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109 行
5.4 KiB
HTML
109 行
5.4 KiB
HTML
<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
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<!-- 1. 提现主体与资金明细 -->
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<div class="panel panel-default panel-form-section">
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<div class="panel-heading">
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<h4 class="panel-title"><i class="fa fa-cny"></i> 提现主体与金额明细</h4>
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</div>
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<div class="panel-body">
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Master_id')}:</label>
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<div class="col-xs-12 col-sm-10">
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<input id="c-master_id" data-rule="required" min="0" data-source="master/index" class="form-control selectpage" name="row[master_id]" type="text" value="" placeholder="请选择或搜索师傅">
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">提现款项明细:</label>
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<div class="col-xs-12 col-sm-10">
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<div class="row">
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<div class="col-xs-4">
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<div class="input-group">
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<span class="input-group-addon">申请额 ¥</span>
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<input id="c-amount" data-rule="required" class="form-control" step="0.01" name="row[amount]" type="number" value="0.00">
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</div>
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</div>
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<div class="col-xs-4">
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<div class="input-group">
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<span class="input-group-addon">手续费 ¥</span>
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<input id="c-fee" data-rule="required" class="form-control" step="0.01" name="row[fee]" type="number" value="0.00">
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</div>
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</div>
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<div class="col-xs-4">
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<div class="input-group">
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<span class="input-group-addon">到账额 ¥</span>
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<input id="c-arrive_amount" data-rule="required" class="form-control" step="0.01" name="row[arrive_amount]" type="number" value="0.00">
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<!-- 2. 结算账户 -->
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<div class="panel panel-default panel-form-section">
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<div class="panel-heading">
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<h4 class="panel-title"><i class="fa fa-credit-card"></i> 结算渠道与到账账户</h4>
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</div>
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<div class="panel-body">
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<div class="row">
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<div class="col-xs-12 col-sm-6">
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-4">{:__('Channel')}:</label>
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<div class="col-xs-12 col-sm-8">
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<select id="c-channel" data-rule="required" class="form-control selectpicker" name="row[channel]">
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{foreach name="channelList" item="vo"}
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<option value="{$key}" {in name="key" value="wechat"}selected{/in}>{$vo}</option>
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{/foreach}
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</select>
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</div>
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</div>
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</div>
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<div class="col-xs-12 col-sm-6">
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-4">{:__('Account')}:</label>
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<div class="col-xs-12 col-sm-8">
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<input id="c-account" data-rule="required" class="form-control" name="row[account]" type="text" value="" placeholder="银行卡号/微信绑定手机号">
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<!-- 3. 审核状态 -->
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<div class="panel panel-default panel-form-section">
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<div class="panel-heading">
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<h4 class="panel-title"><i class="fa fa-check-square-o"></i> 财务审核与批注</h4>
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</div>
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<div class="panel-body">
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
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<div class="col-xs-12 col-sm-10">
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<div class="radio">
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{foreach name="statusList" item="vo"}
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<label for="row[status]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="wait"}checked{/in} /> {$vo}</label>
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{/foreach}
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</div>
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</div>
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</div>
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<div class="form-group">
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<label class="control-label col-xs-12 col-sm-2">{:__('Audit_msg')}:</label>
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<div class="col-xs-12 col-sm-10">
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<input id="c-audit_msg" class="form-control" name="row[audit_msg]" type="text" value="" placeholder="审核通过或驳回原因说明">
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</div>
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</div>
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</div>
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</div>
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<div class="form-group layer-footer">
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<label class="control-label col-xs-12 col-sm-2"></label>
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<div class="col-xs-12 col-sm-8">
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<button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
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<button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
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</div>
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</div>
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</form>
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