionPayoutDetailDownloadCertificateParams>) => {
+export const useExtensionPayoutDetailDownloadCertificateMutation = (options?: UseMutationOptions<ExtensionPayoutDetailDownloadCertificateResponse, CBDCAxiosError, ExtensionPayoutDetailDownloadCertificateParams>) => {
   const mutation = useMutation<ExtensionPayoutDetailDownloadCertificateResponse, CBDCAxiosError, ExtensionPayoutDetailDownloadCertificateParams>({
     ...options,
     mutationFn: (params: ExtensionPayoutDetailDownloadCertificateParams) => extensionPayoutDetailDownloadCertificate(params),
diff --git a/src/entities/additional-service/ui/payout/payout-list.tsx b/src/entities/additional-service/ui/payout/payout-list.tsx
deleted file mode 100644
index e69de29..0000000
diff --git a/src/entities/common/model/types.ts b/src/entities/common/model/types.ts
index d7a7cca..8bc7307 100644
--- a/src/entities/common/model/types.ts
+++ b/src/entities/common/model/types.ts
@@ -16,7 +16,8 @@ export enum FilterDateOptions {
 };
 export enum CalendarType {
   Start = 'Start',
-  End = 'End'
+  End = 'End',
+  Single = 'Single'
 };
 export interface DefaultRequestPagination {
   cursor: string;
diff --git a/src/pages/additional-service/payout/detail-page.tsx b/src/pages/additional-service/payout/detail-page.tsx
index efb37f8..a3a8ce4 100644
--- a/src/pages/additional-service/payout/detail-page.tsx
+++ b/src/pages/additional-service/payout/detail-page.tsx
@@ -7,9 +7,35 @@ import {
 	useSetFooterMode,
   useSetOnBack
 } from '@/widgets/sub-layout/use-sub-layout';
+import { useExtensionPayoutDetailMutation } from '@/entities/additional-service/api/payout/use-extension-payout-detail-mutation';
+import { useLocation } from 'react-router';
+import { ExtensionPayoutDetailDownloadCertificateParams, ExtensionPayoutDetailDownloadCertificateResponse, ExtensionPayoutDetailParams, ExtensionPayoutDetailResponse } from '@/entities/additional-service/model/payout/types';
+import { useEffect, useState } from 'react';
+import { NumericFormat } from 'react-number-format';
+import { useExtensionPayoutDetailDownloadCertificateMutation } from '@/entities/additional-service/api/payout/use-extension-payout-detail-download-cetificate-mutation';
 
 export const PayoutDetailPage = () => {
   const { navigate } = useNavigate();
+  const location = useLocation();
+
+  const tid = location.state.tid;
+  const mid = location.state.mid;
+
+  const [detail, setDetail] = useState<ExtensionPayoutDetailResponse>();
+
+  const { mutateAsync: extensionPayoutDetail } = useExtensionPayoutDetailMutation();
+  const { mutateAsync: extensionPayoutDetailDownloadCertification } = useExtensionPayoutDetailDownloadCertificateMutation();
+
+  const callSettlementDetail = () => {
+    let params: ExtensionPayoutDetailParams = {
+      tid: tid,
+      mid: mid,
+    };
+
+    extensionPayoutDetail(params).then((rs: ExtensionPayoutDetailResponse) => {
+      setDetail(rs);
+    });
+  };
 
   useSetHeaderTitle('지급대행 상세');
   useSetHeaderType(HeaderType.LeftArrow);
@@ -18,6 +44,20 @@ export const PayoutDetailPage = () => {
     navigate(PATHS.additionalService.payout.list);
   });
 
