{$pagetitle}

{BEGIN top_block}

{$pagetitlelabel user_document_expire add}

{END top_block} {BEGIN above-grid_block}

{BEGIN message_block}

{BEGIN message_back_button} {END message_back_button} {BEGIN view_page_button} {END view_page_button} {BEGIN edit_page_button} {END edit_page_button}

{END message_block}

{END above-grid_block} {BEGIN grid_block} {BEGIN cellblock_grid_c3} {END cellblock_grid_c3}

{BEGIN account_id_fieldblock}

{BEGIN account_id_label} {$account_id_forward_control} {$label user_document_expire account_id } {END account_id_label}

{$account_id_editcontrol}

{END account_id_fieldblock} {BEGIN document_fieldblock}

{BEGIN document_label} {$document_forward_control} {$label user_document_expire document } {END document_label}

{$document_editcontrol}

{END document_fieldblock} {BEGIN state_fieldblock}

{BEGIN state_label} {$state_forward_control} {$label user_document_expire state } {END state_label}

{$state_editcontrol}

{END state_fieldblock} {BEGIN document_number_fieldblock}

{BEGIN document_number_label} {$document_number_forward_control} {$label user_document_expire document_number } {END document_number_label}

{$document_number_editcontrol}

{END document_number_fieldblock} {BEGIN expire_date_fieldblock}

{BEGIN expire_date_label} {$expire_date_forward_control} {$label user_document_expire expire_date } {END expire_date_label}

{$expire_date_editcontrol}

{END expire_date_fieldblock} {BEGIN document_image_fieldblock}

{BEGIN document_image_label} {$document_image_forward_control} {$label user_document_expire document_image } {END document_image_label}

{$document_image_editcontrol}

{END document_image_fieldblock} {BEGIN email_fieldblock}

{BEGIN email_label} {$email_forward_control} {$label user_document_expire email } {END email_label}

{$email_editcontrol}

{END email_fieldblock} {BEGIN name_fieldblock}

{BEGIN name_label} {$name_forward_control} {$label user_document_expire name } {END name_label}

{$name_editcontrol}

{END name_fieldblock} {BEGIN cell_phone_fieldblock}

{BEGIN cell_phone_label} {$cell_phone_forward_control} {$label user_document_expire cell_phone } {END cell_phone_label}

{$cell_phone_editcontrol}

{END cell_phone_fieldblock}

{END grid_block} {BEGIN below-grid_block}

{mlang_message SAVE} {BEGIN reset_button} {mlang_message RESET} {END reset_button} {BEGIN back_button} {mlang_message BACK_TO_LIST} {END back_button} {BEGIN cancel_button} {mlang_message CANCEL} {END cancel_button}

{END below-grid_block}