diff --git a/src/views/emis/emisElectronicPagApply/applyForm.vue b/src/views/emis/emisElectronicPagApply/applyForm.vue
new file mode 100644
index 00000000..fff9d0be
--- /dev/null
+++ b/src/views/emis/emisElectronicPagApply/applyForm.vue
@@ -0,0 +1,201 @@
+<template>
+  <div >
+      <el-form ref="form" :model="form" size="mini" :rules="rules" label-width="100px">
+        <el-row :gutter="0" style="display: flex;flex-wrap: wrap;">
+          <el-col :span="12">
+            <el-form-item label="申购序号" prop="applySeq">
+              <el-input v-model="form.applySeq" placeholder="" disabled />
+            </el-form-item>
+          </el-col>
+          <!-- <el-col :span="12">
+            <el-form-item label="申购时间" prop="applyDate">
+              <el-input v-model="form.applyDate" placeholder="" disabled  />
+            </el-form-item>
+          </el-col> -->
+          <el-col :span="12">
+            <el-form-item label="物料名称" prop="materialCode">
+              <el-select clearable v-model="form.materialCode" placeholder="请选择">
+                <el-option
+                  v-for="dict in dict.type.emis_material_type"
+                  :key="dict.value"
+                  :label="dict.label"
+                  :value="dict.value"
+                ></el-option>
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="申请数量" prop="applyCount">
+              <el-select clearable v-model="form.applyCount" placeholder="请选择" @change="handleApplyCountInput">
+                <el-option :label="1000" :value="1000"></el-option>
+                <el-option :label="2000" :value="2000"></el-option>
+                <el-option :label="3000" :value="3000"></el-option>
+                <el-option :label="5000" :value="5000"></el-option>
+                <el-option :label="8000" :value="8000"></el-option>
+                <el-option :label="10000" :value="10000"></el-option>
+              </el-select>
+              <!-- <el-input v-model="form.applyCount" @input="handleApplyCountInput" maxlength="5" placeholder="请输入申请数量" /> -->
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="单价" prop="unitMoney">
+              <el-input v-model="form.unitMoney" placeholder="" disabled />
+            </el-form-item>
+          </el-col>
+
+          <el-col :span="12">
+            <el-form-item label="总金额" prop="sumMoney">
+              <el-input v-model="form.sumMoney" placeholder="" disabled/>
+            </el-form-item>
+          </el-col>
+
+          <el-col :span="12">
+            <el-form-item label="申购人" prop="applyManCode">
+              <el-input v-model="form.applyManName" placeholder="" disabled  />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="申购站点" prop="applySiteCode">
+              <el-input v-model="form.applySiteName" placeholder="" disabled/>
+            </el-form-item>
+          </el-col>
+          <el-col :span="24">
+            <el-form-item label="备注" prop="remark">
+              <el-input v-model="form.remark" placeholder="请输入备注" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+
+      <div style="text-align: center;margin-bottom: 10px;">
+        <el-button type="primary" @click="submitForm">确 定</el-button>
+        <el-button @click="cancel">取 消</el-button>
+      </div>
+
+  </div>
+</template>
+
+<script>
+import { listEmisElectronicPagApply, getEmisElectronicPagApply, delEmisElectronicPagApply, addEmisElectronicPagApply, updateEmisElectronicPagApply } from "@/api/emis/emisElectronicPagApply";
+import { parseTime,genJsSeqNo } from "@/utils/custom";
+
+export default {
+  name: "emisElectronicPagApplyForm",
+  props:{
+    id:undefined
+  },
+  components: {  },
+  dicts: ['emis_material_type','emis_cancel_status','emis_proc_send_status'],
+  data() {
+    return {
+      emisElectronicPagApplyOptions: [],
+      // 遮罩层
+      loading: true,
+      // 表单参数
+      form: {},
+      // 表单校验
+      rules: {
+        materialCode: [
+          { required: true, message: "申购类型不能为空", trigger: ["blur",'change'] }
+        ],
+        applyCount: [
+          { required: true, message: "申请数量不能为空", trigger: "blur" }
+        ],
+      }
+    };
+  },
+   watch: {
+      "id": {
+        handler (newValue, oldValue) {
+          this.id = newValue;
+          this.initData();
+        },
+        deep: true
+      }
+  },
+  created() {
+    this.initData();
+  },
+
+  methods: {
+    initData() {
+        this.reset();
+        // this.form.applyDate =  parseTime(new Date());
+        this.form.provideType='1';
+        this.form.unitMoney="1";
+        this.form.prefix="T7080";
+        this.form.applyManName=this.$store.getters.empName;
+        this.form.applySiteName=this.$store.getters.ownerSiteName;
+        this.form.applySeq=genJsSeqNo();
+    },
+    handleApplyCountInput(value, item, type){
+        value = value.replace(/[^\d]/g, '')
+        this.form.sumMoney=parseFloat(this.form.applyCount)*1.0;
+    },
+    // 取消按钮
+    cancel() {
+      this.reset();
+      this.$emit("on-cancel");
+    },
+    // 表单重置
+    reset() {
+      this.form = {
+        id: null,
+        prefix: null,
+        applySeq: null,
+        applyDate: null,
+        provideType: null,
+        materialCode: null,
+        materialName: null,
+        applyManCode: null,
+        applySiteCode: null,
+        applyCount: null,
+        unitMoney: null,
+        sumMoney: null,
+        blSend: null,
+        sendDate: null,
+        sendManCode: null,
+        sendSiteCode: null,
+        sendCenterManCode: null,
+        sendCenterSiteCode: null,
+        blCancel: null,
+        cancelManCode: null,
+        cancelDate: null,
+        cancelSiteCode: null,
+        userSiteCode: null,
+        provideFlag: null,
+        delFlag: null,
+        createBy: null,
+        createTime: null,
+        updateBy: null,
+        updateTime: null,
+        remark: null,
+        createSite: null,
+        updateSite: null
+      };
+      this.resetForm("form");
+    },
+    /** 提交按钮 */
+    submitForm() {
+      this.$refs["form"].validate(valid => {
+        if (valid) {
+          addEmisElectronicPagApply(this.form).then(response => {
+               this.$modal.msgSuccess("新增申请成功");
+               this.$emit("on-changed");
+            });
+
+          // if (this.form.id != null) {
+          //   // updateEmisElectronicPagApply(this.form).then(response => {
+          //   //   this.$modal.msgSuccess("修改成功");
+          //   //   this.$emit("on-changed");
+          //   // });
+          // } else {
+
+          // }
+        }
+      });
+    },
+
+  }
+};
+</script>