<div class="modal-header">
    <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
    <h3>{$_st}</h3>
</div>

<div class="modal-body">

    <form class="form" method="post" action="{U}accounts/modal-add-bank-slip-data-post" id="form_add_bank_slip_data">

        <div class="form-group">
            <div class="checkbox">
                <label>
                    <input type="checkbox" id="default" name="default" value="1" {if $isDefault}checked="checked"{/if}>
                    {$_L['Standard account for bank slip generation']}?
                </label>
            </div>
        </div>
                
        {if count($fields_values) > 0}
            {foreach $bank_fields as $field}
                {$show = true}
                {foreach $fields_values as $values}
                    {if $field['name'] == $values['field']}
                        {if !in_array($values['field'], ['id_account', 'default'])}
                            <div class="form-group">
                                <label class="control-label" for="{$field['name']}">{$field['name']}</label>
                                <input type="text" id="{$field['name']}" name="{$field['name']}" class="form-control"
                                       value="{$values['value']}" data-type="{$field['type']}" data-size="{$field['size']}">
                                <span class="help-block"></span>
                            </div>
                            {$show = false}
                        {/if}
                    {/if}
                {/foreach}
                {if $show == true }
                    <div class="form-group">
                        <label class="control-label" for="{$field['name']}">{$field['name']}</label>
                        <input type="text" id="{$field['name']}" name="{$field['name']}" class="form-control"
                               data-type="{$field['type']}" data-size="{$field['size']}">
                        <span class="help-block"></span>
                    </div>
                {/if}
            {/foreach}
        {else}
            {foreach $bank_fields as $field}
                <div class="form-group">
                    <label class="control-label" for="{$field['name']}">{$field['name']}</label>
                    <input type="text" id="{$field['name']}" name="{$field['name']}" class="form-control"
                           data-type="{$field['type']}" data-size="{$field['size']}">
                    <span class="help-block"></span>
                </div>
            {/foreach}
		{/if}

        <input type="hidden" name="id_account" value="{$account->id}">
    </form>

</div>

<div class="modal-footer">
    <button type="button" data-dismiss="modal" class="btn btn-danger">{$_L['Cancel']}</button>
    <button class="btn btn-primary modal_submit" type="submit" id="modal_submit"><i class="fa fa-check"></i> {$_L['Save']}</button>
</div>