联系人信息.php 2.44 KB
<div class="panel panel-default mb-20">
    <div class="panel-header">联系人信息 (不承担贷款相关责任)</div>
    <div class="panel-body">
        <div class="row cl">
            <div class="form-group col-sm-3 col-md-2">
                <label>亲属联系人姓名</label>
                <input type="text" class="form-control input-text" value="XXX">
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>是您的</label>
                <span class="form-control select-box">
                    <select class="select" size="1">
                        <option value="1"></option>
                    </select>
                </span>
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>手机号</label>
                <input type="text" class="form-control input-text" value="XXX">
            </div>
        </div>

        <div class="row cl">
            <div class="form-group col-sm-3 col-md-2">
                <label>其他联系人姓名</label>
                <input type="text" class="form-control input-text" value="XXX">
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>是您的</label>
                <span class="form-control select-box">
                    <select class="select" size="1">
                        <option value="1"></option>
                    </select>
                </span>
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>手机号</label>
                <input type="text" class="form-control input-text" value="XXX">
            </div>
        </div>

        <div class="row cl">
            <div class="form-group col-sm-3 col-md-2">
                <label>其他联系人姓名</label>
                <input type="text" class="form-control input-text" value="XXX">
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>是您的</label>
                <span class="form-control select-box">
                    <select class="select" size="1">
                        <option value="1"></option>
                    </select>
                </span>
            </div>
            <div class="form-group col-sm-3 col-md-2">
                <label>手机号</label>
                <input type="text" class="form-control input-text" value="XXX">
            </div>
        </div>
    </div>
</div>