信用报告.php 6.1 KB
<form action="" id="form1">
    <input type="hidden" name="orderId" value="<?=$id?>">
    <div class="panel panel-default mb-20">
        <div class="panel-header">信用报告</div>
        <div class="panel-body cl">
            <div class="row cl">
                <div class="form-group col-sm-4 col-md-2">
                    <label>银行黑名单</label>
                    <span class="form-control select-box">
                    <select class="select" size="1">
                        <option value="1"></option>
                        <option value="2"></option>
                    </select>
                </span>
                </div>
                <div class="form-group col-sm-4 col-md-2">
                    <label>同行进件</label>
                    <span class="form-control select-box">
                    <select class="select" size="1">
                        <option value="1"></option>
                        <option value="2"></option>
                    </select>
                </span>
                </div>
                <div class="form-group col-sm-4 col-md-2">
                    <label>征信五级分类异常</label>
                    <span class="form-control select-box">
                    <select class="select" size="1">
                        <option value="1"></option>
                        <option value="2"></option>
                    </select>
                </span>
                </div>
            </div>

            <div class="row cl">
                <div class="form-group col-sm-6 col-md-3">
                    <label>最近一次工作单位</label>
                    <input type="text" class="form-control input-text" value="">
                </div>
            </div>

            <div class="row cl">
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>贷款记录</label>
                    <input type="text" class="form-control input-text" name="loanRecord" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
            </div>

            <div class="row cl">
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>总授信</label>
                    <input type="text" class="form-control input-text" name="loanTotalCreditAmount" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>余额</label>
                    <input type="text" class="form-control input-text" name="loanBalance" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>逾期</label>
                    <input type="text" class="form-control input-text" name="loanDue" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
            </div>

            <div class="row cl">
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>M1</label>
                    <input type="text" class="form-control input-text" name="creditCardMOne" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>M2</label>
                    <input type="text" class="form-control input-text" name="creditCardMTwo" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>M3</label>
                    <input type="text" class="form-control input-text" name="creditCardMThree" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
                <div class="form-group has-feedback col-sm-3 col-md-2">
                    <label>M7</label>
                    <input type="text" class="form-control input-text" name="creditCardMSeven" value="">
                    <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
                </div>
            </div>
        </div>
    </div>

    <div class="panel panel-default mb-20">
        <div class="panel-header">3个月查询记录</div>
        <div class="panel-body cl">
            <div class="row cl">
                <div class="form-group col-sm-6 col-md-6">
                    <label>贷款</label>
                    <input type="text" name="threeMonthLoan" class="form-control input-text" value="">
                </div>
            </div>
            <div class="row cl">
                <div class="form-group col-sm-6 col-md-6">
                    <label>信用卡</label>
                    <input type="text" name="threeMonthCreditCard" class="form-control input-text" value="">
                </div>
            </div>
            <div class="row cl">
                <div class="form-group col-sm-6 col-md-6">
                    <label>担保</label>
                    <input type="text" name="threeMonthGuarantee" class="form-control input-text" value="">
                </div>
            </div>
            <div class="row cl">
                <div class="form-group col-sm-6 col-md-6">
                    <label>保前</label>
                    <input type="text" name="threeMonthGuaranteeBefore" class="form-control input-text" value="">
                </div>
            </div>
            <div class="row cl">
                <div class="form-group col-sm-6 col-md-6">
                    <label>个人查询</label>
                    <input type="text" name="threeMonthPersonage" class="form-control input-text" value="">
                </div>
            </div>
        </div>
    </div>
</form>