<form method="post">

    <input type="hidden" name="<?php echo $this->config->item('csrf_token_name'); ?>"
           value="<?php echo $this->security->get_csrf_hash() ?>">

    <div id="headerbar">
        <h1 class="headerbar-title"><?php _trans('custom_values_new'); ?></h1>
        <?php $this->layout->load_view('layout/header_buttons'); ?>
    </div>

    <div id="content">

        <div class="row">
            <div class="col-xs-12 col-md-6 col-md-offset-3">

                <?php $this->layout->load_view('layout/alerts'); ?>

                <?php $alpha = str_replace("-", "_", strtolower($field->custom_field_type)); ?>

                <div class="form-group">
                    <label for="custom_field_label"><?php _trans('field'); ?></label>
                    <input type="text" class="form-control" id="custom_field_label"
                           value="<?php _htmlsc($field->custom_field_label); ?>" disabled="disabled"/>
                </div>

                <div class="form-group">
                    <label for="custom_field_type"><?php _trans('type'); ?></label>
                    <input type="text" class="form-control" id="custom_field_type"
                           value="<?php _htmlsc(trans($alpha)); ?>" disabled="disabled"/>
                </div>

                <div class="form-group">
                    <label for="custom_values_value"><?php _trans('value'); ?></label>
                    <input type="text" class="form-control" name="custom_values_value" id="custom_values_value"/>
                </div>

            </div>
        </div>

    </div>

</form>
