46 lines
2.0 KiB
HTML
46 lines
2.0 KiB
HTML
<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">{:__('Username')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-username" class="form-control" name="row[username]" 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">昵称:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-nickname" class="form-control" name="row[nickname]" 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">电话:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-phone" class="form-control" name="row[phone]" 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">地址:</label>
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<div class="col-xs-12 col-sm-8">
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<textarea id="c-address" class="form-control " rows="5" name="row[address]" cols="50"></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">{:__('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 " rows="5" name="row[reason]" cols="50"></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">{:__('Remarks')}:</label>
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<div class="col-xs-12 col-sm-8">
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<textarea id="c-remarks" class="form-control " rows="5" name="row[remarks]" cols="50"></textarea>
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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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