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75 lines
4.3 KiB
75 lines
4.3 KiB
<form id="edit-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">提现方式:</label>
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<div class="col-xs-12 col-sm-8">
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<div class="radio">
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<label for="row[type]-1"><input id="row[type]-1" name="row[type]" type="radio" value="1" {$row.type==1?'checked':''} disabled/> 银行卡</label>
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<label for="row[type]-2"><input id="row[type]-2" name="row[type]" type="radio" value="2" {$row.type==2?'checked':''} disabled/> 支付宝</label>
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<label for="row[type]-3"><input id="row[type]-3" name="row[type]" type="radio" value="3" {$row.type==3?'checked':''} disabled/> 微信</label>
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Cardname')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-cardname" class="form-control" name="row[cardname]" disabled type="text" value="{$row.cardname|htmlentities}">
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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]" disabled type="text" value="{$row.cardno|htmlentities}">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-address" class="form-control" name="row[address]" disabled type="text" value="{$row.address|htmlentities}">
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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">{:__('Money')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-money" class="form-control" step="0.01" name="row[money]" disabled type="number" value="{$row.money|htmlentities}">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">审核状态:</label>
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<div class="col-xs-12 col-sm-8">
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<div class="radio">
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{foreach name="statusList" item="vo"}
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<label for="row[status]-{$key}"><input id="row[status]-{$key}" {$row['status']>0?'disabled':''} name="row[status]" type="radio" value="{$key}" {in name="key" value="$row.status"}checked{/in} /> {$vo}</label>
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{/foreach}
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Reason')}:</label>
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<div class="col-xs-12 col-sm-8">
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<textarea id="c-reason" class="form-control" name="row[reason]" type="text">{$row.reason|htmlentities}</textarea>
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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">转账凭证:</label>
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<div class="col-xs-12 col-sm-8">
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<div class="input-group">
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<input id="c-pingzheng_img" class="form-control" size="50" name="row[pingzheng_img]" type="text">
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<div class="input-group-addon no-border no-padding">
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<span><button type="button" id="faupload-pingzheng_img" class="btn btn-danger faupload" data-input-id="c-pingzheng_img" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-pingzheng_img"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
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<span><button type="button" id="fachoose-pingzheng_img" class="btn btn-primary fachoose" data-input-id="c-pingzheng_img" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
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</div>
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<span class="msg-box n-right" for="c-pingzheng_img"></span>
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</div>
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<ul class="row list-inline faupload-preview" id="p-pingzheng_img"></ul>
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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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