developer/template/default/admin/admin_ticket_topic_add.tpl

<section class="content-header">
    <h1><?php echo $sprache->heading;?></h1>
    <ol class="breadcrumb">
        <li><a href="admin.php"><i class="fa fa-home"></i> Home</a></li>
        <li><a href="admin.php?w=ti"><i class="fa fa-life-ring"></i> <?php echo $gsprache->support;?></a></li>
        <li><a href="admin.php?w=ti&amp;d=mt"><i class="fa fa-wrench"></i> <?php echo $sprache->heading;?></a></li>
        <li class="active"><?php echo $gsprache->add;?></li>
    </ol>
</section>

<section class="content">
    <div class="row">
        <div class="col-md-12">
            <div class="box box-success">

                <form role="form" action="admin.php?w=ti&amp;d=at&amp;r=ti" onsubmit="return confirm('<?php echo $gsprache->sure;?>');" method="post">

                <input type="hidden" name="token" value="<?php echo token();?>">
                <input type="hidden" name="action" value="ad">

                <div class="box-body">

                    <div class="form-group">
                        <label for="inputMainTopic"><?php echo $sprache->topic;?></label>
                        <div class="controls">
                            <select class="form-control" id="inputMainTopic" name="maintopic">
                                <option value="none"><?php echo $sprache->none;?></option>
                                <?php foreach ($options as $option) { ?><?php echo $option;?><?php }?>
                            </select>
                        </div>
                    </div>

                    <div class="form-group">
                        <label for="inputPriority"><?php echo $sprache->priority;?></label>
                        <div class="controls">
                            <select class="form-control" id="inputPriority" name="priority">
                                <option value="1"><?php echo $sprache->priority_low;?></option>
                                <option value="2"><?php echo $sprache->priority_medium;?></option>
                                <option value="3"><?php echo $sprache->priority_high;?></option>
                                <option value="4"><?php echo $sprache->priority_very_high;?></option>
                                <option value="5"><?php echo $sprache->priority_critical;?></option>
                            </select>
                        </div>
                    </div>

                    <div class="form-group">
                        <label for="inputTopicName"><?php echo $sprache->topic_name;?></label>
                        <div class="controls">
                            <input class="form-control" id="inputTopicName" type="text" name="topic_name" value="" required>
                        </div>
                    </div>

                    <div class="form-group">
                        <?php foreach ($foundlanguages as $array){ ?>
                        <label class="checkbox-inline">
                            <input name="language[]" value="<?php echo $array['lang'];?>" onclick="textdrop('<?php echo $array['lang'];?>');" type="checkbox" <?php echo $array['checked'];?>> <img src="images/flags/<?php echo $array['lang'];?>.png" alt="Flag: 16_<?php echo $array['lang'];?>'.png"/>
                        </label>
                        <?php } ?>
                    </div>

                    <?php foreach ($foundlanguages as $array) { ?>
                    <div id="<?php echo $array['lang'];?>" class="form-group <?php echo $array['style'];?>">
                        <label for="inputLangs-<?php echo $array['lang'];?>"></label>
                        <div class="controls">
                            <div class="input-group">
                                <span class="input-group-addon"><img src="images/flags/<?php echo $array['lang'];?>.png" alt="Flag: 16_<?php echo $array['lang'];?>'.png"/></span>
                                <input class="form-control" id="inputLangs-<?php echo $array['lang'];?>" type="text" name="subject_<?php echo $array['lang'];?>" value="">
                            </div>
                        </div>
                    </div>
                    <?php } ?>

                </div>

                <div class="box-footer">
                    <button class="btn btn-success" id="inputEdit" type="submit"><i class="fa fa-plus-circle">&nbsp;<?php echo $gsprache->add;?></i></button>
                </div>
                </form>
            </div>
        </div>
    </div>
</section>