{template 'header'}
<!-- 内容区域 start -->
<div class="tpl-content-wrapper ">
	<link rel="stylesheet" href="{php echo MODULE_URL}style/css/goods.css">
	<link rel="stylesheet" href="{php echo MODULE_URL}style/css/umeditor.css">
	<div class="row-content am-cf">
		<div class="row">
			<div class="am-u-sm-12 am-u-md-12 am-u-lg-12">
				<div class="widget am-cf">
					<form id="form_data" action="#" class="am-form tpl-form-line-form" method="post" novalidate="novalidate">
						<div class="widget-body">
							<fieldset>
								<div class="widget-head am-cf">
									<div class="widget-title am-fl">表单信息</div>
								</div>
								{if $this->object_to_array($_W['uniaccount'])['type_sign'] != 'webapp'}
								<div class="am-form-group">
									<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require">姓名 </label>
									<div class="am-u-sm-9 am-u-end">
										<input type='text' id='store' name='store' value="{$info['name']}" readonly class='form-control' />
									</div>
								</div>
								<div class="am-form-group">
									<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require">电话 </label>
									<div class="am-u-sm-9 am-u-end">
										<input type='text' id='store' name='store' value="{$info['phone']}" readonly class='form-control' />
									</div>
								</div>
								{/if}
								{loop $info['value'] $item}
									<div class="am-form-group">
										<label class="am-u-sm-3 am-u-lg-2 am-form-label form-require">{$item['name']} </label>
										<div class="am-u-sm-9 am-u-end">
											{if empty($item['type'])}
												<input type='text' id='store' name='store' value="{$item['vaule']}" readonly class='form-control' />
											{else}
												{loop $item['value'] $index}
													{if !empty($index)}
														<a href="{$index}" target="_blank"><img src="{$index}" width="120" style="float: left;"/></a>
													{/if}
												{/loop}
											{/if}
										</div>
									</div>
								{/loop}
							</fieldset>
						</div>
					</form>
				</div>
			</div>
		</div>
	</div>
</div>
<!-- 内容区域 end -->
{template 'footer'}