book_admin/application/admin/view/auth/adminextend/add.html

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

    <div class="form-group">
        <label for="c-benefit" class="control-label col-xs-12 col-sm-2">{:__('Benefit')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-benefit" data-rule="required" class="form-control" step="0.01" name="row[benefit]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label for="c-create_by" class="control-label col-xs-12 col-sm-2">{:__('Create_by')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-create_by" data-rule="required" class="form-control" name="row[create_by]" type="number">
        </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" class="form-control" name="row[mobile]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label for="c-pay_method" class="control-label col-xs-12 col-sm-2">{:__('Pay_method')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-pay_method" class="form-control selectpicker" name="row[pay_method]">
                {foreach name="payMethodList" item="vo"}
                    <option value="{$key}" {in name="key" value="1"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <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">
        </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">
        </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">
        </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>