<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>
<form class="form-horizontal">
<fieldset>
<legend>Add User Role</legend>
<div class="form-group">
<label class="col-md-4 control-label" for="rolename">User Role Name</label>
<div class="col-md-4">
<input id="rolename" name="rolename" type="text" placeholder="role name" class="form-control input-md" required="">
</div>
</div>
<div class="form-group">
<label class="col-md-4 control-label" for="permissions">Role Permissions</label>
<div class="col-md-4">
<div class="checkbox">
<label for="permissions-0">
<input type="checkbox" name="permissions" id="permissions-0" value="1">
Permission one
</label>
</div>
<div class="checkbox">
<label for="permissions-1">
<input type="checkbox" name="permissions" id="permissions-1" value="2">
Permission two
</label>
</div>
</div>