+  const onClickToDownload = () => {
+    let params: ExtensionPayoutDetailDownloadCertificateParams = {
+      tid: tid,
+      mid: mid,
+    };
+    extensionPayoutDetailDownloadCertification(params).then((rs: ExtensionPayoutDetailDownloadCertificateResponse) => {
+      console.log(rs);
+    });
+  };
+
+  useEffect(() => {
+    callSettlementDetail();
+  }, []);
+
   return (
     <>
       <main className="full-height">
@@ -25,14 +65,22 @@ export const PayoutDetailPage = () => {
           <div className="tab-pane sub active">
             <div className="pay-top">
               <div className="num-amount">
-                <span className="amount">10,000,000원</span>
+                <span className="amount">
+                  <NumericFormat
+                    value={ detail?.disbursementAmount } 
+                    thousandSeparator
+                    displayType="text"
+                    suffix='원'
+                  ></NumericFormat>
+                </span>
               </div>
               <div className="num-store">나이스테스트가맹점</div>
               <div className="num-day">2025.08.19</div>
               <div className="receipt-row">
                 <button
                   className="receipt-btn"
-                  type="button" 
+                  type="button"
+                  onClick={ onClickToDownload }
                 >
                   <span className="icon-24 download"></span>
                   <span>입출금 확인증</span>
@@ -45,43 +93,43 @@ export const PayoutDetailPage = () => {
               <ul className="kv-list">
                 <li className="kv-row">
                   <span className="k">지급상태</span>
-                  <span className="v">요청</span>
+                  <span className="v">{ detail?.disbursementStatus }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">거래유형</span>
-                  <span className="v">최초요청</span>
+                  <span className="v">{ detail?.transTypeName }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">요청일</span>
-                  <span className="v">2025.06.05</span>
+                  <span className="v">{ detail?.requestDate }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">지급일시</span>
-                  <span className="v">2025.06.08 11:00:00</span>
+                  <span className="v">{ detail?.settlementDate }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">사업자번호</span>
-                  <span className="v">'123456789'</span>
+                  <span className="v">{ detail?.companyNo }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">예금주</span>
-                  <span className="v">김테스트</span>
+                  <span className="v">{ detail?.accountName }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">은행</span>
-                  <span className="v">기업은행</span>
+                  <span className="v">{ detail?.bankName }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">계좌번호</span>
-                  <span className="v">'1123456789'</span>
+                  <span className="v">{ detail?.accountNo }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">입금인자</span>
-                  <span className="v">나이스정산금</span>
+                  <span className="v">{ detail?.depositName }</span>
                 </li>
                 <li className="kv-row">
                   <span className="k">실패사유</span>
-                  <span className="v">&nbsp;</span>
+                  <span className="v">{ detail?.failReason }</span>
                 </li>
               </ul>
             </div>
diff --git a/src/pages/additional-service/payout/list-page.tsx b/src/pages/additional-service/payout/list-page.tsx
index 705898c..3a26aaf 100644
--- a/src/pages/additional-service/payout/list-page.tsx
+++ b/src/pages/additional-service/payout/list-page.tsx
@@ -160,6 +160,7 @@ export const PayoutListPage = () => {
         rs.push(
           <ListDateGroup
             additionalServiceCategory={ AdditionalServiceCategory.Payout }
+            mid={ mid }
             key={ key }
             date={ key }
             items={ value }
diff --git a/src/pages/additional-service/payout/request-page.tsx b/src/pages/additional-service/payout/request-page.tsx
index 488caba..fb51c86 100644
--- a/src/pages/additional-service/payout/request-page.tsx
+++ b/src/pages/additional-service/payout/request-page.tsx
@@ -1,24 +1,55 @@
 import { IMAGE_ROOT } from "@/shared/constants/common";
 import { PATHS } from '@/shared/constants/paths';
 import { useNavigate } from '@/shared/lib/hooks/use-navigate';
-import { HeaderType } from '@/entities/common/model/types';
+import { CalendarType, HeaderType } from '@/entities/common/model/types';
 import { 
 	useSetHeaderTitle,
 	useSetHeaderType,
 	useSetFooterMode,
   useSetOnBack
 } from '@/widgets/sub-layout/use-sub-layout';
+import { useState } from "react";
+import { useExtensionPayoutRequestMutation } from "@/entities/additional-service/api/payout/use-extension-payout-request-mutation";
+import { ExtensionPayoutRequestParams, ExtensionPayoutRequestResponse } from "@/entities/additional-service/model/payout/types";
+import NiceCalendar from "@/shared/ui/calendar/nice-calendar";
 
 export const PayoutRequestPage = () => {
   const { navigate } = useNavigate();
 
+  const [calendarOpen, setCalendarOpen] = useState<boolean>(false);
+  const [mid, setMid] = useState<string>('nictest001m')
+  const [submallId, setSubmallId] = useState<string>('');
+  const [disbursementAmount, setDisbursementAmount] = useState<number>(0);
+  const [settlementDate, setSettlementDate] = useState<string>('');
+
+  const { mutateAsync: extensionPayoutRequest } = useExtensionPayoutRequestMutation();
+  
   useSetHeaderTitle('지급대행 신청');
-  useSetHeaderType(HeaderType.LeftArrow);
+  useSetHeaderType(HeaderType.RightClose);
   useSetFooterMode(false);
   useSetOnBack(() => {
     navigate(PATHS.additionalService.payout.list);
   });
 
