"payment form "
Bootstrap 3.3.0 Snippet by ravic9089

Post to Facebook Tweet this

<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="//cdnjs.cloudflare.com/ajax/libs/jquery/3.2.1/jquery.min.js"></script> <!------ Include the above in your HEAD tag ----------> <!DOCTYPE html> <html lang="en"> <head> <title>Bootstrap Example</title> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1"> <link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/css/bootstrap.min.css"> <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.4.1/jquery.min.js"></script> <script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script> </head> <body> <div class="container"> <h2>ICICI AEPS</h2> <div class="my-border"> <div class="row"> <div class="col-xs-12 col-md-10"> <form class="form-horizontal" action=""> <label class="checkbox-inline"><input type="radio" value=""><b> Withdraw</b></label> <label class="checkbox-inline"><input type="radio" value=""><b> Balance Enquiry</b></label> <br/><br/> <div class="form-group"> <label class="control-label col-sm-2" class="text-left" for="email">*Aadhaar Number:</label> <div class="col-sm-6"> <input type="email" class="form-control" id="email" placeholder="Enter email" name="email"> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="pwd">*Mobile Number:</label> <div class="col-sm-6"> <input type="password" class="form-control" id="pwd" placeholder="Enter password" name="pwd"> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="pwd">*Amount:</label> <div class="col-sm-6"> <input type="password" class="form-control" id="pwd" placeholder="Enter password" name="pwd"> </div> </div> <div class="form-group"> <label class="control-label col-sm-2 text-left" for="pwd">*Bank</label> <div class="col-sm-6"> <select class="form-control" id="sel1"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> </select> </div> </div> <div class="form-group"> <label class="control-label col-sm-2" for="pwd">*Device:</label> <div class="col-sm-6"> <!-- <input type="password" class="form-control" id="pwd" placeholder="Enter password" name="pwd">--> <select class="form-control" id="sel1"> <option>1</option> <option>2</option> <option>3</option> <option>4</option> </select> </div> </div> <div class="form-group"> <div class="col-sm-offset-2 col-sm-10"> <button type="submit" class="btn btn-primary">Submit</button> </div> </div> </form> </div> <div class="col-xs-12 col-md-2"> <br/><br/><br/><br/><br/><br/> <a href="#">Dowload E-Kyc Drivers</a> </div> </div> </div> </div> </body> </html>
.my-border{ border: 1px solid #666; padding:5px 10px; /* margin: 5px 0px; */ } .form-horizontal .control-label{ text-align:left !important; }

Related: See More

Paper Kit 2 PRO Angular
login-form
Login Form
Contact Form

Questions / Comments: