Toggle navigation
Bootsnipp
Bootstrap
For
CSS Frameworks
Bootstrap
Foundation
Semantic UI
Materialize
Pure
Bulma
References
CSS Reference
Tools
Community
Page Builder
Form Builder
Button Builder
Icon Search
Dan's Tools
Diff / Merge
Color Picker
Keyword Tool
Web Fonts
.htaccess Generator
Favicon Generator
Site Speed Test
Snippets
Featured
Tags
By Bootstrap Version
4.1.1
4.0.0
3.3.0
3.2.0
3.1.0
3.0.3
3.0.1
3.0.0
2.3.2
Register
Login
"Application Page 2"
Bootstrap 3.3.0 Snippet by
avishekp4
3.3.0
Preview
HTML
CSS
View Full Screen
Fork
Fork this
10.8K
 
6 Fav
Post to Facebook
Tweet this
<link href="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/3.3.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Personal Details</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="f_name">Father's / Spouse's Name</label> <div class="col-md-6"> <input id="f_name" name="f_name" type="text" placeholder="Enter Your Father's Name " class="form-control input-md" required=""> <span class="help-block">Do not use any salutation</span> </div> </div> <!-- Prepended text--> <div class="form-group"> <label class="col-md-4 control-label" for="f_income">Father's / Spouse's Monthly Income</label> <div class="col-md-6"> <div class="input-group"> <span class="input-group-addon">Rs.</span> <input id="f_income" name="f_income" class="form-control" placeholder="Enter Monthley Income" type="text" required=""> </div> <p class="help-block">Please enter as a number</p> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="m_name">Mother's Name</label> <div class="col-md-6"> <input id="m_name" name="m_name" type="text" placeholder="Enter mother" class="form-control input-md" required=""> <span class="help-block">Do not use any salutation </span> </div> </div> <!-- Prepended text--> <div class="form-group"> <label class="col-md-4 control-label" for="m_income">Mother's Monthly Income</label> <div class="col-md-6"> <div class="input-group"> <span class="input-group-addon">Rs.</span> <input id="m_income" name="m_income" class="form-control" placeholder="Enter Monthly Income" type="text" required=""> </div> <p class="help-block">Please enter as number</p> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="gender">Gender</label> <div class="col-md-6"> <select id="gender" name="gender" class="form-control"> <option value="MALE">Male</option> <option value="FEMALE">Female</option> <option value="TRANSGENDER">Transgender</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="dob">Enter Date of Birth</label> <div class="col-md-6"> <input id="dob" name="dob" type="text" placeholder="YYYY-MM-DD" class="form-control input-md" required=""> <span class="help-block">Please choose your from the calender </span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="pwd">Whether admission sought in Person with Disability (PwD) Quota</label> <div class="col-md-6"> <select id="pwd" name="pwd" class="form-control"> <option value="NO">No</option> <option value="YES">Yes</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="ph_cat">If Yes, then Category of Disability</label> <div class="col-md-6"> <input id="ph_cat" name="ph_cat" type="text" placeholder="Category of Disability" class="form-control input-md" required=""> <span class="help-block">Category of Disability</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="per_ph">If Yes, then Percentage of Disability</label> <div class="col-md-6"> <input id="per_ph" name="per_ph" type="text" placeholder="%" class="form-control input-md"> <span class="help-block">Percentage of Disability</span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="categoy">Category</label> <div class="col-md-6"> <select id="categoy" name="categoy" class="form-control"> <option value="GENERAL">GENERAL</option> <option value="SC">SC</option> <option value="ST">ST</option> <option value="OBC-A">OBC-A</option> <option value="OBC-B">OBC-B</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="religion">Religion</label> <div class="col-md-6"> <input id="religion" name="religion" type="text" placeholder="Religion" class="form-control input-md" required=""> <span class="help-block">Religion</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nationality">Nationality</label> <div class="col-md-6"> <input id="nationality" name="nationality" type="text" placeholder="Nationility" class="form-control input-md" required=""> <span class="help-block">Nationility</span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="bpl">Belongs to BPL Family</label> <div class="col-md-6"> <select id="bpl" name="bpl" class="form-control"> <option value="NO">No</option> <option value="YES">Yes</option> </select> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="addr">Address</label> <div class="col-md-6"> <textarea class="form-control" id="addr" name="addr"></textarea> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="pin">PIN</label> <div class="col-md-6"> <input id="pin" name="pin" type="text" placeholder="Pincode" class="form-control input-md" required=""> <span class="help-block">Pincode</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="name_of_last_univ">Name of University Last Attended</label> <div class="col-md-6"> <input id="name_of_last_univ" name="name_of_last_univ" type="text" placeholder="" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="extra_info">Sport / Culture</label> <div class="col-md-6"> <input id="extra_info" name="extra_info" type="text" placeholder="Sport Culture" class="form-control input-md" required=""> <span class="help-block">Enter Details</span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="hostel">Whether willing to avail Hostel Facility:</label> <div class="col-md-6"> <select id="hostel" name="hostel" class="form-control"> <option value="YES">YES</option> <option value="NO">NO</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="comp">Whether willing to appear at Entrance Test (Open Competition)</label> <div class="col-md-6"> <select id="comp" name="comp" class="form-control"> <option value="YES">YES</option> <option value="NO">NO</option> </select> </div> </div> <br/> <legend>Graduation Details</legend> <div class="form-group"> <label for="regno" class="col-md-4 control-label">Enter University <abbr title="Ex:212005 of 2005-2006">Registration No With Year:</abbr></label> <div class="col-md-8"> <div class="form-inline"> <div class="form-group"> <input type="text" name="regno"placeholder="Registration No"required class="form-control varchar"> </div> <div class="form-group"> <input type="text" id ="reg_year"name="reg_year"placeholder="Year-Year"required class="form-control"> </div> </div> </div> </div> <div class="form-group"> <label for="regno" class="col-md-4 control-label">Enter Full Marks In Bengali Honours:</label> <div class="col-md-8"> <div class="form-inline"> <div class="form-group"> <select id="fm_univ" name="fm_univ"class="form-control" onblur="check2()" > <option value="800"selected>800</option> <option value="M">More than 800</option> </select> </div> <div class="form-group"> <input name="marks" id="marks" readonly='true'required class="form-control" type="number" min="800" step="100" value="800"> </div> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="obm"> Enter Obtain<abbr title="Minimum 45% for General Candidate and 40% for SC/ST/OBC-A/OBC-B/PWD Candidate"> Marks In Bengali Honours</abbr> :</label> <div class="col-md-4"> <input type="text" name="obm" id="obm" required class="form-control num" onblur="" > <span class="help-block">Enter Marks</span> </div> </div> <!-- Button (Double) --> <div class="form-group"> <label class="col-md-4 control-label"></label> <div class="col-md-8"> <input type="reset" class="btn btn-primary btn-lg " id="reset" name="reset" value="Reset Form"> <input type="submit" class="btn btn-primary btn-lg " id="previewsubmit" name="previewsubmit" formaction="previewSubmit.php"value="Preview Form" onclick="return confirm('This is just preview !')"> <input type="submit" class="btn btn-success btn-lg " id="submit" name="submitb" value="Submit Form" onclick="return confirm('Are you sure you want to commit ?')"> </div> </div> </fieldset> </form> </div>
.form-inline .form-group{ margin-left: 0; margin-right: 0; }
Questions / Comments:
Post
Posting Guidelines
Formatting
- Now
×
Close
Donate
BTC: 12JxYMYi6Vt3mx3hcmP3B2oyFiCSF3FhYT
ETH: 0xCD715b2E3549c54A40e6ecAaFeB82138148a6c76