book_admin/application/admin/view/agreementjia/add.html

<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label for="c-jia" class="control-label col-xs-12 col-sm-2">{:__('Jia')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jia" data-rule="required" class="form-control" name="row[jia]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-jia" class="control-label col-xs-12 col-sm-2">{:__('CardBank')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_bank" data-rule="required" class="form-control" name="row[card_bank]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-jia" class="control-label col-xs-12 col-sm-2">{:__('CardNumber')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_num" data-rule="required" class="form-control" name="row[card_num]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label for="c-start_date" class="control-label col-xs-12 col-sm-2">{:__('Start_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-start_date" data-rule="required;range(20170101~20990101)" class="form-control" name="row[start_date]" type="number" size="8" placeholder="输入格式如：20180101">
        </div>
    </div>
    <div class="form-group">
        <label for="c-seal" class="control-label col-xs-12 col-sm-2">{:__('Seal')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-seal" data-rule="required" class="form-control" size="255" name="row[seal]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-attachfile" class="btn btn-danger plupload" data-input-id="c-seal" data-url="ajax/uploadNoCdn" data-multiple="false"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                </div>
                <span class="msg-box n-right" for="c-seal"></span>
            </div>
        </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-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>