28 lines
1.2 KiB
HTML
28 lines
1.2 KiB
HTML
<form id="add-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">{:__('Username')}:</label>
|
|
<div class="col-xs-12 col-sm-8">
|
|
<input id="c-username" class="form-control" name="row[username]" type="text">
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<label class="control-label col-xs-12 col-sm-2">{:__('Reason')}:</label>
|
|
<div class="col-xs-12 col-sm-8">
|
|
<textarea id="c-reason" class="form-control " rows="5" name="row[reason]" cols="50"></textarea>
|
|
</div>
|
|
</div>
|
|
<div class="form-group">
|
|
<label class="control-label col-xs-12 col-sm-2">{:__('Remarks')}:</label>
|
|
<div class="col-xs-12 col-sm-8">
|
|
<textarea id="c-remarks" class="form-control " rows="5" name="row[remarks]" cols="50"></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-primary btn-embossed disabled">{:__('OK')}</button>
|
|
</div>
|
|
</div>
|
|
</form>
|