<div class="sys_disbanner_putup centerModal">
    <div class="modal-ctrl">
        <i class="icon icon-times"></i>
    </div>
    <div class="container newForm">
        <div class="row">
            <div class="col-2"></div>
            <div class="col-6 item-caption content ">上架</div>
        </div>

        <div class="row">
            <div class="col-1 item-caption">显示位置</div>
            <div class="col-2 item-caption xmtt">编号</div>
            <div class="col-5 item-caption">外显标题</div>
            <div class="col-2 item-caption">所属栏目</div>
        </div>
        <div class="row">
            <div class="col-1 item-caption">1</div>
            <div class="col-2">
                <div class="form-item text trim xmtt" placeholder="请输入编号" name="id1"></div>
            </div>
            <div class="col-6">
                <div class="form-item text readOnly" name="title1"></div>
            </div>
            <div class="col-2">
                <div class="form-item select readOnly" dictCode="banner" name="banner1"></div>
            </div>
        </div>
        <div class="row">
            <div class="col-1 item-caption">2</div>
            <div class="col-2">
                <div class="form-item text trim xmtt" placeholder="请输入编号" name="id2"></div>
            </div>
            <div class="col-6">
                <div class="form-item text readOnly" name="title2"></div>
            </div>
            <div class="col-2">
                <div class="form-item select readOnly" dictCode="banner" name="banner2"></div>
            </div>
        </div>
        <div class="row">
            <div class="col-1 item-caption">3</div>
            <div class="col-2">
                <div class="form-item text trim xmtt" placeholder="请输入编号" name="id3"></div>
            </div>
            <div class="col-6">
                <div class="form-item text readOnly" name="title3"></div>
            </div>
            <div class="col-2">
                <div class="form-item select readOnly" dictCode="banner" name="banner3"></div>
            </div>
        </div>
        <div class="row">
            <div class="col-1 item-caption">4</div>
            <div class="col-2">
                <div class="form-item text trim xmtt" placeholder="请输入编号" name="id4"></div>
            </div>
            <div class="col-6">
                <div class="form-item text readOnly" name="title4"></div>
            </div>
            <div class="col-2">
                <div class="form-item select readOnly" dictCode="banner" name="banner4"></div>
            </div>
        </div>
        <div class="row">
            <div class="col-1 item-caption">5</div>
            <div class="col-2">
                <div class="form-item text trim xmtt" placeholder="请输入编号" name="id5"></div>
            </div>
            <div class="col-6">
                <div class="form-item text readOnly" name="title5"></div>
            </div>
            <div class="col-2">
                <div class="form-item select readOnly" dictCode="banner" name="banner5"></div>
            </div>
        </div>

        <div class="row">
            <div class="col-10"></div>
            <div class="col-2">
                <div class="btn pull-right opt-save">
                    <i class="icon-check"></i> 确定
                </div>
            </div>
        </div>

    </div>
</div>