21 lines
1.0 KiB
HTML
21 lines
1.0 KiB
HTML
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<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">{:__('Address_city')}:</label>
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<div class="col-xs-12 col-sm-8">
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<div class='control-relative'>
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<input id="c-address_city" data-rule="required" class="form-control form-control" data-toggle="city-picker" name="row[address_city]" value="" type="text">
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</div>
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<input type="hidden" id="province" name="row[province]" value="" >
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<input type="hidden" id="city" name="row[city]" value="" >
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<input type="hidden" id="district" name="row[district]" value="" >
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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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