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<include file="public@header"/>
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</head>
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<body>
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<!--<script type="text/html" id="photos-item-tpl">-->
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<!--<li id="saved-image{id}">-->
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<!--<input id="photo-{id}" type="hidden" name="photo_urls[]" value="{filepath}">-->
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<!--<input class="form-control" id="photo-{id}-name" type="text" name="photo_names[]" value="{name}"-->
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<!--style="width: 200px;" title="图片名称">-->
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<!--<img id="photo-{id}-preview" src="{url}" style="height:36px;width: 36px;"-->
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<!--onclick="imagePreviewDialog(this.src);">-->
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<!--<a href="javascript:uploadOneImage('图片上传','#photo-{id}');">替换</a>-->
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<!--<a href="javascript:(function(){$('#saved-image{id}').remove();})();">移除</a>-->
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<!--</li>-->
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<!--</script>-->
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<div class="wrap js-check-wrap">
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<ul class="nav nav-tabs">
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<li><a href="{:url('Question/index')}">问卷调查</a></li>
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<li class="active"><a href="#">审核</a></li>
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</ul>
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<form action="{:url('Question/edit')}" method="post" class="form-horizontal js-ajax-form margin-top-20">
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<div class="row">
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<div class="col-md-9">
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<table class="table table-bordered">
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<tr>
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<th width="100">用户昵称</th>
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<td>
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<input class="form-control" type="text" name=""
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id="user_nickname" value="{$data.user_nickname}" placeholder="请输入用户昵称" readonly/>
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<input type="hidden" name="id" value="{$data.id}">
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</td>
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</tr>
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<tr>
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<th width="100">姓名</th>
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<td>
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<input class="form-control" type="text" name=""
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id="name" value="{$data.name}" placeholder="请输入姓名"/>
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</td>
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</tr>
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<tr>
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<th width="100">性别</th>
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<td>
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<label><input class="form-control" type="radio" name="sex" value="1" <eq name="$data.sex" value="1">checked</eq> />男</label>
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<label><input class="form-control" type="radio" name="sex" value="2" <eq name="$data.sex" value="2">checked</eq> />女</label>
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</td>
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</tr>
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<tr>
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<th width="100">年龄</th>
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<td>
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<input class="form-control" type="text" name="birthday"
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id="birthday" value="{$data.birthday}" placeholder="请输入年龄"/>
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</td>
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</tr>
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<tr>
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<th width="100">所在地</th>
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<td>
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<input class="form-control" type="text" name="area"
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id="area" value="{$data.area}" placeholder="请输入所在地"/>
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</td>
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</tr>
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<tr>
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<th width="100">家庭结构</th>
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<td>
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<input class="form-control" type="text" name="family_num"
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id="family_num" value="{$data.family_num}" placeholder="请输入家庭结构"/>
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</td>
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</tr>
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<tr>
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<th width="100">职业</th>
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<td>
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<input class="form-control" type="text" name="occupation"
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id="occupation" value="{$data.occupation}" placeholder="请输入职业"/>
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</td>
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</tr>
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<tr>
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<th width="100">有无吸烟酗酒史</th>
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<td>
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<input class="form-control" type="text" name="smoke_drink"
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id="smoke_drink" value="{$data.smoke_drink}" placeholder="请输入有误吸烟酗酒史"/>
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</td>
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</tr>
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<tr>
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<th width="100">出行方式</th>
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<td>
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<input class="form-control" type="text" name="going"
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id="going" value="{$data.going}" placeholder="请输入出行方式"/>
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</td>
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</tr>
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<tr>
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<th width="100">有无社保</th>
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<td>
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<input class="form-control" type="text" name="social"
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id="social" value="{$data.social}" placeholder="请输入有无社保"/>
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</td>
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</tr>
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<tr>
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<th width="100">家庭年收入</th>
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<td>
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<input class="form-control" type="text" name="year_income"
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id="year_income" value="{$data.year_income}" placeholder="请输入家庭年收入"/>
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</td>
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</tr>
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<tr>
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<th width="100">个人年收入</th>
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<td>
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<input class="form-control" type="text" name="personage_year_income"
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id="personage_year_income" value="{$data.personage_year_income}" placeholder="请输入个人年收入"/>
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</td>
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</tr>
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<tr>
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<th width="100">有无负债</th>
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<td>
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<input class="form-control" type="text" name="liabilities"
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id="liabilities" value="{$data.liabilities}" placeholder="请输入有无负债"/>
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</td>
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</tr>
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<tr>
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<th width="100">大约未还负债</th>
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<td>
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<input class="form-control" type="text" name="not_return"
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id="not_return" value="{$data.not_return}" placeholder="请输入大约未还负债"/>
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</td>
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</tr>
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<tr>
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<th width="100">有无家族病史</th>
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<td>
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<input class="form-control" type="text" name="family_disease"
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id="family_disease" value="{$data.family_disease}" placeholder="请输入有无家族病史"/>
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</td>
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</tr>
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<tr>
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<th width="100">你更关心您家人哪方面保障</th>
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<td>
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<input class="form-control" type="text" name="safeguard"
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id="safeguard" value="{$data.safeguard}" placeholder="请输入保障"/>
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</td>
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</tr>
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<tr>
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<th width="100">手机号</th>
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<td>
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<input class="form-control" type="text" name=""
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id="phone" value="{$data.phone}" placeholder="请输入手机号"/>
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</td>
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</tr>
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</table>
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<div class="form-group">
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<div class="col-sm-offset-2 col-sm-10">
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<button type="submit" class="btn btn-primary js-ajax-submit">{:lang('SAVE')}</button>
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<a class="btn btn-default" href="javascript:history.back(-1);">{:lang('BACK')}</a>
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</div>
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</div>
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</div>
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<div class="col-md-3">
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<table class="table table-bordered">
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<tr>
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<th>状态</th>
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</tr>
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<tr>
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<td>
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<div class="radio">
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<label><input type="radio" name="status" value="2" <eq name="$data.status" value="2">checked</eq> >审核通过</label>
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</div>
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</td>
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</tr>
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<tr>
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<td>
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<div class="radio">
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<label><input type="radio" name="status" value="3" <eq name="$data.status" value="3">checked</eq> >审核未通过</label>
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</div>
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</td>
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</tr>
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</table>
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</div>
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</div>
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</form>
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</div>
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<script type="text/javascript" src="__STATIC__/js/admin.js"></script>
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<script type="text/javascript">
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//编辑器路径定义
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var editorURL = GV.WEB_ROOT;
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</script>
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<script type="text/javascript" src="__STATIC__/js/ueditor/ueditor.config.js"></script>
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<script type="text/javascript" src="__STATIC__/js/ueditor/ueditor.all.min.js"></script>
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<script type="text/javascript">
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$(function () {
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editorcontent = new baidu.editor.ui.Editor();
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editorcontent.render('content');
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try {
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editorcontent.sync();
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} catch (err) {
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}
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$('.btn-cancel-thumbnail').click(function () {
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$('#thumbnail-preview').attr('src', '__TMPL__/public/assets/images/default-thumbnail.png');
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$('#thumbnail').val('');
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});
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$('.btn-cancel-thumbnail1').click(function () {
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$('#thumbnail-preview1').attr('src', '__TMPL__/public/assets/images/default-thumbnail.png');
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$('#thumbnail1').val('');
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});
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});
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</script>
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</body>
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</html> |
...
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...
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