+  const callExtensionPayoutRequest = () => {
+    let params: ExtensionPayoutRequestParams = {
+      mid: mid,
+      submallId: submallId,
+      disbursementAmount: disbursementAmount,
+      settlementDate: settlementDate,
+    };
+    extensionPayoutRequest(params).then((rs: ExtensionPayoutRequestResponse) => {
+      navigate(PATHS.additionalService.payout.list);
+    });
+  };
+
+  const setNewDate = (date: string) => {
+    setSettlementDate(date);
+    setCalendarOpen(false);
+  };
+  const onClickToOpenCalendar = () => {
+    setCalendarOpen(true);
+  };
   return (
     <>
       <main>
@@ -31,8 +62,8 @@ export const PayoutRequestPage = () => {
                   <div className="billing-field">
                     <input 
                       type="text" 
-                      value="BIKYvattest01m" 
-                      readOnly={ true }
+                      value={ submallId }
+                      onChange={ (e) => setSubmallId(e.target.value) }
                     />
                   </div>
                 </div>
@@ -41,8 +72,8 @@ export const PayoutRequestPage = () => {
                   <div className="billing-field">
                     <input 
                       type="text" 
-                      value="테스트상품123" 
-                      readOnly={ true }
+                      value={ disbursementAmount }
+                      onChange={ (e) => setDisbursementAmount(parseInt(e.target.value)) }
                      />
                   </div>
                 </div>
@@ -54,11 +85,12 @@ export const PayoutRequestPage = () => {
                         className="date-input"
                         type="text" 
                         placeholder="날짜 선택" 
-                        value="2025.06.08" 
+                        value={ settlementDate }
                       />
                       <button 
                         className="date-btn"
                         type="button"
+                        onClick={ () => onClickToOpenCalendar() }
                       >
                         <img
                           src={ IMAGE_ROOT + '/ico_date.svg' }
@@ -73,6 +105,18 @@ export const PayoutRequestPage = () => {
           </div>
         </div>
       </main>
+      <div className="apply-row">
+        <button 
+          className="btn-50 btn-blue flex-1"
+          onClick={ callExtensionPayoutRequest }
+        >신청</button>
+      </div>
+      <NiceCalendar
+        calendarOpen={ calendarOpen }
+        setCalendarOpen={ setCalendarOpen }
+        calendarType={ CalendarType.Single }
+        setNewDate={ setNewDate }
+      ></NiceCalendar>
     </>
   );
 };
\ No newline at end of file
diff --git a/src/shared/ui/calendar/nice-calendar.tsx b/src/shared/ui/calendar/nice-calendar.tsx
index 7aee69f..f5a79c6 100644
--- a/src/shared/ui/calendar/nice-calendar.tsx
+++ b/src/shared/ui/calendar/nice-calendar.tsx
@@ -9,8 +9,9 @@ import { CalendarType } from '@/entities/common/model/types';
 interface NiceCalendarProps {
   calendarOpen: boolean;
   setCalendarOpen: (calendarOpen: boolean) => void;
-  startDate: string;
-  endDate: string;
+  startDate?: string;
+  endDate?: string;
+  singleDate?: string;
   calendarType: CalendarType;
   setNewDate: (date: string) => void;
 };
@@ -20,6 +21,7 @@ const NiceCalendar = ({
   setCalendarOpen,
   startDate,
   endDate,
+  singleDate,
   calendarType,
   setNewDate
 }: NiceCalendarProps) => {
@@ -37,14 +39,21 @@ const NiceCalendar = ({
   const setMinMaxValueDate = () => {
     if(calendarType === CalendarType.Start){
       setMinDate(undefined);
-      setMaxDate(new Date(endDate));
+      if(!!endDate){
+        setMaxDate(new Date(endDate));
+      }
       setValueDate(startDate);
     }            
     else if(calendarType === CalendarType.End){
-      setMinDate(new Date(startDate));
+      if(!!startDate){
+        setMinDate(new Date(startDate));
+      }
       setMaxDate(new Date());
       setValueDate(endDate);
     }
+    else if(calendarType === CalendarType.Single){
+      setValueDate(singleDate);
+    }
   };
   
   const formatMonthYear = (locale: string | undefined, date: Date) => {