"VietNgu Registration Form"
Bootstrap 3.3.0 Snippet by vuct

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
<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 ---------->
<!-- Name Section -->
<div class="row">
<div class="col-md-8 col-md-offset-1">
<form class="form-horizontal" role="form">
<fieldset>
<!-- Form Name -->
<legend>Personal Information Details</legend>
<!-- Text input-->
<div class="form-group">
<div class="col-sm-4">
<input type="text" name="fistName" placeholder="First Name" class="form-control">
</div>
<div class="col-sm-2">
<input type="text" name="middleName" placeholder="Middle Name" class="form-control">
</div>
<div class="col-sm-4">
<input type="text" name="lastName" placeholder="Last Name" class="form-control">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<div class="col-sm-4">
<input type="date" placeholder="Date Of Birth" class="form-control">
</div>
</div>
<!-- Text input-->
<div class="form-group">
<div class="col-sm-4">
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
1
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
1
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Related: See More


Questions / Comments: