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编辑当前文件:/home/qrafawbu/tblonline.org/storage/framework/views/d18f21a26a6a0cb658f7e777a47bfcaa1827ee93.php

<form method="post" class="ajax-screen-submit" autocomplete="off" action="<?php echo e(route('withdraw.manual_withdraw',$withdraw_method->id)); ?>" enctype="multipart/form-data">
    <?php echo e(csrf_field()); ?>

<div class="row">
        <div class="col-md-12">
            <div class="form-group">
                <label class="control-label"><?php echo e(_lang('Amount')); ?></label>
                <input type="text" class="form-control float-field" name="amount" value="<?php echo e(old('amount')); ?>" required>
            </div>
        </div>

<?php $__currentLoopData = $withdraw_method->requirements; $__env->addLoop($__currentLoopData); foreach($__currentLoopData as $requirement): $__env->incrementLoopIndices(); $loop = $__env->getLastLoop(); ?>
        <div class="col-md-6">
            <div class="form-group">
                <label class="control-label"><?php echo e($requirement); ?></label>
                <input type="text" class="form-control" name="requirements[<?php echo e(str_replace(' ','_',$requirement)); ?>]" required>
            </div>
        </div>
        <?php endforeach; $__env->popLoop(); $loop = $__env->getLastLoop(); ?>