<link href="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css"> <script src="//maxcdn.bootstrapcdn.com/bootstrap/4.1.1/js/bootstrap.min.js"></script> <script src="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>FORM PENDAFTARAN ANAK MARAWIS</legend> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="textinput">NAMA LENGKAP</label> <div class="col-md-6"> <input id="textinput" name="textinput" type="text" placeholder="NAMA LENGKAP" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="NAMA">ALAMAT</label> <div class="col-md-6"> <input id="NAMA" name="NAMA" type="text" placeholder="ALAMAT" class="form-control input-md"> </div> </div> <!-- Password input--> <div class="form-group"> <label class="col-md-4 control-label" for="passwordinput">NO.TELEPON</label> <div class="col-md-6"> <input id="passwordinput" name="passwordinput" type="password" placeholder="No.Telepon" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="">EMAIL</label> <div class="col-md-6"> <input id="" name="" type="text" placeholder="Alamat E-Mail" class="form-control input-md"> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-4 control-label" for="textarea">ASAL SEKOLAH</label> <div class="col-md-4"> <textarea class="form-control" id="textarea" name="textarea">ASAL SEKOLAH </textarea> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">KOTA/KABUPATEN</label> <div class="col-md-6"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Kota Tangerang</option> <option value="2">Kota Tangerang Selatan</option> <option value="3">Kab. Tangerang</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="selectbasic">KECAMATAN</label> <div class="col-md-6"> <select id="selectbasic" name="selectbasic" class="form-control"> <option value="1">Cikokol</option> <option value="2">Ciledug</option> <option value="3">Ciputat</option> <option value="4">Pamulang</option> <option value="5">Legok</option> <option value="6">Tigaraksa</option> </select> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="">FOTO KTP</label> <div class="col-md-4"> <input id="" name="" class="input-file" type="file"> </div> </div> <!-- Multiple Checkboxes --> <div class="form-group"> <label class="col-md-4 control-label" for="checkboxes">Term & Condition</label> <div class="col-md-4"> <div class="checkbox"> <label for="checkboxes-0"> <input type="checkbox" name="checkboxes" id="checkboxes-0" value="1"> Dengan klik Daftar Bro berarti anda setuju dengan syarat dan ketentuan yang di berikan </label> </div> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="singlebutton"></label> <div class="col-md-4"> <button id="singlebutton" name="singlebutton" class="btn btn-success">DAFTAR BRO</button> </div> </div> </fieldset> </form>