<link href="//netdna.bootstrapcdn.com/bootstrap/3.2.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.2.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<form class="form-horizontal">
<fieldset>
<legend>Form Name</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="selectbasic">Institution </label>
<div class="col-md-5">
<select id="selectbasic" name="selectbasic" class="form-control">
<option value="1">Anz</option>
<option value="2">Bankdirect</option>
<option value="">BNZ</option>
<option value="">kiwibank</option>
</select>
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="Product Name">Product Name</label>
<div class="col-md-5">
<input id="Product Name" name="Product Name" type="text" placeholder="Description" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="Loan Type">Loan Type</label>
<div class="col-md-5">