<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">{:__('Uid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-uid" data-rule="required" class="form-control" name="row[uid]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-status" data-rule="required" class="form-control" name="row[status]" type="number" value="0">
        </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">
            <input id="c-type" data-rule="required" class="form-control" name="row[type]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payable')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-payable" data-rule="required" class="form-control" name="row[payable]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Paragraph')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-paragraph" data-rule="required" class="form-control" name="row[paragraph]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mark" data-rule="required" class="form-control" name="row[mark]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address" data-rule="required" class="form-control" name="row[address]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label 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="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Open_bank')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-open_bank" data-rule="required" class="form-control" name="row[open_bank]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Open_account')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-open_account" data-rule="required" class="form-control" name="row[open_account]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Money')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-money" data-rule="required" class="form-control" name="row[money]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_name" data-rule="required" class="form-control" name="row[user_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_mobile" data-rule="required" class="form-control" name="row[user_mobile]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('User_address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_address" data-rule="required" class="form-control" name="row[user_address]" 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>