<view class="content"><view class="moduleWrap"><view class="moduleBox"><view class="text4">真实姓名</view><view class="inputBox"><input class="input1" type="text" placeholder="输入和身份证姓名一致" data-event-opts="{{[['input',[['__set_model',['','realname','$event',[]]]]]]}}" value="{{realname}}" bindinput="__e"/></view></view><view class="moduleBox"><view class="text4">身份证号</view><view class="inputBox"><input class="input1" type="text" placeholder="输入18位身份证号" data-event-opts="{{[['input',[['__set_model',['','id_card_number','$event',[]]]]]]}}" value="{{id_card_number}}" bindinput="__e"/></view></view><view class="moduleBox"><view class="text4">有效日期</view><view class="inputBox inputTwoBox"><text data-event-opts="{{[['tap',[['e0',['$event']]]]]}}" class="input1" bindtap="__e">{{id_card_start_date||'开始时间'}}</text><text class="centerIcon">至</text><text data-event-opts="{{[['tap',[['e1',['$event']]]]]}}" class="input2" bindtap="__e">{{id_card_end_date||'结束时间'}}</text></view><u-datetime-picker vue-id="6b903ffb-1" show="{{showStartDate}}" mode="date" value="{{dateStart}}" data-event-opts="{{[['^confirm',[['confirmStartDate']]],['^input',[['__set_model',['','dateStart','$event',[]]]]]]}}" bind:confirm="__e" bind:input="__e" bind:__l="__l"></u-datetime-picker><u-datetime-picker vue-id="6b903ffb-2" show="{{showEndDate}}" mode="date" value="{{dateEnd}}" data-event-opts="{{[['^confirm',[['confirmEndDate']]],['^input',[['__set_model',['','dateEnd','$event',[]]]]]]}}" bind:confirm="__e" bind:input="__e" bind:__l="__l"></u-datetime-picker></view><view class="moduleBox"><view class="text4">证件地址</view><view class="inputBox"><input class="input1" type="text" placeholder="与身份证住址保持一致" data-event-opts="{{[['input',[['__set_model',['','id_card_address','$event',[]]]]]]}}" value="{{id_card_address}}" bindinput="__e"/></view></view><view class="moduleBox"><view class="text4">联系电话</view><view class="inputBox"><input class="input1" type="text" placeholder="输入您的联系方式" data-event-opts="{{[['input',[['__set_model',['','mobile','$event',[]]]]]]}}" value="{{mobile}}" bindinput="__e"/></view></view><view class="moduleBox" style="padding-bottom:60rpx;"><view class="text4">代理区域</view><view class="inputBox inputTwoBox2"><input class="input1" type="text" placeholder="请选择省份"/><text class="centerIcon">-</text><input class="input2" type="text" placeholder="请选择城市"/></view></view></view><view class="tipBox">Tips：我们会在3个工作日内审核并与您联系，请注意接听电话。</view><view style="height:130rpx;"></view><view class="btnBox"><view data-event-opts="{{[['tap',[['apply',['$event']]]]]}}" class="btnEle flex-center" bindtap="__e">提交申请</view></view></view>