TEST

<div class="panel-body">
	<form id="giftcode" action="nhapcode.aspx" method="post" onsubmit="APIMUMOBILE.submitTarget(this,'#alertResult');return false;">

		<div class="form-group">
			<label>Nhập giftcode</label>
			<div class="input-group">
				<span class="input-group-addon"><i class="glyphicon glyphicon-th-list"></i></span>
				<input class="form-control" placeholder="Nhập giftcode" id="code" name="code" type="text" value="">
			</div>
		</div>

		<div class="form-group">
			<label>Mã bảo vệ</label>
		<div class="g-recaptcha" data-sitekey="6LcSGJQUAAAAAMZncuMCh8vT5A1VuHXgfKaW6acM"></div>
		<div class="input-group">

			<span class="input-group-addon"><i class="glyphicon glyphicon-eye-open"></i></span>
			<input type="text" name="captcha" id="captcha" class="form-control" autocomplete="off" placeholder="Mã bảo vệ" style="width:50% !important;">
			<img id="imgCapcha" style="" src="/security.php?rand=1536868727" height="34">
			<a tabindex="99999" href="javascript:void(0);" id="refreshCaptcha">
				<i class="glyphicon glyphicon-refresh" style="font-size: 28px; position: absolute; padding: 2px;"></i>
			</a>
		</div>
		</div>
				<div class="form-group">
			<label>Chọn nhân vật</label>
			<div class="form-group">


			<div class="am-form-group" id="roles"><div class="am-u-sm-8"><div data-toggle="buttons"><label class="btn btn-default active" style="width: 120px;margin: 5px;text-transform: none;"><input type="radio" name="role" value="2097160|Vô-Danh"><span style="color: #080808; font-size: 15px;">Vô-Danh</span></label></div></div></div>
		</div>
			<div class="am-form-group" id="roles"><div style="margin:5px 0 10px;" class="am-u-sm-8"><div class="btn-group"><center>Không tìm thấy nhân vật.</center></div></div></div>
		</div>
		<div id="loading" style="display: none;">Đang tìm nhân vật<img width="30px" src="assets/images/loading.gif"></div>
				<div class="form-group">
			<div class="input-group">
				<span class="input-group-btn" style="text-align:center;">
					<button class="btn btn-primary btn-lg" id="submit" type="submit">&nbsp;Xác nhận</button>

				</span>
			</div>
		</div>
	</form>
</div>