<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>Destek talep Formu</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="requester">Talep eden:</label> <div class="col-md-4"> <input id="requester" name="requester" type="text" placeholder="Otomatik ID" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="date">Tarih:</label> <div class="col-md-4"> <input id="date" name="date" type="text" placeholder="currentDateTime" class="form-control input-md" required=""> </div> </div> <!-- Button Drop Down --> <div class="form-group"> <label class="col-md-4 control-label" for="supporttype">Sorunun Türü:</label> <div class="col-md-4"> <div class="input-group"> <input id="supporttype" name="supporttype" class="form-control" placeholder="Sistem erişimi" type="text" required=""> <div class="input-group-btn"> <button type="button" class="btn btn-default dropdown-toggle" data-toggle="dropdown"> seç <span class="caret"></span> </button> <ul class="dropdown-menu pull-right"> <li><a href="#">Sistem erişimi</a></li> <li><a href="#">Yazılım sorunu</a></li> <li><a href="#">Diğer</a></li> </ul> </div> </div> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="location">Bulunduğunuz yer:</label> <div class="col-md-4"> <div class="radio"> <label for="location-0"> <input type="radio" name="location" id="location-0" value="1" checked="checked"> Ofis </label> </div> <div class="radio"> <label for="location-1"> <input type="radio" name="location" id="location-1" value="2"> Ofis dışında </label> </div> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="description">Açıklama:</label> <div class="col-md-4"> <textarea class="form-control" id="description" name="description">Bize yardımcı olmak için Sorununuzu bize biraz açıklayınız.</textarea> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="filebutton">Eklenti:</label> <div class="col-md-4"> <input id="filebutton" name="filebutton" class="input-file" type="file"> </div> </div> <!-- Button (Double) --> <div class="form-group"> <label class="col-md-4 control-label" for="chancelbtn"></label> <div class="col-md-8"> <button id="chancelbtn" name="chancelbtn" class="btn btn-success">vazgeç</button> <button id="submitbtn" name="submitbtn" class="btn btn-danger">gönder</button> </div> </div> </fieldset> </form> </div>