"Bevat-Motor Vehicle Expense Claim Sheet"
Bootstrap 3.0.0 Snippet by cresignsys

<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script> <script src="//code.jquery.com/jquery-1.11.1.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Bevat-Motor Vehicle Expense Claim Sheet</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="companyname">Company Name</label> <div class="col-md-4"> <select id="companyname" name="companyname" class="form-control"> <option value="1">ABS</option> <option value="2">Bevat</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="NameoftheEmployee">Name of the Employee</label> <div class="col-md-4"> <input id="NameoftheEmployee" name="NameoftheEmployee" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="Designation">Designation</label> <div class="col-md-4"> <select id="Designation" name="Designation" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="VehicleDetails">Vehicle Details</label> <div class="col-md-4"> <input id="VehicleDetails" name="VehicleDetails" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Date">Date</label> <div class="col-md-4"> <input id="Date" name="Date" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="OpeningKM">Opening KM</label> <div class="col-md-4"> <input id="OpeningKM" name="OpeningKM" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="ClosingKM">Closing KM</label> <div class="col-md-4"> <input id="ClosingKM" name="ClosingKM" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="KMTravelled">KM Travelled</label> <div class="col-md-4"> <input id="KMTravelled" name="KMTravelled" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Rate">Rate</label> <div class="col-md-4"> <input id="Rate" name="Rate" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="AmountRs">Amount Rs.</label> <div class="col-md-4"> <input id="AmountRs" name="AmountRs" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="ApprovedBy">Approved By</label> <div class="col-md-4"> <input id="ApprovedBy" name="ApprovedBy" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="PaidBy">Paid By</label> <div class="col-md-4"> <input id="PaidBy" name="PaidBy" type="text" placeholder="" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Remarks">Remarks</label> <div class="col-md-4"> <textarea class="form-control" id="Remarks" name="Remarks"></textarea> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-primary">Submit</button> </div> </div> </fieldset> </form>

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