"6 Predchádzajúce pobyty - MIMO Slovenskej republiky"
Bootstrap 3.3.0 Snippet by JorgeFlo

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<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 ---------->
<div class="container">
<div class="row">
<form class="form-horizontal">
<fieldset>
<!-- Form Name -->
<legend>Predchádzajúce pobyty - MIMO Slovenskej republiky</legend>
<!-- Text input-->
<div class="control-group">
<label class="control-label" for="B_001_001_Adr_sucas_TB_exSR_lat">Adresa trvalého bydliska</label>
<div class="controls">
<input id="B_001_001_Adr_sucas_TB_exSR_lat" name="B_001_001_Adr_sucas_TB_exSR_lat " type="text" placeholder="Adresa trvalého bydliska" class="input-xlarge">
<p class="help-block">?</p>
</div>
</div>
<!-- Select Basic -->
<div class="control-group">
<label class="control-label" for="B_001_003_Krajina">Štát trvalého bydliska</label>
<div class="controls">
<select id="B_001_003_Krajina" name="B_001_003_Krajina" class="input-xlarge">
<option>Ruská federácia</option>
<option>Južná Kórea</option>
<option>Ukrajina</option>
<option>Čína</option>
</select>
</div>
</div>
<!-- Text input-->
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