<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 ----------> <form class="form-horizontal"> <fieldset> <!-- Form Name --> <legend>Basic Details</legend> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_advertiser">Advertiser</label> <div class="col-md-4"> <select id="basicdetails_advertiser" name="basicdetails_advertiser" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_brand">Brand</label> <div class="col-md-4"> <select id="basicdetails_brand" name="basicdetails_brand" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_category">Category</label> <div class="col-md-4"> <select id="basicdetails_category" name="basicdetails_category" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_agency">Agency</label> <div class="col-md-4"> <select id="basicdetails_agency" name="basicdetails_agency" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_caption">Caption</label> <div class="col-md-8"> <input id="basicdetails_caption" name="basicdetails_caption" type="text" placeholder="enter caption" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_duration">Duration (secs)</label> <div class="col-md-4"> <input id="basicdetails_duration" name="basicdetails_duration" type="text" placeholder="enter duration" class="form-control input-md"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_language">Language</label> <div class="col-md-4"> <select id="basicdetails_language" name="basicdetails_language" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="basicdetails_quality">Quality</label> <div class="col-md-4"> <select id="basicdetails_quality" name="basicdetails_quality" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="metadata_subcategory">Sub-category</label> <div class="col-md-4"> <select id="metadata_subcategory" name="metadata_subcategory" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="metadata_variant">Variant</label> <div class="col-md-4"> <input id="metadata_variant" name="metadata_variant" type="text" placeholder="enter variant" class="form-control input-md"> </div> </div> <!-- Select Basic --> <div class="form-group"> <label class="col-md-4 control-label" for="metadata_copycommunication">Copy Communication</label> <div class="col-md-4"> <select id="metadata_copycommunication" name="metadata_copycommunication" class="form-control"> <option value="1">Option one</option> <option value="2">Option two</option> </select> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="metadata_tagoninformation">Tag on information</label> <div class="col-md-4"> <input id="metadata_tagoninformation" name="metadata_tagoninformation" type="text" placeholder="enter tags" class="form-control input-md"> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-4 control-label" for="metadata_celebrities">Celebrities</label> <div class="col-md-4"> <input id="metadata_celebrities" name="metadata_celebrities" type="text" placeholder="enter celebrities" class="form-control input-md"> </div> </div> <!-- File Button --> <div class="form-group"> <label class="col-md-4 control-label" for="upload_fileselection">Select Media File</label> <div class="col-md-4"> <input id="upload_fileselection" name="upload_fileselection" class="input-file" type="file"> </div> </div> <!-- Multiple Radios --> <div class="form-group"> <label class="col-md-4 control-label" for="payment_type">Payment type</label> <div class="col-md-4"> <div class="radio"> <label for="payment_type-0"> <input type="radio" name="payment_type" id="payment_type-0" value="1" checked="checked"> Against PO </label> </div> <div class="radio"> <label for="payment_type-1"> <input type="radio" name="payment_type" id="payment_type-1" value="2"> Online payment </label> </div> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-4 control-label" for="submitpage_submitvalid"></label> <div class="col-md-4"> <button id="submitpage_submitvalid" name="submitpage_submitvalid" class="btn btn-primary">Submit details for Val-ID creation</button> </div> </div> </fieldset> </form>