gganli/application/admin/view/conf/rebate/edit.html

<form id="edit-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">{:__('Recharge')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-recharge" data-rule="required" class="form-control" name="row[recharge]" type="number" value="{$row.recharge|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Preget')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-preget" data-rule="required" class="form-control" step="0.01" name="row[preget]" type="number" value="{$row.preget|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Prepreget')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-prepreget" data-rule="required" class="form-control" step="0.01" name="row[prepreget]" type="number" value="{$row.prepreget|htmlentities}">
        </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>