{layout name="layout2" /}
<div class="layui-card layui-form" style="box-shadow:none;">
    <div class="layui-card-body">
        <div class="layui-form-item">
            <label for="name" class="layui-form-label"><span style="color:red;">*</span>提现银行：</label>
            <div class="layui-input-block">
                <input type="text" name="name" id="name" lay-verType="tips" lay-verify="required" autocomplete="off" class="layui-input">
                <div class="layui-form-mid layui-word-aux">填写银行名称，例如中国工商银行</div>
            </div>
        </div>
        <div class="layui-form-item">
            <label for="branch" class="layui-form-label"><span style="color:red;">*</span>银行支行：</label>
            <div class="layui-input-block">
                <input type="text" name="branch" id="branch" lay-verType="tips" lay-verify="required" autocomplete="off" class="layui-input">
                <div class="layui-form-mid layui-word-aux">填写银行支行，例如北京路支行</div>
            </div>
        </div>
        <div class="layui-form-item">
            <label for="nickname" class="layui-form-label"><span style="color:red;">*</span>开户名称：</label>
            <div class="layui-input-block">
                <input type="text" name="nickname" id="nickname" lay-verType="tips" lay-verify="required" autocomplete="off" class="layui-input">
                <div class="layui-form-mid layui-word-aux">填写开户名称，例如张三</div>
            </div>
        </div>
        <div class="layui-form-item">
            <label for="account" class="layui-form-label"><span style="color:red;">*</span>银行账号：</label>
            <div class="layui-input-block">
                <input type="text" name="account" id="account" lay-verType="tips" lay-verify="required|number" autocomplete="off" class="layui-input">
                <div class="layui-form-mid layui-word-aux">填写银行账号</div>
            </div>
        </div>

        <div class="layui-form-item layui-hide">
            <input type="button" lay-submit lay-filter="addSubmit" id="addSubmit" value="确认">
        </div>
    </div>
</div>