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- <view class="content"><view class="red-box">申请登记</view><view class="jg"></view><view class="box"><view class="box-1"><view class="box-left">姓名<text class="imp"></text>：</view><input class="list-input" type="text" value="{{name}}" placeholder="请输入您的姓名" data-event-opts="{{[['input',[['__set_model',['','name','$event',[]]]]]]}}" bindinput="__e"/></view><view class="box-1"><view class="box-left">性别：</view><picker class="box-right" value="{{index}}" range="{{array}}" data-event-opts="{{[['change',[['bindPickerSex',['$event']]]]]}}" bindchange="__e"><text class="{{[(!sex)?'action':'']}}">{{sex||'请输入您的性别'}}</text></picker></view><view class="box-1"><view class="box-left">出生年月：</view><picker class="box-right" mode="date" value="{{birthday}}" fields="month" start="{{startDate}}" end="{{endDate}}" data-event-opts="{{[['change',[['bindDateChange',['$event']]]]]}}" bindchange="__e"><view class="{{[(!birthday)?'action':'']}}">{{birthday||'请输入您的生日'}}</view></picker></view><view class="box-1"><view class="box-left">文化程度：</view><picker class="box-right" value="{{index}}" range="{{chooseEdu}}" data-event-opts="{{[['change',[['bindPickerEdu',['$event']]]]]}}" bindchange="__e"><text class="{{[(!education)?'action':'']}}">{{education||'请输入您的文化程度'}}</text></picker></view><view class="box-1"><view class="box-left">职业：</view><input class="list-input" type="text" value="{{occupation}}" placeholder="请输入您的职业" data-event-opts="{{[['input',[['__set_model',['','occupation','$event',[]]]]]]}}" bindinput="__e"/></view><view class="box-1"><view class="box-left">身份证号码：</view><input class="list-input" type="text" value="{{card}}" placeholder="请输入您的身份证号" data-event-opts="{{[['input',[['__set_model',['','card','$event',[]]]]]]}}" bindinput="__e"/></view><view class="box-1"><view class="box-left">申请日期：</view><picker class="box-right" mode="date" value="{{add_time}}" fields="day" start="{{startDate}}" end="{{endDate}}" data-event-opts="{{[['change',[['fillingDateChange',['$event']]]]]}}" bindchange="__e"><view class="{{[(!sex)?'action':'']}}">{{add_time||'请输入申请日期'}}</view></picker></view><view class="box-1"><view class="box-left">移动电话：</view><input class="list-input" type="text" placeholder="请输入移动电话" data-event-opts="{{[['input',[['__set_model',['','phone','$event',[]]]]]]}}" value="{{phone}}" bindinput="__e"/></view><view class="box-1"><view class="box-left">固定电话：</view><input class="list-input" type="text" placeholder="请输入固定电话" data-event-opts="{{[['input',[['__set_model',['','tel','$event',[]]]]]]}}" value="{{tel}}" bindinput="__e"/></view><view class="box-1"><view class="box-left">居住地址：</view><input class="list-input" type="text" placeholder="请输入居住地址" data-event-opts="{{[['input',[['__set_model',['','address','$event',[]]]]]]}}" value="{{address}}" bindinput="__e"/></view><view class="check-box"><radio-group data-event-opts="{{[['change',[['radioChange',['$event']]]]]}}" bindchange="__e"><block wx:for="{{items}}" wx:for-item="item" wx:for-index="index" wx:key="value"><label class="check-main"><view><radio style="transform:scale(0.7);" value="{{item.value}}" checked="{{index===current}}" color="#f3392c"></radio></view><view class="check-text">{{item.value}}</view></label></block></radio-group></view><view class="box-2">我指定：该亲属为我的遗体捐献执行人，全权负责本人的遗体捐赠事宜。</view><view class="box-1"><view class="box-left">捐献执行人：</view><input class="list-input" type="text" placeholder="请输入捐赠执行人姓名" data-event-opts="{{[['input',[['__set_model',['','exexutor','$event',[]]]]]]}}" value="{{exexutor}}" bindinput="__e"/></view><view class="box-1"><view class="box-left">身份证号码：</view><input class="list-input" type="text" placeholder="请输入执行人身份证号码" data-event-opts="{{[['input',[['__set_model',['','sfz','$event',[]]]]]]}}" value="{{sfz}}" bindinput="__e"/></view><view class="box-1"><view class="box-left max-line">与捐献志愿者关系：</view><input class="list-input" type="text" placeholder="请输入与执行人关系" data-event-opts="{{[['input',[['__set_model',['','relation','$event',[]]]]]]}}" value="{{relation}}" bindinput="__e"/></view><view class="box-1"><view class="box-left max-line">捐献执行人移动电话：</view><input class="list-input" type="text" placeholder="请输入执行人移动电话" data-event-opts="{{[['input',[['__set_model',['','n_phone','$event',[]]]]]]}}" value="{{n_phone}}" bindinput="__e"/></view><view class="box-1"><view class="box-left max-line">捐献执行人固定电话：</view><input class="list-input" type="text" placeholder="请输入执行人固定电话" data-event-opts="{{[['input',[['__set_model',['','n_tel','$event',[]]]]]]}}" value="{{n_tel}}" bindinput="__e"/></view><view class="box-1" style="border-bottom:none;"><view>我保证填写的以上信息准确真实，如发生变更或个人意愿发生变化时，及时告知登记机构。</view></view></view><view data-event-opts="{{[['tap',[['e0',['$event']]]]]}}" class="{{['buttom',(loding)?'action':'']}}" bindtap="__e">提交申请</view></view>
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