mitrobill/ui/ui/customers-add.tpl
2024-02-13 13:54:01 +07:00

101 lines
5.6 KiB
Smarty

{include file="sections/header.tpl"}
<div class="row">
<div class="col-sm-12 col-md-12">
<div class="panel panel-primary panel-hovered panel-stacked mb30">
<div class="panel-heading">{Lang::T('Add New Contact')}</div>
<div class="panel-body">
<form class="form-horizontal" method="post" role="form" action="{$_url}customers/add-post">
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Username')}</label>
<div class="col-md-6">
<div class="input-group">
{if $_c['country_code_phone']!= ''}
<span class="input-group-addon" id="basic-addon1">+</span>
{else}
<span class="input-group-addon" id="basic-addon1"><i
class="glyphicon glyphicon-phone-alt"></i></span>
{/if}
<input type="text" class="form-control" name="username" required
placeholder="{if $_c['country_code_phone']!= ''}{$_c['country_code_phone']}{/if} {Lang::T('Phone Number')}">
</div>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Full Name')}</label>
<div class="col-md-6">
<input type="text" required class="form-control" id="fullname" name="fullname">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Email')}</label>
<div class="col-md-6">
<input type="email" class="form-control" id="email" name="email">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Phone Number')}</label>
<div class="col-md-6">
<div class="input-group">
{if $_c['country_code_phone']!= ''}
<span class="input-group-addon" id="basic-addon1">+</span>
{else}
<span class="input-group-addon" id="basic-addon1"><i
class="glyphicon glyphicon-phone-alt"></i></span>
{/if}
<input type="text" class="form-control" name="phonenumber"
placeholder="{if $_c['country_code_phone']!= ''}{$_c['country_code_phone']}{/if} {Lang::T('Phone Number')}">
</div>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Password')}</label>
<div class="col-md-6">
<input type="password" class="form-control" autocomplete="off" required id="password"
name="password" onmouseleave="this.type = 'password'" onmouseenter="this.type = 'text'">
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('PPPOE Password')}</label>
<div class="col-md-6">
<input type="password" class="form-control" id="pppoe_password" name="pppoe_password"
value="{$d['pppoe_password']}" onmouseleave="this.type = 'password'"
onmouseenter="this.type = 'text'">
<span
class="help-block">{Lang::T('User Cannot change this, only admin. if it Empty it will use user password')}</span>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Address')}</label>
<div class="col-md-6">
<textarea name="address" id="address" class="form-control"></textarea>
</div>
</div>
<div class="form-group">
<label class="col-md-2 control-label">{Lang::T('Service Type')}</label>
<div class="col-md-6">
<select class="form-control" id="service_type" name="service_type">
<option value="Hotspot" {if $d['service_type'] eq 'Hotspot'}selected{/if}>Hotspot</option>
<option value="PPPoE" {if $d['service_type'] eq 'PPPoE'}selected{/if}>PPPoE</option>
<option value="Others" {if $d['service_type'] eq 'Others'}selected{/if}>Others</option>
</select>
</div>
</div>
<div class="form-group">
<div class="col-lg-offset-2 col-lg-10">
<button class="btn btn-primary waves-effect waves-light"
type="submit">{Lang::T('Save Changes')}</button>
Or <a href="{$_url}customers/list">{Lang::T('Cancel')}</a>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
{include file="sections/footer.tpl"}