<script type="text/template" data-mvc-template="search-insurance-tab-body-template">
        <form id="form-search-insurance-<%- index%>" class="position-relative">
            <div class="search-box-title"><%- t('search.insurance.title')%></div>
            <div class="search-box">
                <div class="search-box-landing">
                    <div class="table total-width">
                        <div class="search-box-item table-cell" style="width: 50%">
                            <input name="geoFromValue" class="icon-input-pin" type="text" placeholder="<%- t('search.insurance.geofrom')%>">
                        </div>
                        <div class="search-box-item table-cell" style="width: 50%">
                            <input name="geoToValue" class="icon-input-pin" type="text" placeholder="<%- t('search.insurance.geoto')%>">
                        </div>
                    </div>

                    <div class="table total-width">
                        <div class="search-box-item table-cell" style="width: 18%">
                            <input name="dateFrom" type="text" class="icon-input-calendar">
                        </div>
                        <div class="search-box-item table-cell" style="width: 18%">
                            <input name="dateTo" type="text" class="icon-input-calendar">
                        </div>
                        <div class="search-box-item table-cell" style="width: 34%">
                            <input type="text" class="js-pax-selection icon-input-pax">
                        </div>
                        <div class="search-box-item table-cell" style="width: 30%">
                            <div class="btn btn-primary btn-block btn-search" id="do-insurance-search"><i class="icon-search icon-white"></i> <%- t('search.submit')%></div>
                        </div>
                    </div>
                </div>    
            </div>
        </form>
    </script>