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57 lines
2.5 KiB
57 lines
2.5 KiB
<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
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<div class="col-xs-12 col-sm-8">
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<div class="radio">
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{foreach name="statusList" item="vo"}
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<label for="row[status]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="11"}checked{/in} /> {$vo}</label>
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{/foreach}
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Reason')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-reason" class="form-control" name="row[reason]" type="text">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Realname')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-realname" class="form-control" name="row[realname]" type="text">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Cardno')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-cardno" class="form-control" name="row[cardno]" type="text">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Cardno_z')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-cardno_z" class="form-control" name="row[cardno_z]" type="text">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Cardno_f')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-cardno_f" class="form-control" name="row[cardno_f]" type="text">
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</div>
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</div>
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<div class="form-group layer-footer">
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<label class="control-label col-xs-12 col-sm-2"></label>
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<div class="col-xs-12 col-sm-8">
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<button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
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</div>
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</div>
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</form>
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