<form name="frm_cc_edit" method="post" action="[{$url_amp_self}]" onsubmit="return AdminAdminIpEditPageOnSubmit( this );">
	<div class="BPHeader">[{$title}]</div>
	<fieldset class="full">
		<legend>[{t}]Base_datas[{/t}]</legend>
		<table>
			<tr>
				<td colspan="2">[{$ip_address}]</td>
			</tr>
			<tr>
				<td colspan="2">[{$ip_description}]</td>
			</tr>
			<tr>
				<td colspan="2">[{$is_active}]</td>
			</tr>
		</table>
	</fieldset>
	<center>[{$ip_submit}]</center>
</form>
