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- <form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('User_id')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-user_id" data-rule="required" disabled="disabled" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="{$row.user_id|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Sign_province')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-sign_province" data-rule="required" data-source="areas/index" data-field="province" class="form-control selectpage" name="row[sign_province]" type="text" value="{$row.sign_province|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Sign_city')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-sign_city" data-rule="required" data-source="areas/index" data-field="city" class="form-control selectpage" name="row[sign_city]" type="text" value="{$row.sign_city|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Province')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-province" data-rule="required" data-source="areas/index" data-field="province" class="form-control selectpage" name="row[province]" type="text" value="{$row.province|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('City')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-city" data-rule="required" data-source="areas/index" data-field="city" class="form-control selectpage" name="row[city]" type="text" value="{$row.city|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Area')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-area" data-rule="required" data-source="areas/index" data-field="district" class="form-control selectpage" name="row[area]" type="text" value="{$row.area|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Card_brand')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-card_brand" class="form-control" name="row[card_brand]" type="text" value="{$row.card_brand|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Number_plate')}:</label>
- <div class="col-xs-12 col-sm-8">
- <input id="c-number_plate" class="form-control" name="row[number_plate]" type="text" value="{$row.number_plate|htmlentities}">
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Card_front_image')}:</label>
- <div class="col-xs-12 col-sm-8">
- <div class="input-group">
- <input id="c-card_front_image" class="form-control" size="50" name="row[card_front_image]" type="text" value="{$row.card_front_image|htmlentities}">
- <div class="input-group-addon no-border no-padding">
- <span><button type="button" id="faupload-card_front_image" class="btn btn-danger faupload" data-input-id="c-card_front_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-card_front_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
- <span><button type="button" id="fachoose-card_front_image" class="btn btn-primary fachoose" data-input-id="c-card_front_image" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
- </div>
- <span class="msg-box n-right" for="c-card_front_image"></span>
- </div>
- <ul class="row list-inline faupload-preview" id="p-card_front_image"></ul>
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Card_back_image')}:</label>
- <div class="col-xs-12 col-sm-8">
- <div class="input-group">
- <input id="c-card_back_image" class="form-control" size="50" name="row[card_back_image]" type="text" value="{$row.card_back_image|htmlentities}">
- <div class="input-group-addon no-border no-padding">
- <span><button type="button" id="faupload-card_back_image" class="btn btn-danger faupload" data-input-id="c-card_back_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-card_back_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
- <span><button type="button" id="fachoose-card_back_image" class="btn btn-primary fachoose" data-input-id="c-card_back_image" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> {:__('Choose')}</button></span>
- </div>
- <span class="msg-box n-right" for="c-card_back_image"></span>
- </div>
- <ul class="row list-inline faupload-preview" id="p-card_back_image"></ul>
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
- <div class="col-xs-12 col-sm-8">
-
- <div class="radio">
- {foreach name="statusList" item="vo"}
- <label for="row[status]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="$row.status"}checked{/in} /> {$vo}</label>
- {/foreach}
- </div>
- </div>
- </div>
- <div class="form-group">
- <label class="control-label col-xs-12 col-sm-2">{:__('Fail_reason')}:</label>
- <div class="col-xs-12 col-sm-8">
- <textarea id="c-fail_reason" class="form-control " rows="5" name="row[fail_reason]" cols="50">{$row.fail_reason|htmlentities}</textarea>
- </div>
- </div>
- <div class="form-group layer-footer">
- <label class="control-label col-xs-12 col-sm-2"></label>
- <div class="col-xs-12 col-sm-8">
- <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
- <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
- </div>
- </div>
- </form>
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