<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/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>Surat Pernyataan</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nama">Nama</label> <div class="col-md-4"> <input id="nama" name="nama" type="text" placeholder="nama" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="nip">NIP</label> <div class="col-md-4"> <input id="nip" name="nip" type="text" placeholder="NIP" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="pangkat">Pangkat/Gol</label> <div class="col-md-4"> <input id="pangkat" name="pangkat" type="text" placeholder="Pangkat/Gol" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="alamatkantor">Alamat Kantor</label> <div class="col-md-4"> <textarea class="form-control" id="alamatkantor" name="alamatkantor"></textarea> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="alamatrumah">Alamat Rumah</label> <div class="col-md-4"> <textarea class="form-control" id="alamatrumah" name="alamatrumah"></textarea> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="handphone">Handphone</label> <div class="col-md-4"> <input id="handphone" name="handphone" type="text" placeholder="No Handphone" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="namadiklat">Nama Diklat</label> <div class="col-md-4"> <input id="namadiklat" name="namadiklat" type="text" placeholder="Nama Dikat" class="form-control input-md"> </div> </div> </fieldset> </form>