<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="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <div class="container"> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>SSC এর বৃত্তিপ্রাপ্ত শিক্ষার্থীদের তথ্য ফরম</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="mname">Mother's Name</label> <div class="col-md-4"> <input id="mname" name="mname" type="text" placeholder="Mother's Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="mnid">Mother NID No.</label> <div class="col-md-4"> <input id="mnid" name="mnid" type="text" placeholder="Mother NID No." class="form-control input-md" required=""> <span class="help-block">যদি মৃত হয় তবে N/A লিখ</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="fnid">Father's NID No.</label> <div class="col-md-4"> <input id="fnid" name="fnid" type="text" placeholder="Father's NID No." class="form-control input-md" required=""> <span class="help-block">যদি মৃত হয় তবে N/A লিখ</span> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="category">Category</label> <div class="col-md-4"> <select id="category" name="category" class="form-control"> <option value="Talent Pool">Talent Pool</option> <option value="General">General</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="sscboard">Board</label> <div class="col-md-4"> <select id="sscboard" name="sscboard" class="form-control"> <option value="DHAKA">DHAKA</option> <option value="MYMENSINGH">MYMENSINGH</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="sscreg">Registration No</label> <div class="col-md-4"> <input id="sscreg" name="sscreg" type="text" placeholder="ENTER Registration No." class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="sscroll">SSC ROLL</label> <div class="col-md-4"> <input id="sscroll" name="sscroll" type="text" placeholder="ENTER SSC ROLL" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="dobreg">Birth Reg. No.</label> <div class="col-md-4"> <input id="dobreg" name="dobreg" type="text" placeholder="Birth Reg. No." class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="stname">Name</label> <div class="col-md-4"> <input id="stname" name="stname" type="text" placeholder="Enter Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="fname">Father Name</label> <div class="col-md-4"> <input id="fname" name="fname" type="text" placeholder="Father Name" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="class">Class</label> <div class="col-md-4"> <input id="class" name="class" type="text" placeholder="1st Year" class="form-control input-md" required=""> </div> </div> </fieldset> </form> </div>