<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">{:__('Third_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-third_id" data-rule="required" data-source="user/user/index" data-field="username" class="form-control selectpage" name="row[third_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Study_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-study_id" data-rule="required" data-source="study/index" data-field="examname" class="form-control selectpage" name="row[study_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Periodtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-periodtime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[periodtime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </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>