               <textarea type="text" class="form-control" id="input-remark" name="remark"></textarea>
                </div>
            </div>
            <div class="row mb-3">
                <label class="col-sm-2 col-form-label text-sm-end pt-0">{:lang('STATUS')}</label>
                <div class="col-md-8 col-sm-10">
                    <div class="form-check form-check-inline">
                        <input class="form-check-input" type="radio" id="status-radio1" name="status" value="1">
          