"Address Details Modal Form"
Bootstrap 3.0.0 Snippet by mahesh2382

<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 ----------> <div class="row"> <div class="col-md-6 col-md-offset-2"> <form class="form-horizontal" role="form"> <fieldset> <!-- Form Name --> <legend>Auditee Details</legend> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Host Name</label> <div class="col-sm-10"> <input type="text" placeholder="Please enter employee no and tabout" class="form-control"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Employee Name</label> <div class="col-sm-4"> <input type="text" placeholder="Employee Name" class="form-control"> </div> <label class="col-sm-2 control-label" for="textinput">Employee Number</label> <div class="col-sm-4"> <input type="text" placeholder="Employee Number" class="form-control"> </div> </div> <div class="form-group"> <label class="col-sm-2 control-label" for="textinput">Business Account</label> <div class="col-sm-4"> <input type="text" placeholder="Business Account" class="form-control"> </div> <div class="col-sm-4"> <div class="pull-right"> <button type="submit" class="btn btn-success">Perform Audit</button> </div> </div> </div> </fieldset> </form> </div><!-- /.col-lg-12 --> </div><!-- /.row -->

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