<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>
<div class="panel-body">
<div class="row">
<div class="col-lg-12">
<form id="register-form" action="http://localhost/aparanji/public/register" method="post" role="form">
<input type="hidden" name="_token" value="XoJR3FFTp4Di1qg12Gp4WAiASnUXm5mrixPy9vFT">
<div class="form-group">
<input type="text" name="fname" id="fname" tabindex="1" class="form-control" placeholder="Firstname" value="">
</div>
<div class="form-group">
<input type="text" name="lname" id="lname" tabindex="1" class="form-control" placeholder="Lastname" value="">
</div>
<div class="form-group">
<input type="email" name="email" id="email" tabindex="1" class="form-control" placeholder="Email Address" value="">
</div>
<div class="form-group">
<input type="text" name="mobile" id="mobile" tabindex="2" class="form-control" placeholder="Mobile">
</div>
<div class="form-group">
<input type="radio" name="gender" id="gender" tabindex="2" placeholder="Gender"> Male
<input type="radio" name="gender" id="gender" tabindex="2" placeholder="Gender"> Female
</div>
<div class="form-group">
<textarea type="text" name="address" id="address" tabindex="2" class="form-control" placeholder="Address"></textarea>
</div>
<div class="form-group">