智慧申请系统
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  1. <view class="container">
  2. <form catchsubmit="confirmSubmits">
  3. <view class="apply-container">
  4. <view class="title-box">身份证照片上传</view>
  5. <view class="upload-image">
  6. <view class="upload-image-item" bindtap="changeImages">
  7. <image wx:if="{{ formData.sfzzm != '' }}" src="{{formData.sfzzm}}"></image>
  8. <image wx:else="" src="{{ defaultImg }}" mode=""/>
  9. <text>身份证正面</text>
  10. </view>
  11. </view>
  12. <view class="form">
  13. <view class="input-container">
  14. <view class="page-section w-full">
  15. <view class="page-section-title">*申请人姓名</view>
  16. <view class="weui-cells">
  17. <input class="weui-input" name="applyPerson" id="applyPerson" disabled="{{true}}" bindinput="getValue" value="{{formData.applyPerson}}" placeholder="请输入申请人姓名" />
  18. </view>
  19. </view>
  20. <view class="page-section w-full">
  21. <view class="page-section-title">*身份证号</view>
  22. <view class="weui-cells">
  23. <input class="weui-input" name="sfzh" id="sfzh" disabled="{{true}}" bindinput="getValue" value="{{formData.sfzh}}" placeholder="请输入申请人身份证号码" />
  24. </view>
  25. </view>
  26. <view class="page-section w-full">
  27. <view class="page-section-title">*出生日期</view>
  28. <view class="weui-cells">
  29. <input class="weui-input" name="birth" disabled="{{true}}" bindinput="getValue" id="birth" value="{{formData.csrq}}" placeholder="请输入出生日期" />
  30. </view>
  31. </view>
  32. <view class="page-section w-full">
  33. <view class="page-section-title">*户籍地</view>
  34. <view class="weui-cells">
  35. <input class="weui-input" name="domicile" disabled="{{true}}" bindinput="getValue" id="domicile" value="{{formData.domicile}}" placeholder="请输入户籍地" />
  36. </view>
  37. </view>
  38. <view class="page-section noBorder w-full">
  39. <view class="check-container">
  40. <checkbox-group class="flex flex-align" bindchange="changeSure">
  41. <checkbox value="1" style="transform: scale(.75)"></checkbox>
  42. <view>我已阅读并同意<text bind:tap="openRules" data-type="1">《用户服务协议》</text>及<text bind:tap="openRules" data-type="2">《隐私政策》</text></view>
  43. </checkbox-group>
  44. </view>
  45. </view>
  46. </view>
  47. </view>
  48. <view class="btn-group">
  49. <button type="primary" class='btn' formType="submit">提交</button>
  50. </view>
  51. </view>
  52. </form>
  53. </view>