<form class="bj-form bj-form-label-w110" style="max-width: 660px;margin: auto" action="ajax/ajaxDone2.json" data-toggle="validate" data-alertmsg="false" data-theme="bootstrap">
  <div class="bj-form-item">
       <label class="bj-form-item-label is-required">出生地：</label>
       <input type="text" name="custom.birthplace" value="" data-rule="required;">
  </div>
  <div class="bj-form-item">
      <label class="bj-form-item-label is-required">出生地：</label>
       <div class="bj-form-item-content textarea">
       <textarea
       class="form-control"
       name="custom.note"
       data-toggle="autoheight"
       data-rule="required"></textarea>
    </div>
  </div>
</form>