<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <div class="form-group" data-toggle="cxselect" data-selects="first,second">
        <label class="control-label col-xs-12 col-sm-2">{:__('Province_id')}: {:__('City_id')}:</label>
        <div class="col-xs-10 col-sm-8">
            <select class="first form-control" name="row[province_id]" data-url="ajax/province"></select>
            <select class="second form-control" name="row[city_id]" data-url="ajax/city" data-query-name="pid"></select>
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Weigh')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-weigh" data-rule="required" class="form-control" name="row[weigh]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Show_switch')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <input  id="c-show_switch" name="row[show_switch]" type="hidden" value="0">
            <a href="javascript:;" data-toggle="switcher" class="btn-switcher" data-input-id="c-show_switch" data-yes="1" data-no="0" >
                <i class="fa fa-toggle-on text-success fa-flip-horizontal text-gray fa-2x"></i>
            </a>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>