book_admin/application/admin/view/agreementyi/edit.html

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

    <div class="form-group">
        <label for="c-card_holder" class="control-label col-xs-12 col-sm-2">{:__('Card_holder')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_holder" data-rule="required" class="form-control" name="row[card_holder]" type="text"
                   value="{$row.card_holder}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-card_num" class="control-label col-xs-12 col-sm-2">{:__('Card_num')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_num" data-rule="required" class="form-control" name="row[card_num]" type="text"
                   value="{$row.card_num}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-card_bank" class="control-label col-xs-12 col-sm-2">{:__('Card_bank')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_bank" class="form-control" name="row[card_bank]" type="text" value="{$row.card_bank}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-idcard_no" class="control-label col-xs-12 col-sm-2">{:__('Idcard_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-idcard_no" class="form-control" name="row[idcard_no]" type="text" value="{$row.idcard_no}">
        </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" class="form-control" name="row[start_date]" type="number"
                   value="{$row.start_date}">
        </div>
    </div>
    <div class="form-group">
        <label for="c-mobile" class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required" class="form-control" name="row[mobile]" type="number"
                   value="{$row.mobile}">
        </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>