<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"> <div class="row"> <div class="col-md-10 "> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Edit Profile</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Name (Full name)">Name (Full name)</label> <div class="col-md-4"> <div class="input-group"> <input id="Name (Full name)" name="Name (Full name)" type="text" placeholder="Name (Full name)" class="form-control"> </div> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="Upload photo">Upload photo</label> <div class="col-md-4"> <input id="Upload photo" name="Upload photo" class="input-file" type="file"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Date Of Birth">Date Of Birth</label> <div class="col-md-4"> <div class="input-group"> <input id="dob" name="Date Of Birth" type="text" placeholder="Date Of Birth" class="form-control input-md"> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Father">Father's name</label> <div class="col-md-4"> <div class="input-group"> <input id="Father" name="Father" type="text" placeholder="Father's name" class="form-control input-md"> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Mother">Mother's Name</label> <div class="col-md-4"> <div class="input-group"> <input id="Mother" name="Mother" type="text" placeholder="Mother's Name" class="form-control input-md"> </div> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="Gender">Gender</label> <div class="col-md-4"> <label class="radio-inline" for="Gender-0"> <input type="radio" name="Gender" id="Gender-0" value="1" checked="checked"> Male </label> <label class="radio-inline" for="Gender-1"> <input type="radio" name="Gender" id="Gender-1" value="2"> Female </label> <label class="radio-inline" for="Gender-2"> <input type="radio" name="Gender" id="Gender-2" value="3"> Other </label> </div> </div> <!-- Multiple Radios (inline) --> <div class="form-group"> <label class="col-md-4 control-label" for="radios">Marital Status:</label> <div class="col-md-4"> <label class="radio-inline" for="radios-0"> <input type="radio" name="radios" id="radios-0" value="1" checked="checked"> Married </label> <label class="radio-inline" for="radios-1"> <input type="radio" name="radios" id="radios-1" value="2"> Unmarried </label> </div> </div> <div class="form-group"> <label class="col-md-4 control-label col-xs-12" for="Permanent Address">Permanent Address</label> <div class="col-md-2 col-xs-4"> <input id="Permanent Address" name="Permanent Address" type="text" placeholder="District" class="form-control input-md "> </div> <div class="col-md-2 col-xs-4"> <input id="Permanent Address" name="Permanent Address" type="text" placeholder="Area" class="form-control input-md "> </div> </div> <div class="form-group"> <label class="col-md-4 control-label" for="Permanent Address"></label> <div class="col-md-2 col-xs-4"> <input id="Permanent Address" name="Permanent Address" type="text" placeholder="Street" class="form-control input-md "> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Email Address">Phone No</label> <div class="col-md-4"> <div class="input-group"> <input id="phoneno" name="phoneno" type="text" placeholder="Phone No" class="form-control input-md"> </div> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="Email Address">Email Address</label> <div class="col-md-4"> <div class="input-group"> <input id="Email Address" name="Email Address" type="text" placeholder="Email Address" class="form-control input-md"> </div> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="Languages Known">Languages Known</label> <div class="col-md-4"> <div class="checkbox"> <label for="Languages Known-0"> <input type="checkbox" name="Languages Known" id="Languages Known-0" value="1"> Nepali </label> </div> <div class="checkbox"> <label for="Languages Known-1"> <input type="checkbox" name="Languages Known" id="Languages Known-1" value="2"> Newari </label> </div> <div class="checkbox"> <label for="Languages Known-2"> <input type="checkbox" name="Languages Known" id="Languages Known-2" value="3"> English </label> </div> <div class="checkbox"> <label for="Languages Known-3"> <input type="checkbox" name="Languages Known" id="Languages Known-3" value="4"> Hindi </label> </div> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="Overview (max 200 words)">Overview (max 200 words)</label> <div class="col-md-4"> <textarea class="form-control" rows="10" id="Overview (max 200 words)" name="Overview (max 200 words)">Overview</textarea> </div> </div> <div class="form-group"> <label class="col-md-4 control-label" ></label> <div class="col-md-4"> <a href="#" class="btn btn-success"><span class="glyphicon glyphicon-thumbs-up"></span> Submit</a> <a href="#" class="btn btn-danger" value=""><span class="glyphicon glyphicon-remove-sign"></span> Clear</a> </div> </div> </fieldset> </form> </div> </div> </div>