="form-control">
                    <span class="input-group-btn"> <button type="button" class="btn btn-white showpass"><span
                            class="glyphicon glyphicon-eye-open"></span>
                                        </button> </span>
                </div>
            </div>
        </div>

        <div class="hr-line-dashed"></div>

        <div class="form-group"><label
                class="col-lg-2 control-label">{{_ "service_name"}}</label>
            <div data-placement="top"