<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">{:__('User_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="required" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Company_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-company_id" data-rule="required" data-source="company/index" class="form-control selectpage" name="row[company_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Coupons_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-coupons_id" data-rule="required" data-source="coupons/index" class="form-control selectpage" name="row[coupons_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Coupon_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-coupon_name" class="form-control" name="row[coupon_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Coupon_info')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-coupon_info" class="form-control" name="row[coupon_info]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Endtime')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-endtime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[endtime]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Number')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-number" class="form-control" name="row[number]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remain')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remain" class="form-control" name="row[remain]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Payorder_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-payorder_id" data-rule="required" data-source="payorder/index" class="form-control selectpage" name="row[payorder_id]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Getfrom')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-getfrom" class="form-control" name="row[getfrom]" type="text" value="">
        </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-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>