yanglao/application/admin/view/service/shop/applyshop/add.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">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" min="0" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Applytype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-applytype" data-rule="required" class="form-control selectpicker" name="row[applytype]">
                {foreach name="applytypeList" item="vo"}
                    <option value="{$key|htmlentities}" {in name="key" value="0"}selected{/in}>{$vo|htmlentities}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Type')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-type" data-rule="required" min="0" class="form-control selectpicker" name="row[type]">
                {foreach name="typeList" item="vo"}
                    <option value="{$key|htmlentities}" {in name="key" value="0"}selected{/in}>{$vo|htmlentities}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Credit_code')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-credit_code" data-rule="required" class="form-control" name="row[credit_code]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('License_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-license_image" data-rule="required" class="form-control" size="50" name="row[license_image]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-license_image" class="btn btn-danger faupload" data-input-id="c-license_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-license_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-license_image" class="btn btn-primary fachoose" data-input-id="c-license_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-license_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-license_image"></ul>
        </div>
    </div>
    <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" data-rule="required" class="form-control" name="row[username]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required" class="form-control" name="row[mobile]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Idcard')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard" data-rule="required" class="form-control" name="row[idcard]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Front_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-front_image" data-rule="required" class="form-control" size="50" name="row[front_image]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-front_image" class="btn btn-danger faupload" data-input-id="c-front_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-front_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-front_image" class="btn btn-primary fachoose" data-input-id="c-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-front_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-front_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Opposite_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-opposite_image" data-rule="required" class="form-control" size="50" name="row[opposite_image]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-opposite_image" class="btn btn-danger faupload" data-input-id="c-opposite_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-opposite_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-opposite_image" class="btn btn-primary fachoose" data-input-id="c-opposite_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-opposite_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-opposite_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Intro')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-intro" data-rule="required" class="form-control" name="row[intro]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Logo_image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-logo_image" data-rule="required" class="form-control" size="50" name="row[logo_image]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-logo_image" class="btn btn-danger faupload" data-input-id="c-logo_image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-logo_image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-logo_image" class="btn btn-primary fachoose" data-input-id="c-logo_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-logo_image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-logo_image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Category_ids')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-category_ids" data-rule="required" data-source="category/selectpage" data-params='{"custom[type]":"service_apply_shop"}' data-multiple="true" class="form-control selectpage" name="row[category_ids]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Goods_ids')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-goods_ids" data-rule="required" data-source="goods/index" data-multiple="true" class="form-control selectpage" name="row[goods_ids]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leader_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leader_name" data-rule="required" class="form-control" name="row[leader_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Leader_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-leader_mobile" data-rule="required" class="form-control" name="row[leader_mobile]" type="text">
        </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" class="form-control" name="row[province]" type="text">
        </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">
            <div class='control-relative'><input id="c-city" data-rule="required" class="form-control" data-toggle="city-picker" name="row[city]" type="text"></div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('District')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-district" class="form-control" name="row[district]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address" data-rule="required" class="form-control" name="row[address]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lng')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lng" data-rule="required" class="form-control" name="row[lng]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lat')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lat" data-rule="required" class="form-control" name="row[lat]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('State')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="stateList" item="vo"}
            <label for="row[state]-{$key|htmlentities}"><input id="row[state]-{$key|htmlentities}" name="row[state]" type="radio" value="{$key|htmlentities}" {in name="key" value="0"}checked{/in} /> {$vo|htmlentities}</label>
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Note')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-note" class="form-control" name="row[note]" type="text">
        </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>