.row
	.label #{__('IP/Hash')}
	input(type='text' name='ip' required)
.row
	.label #{__('Ban Reason')}
	input(type='text' name='ban_reason')
.row
	.label #{__('Modlog Message')}
	input(type='text' name='log_message')
.row
	.label #{__('Ban Duration')}
	input(type='text' name='ban_duration' placeholder='e.g. 7d')
.row
	.label #{__('Non-appealable Ban')}
	label.postform-style.ph-5
		input(type='checkbox', name='no_appeal' value='1')
.row
	.label #{__('Hide Username In Modlog')}
	label.postform-style.ph-5
		input(type='checkbox', name='hide_name' value='1')
input(type='submit', value=__('Submit'))