<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 ----------> <ol class="breadcrumb"> <li class="active">Sales manger</li> </ol> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Action request</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="projectNumber">Project number</label> <div class="col-md-6"> <input id="projectNumber" name="projectNumber" type="text" placeholder="Project number" class="form-control input-md" required=""> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="projectName">Project name</label> <div class="col-md-6"> <input id="projectName" name="projectName" type="text" placeholder="Project name" class="form-control input-md" required=""> <span class="help-block">Customer departement</span> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="formNme">Form name</label> <div class="col-md-6"> <input id="formNme" name="formNme" type="text" placeholder="Form name" class="form-control input-md" required=""> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="typeOfAction">Type of action</label> <div class="col-md-6"> <select id="typeOfAction" name="typeOfAction" class="form-control"> <option value="1">New installation</option> <option value="2">Modification</option> <option value="">Termination</option> </select> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes">Multiple Checkboxes</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> Bulk/ on site installation </label> </div> <div class="checkbox"> <label for="checkboxes-1"> <input type="checkbox" name="checkboxes" id="checkboxes-1" value="2"> Gas installation </label> </div> <div class="checkbox"> <label for="checkboxes-2"> <input type="checkbox" name="checkboxes" id="checkboxes-2" value=""> Equipment </label> </div> <div class="checkbox"> <label for="checkboxes-3"> <input type="checkbox" name="checkboxes" id="checkboxes-3" value=""> Process & service </label> </div> </div> </div> </fieldset> </form>