<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>
<form class="form-horizontal">
<fieldset>
<legend>CATEGORY</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="category_name">CATEGORY NAME</label>
<div class="col-md-4">
<select id="category_name" name="category_name" class="form-control">
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="category_name_fr">CATEGORY NAME FR</label>
<div class="col-md-4">
<select id="category_name_fr" name="category_name_fr" class="form-control">
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="add_date">ADD DATE</label>
<div class="col-md-4">
<input id="add_date" name="add_date" placeholder="ADD DATE" class="form-control input-md" required="" type="text">
</div>
</div>