<div class="form-group">
                <label class="control-label col-xs-12 col-sm-2">{:__('Card_num')}:</label>
                <div class="col-xs-12 col-sm-4">
                    <input id="c-card_num" data-rule="required" class="form-control" name="row[card_num]" type="text" value="{$row.card_num|htmlentities}">
                </div>
                <label class="control-label col-xs-12 col-sm-2">{:__('Division_id')}:</label>
                <div class="col-xs-12 col-sm-4">
                    <input disabled id="c-division_id" data-rule="required" data-field="division_name" data-source="system/division/selectpage" class="form-control selectpage" name="row[division_id]" type="text" value="{$row.division_id|htmlentities}">
                </div>
            </div>