<!DOCTYPE html>
<html lang="en>
<head>
<title>Rizwan Ali</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<link rel="stylesheet" href="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
<script src="https://ajax.googleapis.com/ajax/libs/jquery/1.12.4/jquery.min.js"></script>
<script src="http://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js"></script>
</head>
<body>
<div class="container">
<h2>Custom Form using Bootstrap</h2>
<form class="form-horizontal>
<div class="form-group>
<label class="control-label col-sm-2" for="pwd">Name:</label>
<div class="col-sm-4">
<input type="text" class="form-control" placeholder="Enter Name">
</div>
</div>
<div class="form-group>
<label class="control-label col-sm-2">Mobile:</label>
<div class="col-sm-4">
<input type="number" class="form-control" placeholder="Enter 10 digits">
</div>
</div>
<div class="form-group>
<label class="control-label col-sm-2">Alternate Mobile:</label>
<div class="col-sm-4">
<input type="number" class="form-control">
</div>
</div>
<div class="form-group>
<label class="control-label col-sm-2" for="pwd">Gender:</label>
<div class="col-sm-4">
<select class="form-control">
<option value="male">Male</option>
<option value="female">Female</option>
</select>
</div>
</div>
<div class="form-group>
<label class="control-label col-sm-2" for="pwd">Age:</label>
<div class="col-sm-4">
<input type="number" class="form-control" id="pwd" placeholder="In Years">
</div>
</div>
<div class="form-group>
<label class="control-label col-sm-2" for="pwd">Date of Dog Bite:</label>
<div class="col-sm-4">
<input type="date" class="form-control">
</div>
</div>
<div class="form-group>
<label class="control-label col-sm-2" for="pwd">Credit Card Number:</label>
<div class="col-sm-4">
<input type="date" class="form-control">
</div>
</div>
<div class="form-group>
<div class="col-sm-offset-2 col-sm-10">
<div class="checkbox">
<label><input type="checkbox"> Remember me</label>
</div>
</div>
</div>
<div class="form-group>
<div class="col-sm-offset-2 col-sm-10">
<button type="submit" class="btn btn-default">Submit</button>
</div>
</div>
</form>
</div>
</body>
i created a custom form using
bootstrap,
NB: validation is not implemented you can add it as needed or mention in the comments for further assistance.
execute by selecting run above