@layout("/common/_container.html"){
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<div class="ibox float-e-margins">
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<div class="ibox-content">
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<div class="form-horizontal" id="tAgentInfoForm">
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<div class="row">
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<div class="col-sm-6">
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<div class="form-group">
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代理商信息
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*负责人姓名：</label>
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<div class="col-sm-9">
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<input class="form-control" id="principal" name="principal" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*联系电话：</label>
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<div class="col-sm-9">
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<input class="form-control" id="principalPhone" name="principalPhone" maxlength="11" type="number" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<input id="areaId" type="hidden">
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<label class="col-sm-3 control-label">*代理区域：</label>
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<div class="col-sm-9">
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<input class="form-control" id="area" onclick="TAgent.area()" name="area" placeholder="请选择" readonly>
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*邮箱：</label>
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<div class="col-sm-9">
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<input class="form-control" id="email" name="email" type="email" maxlength="40" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*登录账号：</label>
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<div class="col-sm-9">
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<input class="form-control" id="account" name="account" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*登录密码：</label>
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<div class="col-sm-9">
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<input class="form-control" id="password" name="password" type="password" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*确认密码：</label>
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<div class="col-sm-9">
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<input class="form-control" id="rePassword" name="rePassword" type="password" maxlength="20" placeholder="请输入">
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</div>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-sm-6">
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<div class="form-group">
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商户信息
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*商户类型：</label>
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<div class="col-sm-9">
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<select class="form-control" id="userType">
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<option value="1">个体工商户</option>
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<option value="2">企业</option>
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</select>
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*公司名称：</label>
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<div class="col-sm-9">
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<input class="form-control" id="merchantName" name="merchantName" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*经营范围：</label>
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<div class="col-sm-9">
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<input class="form-control" id="businessScope" name="businessScope" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*统一社会信用码：</label>
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<div class="col-sm-9">
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<input class="form-control" id="socialCreditCode" name="socialCreditCode" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*统一社会信用证有效期：</label>
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<div class="col-sm-9">
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<input class="form-control" id="socialCreditCodeExpires" name="socialCreditCodeExpires" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*地区：</label>
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<div class="col-sm-3">
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<input class="form-control" id="provCodeEnterprise" name="provCodeEnterprise">
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</div>
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<div class="col-sm-3">
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<input class="form-control" id="cityCodeEnterprise" name="cityCodeEnterprise">
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</div>
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<div class="col-sm-3">
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<input class="form-control" id="areaCodeEnterprise" name="areaCodeEnterprise">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*企业详细地址：</label>
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<div class="col-sm-9">
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<input class="form-control" id="address" name="address" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*结算账户名：</label>
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<div class="col-sm-9">
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<input class="form-control" id="cardName" name="cardName" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*结算账户号：</label>
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<div class="col-sm-9">
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<input class="form-control" id="cardNo" name="cardNo" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*银行账户类型：</label>
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<div class="col-sm-9">
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<select class="form-control" id="bankAcctType">
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<option value="1">对公</option>
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<option value="2">对私</option>
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</select>
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*银行预留手机号：</label>
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<div class="col-sm-9">
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<input class="form-control" id="phone" name="phone" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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</div>
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<div class="col-sm-6">
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<div class="form-group">
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<label class="col-sm-3 control-label">*法人姓名：</label>
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<div class="col-sm-9">
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<input class="form-control" id="legalPerson" name="legalPerson" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*法人身份证号：</label>
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<div class="col-sm-9">
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<input class="form-control" id="merchantIDCode" name="merchantIDCode" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*法人身份证有效期：</label>
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<div class="col-sm-9">
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<input class="form-control" id="certIdExpires" name="certIdExpires">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*法人手机号：</label>
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<div class="col-sm-9">
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<input class="form-control" id="legalPhone" name="legalPhone" type="text" maxlength="11" placeholder="请输入">
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</div>
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</div>
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<#avatar id="fileNo" name="营业执照扫描件：" />
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<div class="form-group">
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<label class="col-sm-3 control-label">*银行名称：</label>
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<div class="col-sm-9">
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<input class="form-control" id="bankCode" name="bankCode" type="text" maxlength="20" placeholder="请输入">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*开户行地区：</label>
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<div class="col-sm-3">
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<input class="form-control" id="provCodeBank" name="provCodeBank">
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</div>
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<div class="col-sm-3">
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<input class="form-control" id="cityCodeBank" name="cityCodeBank">
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</div>
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<div class="col-sm-3">
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<input class="form-control" id="areaCodeBank" name="areaCodeBank">
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</div>
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</div>
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<div class="form-group">
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<label class="col-sm-3 control-label">*注册状态：</label>
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<div class="col-sm-4">
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商户开户状态：
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</div>
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<div class="col-sm-4">
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结算账户绑定状态：
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</div>
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</div>
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</div>
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</div>
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<div class="row btn-group-m-t">
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<div class="col-sm-10" style="text-align: center">
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<#button btnCss="danger" name="取消" id="cancel" icon="fa-eraser" clickFun="TAgentInfoDlg.close()"/>
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<#button btnCss="info" name="提交" id="ensure" icon="fa-check" clickFun="TAgentInfoDlg.addSubmit()"/>
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</div>
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</div>
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</div>
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</div>
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</div>
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<script src="${ctxPath}/static/modular/system/tAgent/tAgent_info.js"></script>
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<script src="${ctxPath}/static/modular/system/tAgent/tAgent.js"></script>
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<script type="text/javascript">
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laydate.render({
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elem: '#socialCreditCodeExpires',
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type: "date"
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});
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laydate.render({
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elem: '#certIdExpires',
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type: "date"
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});
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</script>
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@}
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