odd_job/app/admin/view/agent/fagentform.html

<div class="layui-fluid">
	<div class="layui-row layui-col-space15">
		<div class="layui-col-md12">
			<div class="layui-card">
				<div class="layui-card-header">代理门店申请信息</div>
				<div class="layui-card-body" pad15>


					<div class="layui-form layui-form-pane" lay-filter="LAY-agent-fagentform-edit">
						<input type="hidden" name="id" value="{$fagent.id}">

						<div class="layui-form-item">
							<label class="layui-form-label">姓<span style="color:#f90c05;">*</span>名</label>
							<div class="layui-input-block">
								<input type="text" name="realname" value="{$fagent.realname}" lay-verify="required" placeholder="请输入"
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">手机号</label>
							<div class="layui-input-block">
								<input type="text" name="mobile" value="{$fagent.mobile}" lay-verify="phone" placeholder="请输入" autocomplete="off"
								 class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">当前住址</label>
							<div class="layui-input-block">
								<input type="text" name="address" value="{$fagent.address}" placeholder="请输入"
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">身份证号</label>
							<div class="layui-input-block">
								<input type="text" name="idcard" value="{$fagent.idcard}" placeholder="请输入" autocomplete="off"
								 class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">推荐人</label>
							<div class="layui-input-block">
								<input type="text" name="recommender" value="{$fagent.recommender}" placeholder="请输入"
								 autocomplete="off" class="layui-input">
							</div>
						</div>
						<div class="layui-form-item">
							<label class="layui-form-label">备注信息</label>
							<div class="layui-input-block">
								<input type="text" name="remark" value="{$fagent.remark}" placeholder="请输入" autocomplete="off"
								 class="layui-input">
							</div>
						</div>
						<div class="layui-form-item" pane>
							<label class="layui-form-label">状态</label>
							<div class="layui-input-block">
								<input type="radio" name="status" value="1" title="待处理" {eq name="fagent.status|default=1" value="1" }checked{/eq}>
								 <input type="radio" name="status" value="2" title="处理中" {eq name="fagent.status" value="2" }checked{/eq}>
								 <input type="radio" name="status" value="3" title="已处理" {eq name="fagent.status" value="3" }checked{/eq}> </div>
								 </div> <div class="layui-form-item">
								<label class="layui-form-label"><span style="color:#f90c05;">*</span>申请时间</label>
								<div class="layui-input-block">
									<input type="text" name="createtime" id="createtime" value="{$fagent.createtime}" lay-verify="required"
									 placeholder="请选择" autocomplete="off" class="layui-input">
								</div>
							</div>
							<div class="layui-form-item">
								<div class="layui-input-block">
									<input type="button" lay-submit lay-filter="LAY-agent-fagentform-edit-submit" value="确认提交" class="layui-btn">
								</div>
							</div>
						</div>


					</div>
				</div>
			</div>
		</div>
	</div>
</div>
<script>
	layui.config({
		base: '/static/echoui/' //静态资源所在路径
	}).extend({
		index: 'lib/index' //主入口模块
	}).use(['index', 'form', 'laydate', 'set', 'upload'], function() {
		var $ = layui.$,
			setter = layui.setter,
			admin = layui.admin,
			form = layui.form,
			laydate = layui.laydate,
			upload = layui.upload;
		form.render();

		laydate.render({
			elem: '#createtime',
			type: 'datetime'
		});

		form.on('submit(LAY-agent-fagentform-edit-submit)', function(obj) {
			var index = parent.layer.getFrameIndex(window.name);
			admin.req({
				url: setter.baseAdminUrl + 'agent/editfagent',
				data: obj.field,
				done: function(res) {
					layer.msg("提交成功", {
						icon: 1
					});
					parent.layui.table.reload('LAY-agent-fagentlist-table'); //重载表格
					parent.layer.close(index);
				}
			});
		});

	});
</script>