<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">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Image')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-image" class="form-control" size="50" name="row[image]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-image" class="btn btn-danger faupload" data-input-id="c-image" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp,image/webp" data-multiple="false" data-preview-id="p-image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <span><button type="button" id="fachoose-image" class="btn btn-primary fachoose" data-input-id="c-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-image"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-image"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Closetime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-closetime"  class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[closetime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Verification_store_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-verification_store_id" data-rule="required" data-source="verification/store/index" class="form-control selectpage" name="row[verification_store_id]" type="text" value="">
        </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" class="form-control selectpicker" name="row[type]">
                {foreach name="typeList" item="vo"}
                <option value="{$key}" {in name="key" value="0"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group" id="d-send_rule_limit">
        <label class="control-label col-xs-12 col-sm-2">{:__('Send_rule_limit')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-send_rule_limit" class="form-control" name="row[send_rule_limit]" type="number" >
        </div>
    </div>
    <div id="d-voucher_amount" class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Voucher_amount')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-voucher_amount" class="form-control" name="row[voucher_amount]" type="number">
        </div>
    </div>
    <div id="d-gift" class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gift')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gift" class="form-control" name="row[gift]" type="text">
        </div>
    </div>
    <div id="d-consumption" class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Consumption')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-consumption" class="form-control" name="row[consumption]" type="number">
        </div>
    </div>
    <div id="d-reduction" class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Reduction')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-reduction" class="form-control" name="row[reduction]" type="number">
        </div>
    </div>
    <div id="d-consumption_name" class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Consumption_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-consumption_name" class="form-control" name="row[consumption_name]" 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>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>