34 lines
		
	
	
		
			1.7 KiB
		
	
	
	
		
			HTML
		
	
	
	
	
	
		
		
			
		
	
	
			34 lines
		
	
	
		
			1.7 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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								    <input type="hidden" name="row[brand_id]" value="1"/>
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								    <div class="form-group">
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								        <label class="control-label col-xs-12 col-sm-2">{:__('Coach_id')}:</label>
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								        <div class="col-xs-12 col-sm-8">
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								            <input id="c-coach_id" min="0" data-rule="required" data-source="coach/index" class="form-control selectpage" name="row[coach_id]" type="text" value="">
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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">{:__('Order_no')}:</label>
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								        <div class="col-xs-12 col-sm-8">
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								            <input id="c-order_no" class="form-control" name="row[order_no]" 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">{:__('Withdraw_price')}:</label>
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								        <div class="col-xs-12 col-sm-8">
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								            <input id="c-withdraw_price" min="0" class="form-control" step="0.01" name="row[withdraw_price]" type="number" value="0.00">
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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">{:__('Withdraw_status')}:</label>
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								        <div class="col-xs-12 col-sm-8">
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								            <input id="c-withdraw_status" min="0" class="form-control" name="row[withdraw_status]" type="number" value="0">
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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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